Comment on YSK: Do You Really Need That Antibiotic? It’s antibiotic season. Brush up on how you should use them — and when to avoid them. (NYT, Dec 2023)

flooppoolf@lemmy.world ⁨6⁩ ⁨months⁩ ago

I’m considering this to be harmful information.

When you wipe out all of your microbiome, chances are it returns to normal in the following months after antibiotic treatment.

Your doctor will know if you need antibiotics because there is a positive test for a bacterial infection.

You have to take the full course to prevent resistance from forming. Resistance will form, no matter what, if you don’t fully eradicate the foreign organism. Studies are conducted to find out what the best course duration is in order to completely eradicate the organism. (STOP-IT trial for Intra Abdominal Infections suggest 4/5 days vs 10 day norm to be effective)

That is something you don’t want to happen because then you have to use stronger antibiotics which will absolutely do more than make your tummy hurt. (Ouch my kidneys)

The only medical indication for a FMT is a C.diff infection that is recurring. This means your microbiome has been wiped and replaced with C. Difficile. A bug that causes severe diarrhea.

If you let resistance flourish, then every single time someone needs to take an antibiotic it will be even more likely they develop a C. Diff infection due to the microbiota being wiped even harder. Resistance will become even more common due to the least harmful antibiotics not being available for use.

If you prevent resistance you prevent the use of harder antibiotics which prevents microbiome damage which prevents c. diff.

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