原文不是研究性論文，而是分析性探討（Analysis)。本意是討論有些治療是否有必要完成整個治療規範

如果他們的建議是合理的，應該重新審視原有規範，製定出新的方案。而不是呼籲患者按自己的感覺停用。

這些作者缺乏做為醫學研究者的基本素質：在沒有充分證據時，以詭辯方式挑起事端，蠱惑大眾。

另外，他們的英國同行對該文持有不同意見：Oxford University researchers are among a group of infectious disease experts to argue that the advice that patients should complete a course of antibiotics is not supported by evidence and should be dropped.

The analysis, which was led by Professor Martin Llewellyn of Brighton and Sussex Medical School, was done for the Antibiotic Review Kit (ARK)-Hospital PGfAR programme, and for the NIHR’s Health Protection Research Unit at Oxford University.

Professor Lucy Yardley, who is also leading the development of the ARK intervention to reduce duration of antibiotic use in hospitals,, said:

“For common bacterial infections no evidence exists that stopping antibiotic treatment early increases a patient’s risk of resistant infection, yet the complete the course message is still widely believed. A better message would be that antibiotics are a precious resource that should not be used for longer than is necessary.”

The research team are calling for more research determine the most effective strategies for optimising the duration of antibiotic treatment.

（from https://www.phc.ox.ac.uk/news/has-the-antibiotic-course-had-its-day )

 

martin llewelyn 在 bmj 原文鏈接

https://eprints.soton.ac.uk/414391/1/bmj.j3418.full.pdf

 

所有跟帖： 

• 多謝。原文沒有實驗數據。 -欲千北- ♂ (0 bytes) () 10/14/2017 postreply 19:12:45