Our weekly Snippets column is a collection of short items: responses to posted articles, practical self-sufficiency items, how-tos, lessons learned, tips and tricks, and news items — both from readers and from SurvivalBlog’s editors. Note that we may select some long e-mails for posting as separate letters.
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Reader S.J. sent this important antibiotics dosing update:
“Mr. Rawles,
I came across an interesting trend in internal medicine recently, regarding the standard course and duration of antibiotic therapy. For years I have recommended to people to stash away in their medical preps an old copy of the Sanford Antimicrobial guide, as the exact year didn’t matter greatly when it comes to the “standard” dosing and treatment of common infections, and it seemed like only the most recent 10th generation cephalosporins and multi-drug resistant bugs got new recommendations annually.
Well, lately I learned that I had been been mistaken. Since 2023, and annually since then, the guides (and not just Sanford, but the others as well, I just mention Sanford because it is tiny, easy to use, and inexpensive) have had their recommendations change to reflect the mounting evidence that the older, longer durations of antibiotic treatment not only were more likely (rather than less likely as we previously thought) to contribute to antibiotic resistance, but also that the shorter courses were equally effective, with fewer side effects. For example, some types of bladder infection courses now recommend 3-7 days rather than the old 7-14 days.
So first, something to keep on mind while the grid is up, if you need antibiotics and see a provider, doesn’t hurt to ask if the duration can be shortened if it seems long to you. (and make them explain why not, if they say no…sometimes it is justified on a case by case basis, and sometimes docs just don’t keep up with the latest recommendations…after all, it took me three years to come around to this way of thinking after the initial findings…of course it isn’t my primary focus of medicine, but anyone can fall behind the latest evidence and best practice).
Second, get a newer hard copy of Sanford’s Antimicrobial Therapy or other hard copy guide to recommended doses and the durations for common ailments, no older than 2023. It would not be a fun game trying to recall from memory if the bladder infection or the hatchet wound or the pneumonia gets the cephalexin, the clindamycin, or the azithromycin, and for 3, 5, 7, or 10 days…and at what dose and interval was that? Treating the wrong ailment with the wrong drug does worse than nothing, it risks side effects without benefiting the patient, and depletes your supplies.
Third, your stash of antibiotics is now likely to last longer, since most infections need only half as many doses as previously recommended. Yeah! This doubled the value of your meds portfolio.”
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