Hospital Settings

Don't routinely use antibiotics in adults and children with uncomplicated sore throats.

Don't use antibiotics in adults and children with uncomplicated acute otitis media.

Don't prescribe antibiotics in adults with bronchitis/asthma and children with bronchiolitis.

Don't treat adult cough with antibiotics even if it lasts more than one week, unless bacterial pneumonia is suspected (mean viral cough duration is 18 days).

Don't use antibiotics for acute asthma exacerbations without clear signs of bacterial infection.

Don't recommend antibiotics for infections that are likely viral in origin, such as an influenza-like illness.

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Don't prescribe antibiotics for asymptomatic bacteriuria in non-pregnant patients.

Don't use antimicrobials to treat bacteriuria in older adults unless specific urinary tract symptoms are present.

Don't use antimicrobials to treat asymptomatic bacteriuria in the elderly.

Don't recommend antimicrobials to treat bacteriuria in older adults unless specific urinary tract symptoms are present.

Do not treat asymptomatic urinary tract infections in catheterized patients.

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Don't start or prolong broad-spectrum antibiotic treatment unless clinically indicated.

Don't order peri-operative antibiotics beyond a 24 hour post-operative period for non-complicated instrumented cases in patients who are not at high risk for infection or wound contamination. Administration of a single pre-operative dose for spine cases without instrumentation is adequate.

Don't routinely prescribe intravenous forms of highly bioavailable antimicrobial agents for patients who can reliably take and absorb oral medications.

Don't prescribe alternate second-line antimicrobials to patients reporting non-severe reactions to penicillin when beta-lactams are the recommended first-line therapy.

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