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Challenging dogma in the ICU (Part II)

Critical Matters

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Rethinking Antibiotic Protocols in Critical Care

This chapter critiques the traditional extended use of antibiotics in critically ill patients, highlighting the adverse effects of prolonged treatment such as antibiotic resistance and microbiome disruption. It advocates for a more personalized approach to antibiotic duration, supported by recent research that suggests shorter treatment can be effective. By examining the complexities of decision-making in the ICU, the chapter calls for a reassessment of practices, emphasizing patient-centered care and the need to adapt treatments based on clinical improvements rather than solely relying on conventional markers.

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