There is significant advancement in the management of certain medical practices, particularly regarding the awareness of antibiotic use and resistance. The identification and diagnosis of urinary tract infections (UTIs) remains a critical area needing improvement, particularly concerning overdiagnosis in elderly patients. There is a pressing need to address asymptomatic bacteriuria (ASB), which continues to challenge healthcare systems and is often under-managed. Progress has been made in cultural shifts towards the use of oral over intravenous antibiotics, particularly emphasizing their equivalence in many cases. Furthermore, a growing acceptance of antibiotic stewardship in surgical contexts is noted, as some surgeons reevaluate the necessity of prophylactic antibiotics. Data-driven feedback to facilities allows for targeted improvements, highlighting discrepancies in oral antibiotic usage. This constant re-evaluation and cultural change within healthcare institutions are crucial for addressing antibiotic resistance and optimizing patient care.