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Immunity

Antibiotics: The Quick Reference

Antibiotics: the whole thing in five minutes, for when you want the numbers and nothing else.

Marcus Okafor, MSc Health journalist 3 min read 1 views
Antibiotics: The Quick Reference

Medicines that kill or inhibit bacteria, and do nothing whatever to viruses.

Key takeaways

  • What they target: bacterial cell walls, ribosomes and DNA replication
  • Why they fail on viruses: viruses have none of those structures
  • Most useful single change: Ask what symptoms should prompt you to come back, and by when.
  • Commonest mistake: Pressing for antibiotics because mucus has turned green.
  • See a doctor if any of the signs under "When to speak to a doctor" below apply to you.

The numbers, in one place

Published figures for Antibiotics
MeasureFigure
What they targetbacterial cell walls, ribosomes and DNA replication
Why they fail on virusesviruses have none of those structures
Cause of green mucusan enzyme in white blood cells, not bacteria
Deaths attributed to resistance globallyover a million a year
Useful middle grounda delayed or back-up prescription

In one paragraph

Unnecessary courses give you the side effects without the benefit and contribute to resistance that is already attributed to over a million deaths a year.

Worth doing

  • Ask what symptoms should prompt you to come back, and by when
  • Finish the course exactly as prescribed when they are indicated
  • Return unused antibiotics to a pharmacy
  • Accept a delayed prescription where offered; it is evidence-based

Worth avoiding

  • Pressing for antibiotics because mucus has turned green
  • Taking leftovers, or someone else's
  • Assuming a longer illness means a bacterial one

Where to go next

When to speak to a doctor

Contact a GP or NHS 111 for a cough lasting more than three weeks, fever persisting beyond five days, symptoms that improve then suddenly worsen, or difficulty swallowing with a sore throat. Call 999 for difficulty breathing, confusion, or a rash that does not fade when pressed with a glass.

Where this comes from

  • NICE — Antimicrobial stewardship
  • NHS — Antibiotics

How this page was put together

Every figure, recommendation and warning above is taken from the guidance named in Where this comes from. Nothing on this page is inferred, summarised or generalised beyond what those bodies publish: where they give a number, it is their number, and where they are silent, so are we. Pages are rebuilt whenever the underlying record changes. Sign-off by a named clinician, where it has happened, is shown at the top of the page along with the date.

Medical disclaimer

This article is general information, not medical advice. It cannot account for your own history, medication or circumstances. Always speak to a GP, pharmacist or another qualified health professional before making changes that affect your treatment, and never delay seeking medical advice because of something you have read here. In an emergency, call 999.

Spotted something wrong? Report an error on this page. We correct on the page and say what changed.

Marcus Okafor

Health journalist covering cardiovascular risk and long-term weight research. Previously spent four years fact-checking medical copy, a job that permanently ruined his tolerance for the word "detox".

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