原文不是研究性论文，而是分析性探讨（Analysis)。本意是讨论有些治疗是否有必要完成整个治疗规范

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回答: 我们服用抗生素的方法错了？由白水之鱼于 2017-10-13 19:05:18

如果他们的建议是合理的，应该重新审视原有规范，制定出新的方案。而不是呼吁患者按自己的感觉停用。

这些作者缺乏做为医学研究者的基本素质：在没有充分证据时，以诡辩方式挑起事端，蛊惑大众。

另外，他们的英国同行对该文持有不同意见：Oxford University researchers are among a group of infectious disease experts to argue that the advice that patients should complete a course of antibiotics is not supported by evidence and should be dropped.

The analysis, which was led by Professor Martin Llewellyn of Brighton and Sussex Medical School, was done for the Antibiotic Review Kit (ARK)-Hospital PGfAR programme, and for the NIHR’s Health Protection Research Unit at Oxford University.

Professor Lucy Yardley, who is also leading the development of the ARK intervention to reduce duration of antibiotic use in hospitals,, said:

“For common bacterial infections no evidence exists that stopping antibiotic treatment early increases a patient’s risk of resistant infection, yet the complete the course message is still widely believed. A better message would be that antibiotics are a precious resource that should not be used for longer than is necessary.”

The research team are calling for more research determine the most effective strategies for optimising the duration of antibiotic treatment.

（from https://www.phc.ox.ac.uk/news/has-the-antibiotic-course-had-its-day )

martin llewelyn 在 bmj 原文链接

https://eprints.soton.ac.uk/414391/1/bmj.j3418.full.pdf