Myth |
True/Findings in the Study |
Bactericidal antibiotics are inherently more effective than bacteriostatic ones |
Bactericidal and bacteriostatic antibiotics show comparable efficacy in clinical settings, with some bacteriostatic agents demonstrating even greater efficacy than bactericidal ones |
Longer courses of antibiotics are always better for treating infections |
Shorter antibiotic courses are as effective as longer ones for various infections, reducing hospital stays, adverse effects, and costs without increasing resistance |
Oral antibiotics are less effective than intravenous antibiotics |
Oral antibiotics are equally effective as intravenous ones for certain infections, promoting earlier discharge, reducing catheter infections, and lowering costs |
Cefazolin is inappropriate for treating bacterial meningitis |
Cefazolin may be effective for treating CNS infections caused by MSSA, achieving excellent therapeutic levels in CSF |
Doxycycline causes tooth discoloration in children below 8 years of age |
Doxycycline does not cause tooth discoloration in children under 8 years old and can be safely administered for up to 21 days regardless of age |
Linezolid and serotonin syndrome |
Despite structural similarities to serotonergic drugs, linezolid has a low incidence of serotonin syndrome when used concurrently with serotonergic agents |
Nitrofurantoin is contraindicated if CrCl is below 60 mL/min |
Nitrofurantoin can be used safely in patients with CrCl above 30 mL/min, contrary to previous contraindications |
TMP-SMX is ineffective against Streptococcus pyogenes
|
TMP-SMX is effective against Streptococcus pyogenes, showing non-inferiority to standard treatments for impetigo and cellulitis |
Antibiotic resistance |
Antibiotic resistance can occur without prior antibiotic exposure |