Intended for healthcare professionals

Analysis

The antibiotic course has had its day

BMJ 2017; 358 doi: https://doi.org/10.1136/bmj.j3418 (Published 26 July 2017) Cite this as: BMJ 2017;358:j3418

Parasitology & Public Health

Prolific and horrific, parasites are Mother Nature's army of mini-monsters that invade our lives and trap us in a morbid Möbius loop and biphasic food chain, in which we're both victor and vector, predator and prey, chef and buffet, diner and dinner, and winner and loser. To combat parasites, we need personal prevention with merciful intervention.*

*Parasites include viruses, bacteria, fungi, protozoa, worms, insects, and arachnids. The best antiparasitics are hygiene, nutrition, and aerobic exercise, since vaccines are vexed, and we're in the post-antibiotic era of antibiotic-resistant superbugs and superinfections. To quote GB Shaw, "Science never solves one problem without creating ten more."

Competing interests: No competing interests

27 July 2017
Hugh Mann
Physician
Retired
New York, NY, USA