4.5 Review

Problems associated with the use of the term antibiotics

Journal

NAUNYN-SCHMIEDEBERGS ARCHIVES OF PHARMACOLOGY
Volume 394, Issue 11, Pages 2153-2166

Publisher

SPRINGER
DOI: 10.1007/s00210-021-02144-9

Keywords

Antibiotics; Antibiogram; Antibiotic stewardship; Broad-spectrum antibiotics; Reserve antibiotics; Chemotherapeutics

Funding

  1. Projekt DEAL

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The article argues that traditional terms related to antibiotics are used more widely in biomedical literature than scientifically precise terms, and this practice should be stopped. It also provides arguments to end the use of other broadly used terms in biomedical literature.
The term antibiotics is a broadly used misnomer to designate antibacterial drugs. In a recent article, we have proposed to replace, e.g., the term antibiotics by antibacterial drugs, antibiosis by antibacterial therapy, antibiogram by antibacteriogram, and antibiotic stewardship by antibacterial stewardship (Seifert and Schirmer Trends Microbiol, 2021). In the present article, we show that many traditional terms related to antibiotics are used much more widely in the biomedical literature than the respective scientifically precise terms. This practice should be stopped. Moreover, we provide arguments to end the use of other broadly used terms in the biomedical literature such as narrow-spectrum antibiotics and reserve antibiotics, chemotherapeutics, and tuberculostatics. Finally, we provide several examples showing that antibacterial drugs are used for non-antibacterial indications and that some non-antibacterial drugs are used for antibacterial indications now. Thus, the increasing importance of drug repurposing renders it important to drop short designations of drug classes such as antibiotics. Rather, the term drug should be explicitly used, facilitating the inclusion of newly emerging indications such as antipsychotic and anti-inflammatory. This article is part of an effort to implement a new rational nomenclature of drug classes across the entire field of pharmacology.

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