Comment on “Duration of antibiotic therapy: with or without biomarkers?”: applying the double-trigger approach at the bedside

Antimicrobial resistance has emerged as a critical global health challenge.Significant variability in antibiotic prescribing practices underscores the urgent need for high-quality evidence to inform optimal antibiotic prescribing policies.The ideal duration of antimicrobial therapy remains uncertain, and a one-size-fits-all approach is far from ideal.In this review, we examine bacterial growth kinetics and antibiotic pharmacodynamics and explore various strategies for determining the duration of antibiotic therapy: fixed duration, biomarker-guided, clinical course-based, and the more recent double-trigger approach.

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Publication Details

Journal
Acute and Critical Care
Published
2026-10-15
DOI
https://doi.org/10.4266/acc.007748
Primary Topic
Antibiotics Pharmacokinetics and Efficacy
Type
article
Field-Weighted Citation Impact
0.00
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article

Comment on “Duration of antibiotic therapy: with or without biomarkers?”: applying the double-trigger approach at the bedside

Volkan İnal, Faruk Yildiz
Acute and Critical Care
Antibiotics Pharmacokinetics and Efficacy
article

Comment on “Duration of antibiotic therapy: with or without biomarkers?”: applying the double-trigger approach at the bedside

Volkan İnal, Faruk Yildiz
article en

Abstract

Antimicrobial resistance has emerged as a critical global health challenge.Significant variability in antibiotic prescribing practices underscores the urgent need for high-quality evidence to inform optimal antibiotic prescribing policies.The ideal duration of antimicrobial therapy remains uncertain, and a one-size-fits-all approach is far from ideal.In this review, we examine bacterial growth kinetics and antibiotic pharmacodynamics and explore various strategies for determining the duration of antibiotic therapy: fixed duration, biomarker-guided, clinical course-based, and the more recent double-trigger approach.

Acute and Critical Care
Trakya University (TR)
Good health and well-being
Openalex Percentile: Top 14%
Antibiotics Pharmacokinetics and Efficacy
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