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The microbiome in mind: Reflections on antibiotic prescription in primary care

Nicolas D B. Roos
South African Family Practice | Vol 67, No 1 : Part 4| a6238 | DOI: https://doi.org/10.4102/safp.v67i1.6238 | © 2025 Nicolas D B. Roos | This work is licensed under CC Attribution 4.0
Submitted: 24 September 2025 | Published: 19 December 2025

About the author(s)

Nicolas D B. Roos, Department of Pathology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa

Abstract

In this opinion piece, the author critically reflects on his own antimicrobial stewardship practices in primary care and the complex factors influencing antibiotic prescription, specifically in children.
Contribution: In light of emerging evidence of the role of the microbiome in both health and disease, this piece raises a key question: Are we doing more harm than good?


Keywords

antimicrobial stewardship; infectious diseases; microbiome; paediatrics; primary care

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