The World Health Organization (WHO) has issued new clinical guidelines discouraging the use of antibiotics in COVID-19 patients, unless there is a confirmed or suspected bacterial co-infection. The update stems from a recent meta-analysis and aims to curb the growing threat of antimicrobial resistance.

For patients with mild or severe COVID-19 where bacterial infection is unlikely, WHO recommends against empirical antibiotic treatment. The agency emphasized that global healthcare systems and the epidemiology of COVID-19 have changed significantly since the early days of the pandemic in 2020.
The revised guidelines come in response to reduced global COVID-19 case severity, widespread vaccine coverage, and improved integration of COVID-19 care within general healthcare systems. WHO noted that many emergency measures have been lifted, prompting the need to reassess and streamline recommendations.
Crucially, the updated antibiotic guidelines were driven by growing concerns over antibiotic overuse and the urgent need to tackle antimicrobial resistance. WHO highlighted that these recommendations are designed for all healthcare providers and administrators involved in COVID-19 or post-COVID-19 care.
Despite significant progress, the virus continues to circulate and evolve, causing new infections and deaths daily. While hospitalizations and fatalities have declined, the virus’s capacity for mutation and immune evasion necessitates ongoing vigilance and adaptable treatment strategies.
These updates reflect WHO’s commitment to continuously revise and refine its guidance based on the latest scientific evidence and the changing realities of the pandemic.