It would not good if you give a person without really nessaserry because the most people don't get fungus infection.You only destroys the selfhealing mechanism.
Antibiotic use is a major problem. A lot of people use AB’s when they are not needed and physicians are prescribing a lot of broad spectrum AB’s when a smaller spectrum would be justified. Countries with a restrictive AB policy have the lowest rate of VRE/MRSA/ESBL. The most common Fungal infections as a complication of AB use are usually found in women who are treated with broad-spectrum AB’s; the get a vaginal Candidiasis. Candidiasis is sometimes self-limiting but due to the location and burden of symptoms often treated locally with a cream or vaginal ovule. There are women who know that an AB course gives them candidiasis (usually because they have experienced this before). In that case you could prescribe a cream so they can get the medication if needed. Hardcore anti fungals like Amphotericin B are not systemic medication you would take as a preventative. They have severe side effects which are not easily treated. As you have given us little information on which fungal infection you are worried about, I would say that in a non-immunocompromised patient there is not indication to take any anti-fungal medication. As a healthcare worker ask yourself the question: does my patient really need AB’s? If the answer is no; don’t prescribe and educate your patient! If the answer is yes, try to prescribe as small spectrum as possible!
