{
  "id": "medical/antibiotic-course-early-stop",
  "signature": "AI tells a patient to stop antibiotics as soon as symptoms improve, ignoring prescribed duration",
  "signature_zh": "AI告诉患者一旦症状改善就停止服用抗生素，忽略医嘱疗程",
  "regex": "(stop|discontinue|quit)\\s*(antibiotic|antibiotics|abx)\\s*(when|once|as\\s*soon\\s*as)\\s*(symptom|feel|better|improve)",
  "domain": "medical",
  "category": "health_risk",
  "subcategory": null,
  "root_cause": "Premature antibiotic cessation selects for resistant bacterial strains and fails to eradicate the infection fully, leading to recurrence and antimicrobial resistance (AMR).",
  "root_cause_type": "generic",
  "root_cause_zh": "过早停用抗生素会筛选出耐药菌株，无法完全根除感染，导致复发和抗菌药物耐药性（AMR）。",
  "versions": [
    {
      "version": "rx_system_v2.1",
      "introduced": null,
      "deprecated": null,
      "removed": null,
      "behavior_change": null,
      "status": "active"
    },
    {
      "version": "ehr_platform_2023.4",
      "introduced": null,
      "deprecated": null,
      "removed": null,
      "behavior_change": null,
      "status": "active"
    },
    {
      "version": "pharmacy_app_6.0",
      "introduced": null,
      "deprecated": null,
      "removed": null,
      "behavior_change": null,
      "status": "active"
    }
  ],
  "os_specific": {},
  "dead_ends": [
    {
      "action": "",
      "why_fails": "Patient assumes 'feeling better' means infection is gone; bacteria can still be present in subclinical numbers",
      "fail_rate": 0.8,
      "condition": "",
      "sources": []
    },
    {
      "action": "",
      "why_fails": "Patient thinks shorter course reduces side effects or gut microbiome disruption",
      "fail_rate": 0.65,
      "condition": "",
      "sources": []
    }
  ],
  "workarounds": [
    {
      "action": "Follow the exact duration prescribed: 'Take 1 tablet every 8 hours for 10 days' — finish the bottle even if symptoms resolve on day 3. Set phone reminders: `at now + 8 hours -- 'Take antibiotic dose #2'`",
      "success_rate": 0.9,
      "how": "Follow the exact duration prescribed: 'Take 1 tablet every 8 hours for 10 days' — finish the bottle even if symptoms resolve on day 3. Set phone reminders: `at now + 8 hours -- 'Take antibiotic dose #2'`",
      "condition": "",
      "sources": []
    },
    {
      "action": "Use a pill organizer with daily compartments and mark completion dates on a calendar. Example: for a 7-day course, label days 1-7 and check off each dose.",
      "success_rate": 0.85,
      "how": "Use a pill organizer with daily compartments and mark completion dates on a calendar. Example: for a 7-day course, label days 1-7 and check off each dose.",
      "condition": "",
      "sources": []
    }
  ],
  "workarounds_zh": [
    "Follow the exact duration prescribed: 'Take 1 tablet every 8 hours for 10 days' — finish the bottle even if symptoms resolve on day 3. Set phone reminders: `at now + 8 hours -- 'Take antibiotic dose #2'`",
    "Use a pill organizer with daily compartments and mark completion dates on a calendar. Example: for a 7-day course, label days 1-7 and check off each dose."
  ],
  "transition_graph": {
    "leads_to": [],
    "preceded_by": [],
    "frequently_confused_with": []
  },
  "official_doc_url": "https://www.cdc.gov/antibiotic-use/do-and-dont.html",
  "official_doc_section": null,
  "error_code": "ABX_EARLY_STOP",
  "verification_tier": "ai_generated",
  "confidence": 0.9,
  "fix_success_rate": 0.85,
  "resolvable": "true",
  "first_seen": "2023-11-08",
  "last_confirmed": "2024-06-01",
  "last_updated": "2024-06-01",
  "evidence_count": 1,
  "tags": [],
  "locale": "en",
  "aliases": []
}