Non-antibiotic therapies for infectious diseases
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Updated: Sep 25, 2026

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Published on: April 21, 2023
Christine F Carson1, Thomas V Riley
1Department of Microbiology, The University of Western Australia, Crawley, Western Australia.
Abstract:
The emergence of multiple antibiotic resistant organisms in the general community is a potentially serious threat to public health. The emergence of antibiotic resistance has not yet prompted a radical revision of antibiotic utilisation. Instead it has prompted the development of additional antibiotics. Unfortunately, this does not relieve the underlying selection pressure that drives the development of resistance. A paradigm shift in the treatment of infectious disease is necessary to prevent antibiotics becoming obsolete and, where appropriate, alternatives to antibiotics ought to be considered. There are already several non-antibiotic approaches to the treatment and prevention of infection including probiotics, phages and phytomedicines. There is some evidence that probiotics such as Lactobacillus spp. or Saccharomyces boulardii are useful in the prevention and treatment of diarrhoea, including Clostridium difficile-associated diarrhoea that can be difficult to treat and recurs frequently. Bacteriophages have received renewed attention for the control of both staphylococcal and gastrointestinal infections. Phytomedicines that have been utilised in the treatment of infections include artesunate for malaria, tea tree oil for skin infections, honey for wound infections, mastic gum for Helicobacter pylori gastric ulcers and cranberry juice for urinary tract infections. Many infections may prove amenable to safe and effective treatment with non-antibiotics.
Insights
Antibiotic resistance is a major public health threat. Exploring non-antibiotic treatments like probiotics, phages, and phytomedicines is crucial to preserve antibiotic effectiveness and combat infections.
Area of Science:
- Microbiology
- Infectious Diseases
- Public Health
Background:
- Rising antibiotic resistance poses a significant threat to global public health.
- Current strategies focus on developing new antibiotics rather than addressing the root cause of resistance.
- A fundamental change in treating infections is needed to prevent antibiotic obsolescence.
Purpose of the Study:
- To highlight the urgent need for alternative treatments to antibiotics.
- To review existing non-antibiotic approaches for infection management.
- To emphasize the potential of these alternatives in combating antibiotic resistance.
Main Methods:
- Review of existing literature on non-antibiotic therapies.
- Identification of specific examples of probiotics, bacteriophages, and phytomedicines.
- Analysis of their potential applications in treating various infections.
Main Results:
- Probiotics (e.g., Lactobacillus, Saccharomyces boulardii) show promise in treating and preventing diarrhea, including Clostridium difficile infections.
- Bacteriophages are gaining attention for controlling staphylococcal and gastrointestinal infections.
- Phytomedicines like tea tree oil, honey, and cranberry juice have demonstrated efficacy for specific infections.
Conclusions:
- Non-antibiotic approaches offer viable alternatives for infection treatment and prevention.
- Adoption of these alternatives can help mitigate the selection pressure driving antibiotic resistance.
- A paradigm shift towards integrating non-antibiotic therapies is essential for future infectious disease management.
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