When faced with a choice between 2 or more possible answers, using a “STEPS” analysis may be a useful clinical decision making tool. The goal is to provide information for each agent and compare the results to aid in your decision.
S: safety – are there any serious drug interactions? Possible serious side effects or adverse drug reactions?
T – tolerability – consider any adverse drug effects or side effects that may be concerning to the patient such as: diarrhea, headaches, rash, etc.
E – efficacy – is one agent more efficacious than the other for the infection?
P – price – does the patient have insurance? will cost inhibit adherence or access to the medication?
S – simplicity – which regimen is simpler? Once a day dosing will likely have better adherence rates than three times a day dosing. Also, three days of an antibiotic may be preferable to 7-10 days. Depending on the drug you choose, the frequency and duration will vary.
Create your own “steps” analysis comparing the use of the available treatment regimens