Good post on an important (and somewhat controversial) topic.

My take is if you are going to 3rd world, you bring as much as you can to cover as many scenarios as possible. Hence, the docs in my clinic have no problem writing z packs and other antibiotics to send with people going on multi-week adventures in a place where they may not have access to the meds.

Here in the states, if you want to include a course of antibiotics in your BOB or whatever, that is your choice, but the difficulty of rotation and cost become something to seriously consider vs. the benefit.

I know some persons who went to Haiti to help out, and it was really meatball stuff. Horrid, really, with bandages running out (remember, bandages need to be changed, etc.)

If you want to go to the trouble of maintaining a fresh antibiotic supply in your home kit, go for it. I don't, even though I can easily obtain them.