# Firstline vs ECE Tracker

The clearest difference is update cadence: Firstline at every 2 weeks against ECE Tracker's every 8 months. ECE Tracker's advantage is iOS requirement (13.0 vs 16.0). On price, ads, in-app purchases and device support there is nothing between them.

Both are free to download. Neither carries in-app purchases, so what you see is what you pay.

Firstline ships an update every 2 weeks, ECE Tracker every 8 months. Both last shipped on October 13, 2026.

## The numbers

| Metric | Firstline | ECE Tracker |
| --- | --- | --- |
| Price | Free | Free |
| Rating | **[4.9 (644 ratings)](https://appshunter.io/ios/app/firstline-clinical-decisions/id921339941/reviews)** | — |
| Number of ratings | **644** | — |
| Positive reviews | 89.5% of reviews | — |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | **Every 2 weeks** | Every 8 months |
| Monetization | Free | — |
| Size | 3 MB | 70 MB |
| Requires iOS | 16.0 | **13.0** |
| Devices | iPhone, iPad | iPhone, iPod |
| Age rating | 17+ | 4+ |
| Developer | [Spectrum Mobile Health Inc.](https://appshunter.io/developer/1072846527) | [Anthony Levinson](https://appshunter.io/developer/1244494663) |

## What reviewers say

### Firstline

[App page](https://appshunter.io/ios/app/firstline-clinical-decisions/id921339941)

Provides healthcare professionals with interactive, point-of-care guidance for optimal patient treatment. Access customizable protocols, antimicrobial stewardship, and infection control information. Updates are rapid and it functions offline.

**Highlights:** Antimicrobial Stewardship guidelines, Infection Prevention & Control protocols, Customizable for healthcare organizations, Antimicrobial formulary information, Pathogen and antibiogram data, Offline functionality

**Features:** macOS Compatibility, Vision Pro support

**In-app purchases:** none

**What reviewers like**

- 👍 Easy to use and intuitive navigation
- 🎨 Beautiful and visually pleasing design
- 📚 Excellent reference resource for medical professionals
- ⚡ Quick and convenient point-of-care tool
- 🏥 Highly useful for clinical decision-making

**What reviewers complain about**

- 🐛 App fails to load or progress past loading screen
- 🐛 Frequent crashes after updates
- ⚠️ Stability issues requiring reinstallation
- ❌ Unresponsive membership request process

**Reported bugs**

- App will not progress past loading screen
- App crashes constantly on startup after updates
- Requires uninstall and reinstall to resolve crashes
- Crashes return after a few hours or days

**Requested features**

- Treatment duration guidelines for pathogens
- Regional data for additional areas (e.g., Southern Ontario/Hamilton/Toronto)
- More specific treatment duration information


### ECE Tracker

[App page](https://appshunter.io/ios/app/ece-tracker/id1244494664)

**Features:** Vision Pro support

**In-app purchases:** none


## Frequently asked questions

### Is Firstline free?

Firstline is free to download, with no in-app purchases.

### Is ECE Tracker free?

ECE Tracker is free to download, with no in-app purchases.

### Do Firstline or ECE Tracker have ads?

Neither Firstline nor ECE Tracker shows ads.

### Which is updated more often, Firstline or ECE Tracker?

Firstline ships an update every 2 weeks, and ECE Tracker every 8 months. Most recently, Firstline was updated on October 13, 2026 and ECE Tracker on October 13, 2026.

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*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*