NICE 69: National Institute for Health and Clinical Excellence. Prescribing of antibiotics for self-limiting respiratory tract
infections in adults and children in primary care. 2008. (Clinical guideline 69).
A no antibiotic prescribing strategy or a delayed antibiotic prescribing strategy should be negotiated for patients with the following conditions: acute otitis media, acute sore throat, common cold, acute rhinosinusitis, acute cough/acute bronchitis. Depending on patient preference and clinical assessment of severity, patients in the following specific subgroups can also be considered for immediate antibiotics in addition to the reasonable options of a no antibiotic strategy or a delayed prescribing strategy:
For all antibiotic prescribing strategies, patients should be given advice about the usual natural history of the illness, including the average total length of the illness (before and after seeing the doctor):
Advice should also be given about managing symptoms, including fever (particularly analgesics and antipyretics).
When the delayed antibiotic prescribing strategy is adopted, patients should be offered the following:
The Royal College of General Practitioners (RCGP) has a free two hour training module on Managing Acute Respiratory Tract Infections (MARTI) for continued professional development. The MARTI series of training modules enables clinical staff to improve the care provided to patients presenting with acute ear pain, acute sore throat, sinusitis and acute cough. The module equals two hours towards CPD, and can be imported into the RCGP Revalidation portfolio. http://www.rcgp.org.uk/courses-and-events/online-learning/ole/managing-acute-respiratory-tract-infections.aspx