10 steps for good antimicrobial prescribing practice
Prescribe an antibiotic only when there is likely to be a clear clinical benefit
Do not prescribe an antibiotic for viral sore throat, simple coughs and colds
Consider a no, or delayed, antibiotic strategy for acute self-limiting upper respiratory tract infections
Limit prescribing over the telephone for exceptional cases
Use simple generic antibiotics first whenever possible (see information in this guide)
Avoid broad spectrum antibiotics where a narrow spectrum agent will be effective
Avoid widespread use of topical antibiotics (especially those agents also available as systemic preparations)
In pregnancy AVOID tetracyclines, aminoglycosides, quinolones and high dose metronidazole. Short term use of trimethoprim (theoretical risk in first trimester in patients with poor diet, as folate antagonist) or nitrofurantoin (at term, theoretical risk of neonatal haemolysis) is unlikely to cause problems to the foetus
Document clinical indication, duration, dose and route in patient records
Where a ‘best guess’ therapy has failed or special circumstances exist, microbiological advice can be obtained from your local microbiologist