Antibiotic decision-making

THE use of antibiotics for infections of the upper respiratory tract is often a fraught decision.

The vast majority of infections that children develop are viral in aetiology and do not need antibiotics.

This is clear with children who present with a low grade fever, clear rhinorrhoea, sneezing and a mild cough.

However, in some cases, where symptoms have lasted longer and the child looks more unwell, such as may occur with possible evolving bacterial