[Skip to content]

East Midlands Strategic Health Authority
Search our Site
.

Antibiotic prescribing

Antibiotic Prescribing

Right time: right place

Did you know?

  • Antibiotics are medicines that help fight serious infections caused by bacteria.  They don't cure infections caused by viruses
  • Overuse of antibiotics is recognised as the main reason for the development of resistant germs
  • Once a germ is resistant to an antibiotic, it is useless to treat infections caused by that germ
  • There is the risk that if overuse continues, there will be no effective antibiotics left
  • New antibiotics are difficult to develop
  • Antibiotics can contribute to the development of Clostridium difficile
  • GPs are being asked to prescribe antibiotics only when necessary.

You can expect: to receive antibiotics only when they are necessary.

Our commitment to antibiotic prescribing...

We will:

  • Prescribe antibiotics only when they are necessary and for the shortest time possible

  • Only prescribe using expert guidance and advice
  • Monitor antibiotic prescribing.

We ask you to:

  • Accept the professional decision if they decide antibiotics are not needed

  • Take the prescribed course as directed
  • Not to share or save antibiotics.
Antibiotics

To help patients, visitors and public understand more about antibiotic prescribing we have produced a leaflet (see below).  This is what the leaflet says:

WHAT ARE ANTIBIOTICS?

Antibiotics are medicines that help fight serious infection caused by bacteria but don’t cure infections  caused viruses.

WHAT ARE VIRAL INFECTIONS?

Viral infections are very common. They include all colds and flu, and are also responsible for some cases of diarrhoea and many infections of the nose, sinuses, ears and throat.

WHAT IF I HAVE AN INFECTION?

Your body can clear most infections in which case antibiotics do little to speed up recovery. However, there are times when antibiotics are useful. Doctors are skilled at checking you over and will prescribe antibiotics only if you really need them.

CAN I HAVE ANTIBIOTICS JUST IN CASE?

It is not advisable as antibiotics can cause side effects, such as diarrhoea and vomiting, rashes and sometimes even life threatening allergic reaction. They can also interfere with other medicines you may be taking like the oral contraceptive pill and warfarin. Overuse can also cause antibiotic resistance.

WHY IS ANTIBIOTIC RESISTANCE A PROBLEM?

Each time an antibiotic is used there is an increased chance of ‘resistance’ developing. Antibiotics are

becoming less effective at fighting infections because bacteria adapt and find ways to survive, some bacteria, such as MRSA, are now resistant more quickly when antibiotics are used too often or are not used correctly.

EACH TIME AN ANTIBIOTIC IS USED THERE IS AN INCREASED CHANCE OF RESISTANCE DEVELOPING

BUT COLDS ALWAYS GO TO MY CHEST.  SURELY I NEED AN ANTIBIOTIC THEN?

Generally not. If you are normally well, your immune (defence) system will help you recover usually within

10-14 days. However you need to see your doctor if your cough lasts more than three weeks, if you become short of breath or develop chest pains, or you already have a serious medical condition.

MY CHILDREN ARE ALWAYS GETTING INFECTIONS. WHAT SHOULD I DO?

Children often get coughs, colds and ear infections, but they usually fight these successfully on their own.

Speak to your community pharmacist who will be able to offer professional advice. You can also get

advice from your doctor but don’t routinely expect  a prescription for an antibiotic as usually these symptoms are caused by viruses.

ANTIBIOTICS MUST ONLY BE USED WHEN REALLY NEEDED

IF AN ANTIBIOTIC IS NOT THE ANSWER WHAT IS?

Speak to your local pharmacist. Medication such as paracetomol or an over-the-counter cold remedy may

help ease your symptoms. Drink plenty of fluids and rest if you have a temperature. Washing your hands

regularly with soap and water will help stop the spread of infection.

WHEN CAN I EXPECT TO BE GIVEN ANTIBIOTICS?

Antibiotics are used to treat serious bacterial infections not viruses. If you receive a prescription

for antibiotics it is important to complete the full course of treatment.

WASHING YOUR HANDS REGULARLY WITH SOAP AND WATER WILL HELP STOP THE SPREAD OF INFECTION

IF I AM GIVEN ANTIBIOTICS WHY DO I NEED TO COMPLETE THE COURSE?

It is important to complete a prescribed course of antibiotics as this can be the reason for the development of antibiotic resistance.

WHAT CAN I EXPECT FROM MY DOCTOR?

No prescription

Your doctor may feel that your infection is viral and will clear over time on its own. You may be

given advice regarding self help as mentioned in this leaflet. If you feel your symptoms are getting

worse do go back and see the doctor.

Delayed prescription

Your doctor may offer you a delayed prescription. If this is the case this will involve you going back

to the surgery in a few days time to collect a prescription if your symptoms are not improving.

You will be given information regarding what this involves and also offered self help advice.

Prescription

Your doctor may feel that your infection is bacterial and may give you a course of antibiotics.

It is important to take all the antibiotics you are given. Don’t save some of the medicine for the

next time you are sick as this may increase the chance of antibiotic resistance in the future.

Remember

• Many common infections are caused by viruses. Antibiotics do not kill viruses

• Overuse of antibiotics, can make them less effective. They should only be given when they are really needed

• Antibiotics can often cause side effects such as making you feel sick and may also give you diarrhoea

• Your community pharmacist can recommend medication to help ease your symptoms

• Don’t routinely expect a prescription for an antibiotic.