Clinical CPD topic
Antibiotic stewardship: practise, reflect and record
Practise antibiotic stewardship through five clinical cases, review the explanations and build a professional learning record. Select antibiotic treatment for acute sore throat with immediate penicillin allergy and for first-episode confirmed C. difficile infection.
First published · Sources checked
What you’ll work on
- Select antibiotic treatment for acute sore throat with immediate penicillin allergy and for first-episode confirmed C. difficile infection.
- Choose appropriate C. difficile stool testing and recognise why a positive urine dipstick alone does not establish UTI in a delirious care-home resident.
- Identify when close contacts of invasive meningococcal disease require health-protection assessment and antibiotic prophylaxis.
Think through a clinical case
Decide how you would approach this case before opening the question session.
A 16-year-old girl presents with a 2-day history of sore throat. She has had fever during the previous 24 hours, purulent and severely inflamed tonsils, and no cough or coryza. She can swallow fluids and has no drooling, trismus or altered voice. Her FeverPAIN score is 5. She is not pregnant. At the age of 10 years, she developed generalised urticaria within 30 minutes of taking amoxicillin. Following discussion of the benefits and harms, an immediate antibiotic prescription is selected. Which is the most appropriate antibiotic?
A case from the UKMLA question bank. The session provides the answer and explanation after your attempt.
From a decision to a learning record
- Test your reasoning. Answer five questions from this topic’s clinical-content library.
- Explore the gaps. Review explanations and use Tutor to work through decisions that need more thought.
- Reflect on application. Describe what you learned and what you would change or investigate.
- Review your evidence. Confirm the activity and time spent, then retain or export your professional record.
Primary sources and further reading
Read the source in the same jurisdiction as your question session.
- Recommendations | Sore throat (acute): antimicrobial prescribing | Guidance | NICEUK source
- Clostridium difficile | RCHT PathologyNHSUK source
- Vibramycin-D Dispersible Tablets 100mg — UK SmPCUK source
- Recommendations | Clostridioides difficile infection: antimicrobial prescribing | Guidance | NICEUK source
- UKHSA meningococcal disease public-health management guideline, December2025UK source
- UKHSA UTI diagnostic decision tool for adults over65UK source
- Recommendations | Urinary tract infection (lower): antimicrobial prescribing | Guidance | NICEUK source