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Antibiotic stewardship viral URTI — GPhC CRA MCQ

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ModerateInfectionsAntibiotic stewardship viral URTIGPhC CRA

A patient asks for antibiotics for a two-day cold with runny nose, mild sore throat and no fever or breathlessness. They are otherwise well. What is the most appropriate alternative?

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Correct answer: CProvide self-care advice and safety-netting rather than antibiotics

Most uncomplicated colds are viral and do not require antibiotics. The pharmacist should provide self-care advice, expected duration and safety-netting for worsening symptoms or red flags. Using leftover antibiotics promotes resistance and may cause harm. Emergency referral solely for antibiotics is inappropriate when the presentation is mild.

Reference: NICE CKS; antimicrobial stewardship guidance