TY - JOUR T1 - Antibiotic prescribing for upper respiratory tract infections: NICE guidelines JF - Archives of disease in childhood - Education & practice edition JO - Arch Dis Child Educ Pract Ed DO - 10.1136/archdischild-2018-316159 SP - edpract-2018-316159 AU - Nee Na Kim AU - Dilshad Marikar Y1 - 2019/02/01 UR - http://ep.bmj.com/content/early/2019/02/01/archdischild-2018-316159.abstract N2 - The National Institute for Health and Care Excellence (NICE) published guidelines on prescribing antibiotics in acute sinusitis (October 2017)1 and acute sore throat (January 2018).2 The guidelines aim to reduce unnecessary microbial prescription that may lead to adverse effects and bacterial resistance.When the child is systemically unwell, has signs and symptoms of more serious illness or is at high risk of complications.For acute sore throat, use FeverPain or Centor criteria (box 1) to identify those who are more likely to benefit from an antibiotic (table 1).Consider a backup prescription for acute sinusitis where symptoms persist for 10 days or more without improvement, taking into account that although there are factors that might make a bacterial cause more likely (box 2), withholding antibiotics is unlikely to lead to complications and make little difference to duration or severity of symptoms.3For inpatient management where you suspect sepsis, intraorbital/periorbital complications or intracranial complications.Box 1 FeverPAIN and Centor CriteriaFeverPAIN criteriaFever (during previous 24 hours).Purulence (pus on tonsils).Attend rapidly (within 3 days after onset of symptoms).Severely Inflamed tonsils.No cough or coryza (inflammation of mucous membranes in the nose).Each of the FeverPAIN criteria score one point (maximum score of … ER -