Macrolide antibiotics used during early pregnancy increase the risk of major birth defects, particularly heart defects, compared with children of mothers prescribed penicillin, according to a new study which advises that alternative antibiotics should be prescribed until further research is available.
Meningitis is a disease feared by parents and health professionals alike. The rapid onset and progression of the disease and potentially lethal outcome makes it vital to diagnose the disease early, but this can be difficult. Early symptoms of meningitis and septicaemia often resemble viral illnesses such as influenza, making the condition difficult to diagnose.
Insect bite consultations are common in primary care and treatment is usually with antibiotics. However, Public Health England claims that one in five GP antibiotic prescriptions may be inappropriate. A survey by a subgroup of the RCGP overdiagnosis group examined current practice in insect and tick bite management.