Intended for healthcare professionals

Letters Improving outpatient antibiotic prescribing

What is “normal” antibiotic prescribing?

BMJ 2019; 364 doi: (Published 15 March 2019) Cite this as: BMJ 2019;364:l1144
  1. Martin Gulliford, professor of public health1,
  2. Dorota Juszczyk, research associate1,
  3. Lucy Yardley, professor of health psychology2
  1. 1King’s College London, School of Population Health and Environmental Sciences, Guy’s Campus, London SE1 1UL, UK
  2. 2University of Bristol, Bristol, UK
  1. martin.gulliford{at}

The United Kingdom has a culture of high antibiotic prescribing.1 Although the National Institute for Health and Care Excellence recommends that most self limiting respiratory tract infections be managed without antibiotics, some 50% of primary care consultations for this condition are associated with an antibiotic prescription.2 For some international …

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