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PJ Online homeThe Pharmaceutical Journal
Vol 274 No 7351 p640
28 May 2005

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GPs may be using suboptimal pneumonia treatment

A survey of GPs has shown that many may be using suboptimal antibiotic treatment to treat community acquired pneumonia (CAP).

Researchers at Warrington General Hospital North Cheshire NHS Trust presented their work at this week’s American Thoracic Society meeting in San Diego.

They sent a questionnaire to 114 GPs. Replies from just over half (62) showed that 28 per cent would not use the antibiotic recommended by the British Thoracic Society guidelines and 75 per cent would use the wrong dose. The guidelines recommend amoxicillin at a dose of 500mg–1,000mg three times daily, or erythromycin for patients who are intolerant to amoxicillin.

Dermot Ryan, a Loughborough GP with an interest in respiratory medicine, said: “GPs need to be reminded to use a bactericidal dose of a recommended antibiotic to treat CAP. This will increase the chance of resolution of CAP … and reduce the risk of the emergence of antibiotic-resistant strains of bacteria.”

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