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BMJ 2005;331 (6 August), doi:10.1136/bmj.331.7512.0-d
Antibiotic prescribing for childhood upper respiratory infections halved between 1993 and 2003 in the United Kingdom, but hospital admissions for peritonsillar abscess and rheumatic fever have not increased. Sharland and colleagues (p 328) extracted data from drug prescribing and hospital admission databases. Admission rates for mastoiditis and simple mastoidectomy increased in the observed period by 19%, but the general practice research database did not show an increase in mastoiditis or referral for mastoidectomy.
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Credit: P MARAZZI/SPL
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