Acute cough-antibiotic

URTI and not systemically very unwell or at higher risk of complications- do not offer antibiotic

Acute bronchitis and not systemically very unwell or at higher risk of complications-Do not routinely offer an antibiotic-If acute cough associated with acute bronchitis and CRP is available- follow NICE pneumonia in adults guideline

Higher risk of complications - at face to face examination- Consider an immediate antibiotic or a back-up antibiotic prescription

Systemically very unwell - at face to face examination-Offer an immediate antibiotic

Advice on-usual course of acute cough -up to 3-4 weeks managing symptoms with self care when to seek medical help - for eg ○ symptoms worsen rapidly or significantly ○ do not improve after 3-4 weeks ○ person becomes systemically unwell If antibiotic not issued- advice why not If antibiotic issued - advice about SE's particularly diarrhoea If back-up prescription - advice on using if symptoms worsen rapidly or significantly at any time

Do not offer a mucolytic an oral or inhaled bronchodilator an inhaled or oral corticosteroidUnless otherwise indicated

Reassess if symptoms worsen rapidly or significantly taking into account ○ alternative diagnoses such as pneumonia ○ any symptoms or signs suggesting a more serious illness or condition such...