Response from NICE

摘要

We are grateful for the opportunity to provide some comment following the letter by Saeed et al that points out an apparent discrepancy between NICE recommendations for primary care antibiotic therapy (penicillin) and secondary care management (ceftriaxone) and makes a case for availability of a third generation cephalosporin in the GPs 'black bag'.Unfortunately, the authors' arguments are based on a fundamental misunderstanding of the guidance as the population they discuss should not have been given antibiotic therapy in the first place.