‘TAKE 5’:The camera swings smoothly from the penumbral apartment view to a vertiginous angle above the staircase. The sole source of illumination a swaying, flickering lightbulb too intermittent to allow you to determine whether the silhouette near the cellar door is real or... the ostentatious Hitchcockian flourish serving only to cast more doubt cast on what your senses are telling you. “Cut” calls the voice from the director’s chair, face hidden by a diametrically challenged trilby “no one will guess which of the protagonists is which”.A RASH OF MISUNDERSTANDING:It’s late at night, you’ve just the seen a child with an archetypal strep throat, the rapid antigen test confirming what you already knew. You’re child about to press beta lactam on the e prescribing system when you remember to ask about allergies. “Penicillin brought her out in spots last time” comes the counter parry and, without time, energy or resources to explore this any further, resign yourself to a search for what you know will be a second best alternative and order the macrolide you know has a population level reputation for its capacity to generate antimicrobial resistance. Two linked papers (Paul Turner’s editorial and Kene Maduemen and colleagues’ survey report demonstrate the threshold at which this information is generally accepted, unchallenged and the ease by which through a straightforward outpatient oral provocation the label can be peeled off. See page 329 and 364
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