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November 18th marks European Antibiotic Awareness Day, a Europe-wide public health initiative that encourages prudent and responsible use of antibiotics. In addition, the United Kingdom 5-year strategy on tackling antimicrobial resistance was published in September.1 Both events provide a useful prompt for us to take a careful look at how we use antibiotics in our own practice, reflect on our successes and plan for the future. The issues will be familiar: 80% of all antibacterial prescriptions are generated in primary care, accounting for one in twenty prescriptions dispensed in the community in England;2 infectious diseases remain a primary cause of hospital admission accounting for 8% …