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''NICE 2008 Mx''
recommends - no or delayed Abs with acute otitis media, acute sore throat/acute pharyngitis/acute tonsillitis, common cold, acute rhinosinusitis or acute cough/acute bronchitis.
immediate Abs if ...
|<2y with bilateral acute otitis media|patients with acute sore throat/acute pharyngitis/acute tonsillitis with 3+ Centor criteria (40-60% chance cause if grpA beta-haem strep)|
|children with otorrhoea and acute otitis media|at risk of severe complications|

''complication risk ...''
    systemically very unwell
    Sx suggestive of serious illness eg pneumonia, mastoiditis, peritonsillar abscess, peritonsillar cellulitis, intraorbital or intracranial complications)
    pre-existing comorbidity eg significant heart, lung, renal, liver or neuromuscular disease, immunosuppression, cystic fibrosis, and premature infants
    >65y with acute cough and two of (or >80 with cough and one of) .... 
|hospitalisation in previous year|history of congestive heart failure|
|type 1 or type 2 diabetes   |current use of oral glucocorticoids|