Upper respiratory tract infection (URTI) is the most common problem managed by GP registrars. Antibiotic resistance is a major public health threat and current evidence-based guidelines do not recommend the use of antibiotics for simple URTIs and sore throat. However, Australian GPs issued over 2 million antibiotic prescriptions for URTI in 2011 (with antibiotics being prescribed in 32% of URTI presentations). Supervisors can play a key role in reducing unnecessary antibiotic prescription by appropriate supervision and role modelling.
Urinary tract infection (UTI) is a common presentation in Australian general practice, comprising about 1% of all problems managed. The presentation of UTIs is highly variable, ranging from mild dysuria to severe sepsis, and masquerades are not uncommon. The approach to investigation and management depends on the patient’s age, gender, co-morbidities and presentation. GP registrars are likely to have seen many presentations of UTI in their ED experience, but are often less confident on the approach to investigation, and management of recurrent or complicated infection.