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Antibiotic resistance is an increasing problem in paediatric practice. General practitioners in the United Kingdom have consequently been exhorted to minimise antibiotic prescribing for childhood upper respiratory infections. 1 However, some data suggest an association between reduced prescribing and an increased incidence of rare complications of bacterial infection. 2-4 We report national data on community prescribing of antibiotics and hospital admissions for peritonsillar abscess, mastoiditis, and rheumatic fever in children during 1993-2003 (community prescribing) and 1993-2002 (hospital admissions).

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