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Principals will always be vital

Lower respiratory tract infection is not the commonest thing managed in general practice (News, July 19) and 807 patients is a scandalous lack of evidence on which to base research, especially as the result is not what we see in hospital and general practice.

Doctors taking notice of Government propaganda about not using antibiotics in the NHS have caused an increase in LRTI and death.

My evidence is based on 30 years in general and hospital practice. If antibiotics don't work in LRTI perhaps these academics could explain why, when patients get an LRTI after being denied antibiotics for URTI, they get better on antibiotics in hospital.

Could Professor Paul Little consider doing something useful, like proving that antibiotic resistance in the UK is caused by 'inappropriate patients' using the NHS free 24 hours a day, or showing that MRSA is due to too many patients being pushed through too few hospitals with too many unhygienic visitors.

And all to satisfy the politically correct agenda of patient power.

Dr Paul Searle

St Neots, Huntingdonshire

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