Antibiotic little benefit if no co-morbidity.
Consider 7 day delayed antibiotic and give symptomatic advice - see Non-Prescription Pads
Symptom resolution can take 3 weeks. Patient Information Leaflet
Consider immediate antibiotics if > 80yr and ONE of: hospitalisation in past year, oral steroids, diabetic, congestive heart failure OR > 65yrs with 2 of above.
Consider CRP test if antibiotic being considered.
If CRP<20mg/L no antibiotics, 20-100mg/L delayed, CRP >100mg/L immediate antibiotics.