This paper describes a study undertaken to define dimensions of antibiotic prescribing in selected nursing homes and to consider the factors which might have an impact on practice.

Increasing concerns about antibiotic resistance as a result of inappropriate prescribing was the impetus of the study. Poor interprofessional relationships and inadequate GP visiting arrangements were found to impact on prescribing and patient care. Lack of availability of local sensitivity patterns and inadequate use of the laboratory contribute to the problem. The paper draws conclusions from focus group findings and makes recommendations which could improve practice.