Sir, Mathew et al (1) in their study have shown that 31 per cent of the study population were tested positive for the presence of antibiotic in urine and 90 per cent admitted that prior treatment was given for the same episode of fever. Only 34.5 per cent of the study population obtained the drugs by prescription. This reflects a high occurrence of antibiotic use for initial treatment of fever. Excessive prescribing of antibiotics may lead to emergence of drug resistant organisms, it subjects the patients to additional adverse effects of the drugs being taken, and increases the expenditure on drugs (2,3). Overestimation of severity of the disease symptoms and patient expectation may influence the medical practitioner while prescribing the antibiotics (4).