UK Guidelines Quiz: COPD & Antibiotics

Tim Locke

Disclosures

July 20, 2018

Molyneux said, "the benefits of prophylactic antibiotics needs to be balanced against the potential for more antibiotic resistance."

The new draft guideline says to offer a suitable antibiotic in cases of severe acute COPD exacerbation.

For acute exacerbation that is not severe, antibiotics should be considered depending on factors, including:

  • The number of symptoms and the severity of symptoms

  • Whether hospital admission for treatment is required

  • Risk of complications

  • History of previous exacerbations and hospital admissions

  • Previous results of sputum culture and susceptibility tests

  • Antimicrobial resistance risk with repeated courses of antibiotics

The initial antibiotic may be changed depending on results of sputum samples if these have been taken. Reassessment may be required depending on treatment and symptoms.

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