Acute exacerbation of COPD

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Diagnosis:

Review previous antibiotic history and sputum microbiology.

 

 

Required Investigations

  • CXR
  • Sputum for culture; TRAK as 'C&S-Respiratory (Routine Bacteriology)'
  • Viral throat swab if being admitted (swab throat and nose at same time with single swab, send in viral transport medium); TRAK as 'Resp Virus Screen

Antimicrobial Recommendation

Recommended total duration: 5 days

Recommended Antibiotic

Doxycycline 200mg stat on first day, then 100mg daily orally 4 days

OR

Amoxicillin 500mg every 8 hours orally

 

Notes

Likely organisms: Viral, H.influenzae, S.pneumonia, M.catarrhalis