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Acute Exacerbation of Chronic Obstructive Pulmonary Disease (COPD)

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Acute Exacerbation of Chronic Obstructive Pulmonary Disease (COPD)

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Questions and Answers

What is an acute exacerbation of chronic obstructive pulmonary disease (COPD)?

A permanent worsening of symptoms from the patient's usual stable state

A sustained worsening of symptoms from the patient's usual stable state (correct)

A sudden improvement of symptoms from the patient's usual stable state

The usual day-to-day variation of symptoms

What triggers acute exacerbations of COPD?

Bacterial infections, viral infections, and other factors such as smoking (correct)

Only cardiorespiratory failure

Only viral infections

Only bacterial infections

When considering antibacterial treatment for acute exacerbations of COPD, what factors should be taken into account?

Only the severity of symptoms

Only the patient's age and weight

The severity of symptoms, sputum colour changes, and the need for hospital admission (correct)

Only the patient's history of hospital admission

What should be considered during reassessment of acute exacerbations of COPD?

Other diagnoses such as pneumonia, and previous antibacterial use Signup and view all the answers

When should patients with acute exacerbations of COPD be referred to hospital?

If they have signs or symptoms suggestive of a more serious illness Signup and view all the answers

Why should patients with acute exacerbations of COPD be reassessed if their symptoms worsen rapidly or significantly?

To consider other diagnoses or signs of a more serious illness Signup and view all the answers

What is the recommended duration of antibacterial therapy for this condition?

5 days Signup and view all the answers

When should the choice of antibacterial therapy be reviewed?

If symptoms are not improving and susceptibility results indicate bacterial resistance Signup and view all the answers

What is the oral first-line antibacterial therapy for this condition?

Amoxicillin, clarithromycin, or doxycycline Signup and view all the answers

When should a local microbiologist be consulted?

If symptoms are not improving with repeated courses of antibacterials Signup and view all the answers

What is the alternative oral antibacterial therapy for patients at high risk of treatment failure?

Co-amoxiclav, or levofloxacin Signup and view all the answers

When is intravenous antibacterial therapy recommended?

If the patient is severely unwell or unable to take oral treatment Signup and view all the answers