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ABSTRACT
Antibiotic management of infectious exacerbations of chronic obstructive pulmonary disease
Chronic obstructive pulmonary disease (COPD) is one of the most important and common disorders due to its progressive nature and high incidence of exacerbations. An acute exacerbation of COPD refers to sustained worsening of symptoms in a previously stable patient. Exacerbations (including severe exacerbations) are often due to causes other than bacterial infections and as such they are non-responsive to antibiotics. The NICE guidelines provide an antimicrobial prescribing strategy for acute exacerbations of COPD with the aim of optimizing antibiotic use and reducing antibiotic resistance in affected patients. Antibiotics which are typically indicated for bacterial exacerbations can also speed up the recovery as well as reduce the risk of early relapse and treatment failure.
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