A 72-year-old man with COPD presents with increased breathlessness, purulent sputum and wheeze. He is afebrile and saturating 93% on air. Which antibi...

Question

A 72-year-old man with COPD presents with increased breathlessness, purulent sputum and wheeze. He is afebrile and saturating 93% on air. Which antibiotic strategy is most appropriate?

Accepted Answer

Amoxicillin 500 mg TDS for 5 days

Answer

Azithromycin 500 mg OD for 3 days as first-line

Answer

No antibiotics regardless of sputum purulence

Answer

Co-amoxiclav 625 mg TDS 14 days

Answer

Levofloxacin 500 mg BD for 10 days first-line

ukmla MCQ (SBA): Acute Exacerbation of COPD

A 72-year-old man with COPD presents with increased breathlessness, purulent sputum and wheeze. He is afebrile and saturating 93% on air. Which antibiotic strategy is most appropriate?