Question

A 68-year-old man with COPD (FEV1 48% predicted) has increased dyspnoea, sputum volume and new purulent sputum. No pneumonia on chest X-ray. Penicillin allergy (anaphylaxis). Which antibiotic is most appropriate?

Accepted Answer

Doxycycline 200 mg stat then 100 mg OD for 4 days

Answer

Amoxicillin 500 mg TDS for 5 days

Answer

Co-amoxiclav 625 mg TDS for 5 days

Answer

Ciprofloxacin 500 mg BD for 7 days

Answer

No antibiotic indicated

Practice question

A 68-year-old man with COPD (FEV1 48% predicted) has increased dyspnoea, sputum volume and new purulent sputum. No pneumonia on chest X-ray. Penicillin allergy (anaphylaxis). Which antibiotic is most appropriate?