A 65-year-old with COPD exacerbation on prednisone 40 mg daily for 5 days asks about antibiotic choice with increased sputum purulence and volume and ...

Question

A 65-year-old with COPD exacerbation on prednisone 40 mg daily for 5 days asks about antibiotic choice with increased sputum purulence and volume and dyspnea. No risk for Pseudomonas. Appropriate option?

Accepted Answer

Doxycycline 100 mg BID 5-7 days

Answer

Azithromycin 500 mg daily 3 days

Answer

Amoxicillin 250 mg TID

Answer

Levofloxacin 750 mg daily for all

Answer

No antibiotics

us-abfm MCQ (SBA): COPD Exacerbation Antibiotics

A 65-year-old with COPD exacerbation on prednisone 40 mg daily for 5 days asks about antibiotic choice with increased sputum purulence and volume and dyspnea. No risk for Pseudomonas. Appropriate option?