Question

A 60 year old man with chronic obstructive pulmonary disease presents with increasing breathlessness and green sputum for 3 days. He has a raised CRP and signs of infective exacerbation. According to NICE guidance, which additional treatment should be offered alongside bronchodilators and steroids?

Accepted Answer

Short course of oral antibiotics

Answer

Long term macrolide prophylaxis

Answer

High dose intravenous antibiotics in all cases

Answer

No antibiotics are ever indicated

Answer

Inhaled antibiotics

Practice question

A 60 year old man with chronic obstructive pulmonary disease presents with increasing breathlessness and green sputum for 3 days. He has a raised CRP and signs of infective exacerbation. According to NICE guidance, which additional treatment should be offered alongside bronchodilators and steroids?