Antibiotics should be restricted for COPD says NICE
Healthcare professionals should consider the risk of antimicrobial resistance when deciding whether antibiotics are needed for treating or preventing a flare up of symptoms of chronic obstructive pulmonary disease (COPD).
These new recommendations come as NICE publishes antimicrobial prescribing guidance (APG) and a separate update to its 2010 clinical guideline on diagnosing and managing COPD in over 16s.
The guidance notes that acute exacerbations of COPD can be caused by a range of factors including viral infections and smoking. Only around half are caused by bacterial infections, so many exacerbations will not respond to antibiotics.
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