Adult
COPD: infective exacerbation
- If consolidation on chest X-ray, treat as for Community-acquired pneumonia (CAP): non-severe (CURB65= 0-1) or Community-acquired pneumonia (CAP): moderate/ severe (CURB65=2-5)
- Antimicrobials are only indicated if patient is febrile or has purulent sputum.
- See NICE NG115 (revised 2019)
Treatment duration: 3-5 days
Review empirical treatment within 48 hours
Preferred
amoxicillin 500mg po tds
Alternative
For penicillin allergy, mild or severe
doxycycline 100mg po bd (Discuss with Micro/ID if patient is pregnant)