Prophylactic antibiotic therapy in chronic obstructive pulmonary disease
- PMID: 24893090
- DOI: 10.1001/jama.2014.4929
Prophylactic antibiotic therapy in chronic obstructive pulmonary disease
Abstract
CLINICAL QUESTION Is prophylactic antibiotic treatment associated with fewer exacerbations or improved health-related quality of life (HRQOL) in patients with chronic obstructive pulmonary disease (COPD)? BOTTOM LINE Continuous macrolide antibiotic use for prophylaxis was associated with a clinically significant reduction in COPD exacerbations. Pulsed antibiotic use was not associated with benefit. Continuous and pulsed antibiotics were associated with improved HRQOL, but this was not clinically significant.
Comment on
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Prophylactic antibiotic therapy for chronic obstructive pulmonary disease (COPD).Cochrane Database Syst Rev. 2013 Nov 28;(11):CD009764. doi: 10.1002/14651858.CD009764.pub2. Cochrane Database Syst Rev. 2013. Update in: Cochrane Database Syst Rev. 2018 Oct 30;10:CD009764. doi: 10.1002/14651858.CD009764.pub3. PMID: 24288145 Updated.
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