Antibiotics in COPD Exacerbations

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CHAPTER 80 ANTIBIOTICS IN COPD EXACERBATIONS


Antibiotics in Chronic Obstructive Pulmonary Disease Exacerbations. A Meta-Analysis


Saint S, Bent S, Vittinghoff E, Grady D. JAMA. 1995;273(12):957–960


BACKGROUND


Chronic obstructive pulmonary disease (COPD) is a common and serious condition, affecting 6% of the US population and killing 120,000 people per year, with an economic impact of $39 billion annually. Prior to this study, antibiotics were routinely administered to patients presenting with COPD exacerbations despite the fact that viral upper respiratory tract infections were the most common cause of such exacerbations. Previous studies examining the effect of routine antibiotics on COPD exacerbations were limited by small sample sizes.


OBJECTIVES


To determine if and to what extent routine administration of antibiotics to patients with COPD exacerbations affects outcomes.


METHODS


Meta-analysis with a priori article inclusion and exclusion criteria of articles from multiple databases published between 1955 and 1994.


Patients

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Jun 14, 2016 | Posted by in EMERGENCY MEDICINE | Comments Off on Antibiotics in COPD Exacerbations

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