A 78-year-old with COPD exacerbation has increased dyspnea, sputum volume, and sputum purulence. Best outpatient antibiotic indication and choice?...

Question

A 78-year-old with COPD exacerbation has increased dyspnea, sputum volume, and sputum purulence. Best outpatient antibiotic indication and choice?

Accepted Answer

Antibiotics indicated; amoxicillin-clavulanate is reasonable

Answer

No antibiotics; treat with steroids only

Answer

Antibiotics only if pneumonia on CXR

Answer

Macrolide for 14 days in all exacerbations

Answer

IV cefepime at home

us-abfm MCQ (SBA): COPD Exacerbation-Antibiotics