Question

A 69-year-old with COPD exacerbations reports increased dyspnoea and sputum purulence but no increased volume. According to GOLD, are antibiotics indicated?

Accepted Answer

Only if procalcitonin >0.25 ng/mL

Answer

No, because all three cardinal symptoms are required

Answer

Yes, because purulence plus one other cardinal symptom is sufficient

Answer

Yes, if eosinophils >300/µL

Answer

Only with fever >38.5°C

Practice question

A 69-year-old with COPD exacerbations reports increased dyspnoea and sputum purulence but no increased volume. According to GOLD, are antibiotics indicated?