A 70-year-old with severe COPD exacerbation and suspected bacterial trigger cannot tolerate macrolides or fluoroquinolones. QTc 520 ms. Which regimen ...

Question

A 70-year-old with severe COPD exacerbation and suspected bacterial trigger cannot tolerate macrolides or fluoroquinolones. QTc 520 ms. Which regimen is safest/effective?

Accepted Answer

Doxycycline plus prednisone 40 mg daily x5 days

Answer

Azithromycin plus prednisone 40 mg daily x10 days

Answer

Levofloxacin alone x10 days

Answer

Clarithromycin alone x7 days

Answer

No antibiotics; steroids only

us-abfm MCQ (SBA): AECOPD Regimen (QTc)

A 70-year-old with severe COPD exacerbation and suspected bacterial trigger cannot tolerate macrolides or fluoroquinolones. QTc 520 ms. Which regimen is safest/effective?