An 83-year-old man with CFS 6 and advanced COPD has had three exacerbations in the past year despite maximum inhaler therapy. Sputum repeatedly grows ...

Question

An 83-year-old man with CFS 6 and advanced COPD has had three exacerbations in the past year despite maximum inhaler therapy. Sputum repeatedly grows Haemophilus. What ADDITIONAL preventive medication may be considered?

Accepted Answer

Prophylactic Azithromycin (250 mg or 500 mg three times weekly) after discussion of risks including resistance, QT prolongation, and hearing impairment

Answer

Long-term Amoxicillin

Answer

Long-term Ciprofloxacin

Answer

ICS monotherapy

Answer

Prophylactic Metronidazole

uk-dgm MCQ (SBA): Prophylactic Azithromycin in COPD

An 83-year-old man with CFS 6 and advanced COPD has had three exacerbations in the past year despite maximum inhaler therapy. Sputum repeatedly grows Haemophilus. What ADDITIONAL preventive medication may be considered?