ROLE OF ANTIBIOTICS IN COPD

  • The patients with COPD are more prone to lung infections, which can be attributed to the lowered lung defense system due to the harmful effects of smoking and the disease process itself.
  • Prompt diagnosis and treatment of these infections is a priority as these patients tend to go into respiratory failure, if the infection is ignored.
  • Some studies have been done on instituting single drug antibiotic chemoprophylaxis during the entire winter or aggravating season to avoid infection, but these studies are still to prove their point.
  • As soon as an infection is suspected (increased yellowish phlegm production), the patient should start empirical antibiotic therapy after consulting his doctor. When the results of investigation arrive, the antibiotic therapy can be altered according to the culture sensitivity results