Efficacy of antibiotic therapy for acute exacerbations of mild to moderate COPD: RCT
Source: American Journal of Respiratory and Critical Care Medicine
Area: News
Antimicrobial therapy remains a controversial issue in non-severe exacerbations of chronic obstructive pulmonary disease (COPD). This RCT evaluated the efficacy of antibiotic therapy in moderate exacerbations of mild-to-moderate COPD.
The study conducted at 13 centres in Catalonia involved patients aged ?40, smokers or ex-smokers of ten packs-year or more, with forced expiratory volume in one second (FEV1) > 50% predicted and FEV1/ forced vital capacity ratio < 0.7, who were diagnosed with an exacerbation. They were randomised to receive either amoxicillin/ clavulanate 500/125 mg or placebo TDS for 8 days. The primary outcome measure was clinical cure at end of therapy visit (EOT) at days 9-11...