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Ikke alle KOL-eksacerbationer skal behandles med antibiotika

Eksempel på et farvekort, som kan anvendes af patienten til beskrivelse af ekspektoratfarve. De to nederste farver indicerer behov for antibiotikabehandling, hvis patienten også har mere åndenød end vanligt.
Forfatter(e)
Stefan Kern Nielsen & Peter Lange Lungemedicinsk Sektion, Hvidovre Hospital Ugeskr Læger 2017;179:V01170003
Reference: 
Ugeskr Læger 2017;179:01170003
Blad nummer: 
Sidetal: 
2-5
Not all exacerbations of chronic obstructive pulmonary disease should be treated with antibiotics
This review gives an update on antibiotic treatment of exacerbation of chronic obstructive pulmonary disease (COPD). Patients who do not need hospital admission and do not present with purulent sputum nor increased levels of C reactive protein/procalcitonin have no beneficial effect of antibiotic treatment. Those with severe COPD and increased sputum purulence should be treated with antibiotics, and first-line treatment should be amoxicillin, which is effective against the most common types of bacteria in COPD exacerbation. In patients with very severe COPD, amoxicillin/clavulanate could also be first-line treatment.
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