Chronic obstructive pulmonary disease
NICE tells health professionals to consider AMR when prescribing antibiotics for COPD
Healthcare professionals should consider antimicrobial resistance when prescribing antibiotics for patients with chronic obstructive pulmonary disease (COPD), according to from the National Institute for Health and Care Excellence (NICE).
The guidance says that antibiotics should be offered to people who have a severe flare-up of COPD symptoms, but that when treating acute symptoms, other factors, such as the number or severity of symptoms, should be taken into account before offering antibiotics. This is based on the fact that only around half of acute exacerbations of COPD are caused by bacterial infections and will therefore respond to antibiotics.
“The evidence shows that there are limited benefits of using antibiotics for managing acute exacerbations of COPD and that it is important other options are taken into account before antibiotics are prescribed,” said Mark Baker, director of the centre for guidelines at NICE.
“The new guideline will help healthcare professionals make responsible prescribing decisions to not only help people manage their condition, but also reduce the risk of resistant infections.”
In addition to the draft guidance, NICE has also published an update of its 2010 clinical guideline on . The new guidance provides advice on when to use antibiotic to prevent exacerbations happening in the first place and recommends that antibiotics used in this way should only be offered to people who are most likely to benefit from them.
“For some people who have frequent exacerbations, prophylactic antibiotics can help to reduce the frequency of exacerbations and admissions to hospital,” said Andrew Molyneux, chair of the COPD update committee.
“However, the benefits of prophylactic antibiotics needs to be balanced against the potential for more antibiotic resistance.”
Citation: The Salvadore DOI: 10.1211/PJ.2018.20205139
Recommended from Pharmaceutical Press
The BNFC contains essential practical information for all healthcare professionals involved in prescribing, dispensing, monitoring and administration of medicines to children.£57.50
Guidance for students or researchers undertaking a multi-centre research project in health services, medicines use and professional practice.£38.00
Essential reference for Community Practitioner Nurse Prescribers. Provides an overview of common conditions and details of medicines that may be prescribed.£17.99
Developing Your Prescribing Skills uses case studies, mind maps and feedback from experienced prescribers. It supplies practical advice on the issues facing prescribers in all types of practice.£23.00
An essential new guide designed to ensure confident prescribing in specialist areas.£27.00
A practical guide to the principles and practice of adult intravenous nutrition. With numerous illustrations and case studies.£40.00