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Most of the time, long term macrolide therapy will be initiated in secondary care. However, we may well be the ones writing the prescription, so it is worth being aware of some of the safety concerns
The most useful additional information from this is how long to use antibiotics for (i.e. most patients will need a five day course, but some will need longer).
This is an updated guideline from NICE on the diagnosis and management of COPD, published in Dec 18. It's a pretty mammoth guideline, first written in 2004.
The most interesting bit for me about this new guideline was that only 50% of COPD exacerbations are thought to be caused by bacterial infections. The rest are caused mainly by viral infections or smoking.
This is a new guideline from NICE on when to prescribe antibiotics for coughs. It only covers those with acute coughs and doesn't include COPD patients (they are covered in a separate guideline).
This is a new guideline on bronchial thermoplasty from NICE on bronchial thermoplasty for severe asthma.
A very common condition, affecting 25% of infants before the age of 18 months, and one which we will see a lot of over the forthcoming months.
Most of the time, long term macrolide therapy will be initiated in secondary care. However we may well be the ones actually writing the prescription, so it is worth being aware of some of the safety concerns.
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