Study highlights treatment discord

Doctors rarely follow Australian antibiotic guidelines for patients with acute exacerbations of chronic obstructive pulmonary disease (AECOPD), a study of 84 patients at a tertiary hospital shows.

The guidelines recommend treatment with a single class of oral antibiotics (either a penicillin or a tetracycline). However, the study shows 86% of patients received inappropriate antibiotics, and three quarters of these received IV rather than oral doses.

Patients receiving guideline-concordant treatment spent an average of 1.6 days in hospital, compared with 3.7