[Antibiotic treatment for acute episodes of chronic obstructive pulmonary disease].

Autor: Alonso Martínez JL; Servicio de Medicina Interna, Hospital Reina Sofía, Tudela, Navarra., Rubio Obanos MT, Sampériz Legarre AL, Escolar Castellón F, Carrasco del Amo ME
Jazyk: Spanish; Castilian
Zdroj: Anales de medicina interna (Madrid, Spain : 1984) [An Med Interna] 1992 Aug; Vol. 9 (8), pp. 377-80.
Abstrakt: Antibiotic therapy for acute episodes of chronic obstructive pulmonary disease (COPD) is a controversial issue still not clarified. In order to evaluate the effectivity of the antibiotic therapy, we designed a double-blind controlled and randomized clinical trial, in which 90 patients hospitalized due to an acute episode of COPD were divided into three groups: group I, cotrimoxazole (29 patients); group II, amoxicillin-clavulanic acid (32 patients) and group III, placebo (29 patients). Gasometric and spirometric measures were taken in addition to clinical evaluation at hospital admission and discharge using a numerical valoration system. All patients were treated with common bronchodilators. The three groups were homogeneous at their admission and there were no statistical differences at their discharge. We conclude that antibiotics do not play a relevant role in the improvement of acute episodes of COPD.
Databáze: MEDLINE