Priority 12 from the COPD Exacerbation PSP
|UNCERTAINTY: When should a COPD exacerbation be treated with steroids alone, antibiotics alone or both? (JLA PSP Priority 12)
|JLA question ID
|Most exacerbations are treated with a combination of anti-inflammatory 'steroids', with or without antibiotics. This treats all exacerbations as similar yet there is evidence that exacerbations differ. This question addresses how best to know which combination of treatments are best for which exacerbation. Doing so would make sure people get the treatments they need, whilst avoiding unnecessary side-effects (and the cost of) treatments not likely to help.
The question has not been addressed in the evidence base
|Health Research Classification System category
|Extra information provided by this PSP
|Original uncertainty examples
At what stage do you need to take steroids if it is an exacerbation without infection? ~ How to reduce unnecessary antibiotic prescribing. ~ Is antibiotics always the treatment?
|Patient, Carer, Relative, Healthcare professional
|PSP unique ID
|COPD Exacerbation PSP
|Total number of uncertainties identified by this PSP.
|51 (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
|Date of priority setting workshop
|1 April 2021