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What to do in an exacerbation
- Antibiotics are used to treat an infective exacerbation which presents with an acute deterioration, usually over a few days. If possible a mucus sample should be submitted to guide antibiotic choices.
- An antibiotic may be started based on previous mucus sensitivities where a specific bacteria is unknown.
- If there is failure to improve after 5-7 days of antibiotic therapy, a change my be indicated and sputum test result can guide this.
- Two weeks of antibiotics are recommended.
- Increasing fluids will help to keep airways hydrated and thin the mucus making it easier to cough up.
- Patients should increase frequency of their airway clearance technique.
- They should increase frequency of nebulised saline or bronchodilator in line with chest physiotherapy.
