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Cited by 2,492

The DOI matches its Crossref record; 1 of the 1 references it cites were found in a registry or an index.

Antibiotic Therapy in Exacerbations of Chronic Obstructive Pulmonary Disease

ANTHONISEN, N. R., MANFREDA, J., WARREN, C. P. W., HERSHFIELD, E. S., HARDING, G. K. M., NELSON, N. A.·1987·Annals of Internal Medicine

Abstract

The effects of broad-spectrum antibiotic and placebo therapy in patients with chronic obstructive pulmonary disease in exacerbation were compared in a randomized, double-blinded, crossover trial. Exacerbations were defined in terms of increased dyspnea, sputum production, and sputum purulence. Exacerbations were followed at 3-day intervals by home visits, and those that resolved in 21 days were designated treatment successes. Treatment failures included exacerbations in which symptoms did not resolve but no intervention was necessary, and those in which the patient's condition deteriorated so that intervention was necessary. Over 3.5 years in 173 patients, 362 exacerbations were treated, 180 with placebo and 182 with antibiotic. The success rate with placebo was 55% and with antibiotic 68%. The rate of failure with deterioration was 19% with placebo and 10% with antibiotic. There was a significant benefit associated with antibiotic. Peak flow recovered more rapidly with antibiotic treatment than with placebo. Side effects were uncommon and did not differ between antibiotic and placebo.

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Metadata

Authors
ANTHONISEN, N. R., MANFREDA, J., WARREN, C. P. W., HERSHFIELD, E. S., HARDING, G. K. M., & NELSON, N. A.
Venue
Annals of Internal Medicine
Published
1987-02-01
Volume
106
Issue
2
Pages
196-204
ISSN
  • 0003-4819 (ISSN-L)
  • 1539-3704
OpenAlex
W2012519534
Cited by
2,492
References
1
FWCI
16.70
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Antibiotic Therapy in Exacerbations of Chronic Obstructive Pulmonary Disease. https://app.cochat.ai/papers/10.7326/0003-4819-106-2-196
The paper
ANTHONISEN, N. R., MANFREDA, J., WARREN, C. P. W., HERSHFIELD, E. S., HARDING, G. K. M., & NELSON, N. A. (1987). Antibiotic Therapy in Exacerbations of Chronic Obstructive Pulmonary Disease. Annals of Internal Medicine. https://doi.org/10.7326/0003-4819-106-2-196

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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