Table 5—

Potential indications for antibiotic treatment in acute exacerbations of chronic bronchitis (AECB)

FactorsObservations[Refs.]
Disease severity stage III (FEV1≤35% pred)High prevalence of positive culture for Gram-negative bacteria46, 47, 66, 67
Comorbidity factors including the elderly, cardiac or renal disease, alcoholism, systemic corticotherapy, diabetesIncreased mortality of AECB 10
Recent previous course(s) of antibiotic and/or previous hospitalizationIncreased risk of β-lactamase-producing bacteria46, 66
Current cigarette smokingHigh prevalence of Haemophilus influenzae 34
  • FEV1: forced expiratory volume in one second