The color of the phlegm indicates whether to need antibiotic to treat _ to treat to hinder the lung patient slowly

The color of the phlegm indicates whether to need antibiotic to treat _ to treat to hinder the lung patient slowly
Summary: In hinder the lung (chronic obstructive pulmonary disease slowly
,COPD) Patient acute to aggravate issue, antibiotic treatment than more effective to cough white phlegm person to cough green phlegm person.

WESTPORT, June 13 (Reuter's medical news) : The intersection of scientist and report of Britain, in hinder lung (chronic obstructive while being slow
pulmonary disease, COPD) Patient acute to aggravate issue, antibiotic treatment than more effective to cough white phlegm person to cough green phlegm person.

The intersection of queen and the intersection of Dr.Stockley and research group of hospital, Elizabeth of city, Birmingham of Britain, collect 121 case acute to aggravate issue, hinder the intersection of lung and phlegm kind of patient while being slow. They have measured 89 cases of phlegm kind among them, and follow up a case by regular visits to 109 among them when patient's condition is steady 2 months later.

The researcher regards it as the therapeutic primary indication of antibiotic to cough green phlegm. They think, neither represent need antibiotic to treat that there is bacterial infection, nor to cough white phlegm. So 77 the intersection of example and patient accept the intersection of antibiotic and treatment only, but another 34 take antibiotic.

Report in Chest magazine which the researcher published in June, coughing the phlegm of patient of the phlegm of suppuration trains bacterium's positive rate to be 84%, and cough the phlegm of person who glues phlegm and train only 38% of bacterium's positive rate.

2 months later, two groups of patient's phlegm train bacterium's positive rate to be relatively close. Coughing the phlegm of patient of the phlegm of suppuration trains bacterium's positive rate to be 38%, and cough the phlegm of person who glues phlegm and train bacterium's positive rate to be 41%.

The researcher points out, for coughing the patient of the phlegm of suppuration, its albumen density of C - response rises notably, China value is 4.5mg/L. But in the treatment of antibiotic, with the change of the phlegm color, the level of C - response albumen drops to 2.7mg/L gradually.

The report of research group, use and cough green (suppuration) The phlegm represents serious bacterial infection, its sensitiveness is 94.4%, the specificity is 77.0%. So, the patient whose color of observing the phlegm can have good response on antibiotic treatment very easily selects out. Cough COPD patient who glues the phlegm even not use antibiotic and can improve symptom while treating, and after the condition is steady, the properties of its phlegm have not obviously changed.

Dr.Stockley group summarize, say to acute to aggravate COPD patient, classify according to color of phlegm, will help to use antibiotic to treat rationally.

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