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Time to review: 30 minutes

We have issued pragmatic guidance for the routine and crisis management of patients with asthma and COPD during the UK Covid-19 epidemic. The guide has been written to response to the questions that primary care colleagues are now asking, particularly around steroid use as Covid-19 cases continue to rise.

Time to review: 30 minutes

A consensus-based article that sets out a simple treatment pathway based on the predominant characteristics

Time to review: 30 minutes

The high rate of empirical antibiotic use for the treatment of suspected respiratory tract infections (RTIs) and COPD exacerbations remains a cause for concern in the face of increasing antibiotic resistance.

Time to review: 30 minutes

Primary care practitioners should seek to identify and provide proactive support to older people living with frailty in the community.

Type: Clinical resource or information, PCRU Clinical Area: COPD Status: Current

In this article Angela Wixey discusses a local programme of work that was established to unravel the risk factors associated with under- and over- diagnosis of COPD.   The service was operated by a Respiratory Nurse Specialist (RNS) credited by the Association of Respiratory Technology and Physiology (ARTP) in spirometry who examined 375 patients in five practices across the county over 9 months.

Time to review: 30 minutes

Point-of-care testing of C-reactive protein (CRP) for the acute assessment of worsening symptoms in people known to have COPD can safely reduce the use of antibiotics and could help improve the diagnostic approach towards someone presenting in such a crisis. New high-quality evidence has emerged since the last NICE COPD update and we encourage re-opening and review of the current guideline to enable clinicians and system leaders to understand whether and how to implement this promising diagnostic aid.