British Thoracic Society guideline for the use of long-term macrolides in adults with respiratory disease

David Smith; Ingrid A Du Rand; Charlotte Addy; Timothy Collyns; Simon Hart; Philip Mitchelmore; Najib Rahman; Ravijyot Saggu

doi:10.1136/bmjresp-2019-000489

British Thoracic Society guideline for the use of long-term macrolides in adults with respiratory disease

BMJ Open Respir Res. 2020 Apr;7(1):e000489. doi: 10.1136/bmjresp-2019-000489.

Authors

David Smith¹, Ingrid A Du Rand², Charlotte Addy³, Timothy Collyns⁴, Simon Hart⁵, Philip Mitchelmore⁶, Najib Rahman⁷, Ravijyot Saggu⁸

Affiliations

¹ North Bristol Lung Centre, Southmead Hospital, Bristol, UK david.smith@nbt.nhs.uk.
² Respiratory, Wye Valley NHS Trust, Hereford, UK.
³ Centre for Medical Education, Queens University Belfast, Regional Respiratory Centre, Belfast City Hospital, Belfast Health and Social Care Trust, Belfast, UK.
⁴ Medical Microbiology, Leeds Teaching Hospitals NHS Trust, Leeds, UK.
⁵ Cardiovascular and RespiratoryStudies, Hull York MedicalSchool/University of Hull, Hull, UK.
⁶ Institute of Biomedical and Clinical Science, College of Medicine & Health, University of Exeter, Department of Respiratory Medicine, Royal Devon and Exeter NHS Foundation Trust, Exeter, UK.
⁷ Oxford Respiratory Trials Unit, University of Oxford, Oxford NIHR Biomedical Research Centre, Oxford, UK.
⁸ Pharmacy, University College London, London, UK.

Abstract

The full British Thoracic Society (BTS) guideline for the use of long-term macrolides in adults with respiratory disease is published in Thorax. The following is a summary of the recommendations and good practice points. The sections referred to in the summary refer to the full guideline. The appendices are available in the full guideline and online appendices are available on the BTS website. This is the first BTS guideline to use the Grading of Recommendations, Assessment, Development and Evaluations (GRADE) approach as part of the process of guideline development and the guideline was used to pilot the new methodology.

Keywords: respiratory infection.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Administration, Oral
Adult
Anti-Bacterial Agents / administration & dosage
Anti-Bacterial Agents / adverse effects
Anti-Bacterial Agents / therapeutic use*
Humans
Macrolides / administration & dosage
Macrolides / adverse effects
Macrolides / therapeutic use*
Practice Guidelines as Topic
Respiratory Tract Diseases / drug therapy*
Societies, Medical
Time Factors
United Kingdom

Substances

Anti-Bacterial Agents
Macrolides