Is the antibiotic prescribed to my dad appropriate?

Hello,

Welcome to icliniq.com. Your father is suffering from acute exacerbation of COPD (chronic obstructive pulmonary disease) with CAP (community-acquired pneumonia) and sepsis. Currently, he is on appropriate antibiotics. But, he needs systemic steroids to cope with the exacerbation along with inhaled steroids. Though his X-ray (attachment removed to protect patient identity) appears normal, CT (computed tomography) thorax is suggestive of bilateral consolidation. Sputum culture should ideally tell us the exact bacteria and sensitive antibiotics for it. Supportive treatment like nutrition, supplemental oxygen, or noninvasive ventilation must be given. There is no worry as other vital organs are functioning normally. But he will take time to recover from this exacerbation. He also had tubercular effusion years back, but now it does not seem to be a relapse of TB (tuberculosis). So, no anti-TB medicines are required at present. Definitely, it is CAP with COPD exacerbation. Even after he gets well, he should take consultation from pulmonologist for inhaler treatment. A sputum culture report should be sought at the earliest or if not available, fiberoptic bronchoscopy can be performed for taking endobronchial sampling for cultures. Steroids should be tapered in appropriate doses. Thank you.