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. 2010 Jul;23(3):590–615. doi: 10.1128/CMR.00078-09

TABLE 3.

Clinical application of macrolides

Disease Recommendation for routine use Expected efficacy Outstanding issues or comments
Asthma Discouraged (few patients) Steroid-sparing effect Insufficient evidence, small study population
Bronchiectasis Partially recommended Decreased sputum, reduced exacerbations Few data, small number of patients, short duration
COPD Discouraged Reduced exacerbations Insufficient evidence, small study population
Chronic rhinosinusitis Partially recommended (for noneosinophilic cases) Reduced nasal mucus, improved quality of life Study design, study population
Cystic fibrosis Recommended Reduced exacerbations, less deterioration in pulmonary functions Short duration
DPB Recommended Improved prognosis, potential cure First-line therapy
Influenza/sepsis Discouraged Improved prognosis Insufficient evidence
Posttransplantation BOS Discouraged Improved prognosis Insufficient evidence