I have had a chest infection, only the third in my life, and have just had two lots of ABs with only limited effect.
I have seen my GP who is a copd specialist and he has put me on an immediate 6 day course of steroids. 6 @ 1mg tablets per day. I already feel so much better as I was really struggling to breathe. He says I am one of the ones who will probably need them every time I get an infection and has added them to my rescue pack.
He has said that 6 days won't cause any of the nastier side effects and so far, I don't have a history of lots of exacerbations. He also said that I should try to judge whether I need them or not in future exacerbations as they might not always be necessary. However, if in doubt, take them.
I've tried to read up about them on here to learn more, so hopefully, it's the right way to go for me. Before I had them, I don't think I have ever felt so ill and helpless.