TY - JOUR
T1 - Inter-society consensus for the use of inhaled corticosteroids in infants, children and adolescents with airway diseases
AU - Duse, Marzia
AU - Santamaria, Francesca
AU - Verga, Maria Carmen
AU - Bergamini, Marcello
AU - Simeone, Giovanni
AU - Leonardi, Lucia
AU - Tezza, Giovanna
AU - Bianchi, Annamaria
AU - Capuano, Annalisa
AU - Cardinale, Fabio
AU - Cerimoniale, Giovanni
AU - Landi, Massimo
AU - Malventano, Monica
AU - Tosca, Mariangela
AU - Varricchio, Attilio
AU - Zicari, Anna Maria
AU - Alfaro, Carlo
AU - Barberi, Salvatore
AU - Becherucci, Paolo
AU - Bernardini, Roberto
AU - Biasci, Paolo
AU - Caffarelli, Carlo
AU - Caldarelli, Valeria
AU - Capristo, Carlo
AU - Castronuovo, Serenella
AU - Chiappini, Elena
AU - Cutrera, Renato
AU - De Castro, Giovanna
AU - De Franciscis, Luca
AU - Decimo, Fabio
AU - Iacono, Iride Dello
AU - Diaferio, Lucia
AU - Di Cicco, Maria Elisa
AU - Di Mauro, Caterina
AU - Di Mauro, Cristina
AU - Di Mauro, Dora
AU - Di Mauro, Francesco
AU - Di Mauro, Gabriella
AU - Doria, Mattia
AU - Falsaperla, Raffaele
AU - Ferraro, Valentina
AU - Fanos, Vassilios
AU - Galli, Elena
AU - Ghiglioni, Daniele Giovanni
AU - Indinnimeo, Luciana
AU - Kantar, Ahmad
AU - Licari, Amelia
AU - Marseglia, Gianluigi
AU - Ricci, Giampaolo
AU - Villani, Alberto
N1 - Funding Information:
Authors are grateful to professors Attilio L. Boner A, pediatric allergist, Verona, Italy, and Alberto Ugazio, Institute of Child and Adolescent Health, Ospedale Pediatrico Bambino Ges?, Roma, Italy, who acted as external reviewers.
Publisher Copyright:
© 2021, The Author(s).
PY - 2021/12
Y1 - 2021/12
N2 - Background: In 2019, a multidisciplinary panel of experts from eight Italian scientific paediatric societies developed a consensus document for the use of inhaled corticosteroids in the management and prevention of the most common paediatric airways disorders. The aim is to provide healthcare providers with a multidisciplinary document including indications useful in the clinical practice. The consensus document was intended to be addressed to paediatricians who work in the Paediatric Divisions, the Primary Care Services and the Emergency Departments, as well as to Residents or PhD students, paediatric nurses and specialists or consultants in paediatric pulmonology, allergy, infectious diseases, and ear, nose, and throat medicine. Methods: Clinical questions identifying Population, Intervention(s), Comparison and Outcome(s) were addressed by methodologists and a general agreement on the topics and the strength of the recommendations (according to the GRADE system) was obtained following the Delphi method. The literature selection included secondary sources such as evidence-based guidelines and systematic reviews and was integrated with primary studies subsequently published. Results: The expert panel provided a number of recommendations on the use of inhaled corticosteroids in preschool wheezing, bronchial asthma, allergic and non-allergic rhinitis, acute and chronic rhinosinusitis, adenoid hypertrophy, laryngitis and laryngospasm. Conclusions: We provided a multidisciplinary update on the current recommendations for the management and prevention of the most common paediatric airways disorders requiring inhaled corticosteroids, in order to share useful indications, identify gaps in knowledge and drive future research.
AB - Background: In 2019, a multidisciplinary panel of experts from eight Italian scientific paediatric societies developed a consensus document for the use of inhaled corticosteroids in the management and prevention of the most common paediatric airways disorders. The aim is to provide healthcare providers with a multidisciplinary document including indications useful in the clinical practice. The consensus document was intended to be addressed to paediatricians who work in the Paediatric Divisions, the Primary Care Services and the Emergency Departments, as well as to Residents or PhD students, paediatric nurses and specialists or consultants in paediatric pulmonology, allergy, infectious diseases, and ear, nose, and throat medicine. Methods: Clinical questions identifying Population, Intervention(s), Comparison and Outcome(s) were addressed by methodologists and a general agreement on the topics and the strength of the recommendations (according to the GRADE system) was obtained following the Delphi method. The literature selection included secondary sources such as evidence-based guidelines and systematic reviews and was integrated with primary studies subsequently published. Results: The expert panel provided a number of recommendations on the use of inhaled corticosteroids in preschool wheezing, bronchial asthma, allergic and non-allergic rhinitis, acute and chronic rhinosinusitis, adenoid hypertrophy, laryngitis and laryngospasm. Conclusions: We provided a multidisciplinary update on the current recommendations for the management and prevention of the most common paediatric airways disorders requiring inhaled corticosteroids, in order to share useful indications, identify gaps in knowledge and drive future research.
KW - Adenoid hypertrophy
KW - Asthma
KW - Inhaled corticosteroids
KW - Laryngospasm
KW - Laryngotracheitis
KW - Rhinitis
KW - Rhinosinusitis
KW - Wheezing
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U2 - 10.1186/s13052-021-01013-8
DO - 10.1186/s13052-021-01013-8
M3 - Article
C2 - 33882987
AN - SCOPUS:85104729740
VL - 47
JO - Italian Journal of Pediatrics
JF - Italian Journal of Pediatrics
SN - 1720-8424
IS - 1
M1 - 97
ER -