6533b7d2fe1ef96bd125f627

RESEARCH PRODUCT

Inter-society consensus for the use of inhaled corticosteroids in infants, children and adolescents with airway diseases

Vassilios FanosFabio CardinaleSalvatore BarberiAlberto VillaniCarlo CaffarelliGiovanni SimeoneElena ChiappiniRoberto BernardiniMonica MalventanoLuca De FranciscisAnnalisa CapuanoStefano LucianiRenato TurraStefania ZanconatoDomenico MinasiPaolo BecherucciAnnamaria BianchiMarzia DusePaolo BiasciMarcello BergaminiFrancesca SantamariaGiuseppe Di MauroSerenella CastronuovoAdima LamborghiniGian Luigi MarsegliaFrancesco ParavatiGiovanni Battista PajnoAlberto MartelliElio NovembreGabriella Di MauroFrancesco MacrìGiorgio PiacentiniMaria Carmen VergaGiovanna TezzaIride Dello IaconoLucia LeonardiMattia DoriaMichele Miraglia Del GiudiceGiovanna De CastroRaffaele FalsaperlaLuciana IndinnimeoRiccardo LubranoValentina FerraroRenato CutreraLucia DiaferioVito Leonardo MinielloGiampaolo RicciMelissa BorrelliGabriella PozzobonAgostino NocerinoGermana NardiniFrancesco Di MauroFabio DecimoAnna Maria ZicariDiego PeroniMariangela ToscaMaria Di CiccoFabio MidullaLuigi MasiniAmelia LicariCarlo AlfaroValeria CaldarelliCaterina Di MauroElena GalliCarlo CapristoCristina PiersantelliSergio Renzo MorandiniMassimo LandiGiovanni CerimonialeValter SpanevelloDaniele Giovanni GhiglioniAhmad KantarDora Di MauroCristina Di MauroGiovanni CorselloAttilio Varricchio

subject

MaleDelphi TechniqueRhinosinusitisRespiratory Tract DiseasesDelphi methodRhinosinusitiLaryngitisAdrenal Cortex HormonePediatrics0302 clinical medicineAdrenal Cortex HormonesMultidisciplinary approachInhaled corticosteroid030212 general & internal medicineChildRespiratory Tract DiseaseRhinitiSocieties MedicalRhinitiseducation.field_of_studyInhaled corticosteroidsWheezing.General MedicineSettore MED/38Systematic reviewItalyLaryngotracheitisChild PreschoolLaryngotracheitiFemalemedicine.symptomHumanmedicine.medical_specialtyConsensusAdolescentPopulationConsensuRJ1-57003 medical and health sciencesIntervention (counseling)Administration InhalationmedicineLaryngospasmHumansAdenoid hypertrophyLaryngospasmeducationIntensive care medicineAsthmaWheezingbusiness.industryResearchInfantmedicine.diseaseAsthma030228 respiratory systemAdenoid hypertrophy; Asthma; Inhaled corticosteroids; Laryngospasm; Laryngotracheitis; Rhinitis; Rhinosinusitis; Wheezingbusiness

description

Abstract 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.

10.1186/s13052-021-01013-8https://hdl.handle.net/11568/1099646