Table 3.
Current recommendations for corticosteroid use in COVID-19
| Guideline (reference) | EMA [11] | WHO [9] | IDSA [12] | ERS [10] | NIH [13] |
|---|---|---|---|---|---|
| Preferred drug | Dexamethasonea | Dexamethasoneb | Dexamethasonec | Dexamethasone | Dexamethasoned |
| Daily dose in mg | 6 | 6 | 6 | 6 | 6 |
| Duration in days | For a maximum of 10 days | For a maximum of 10 days | For 10 days or until hospital discharge | For a maximum of 10 days | For 10 days or until hospital discharge |
| Degree of recommendation | Strong | Conditional | Strong | ||
| Strength of evidence | Moderate | Moderate | |||
| Year | 2020 | 2020 | 2022 | 2020 | 2020 |
aRecommended orally or intravenously from 12 years of age and weighing at least 40 kg in subjects requiring supplemental oxygen therapy
bRecommended in individuals with severe or critical COVID-19 disease, but not (conditional recommendation, low strength of evidence) in subjects with nonserious disease
cRecommended in subjects with severe COVID-19 disease, but not in those without hypoxemia (conditional recommendation, low strength of evidence)
dRecommended in subjects with severe COVID-19 disease, but not those without hypoxemia