Table 1.
1 | In areas where COVID‐19 is prevalent, screening protocols for COVID‐19 should be applied to anyone having worsening respiratory symptoms, and personal protective equipment should be used. |
2 | In areas where COVID‐19 is prevalent, lung function testing procedures should be postponed if not deemed absolutely necessary; portable personal devices measuring PEF and FEV1 can be used in the meantime to monitor asthma control using the telemedicine approach. |
3 | In accordance with the Global Initiative for Asthma (GINA) (https://ginasthma.org/recommendations‐for‐inhaled‐asthma‐controller‐medications/), patients with asthma should not stop their prescribed inhaled corticosteroid controller medication (or prescribed oral corticosteroids). Stopping inhaled corticosteroids may have serious consequences. |
4 | Long‐term oral corticosteroids may sometimes be required to treat severe asthma, and it may be dangerous to stop them suddenly (GINA). |
5 | Oral steroids should continue to be used to treat severe asthma exacerbations. |
6 | In patients infected by SARS‐CoV‐2 (symptomatic or asymptomatic), nebulization (which increases the risk of deposition of the virus into the lower airways) should be replaced by spacers of large capacity. |
7 |
In accordance with the NICE, in non‐SARS‐CoV‐2 infected patients, we propose(https://www.nice.org.uk/guidance/ng166/chapter/3‐Treatment#patients‐having‐biological‐treatment):
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8 | In SARS‐CoV‐2‐infected patients, in accordance with the EAACI, we propose to cease the treatment until resolution of the disease is established. Thereafter, the administration of the biological should be re‐initiated. |