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. Author manuscript; available in PMC: 2021 Mar 2.
Published in final edited form as: J Allergy Clin Immunol. 2020 Dec;146(6):1217–1270. doi: 10.1016/j.jaci.2020.10.003

TABLE IV.

ICS key questions and recommendations

Question Intervention Comparator Recommendation Certainty Of evidence
4.1 Short-course daily ICS + as-needed SABA at start of RTI (Step 1) As-needed SABA alone Recommendation 9: Conditional, in favor of the intervention for ages 0–4 y High
Daily ICS No recommendation*
No therapy No recommendation*
4.2 As-needed, concomitantly administered ICS + SABA Daily ICS + as-needed SABA (Step 2) Recommendation 10: Conditional, in favor of either the intervention or the comparator for ages 12 y and above Moderate
No recommendation* for ages 4–11 y
Intermittent, higher-dose ICS Recommendation 11: Conditional, against the intervention for ages 4 y and above Low
4.3 Daily and as-needed ICS- formoterol (Steps 3 and 4) Daily same-dose ICS + as-needed SABA No recommendation* for ages 4 y and above
Daily higher-dose ICS + as-needed SABA Recommendation 12: Strong, in favor of the intervention for ages 4 y and above Moderate for ages 4–11 y
High for ages 12 y and above
Daily same-dose ICS-LABA + as-needed SABA Recommendation 12: Strong, in favor of the intervention for ages 4 y and above Moderate for ages 4–11 y
Daily higher-dose ICS-LABA + as-needed SABA No recommendation* for ages 4–11 y High for ages 12 y and above
Recommendation 13: Conditional, in favor of the intervention for ages 12 y and above High for ages 12 y and above

RTI, Respiratory tract infection.

*

Insufficient evidence.