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. 2021 Apr 15;57(4):2100048. doi: 10.1183/13993003.00048-2021

TABLE 2.

Summary of recommendations in this guideline

Therapy Recommendations Strength of recommendation Quality of Evidence
Corticosteroids  1) The panel recommends offering treatment with corticosteroids for patients with COVID-19 requiring oxygen, noninvasive ventilation or invasive mechanical ventilation Strong Moderate
 2) The panel recommends NOT to offer treatment with corticosteroids for patients with COVID-19 requiring hospitalisation but not requiring supplementary oxygen or ventilatory support Strong Moderate
IL-6 receptor antagonist monoclonal antibody  3) The panel suggests offering IL-6 receptor antagonist monoclonal antibody therapy to hospitalised patients with COVID-19 requiring oxygen or ventilatory support Conditional Low
 4) The panel suggests NOT to offer IL-6 receptor antagonist monoclonal antibody to patients not requiring supplementary oxygen Conditional Low
Hydroxychloroquine  5) The panel recommends NOT to offer hydroxychloroquine to patients with COVID-19, including hospitalised patients and outpatients Strong Moderate
Azithromycin  6) The panel suggests NOT to offer azithromycin to hospitalised patients with COVID-19 in the absence of bacterial infection Conditional Very low
Azithromycin and hydroxychloroquine  7) The panel suggests NOT to offer hydroxychloroquine and azithromycin in combination to patients with COVID-19 Conditional Moderate
Colchicine  8) The panel suggests NOT to offer colchicine for hospitalised patients with COVID-19 Conditional Very Low
Lopinavir–ritonavir  9) The panel recommends NOT to offer lopinavir–ritonavir to hospitalised patients with COVID-19 Strong Low
Remdesivir 10) No recommendation is made regarding the use of remdesivir in patients hospitalised with COVID-19 and not requiring invasive mechanical ventilation None Moderate
11) The panel suggests not to offer remdesivir to patients hospitalised with COVID-19 infection who require invasive mechanical ventilation Conditional Moderate
Interferon-β 12) The panel suggests NOT to offer interferon-β to hospitalised patients with COVID-19 Conditional Very low
Anticoagulation 13) The panel recommends offering a form of anticoagulation to hospitalised patients with COVID-19 Strong Very low
Noninvasive ventilatory support 14) We suggest HFNC or noninvasive CPAP delivered through either a helmet or a facemask for patients with COVID-19 and hypoxaemic acute respiratory failure without an immediate indication for invasive mechanical ventilation Conditional Very low

In the document, high-flow nasal cannula oxygen therapy (HFNC) is integrated in the term “noninvasive ventilatory support”. IL: interleukin; COVID-19: coronavirus disease 2019; CPAP: continuous positive airway pressure.