US asthma guidelines stress early steroid use

BMJ 1997; 314 doi: (Published 01 March 1997) Cite this as: BMJ 1997;314:623
  1. Jenny Bryan
  1. London

    Newly updated guidelines on the management of asthma, released this week by the United States National Institutes of Health, emphasise the need for early use of anti-inflammatory drugs–in line with recommendations in the revised British Thoracic Society's guidelines (1 February, p 315-6).

    The US version, however, uses a four step classification for asthma severity–mild intermittent, mild persistent, moderate persistent, and severe persistent–and recommends starting inhaled corticosteroids, cromoglycate, or nedocromil at the mild persistent stage.

    “Inhaled …

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