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Are inhaled corticosteroids effective for acute exacerbations of asthma in children?

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Are inhaled corticosteroids effective for acute exacerbations of asthma in children?

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If started early and at high doses, the acute use of inhaled corticosteroids (ICS) provides modest benefit in patients with mild exacerbations of asthma. In more severe exacerbations, oral corticosteroids are significantly more effective in preventing hospitalizations and improving lung function. We conclude that ICS should not be used routinely to treat acute exacerbations.

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