X. Adjunct Therapies
Level A Recommendations Recommendation 18: Airway clearance techniques should be instituted in asymptomatic children with positive cultures in BAL.
Level B Recommendations Recommendation 19: A trial of medical anti-GER therapy is useful in children with persistent respiratory symptoms Recommendation 20: Bronchodilators should not be used because they may worsen the airway collapse
Level C Recommendations Recommendation 21: Mucolytics should be used routinely to facilitate airway clearance Recommendation 22: Inhaled steroids should be used routinely due to presence of chronic airway inflammation Recommendation 23: Inhaled steroids should be used in cases of suspected pneumonia Recommendation 24: Systemic steroids should be used in cases of suspected pneumonia Recommendation 25: Fundoplication may be required for chronic respiratory symptoms and poorly controlled GER