Level A Recommendations
Recommendation 18: Airway clearance techniques should be
instituted in asymptomatic
children with positive cultures in BAL.
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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
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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
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