Study | Year | LOE (1a to 5) | Study design | Study groups | Clinical end-point efficacy | Conclusion |
---|---|---|---|---|---|---|
Ozturk et al. | 2011 | 1b | RCT | 1. Children with CRSsNP (6–17 years) receiving antibiotics and methylprednisolone 1 mg/kg and reduced progressively over a 15-day treatment course 2. Children with CRSsNP receiving antibiotics and placebo | 1. Change in mean symptom and CT scores pre- and post-treatment 2. Change in individual symptom scores, relapse rate | Beneficial effect of MP in combination with antibiotics on mean symptoms, CT scores, VAS for cough, nasal obstruction and post-nasal drainage. No difference in relapse rate |
Scorpinski et al. | 2008 | 3b | Retro-spective uncontrolled | 1741 children with CRS treated with antibiotics, intranasal topical corticosteroids and oral corticosteroids (> 4 days) or combination | CT scores | Improvement of CT scores after oral corticosteroid treatment, in mono- or pluritherapy |
Tosca et al. | 2003 | 4 | Uncontrolled prospective cohort study | 30 asthmatic CRS children treated with antibiotics, intranasal steroids and a short course of deflazacort (1Â mg/kg daily for 2Â days, 0.5Â mg/kg daily for 4Â days and 0.25Â mg/kg daily for 4Â days) | Nasal endoscopy and cytokine patterns in nasal lavages | Resolving of purulent discharge after combination treatment and decrease of mean IL4-levels in nasal lavage |