Review Article

Postinfectious Bronchiolitis Obliterans in Children: Diagnostic Workup and Therapeutic Options: A Workshop Report

Table 2

Corticosteroids in PIBO.

Study (year) journalLi et. al. (2014) BMC Pediatrics [64]Chen et. al. (2012) Chinese Journal of Pediatrics [65]Wang et. al. (2015) Experimental & Therapeutic Medicine [66]

Number
Comparative design
Study design
42 children
No control group/no placebo
Prospective cohort
26 children
No control group/no placebo
Retrospective cohort
16 children
No control group/no placebo
Retrospective cohort

Treatment regimeOral prednisone
(1.5 mg/kg/day with weaning for 6–9 mo) and azithromycin (5 mg/kg for 3 d/wk for 6 mo)
Some also had i.v. steroids during acute phase
Oral steroid and azithromycinOral prednisolone
(1 mg/kg/day with dose reduction of 1.25 mg/month) and azithromycin (7.5 mg/kg twice weekly)
Variable treatment duration

Assessment of outcomeEffective (subjective/objective measures PFT <10% decline) or ineffectiveClinical symptoms and HRCT findings

EffectivenessEffective in 86% at 6 months10 of 16 improved