Skip to main content

Table 2 Overview of national and international guidelines on asthma in children

From: The use of inhaled corticosteroids in pediatric asthma: update

Guideline

Last updated

Age categories (years)

Preferred step up choices after initial low dose ICS

Specifies indications for starting low dose ICS

Specifies indications for starting moderate dose ICS

Specifies indications for starting high dose ICS

Describes adverse effects

Review interval for dose drop

GINA

2016

Up to 5

Mod dose ICS or add LTRA

Yes

Yes

Yes

Yes

3 months

  

6–11

Mod dose ICS

     
  

12 and older

Add LABA

     

Australia

2015

0–1

NS

Yes

NS

NS

NS

NS

  

1–2

NS

     
  

2–5

NS

     
  

6 and older

NS

     

Canada Preschool

2015

1–5

Mod dose ICS

Yes

Yes

NS

NS

3 months

Canada Older

2012

6–11

Mod dose ICS

Yes

NS

NS

Yes (CTS 2010)

weeks to months

  

12 and older

Add LABA

     

SIGN

2014

0–4

LTRA

Yes

NS

NS

Yes

3 months

  

5–12

Add LABA

     
  

13 and older

Add LABA

     

ICON

2012

Describes other guidelines

Describes other guidelines

NS

NS

NS

NS

NS

Saudi Arabia (SINA)

2012

<5

Mod dose ICS

Yes

NS

NS

Yes

3–6 months

  

5 and older

Add LABA

     

Japan

2012

<2

LTRA is first choice, not ICS. Step-up: mod dose ICS

Yes

Yes

Yes

NS

3 months

  

2–5

Mod dose ICS

     
  

6–15

LABA or mod dose ICS

     

South Africa

2009

<5

Mod dose ICS

Yes

NS

NS

Yes

3 months

  

5 and older

LTRA or LABA or mod dose ICS

    

PRACTALL

2008

0–2

 

NS

NS

NS

Yes

NS

  

3–5

Mod dose ICS or add LTRA

     
  

6 and older

Mod dose ICS or add LTRA

     

NHLBI

2007

0–4

Mod dose ICS

Yes

NS

NS

Yes

3 months

  

5–11

Mod dose ICS or add LABA

     
  

12 and older

Add LABA

     

India

2003

<5

Mod dose ICS

Yes

NS

NS

Yes

3–6 months

  

5 and older

Add LABA

    Â