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Current UK practices in steroid treatment of chronic lung disease
  1. Sajeev Job,
  2. Paul Clarke
  1. Neonatal Intensive Care Unit, Norfolk and Norwich University Hospitals NHS Foundation Trust, Norwich, UK
  1. Correspondence to Dr Paul Clarke, Neonatal Intensive Care Unit, Norfolk & Norwich University Hospitals NHS Foundation Trust, Norwich NR4 7UY, UK; paul.clarke{at}

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Chronic lung disease (CLD) remains an important cause of mortality and morbidity in preterm infants. Lung inflammation, whether of antenatal or postnatal onset, is a major factor in its pathogenesis. Corticosteroids modulate inflammation, improve lung function and reduce ventilator dependency in infants with CLD,1 yet doubts remain about longer-term efficacy and safety. The last two decades have witnessed large oscillations in steroid use to treat CLD, from high-dose protracted treatment courses to virtually zero use, and more recently back towards lower dose regimens. Current trends in the UK are unclear. We therefore conducted a national survey to determine current practices.

In the period between August and November 2014, we contacted via email or telephone a consultant neonatologist or senior specialty training …

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