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Systemic Corticosteroids for Upper Respiratory Tract Infections in the Flyer
Aerospace Medicine and Human Performance
|April 25, 2020
Summary
Systemic corticosteroids may help reduce illness duration for upper respiratory tract infections in flyers. Evidence suggests routine use for sore throat and acute rhinosinusitis is justified to minimize Duty Not Including Flying (DNIF) time.
Area of Science:
- Aerospace Medicine
- Pharmacology
- Infectious Diseases
Background:
- Systemic corticosteroid use for upper respiratory tract infections (URTIs) is common but debated.
- Flight surgeons aim to reduce Duty Not Including Flying (DNIF) time for aircrew.
Purpose of the Study:
- To provide an evidence-based approach for using systemic corticosteroids in flyers with URTIs.
- To evaluate the justification for routine corticosteroid use in this population.
Main Methods:
- Commentary based on existing evidence.
- Analysis of benefits versus risks in the context of aviation missions.
Main Results:
- Current evidence supports the efficacy of systemic corticosteroids in managing URTIs.
- Potential for decreased illness duration and faster return to duty.
Conclusions:
- Routine use of systemic corticosteroids is justified for sore throat and acute rhinosinusitis in flyers.
- Balancing medical treatment with operational readiness is crucial.
