Steroid aerosols in asthmatic patients: when to stop?

Sixty nine asthmatic patients on steroid aerosols for many years were examined fully in the E.N.T outpatient at Suez general hospital. Throat Swabs were taken from the oropharynx for fungal culture. 46.3 percent showed positive fungal culture for candida. But frank thrush was only found in [8 .7 percent]. Vocal cord paralysis and weakness was found in 7.3 percent. This two groups of patients were advice to stop the steroid, aerosols be replaced by non steroidal ones