[Treatment of croup syndrome in children in Poland: results of the prospective multi-center observation]. / Przeglad sposobów leczenia dzieci z podglosniowym zapaleniem krtani w swietle prospektywnych wieloosrodkowych obserwacji.
Przegl Lek
; 61(5): 463-6, 2004.
Article
em Pl
| MEDLINE
| ID: mdl-15515806
ABSTRACT
UNLABELLED The aim of the study was to estimate treatment practice in hospital management of croup syndrome (laryngitis subglottica) in children in Poland. MATERIAL AND METHODS:
During the period of 12 months, we have prospectively observed 482 children with croup syndrome admitted to 15 pediatric departments in Lower Silesia (south-west region of Poland). Data concerning epidemiology, clinical course and treatment were collected from uniform observation cards. There were 326 boys and 156 girls aged between 2 and 174 months in our study.RESULTS:
Among 482 observed children, received glucocorticoids 424 (88%) mainly parenteral, L-epinephrine--211 (43.8%), mist therapy--241 (50%), antihistamines--308 (63.9%), antibiotics--280 (58.1%). Children treated with antibiotics were younger (p=0.0316), their temperature, amount of leukocytes and value of C-reactive protein was higher when compared with those not treated (p=0.0002; p=0.0081, p=0.0172 respectively).CONCLUSIONS:
Children in Lower Silesia with croup syndrome were treated in agreement with recent standards with glucocorticoids and/or epinephrine. There was an excessive usage of antihistamines which have no established treatment role. It seems that in many cases antibiotic treatment could have been avoided.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Epinefrina
/
Crupe
/
Glucocorticoides
/
Antagonistas dos Receptores Histamínicos H1
/
Antibacterianos
Tipo de estudo:
Clinical_trials
/
Guideline
/
Observational_studies
Limite:
Adolescent
/
Child
/
Child, preschool
/
Female
/
Humans
/
Infant
/
Male
País/Região como assunto:
Europa
Idioma:
Pl
Ano de publicação:
2004
Tipo de documento:
Article