A comparison of nebulized budesonide, and intramuscular, and oral dexamethasone for treatment of croup. International journal of pediatric otorhinolaryngology. [Int J Pediatr Otorhinolaryngol] Journal article | | Title | A comparison of nebulized budesonide, and intramuscular, and oral dexamethasone for treatment of croup. | | Author(s) | Cetinkaya F, Tüfekçi BS, Kutluk G | | Institution | Pediatrician and Pediatric Allergist in Sisli Etfal Education and Research Hospital, Istanbul, Turkey. | | Source | Int J Pediatr Otorhinolaryngol 2004 Apr; 68(4):453-6. | | MeSH | Administration, Intranasal
Administration, Oral
Aerosols
Anti-Inflammatory Agents
Budesonide
Child, Preschool
Comparative Study
Croup
Dexamethasone
Female
Humans
Infant
Injections, Intramuscular
Male
Random Allocation
Treatment Outcome
| | Abstract | OBJECTIVES: Croup or acute laryngotracheobronchitis is the most common cause of the upper airway obstruction. Cool mist, nebulized racemic epinephrine and steroids are commonly used for therapy. Although steroid treatment can be applied orally, in nebulized form, or parenterally, no study has compared these three regimens yet. In this study, the efficacy of nebulized budesonide, and oral and intramuscular dexamethasone are compared for treatment of croup.
STUDY DESIGN: Sixty children aged 6-36 months were randomly allocated into four groups. The first three study groups (15 children in each) took nebulized budesonide, oral dexamethasone and intramuscular dexamethasone, respectively, in addition to salbutamol and other supportive measures and these were compared with the placebo group. All patients were evaluated with "Westley Croup Score" on admission to pediatric emergency department (0h) and at 24, 48 and 72h.
RESULTS: At the end of the study, the croup scores of all steroid treatment groups were significantly lower than the placebo group, but there was no statistical difference among them.
CONCLUSIONS: Nebulized budesonide, oral and parenteral dexamethasone have the same effectiveness for treatment of croup and the choice depends on conditions of the patient and the physician. | | Language | eng | | Pub Type(s) | Clinical Trial
Journal Article
Randomized Controlled Trial
| | PubMed ID | 15013613 |
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