Effectiveness of glucocorticoids in treating croup

[...]in our practice we use soluble betamethasone tablets, which are equipotent to dexamethasone and can be dissolved in a drink. There is clear evidence that oral dexamethasone or nebulised budesonide results in clinical improvement in outpatients with mild to moderate croup, reducing the need for...

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Bibliographic Details
Published in:BMJ 1999-12, Vol.319 (7224), p.1577-1578
Main Authors: Klassen, Terry P., Tillett, Angela J., Gould, James D. M., Cates, Christopher, Jothimurugan, S., Hassan, Zoaka, Silverman, M.
Format: Article
Language:English
Subjects:
Airway management
Children
Children & youth
Collaboration
Corticosteroids
Croup
Glucocorticoids
Hospital admissions
Letters
Pediatrics
Placebos
Primary care
Primary health care
Steroids
Writing tablets
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Summary:[...]in our practice we use soluble betamethasone tablets, which are equipotent to dexamethasone and can be dissolved in a drink. There is clear evidence that oral dexamethasone or nebulised budesonide results in clinical improvement in outpatients with mild to moderate croup, reducing the need for admission. 2 3 One oral dose of dexamethasone (0.15 mg/kg) is effective in reducing the need for further medical care in mild croup. 4 Prednisolone has not been widely studied, but equivalent doses (1 mg/kg) would be useful. 5 Well designed trials have found a dramatic reduction in symptoms of airway obstruction as early as one hour after treatment.
ISSN:0959-8138
1468-5833
1756-1833
DOI:10.1136/bmj.319.7224.1577a