Medico e Bambino
2007
Aprile 2007
numero 4
FARMACORIFLESSIONI
curve di crescita, celiachia, asma, reflusso
414 kB
p.242










La terapia del croup

F. Marchetti, P. Salierno

indirizzo per corrispondenza:marchetti@burlo.trieste.it

THE TREATMENT OF CROUP
Key words
Croup, Treatment, Randomised controlled trials, Glucocorticoids, Adrenaline,

Summary
Viral croup is the most common cause of upper airway obstruction in children from 6 months to 6 years of age. Parainfluenza virus accounts for the majority of cases. More than 80% of children have mild symptoms and in approximately 60% to 95% of children, the symptoms disappear within 2 and 5 days, respectively. Based on the results of systematic review, glucocorticoid treatment was associated with an improvement in the Westley score at 6 hours and at 12 hours. Fewer return visits and/or (re)admissions occurred in patients treated with glucocorticoids (relative risk 0.50; 0.36 to 0.70). The setting, severity of croup, route of administration (oral or nebulised) and dose, and study quality, did not influence the effectiveness of treatment. Nebulised adrenaline should be reserved for patients with moderate to severe croup. Simultaneous administration of glucocorticoid and adrenaline reduces the rate of intubation in patients with severe croup. Mist/humidified air provides no additional symptom improvement.

Consulta l'articolo in formato PDF [414 kB].


Vuoi citare questo contributo?
F. Marchetti, P. Salierno. LA TERAPIA DEL CROUP. Medico e Bambino 2007;26:242-248 https://www.medicoebambino.com/_croup_desametasone_glucocrticoidi_adrenalina

La riproduzione senza autorizzazione è vietata. Le informazioni di tipo sanitario contenute in questo sito Web sono rivolte a personale medico specializzato e non possono in alcun modo intendersi come riferite al singolo e sostitutive dell'atto medico. Per i casi personali si invita sempre a consultare il proprio medico curante. I contenuti di queste pagine sono soggetti a verifica continua; tuttavia sono sempre possibili errori e/o omissioni. Medico e Bambino non è responsabile degli effetti derivanti dall'uso di queste informazioni.

Unauthorised copies are strictly forbidden. The medical information contained in the present web site is only addressed to specialized medical staff and cannot substitute any medical action. For personal cases we invite to consult one's GP. The contents of the pages are subject to continuous verifications; anyhow mistakes and/or omissions are always possible. Medico e Bambino is not liable for the effects deriving from an improper use of the information.