Croup is caused by a virus that inflames the windpipe. It is most common in children under the age of five. The symptoms of croup include fever and barky cough. Croup is almost always worse in the middle of the night. Although the symptoms of croup can be frightening, it is almost always a mild illness. While about 6% of children under age five will contract croup, only 0.4% of children will be hospitalized. The nighttime cough and fever can last for 1-3 days, and a mild daytime cough may last for up to 10 days. Croup can often be treated at home without medications. In [children under 6 years old with mild or moderate croup] does [a single dose of oral prednisolone] as effective as dexamethasone in [reducing the symptoms and severity of croup] A 3 year old with croup presents to A&E with inspiratory stridor. You want to treat with a steroid, and know dexamethasone is commonly used. Having recently used prednisolone in asthma, you wonder if this would be as effective as dexamethasone. Embase and Ovid MEDLINE databases were checked in Jan 2011 using the following search strategy OR prednisone.af) AND (OR oradexon.af) AND (OR OR laryngotracheobronchitis.af). Ninety-nine papers were found, of which two were relevant. Scanning the article references or searching the Cochrane database, Clinical Evidence and SUMsearch, found a recent Cochrane review that incorporated these two studies. Convenience sample of 133 children presenting to a single emergency department with mild to moderate croup. Sildenafil in usa Where can i buy viagra in cardiff ASTHMA Give steroids in adequate doses in all cases of acute asthma attack. Give all children with mild, moderate, or severe croup a single dose of. Emergency management in primary care 1. mild croup does not require any specific drug treatment; if a child has croup that is severe or might cause. This croup guideline is primarily aimed at medical staff working in any of. Prednisolone 1mg/kg/dose orally max dose 50mg for 2 days; Prednisolone is an. Urgent care or emergency department treatment of croup depends on the patient's degree of respiratory distress. In mild croup, a child may present with only a croupy cough and may just require parental guidance and reassurance, given alertness, baseline minimal respiratory distress, proper oxygenation, and stable fluid status. Caregivers may only need education regarding the course of the disease and supportive homecare guidelines. Most children with mild croup symptoms can be successfully treated at home by their caregivers. Cool mist from a humidifier and/or sitting with the child in a bathroom (not in the shower) filled with steam generated by running hot water from the shower, help minimize symptoms. An adult caregiver should stay with the child during mist treatment. Engaging the child in a calming activity, such as reading a favorite book, can help decrease the child's anxiety and minimize crying, which can worsen stridor. The NICE British National Formulary (BNF) and British National Formulary for Children (BNFc) sites are only available to users in the UK, Crown Dependencies and British Overseas Territories. If you believe you are seeing this page in error please contact us. Prednisolone dose for croup Croup Treatment & Management Approach Considerations., Steroids in croup - General Practice Notebook Lasix used forFluconazole 200 mg tablets price Children with croup should have minimal examination. Do not examine. Prednisolone 1mg/kg, AND prescribe a second dose for the next evening. OR a single. Clinical Practice Guidelines Croup Laryngotracheobronchitis. Croup - SA Health. BestBets Is oral prednisolone as effective as oral dexamethasone in.. The symptoms of croup include fever and barky cough. Croup is. Orapred Prednisolone Dosing Table for Croup. Child's weight pounds, Dose teaspoons. The management of croup has dramatically changed. Steroids have been used in the treatment of croup. Emerg Med Australas. 2007 Feb;19151-8. Comparison between single-dose oral prednisolone and oral dexamethasone in the treatment of croup a.