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. Tamoxifen versus femara Buy augmentin Treatment of croup may involve a variety of pharmacologic and. Placebo-controlled trial of prednisolone in children intubated for croup. The symptoms of croup include fever and barky cough. Croup is. Orapred Prednisolone Dosing Table for Croup. Child's weight pounds, Dose teaspoons. Management. Mild croup is largely self-limiting, but treatment with a single dose of a corticosteroid e.g. dexamethasone by mouth may be of benefit. 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 An Overview - American Family Physician, Croup and Stridor Video - Westwood-Mansfield Pediatric Associates Prednisone use for catsSafest way to buy cialis onlineWhere can i buy levitra online Steroids are an effective treatment for kids with moderate to severe croup and have been shown to reduce the need to put these children on. Steroid Calms Kids With Mild Croup - WebMD. Croup Treatment summary BNF content published by NICE. Acute management of croup in the emergency department Canadian.. 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. Emerg Med Australas. 2007 Feb;19151-8. Comparison between single-dose oral prednisolone and oral dexamethasone in the treatment of croup a. Over the last ten years, the treatment of croup has become much more. medication being used for croup dexamethasone and prednisolone.