What is the best intervention for croup?
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- Answered 15 Jun 2019 Conflict of interest declaration: None. It depends on the severity. For severe croup nebulised adrenaline and i.v. dexamethasone. https://www.rch.org.au/clinicalguide/guideline_index/Croup_Laryngotracheobronchitis/ For moderate or mild, dexamethasone or prednisolone orally or nebulised budesonide. See https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD001955.pub4/epdf/full Cochran review for detailed evidence for the use of steroids.
- Answered 19 Jun 2019 Conflict of interest declaration: None Single-dose Dexamethasone appears to work as well as 3 days of prednisolone. Clin Pediatr (Phila). 2013 Nov;52(11):1014-21. https://www.ncbi.nlm.nih.gov/pubmed/24092872