Abstract
Despite recent suggestions that bacterial infection is an increasingly important cause of serious croup, most authorities still consider croup a viral disease in which antibiotic therapy is unnecessary. To assess the frequency of antibiotic use in croup among children in hospital, we reviewed the records at three types of hospital in Ontario. Children with evidence of a concurrent infection that might be bacterial were considered to have received antibiotics appropriately. Whereas only 6% of cases at a university-affiliated children's hospital were inappropriately treated with antibiotics, the proportions at a small rural community hospital staffed by general practitioners and a general hospital staffed by both pediatricians and general practitioners in a medium-sized city were 63% and 38%. Possible reasons for these differences are discussed.
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Selected References
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- Barker G. A. Current management of croup and epiglottitis. Pediatr Clin North Am. 1979 Aug;26(3):565–579. doi: 10.1016/s0031-3955(16)33750-6. [DOI] [PubMed] [Google Scholar]
- Denny F. W., Murphy T. F., Clyde W. A., Jr, Collier A. M., Henderson F. W. Croup: an 11-year study in a pediatric practice. Pediatrics. 1983 Jun;71(6):871–876. [PubMed] [Google Scholar]
- Henry R. L., Mellis C. M., Benjamin B. Pseudomembranous croup. Arch Dis Child. 1983 Mar;58(3):180–183. doi: 10.1136/adc.58.3.180. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Jones R., Santos J. I., Overall J. C., Jr Bacterial tracheitis. JAMA. 1979 Aug 24;242(8):721–726. [PubMed] [Google Scholar]
- Levison H., Tabachnik E., Newth C. J. Wheezing in infancy, croup, and epiglottitis. Curr Probl Pediatr. 1982 Jan;12(3):1–65. doi: 10.1016/0045-9380(82)90012-3. [DOI] [PubMed] [Google Scholar]
- Liston S. L., Gehrz R. C., Jarvis C. W. Bacterial tracheitis. Arch Otolaryngol. 1981 Sep;107(9):561–564. doi: 10.1001/archotol.1981.00790450037012. [DOI] [PubMed] [Google Scholar]
- Liston S. L., Gehrz R. C., Siegel L. G., Tilelli J. Bacterial tracheitis. Am J Dis Child. 1983 Aug;137(8):764–767. doi: 10.1001/archpedi.1983.02140340044012. [DOI] [PubMed] [Google Scholar]
- Sofer S., Chernick V. Increased need for tracheal intubation for croup in relation to bacterial tracheitis. Can Med Assoc J. 1983 Jan 15;128(2):160–161. [PMC free article] [PubMed] [Google Scholar]
- Sofer S., Duncan P., Chernick V. Bacterial tracheitis--an old disease rediscovered. Clin Pediatr (Phila) 1983 Jun;22(6):407–411. doi: 10.1177/000992288302200602. [DOI] [PubMed] [Google Scholar]