title: [Croup in children--results of prospective, multicenter observation].
abstract: Croup syndrome is an urgent and frequent reason for hospitalization of children.
  
  
  METHODS
  632 children with croup syndrome (422 boys and 210 girls aged 2 months-17 years) admitted to 15 pediatric departments in Lower Silesia were prospectively observed for 12 months (from April 2001 to March 2002). We conducted prospective survey of clinical and laboratory data from all study centers.
  
  
  RESULTS
  Following diagnoses were accepted as the croup syndrome: subglottic laryngitis in 482 patients (75.4%), laryngotracheobronchitis in 75 (11.8%), laryngitis in 50 (7.8%) and epiglottitis in 20 children (3%). The most severe course was observed in children with epiglottitis. Four of them required airway intervention and had endotracheal intubation. H. influenzae b was cultured from blood of one patient. The most cases of epiglottitis occurred in the 3rd year of life (45%).
  
  
  CONCLUSIONS
  1. The most common reason of croup was subglottic laryngitis. 2. Epiglottitis was rare with serious course of disease; frequency was comparable with the frequency seen in European countries before the implementation of Hib vaccine. The routine use of Hib vaccine in Poland may prevent from children life threatening epiglottis cases.
authors.affiliation: Klinika Chorób Zakaźnych Dzieci, Akademii Medycznej we Wrocławiu. szenborn@zak.am.wroc.pl
authors.forename: Leszek
authors.initials: L
authors.lastname: Szenborn
authors.forename: Jerzy
authors.initials: J
authors.lastname: Pejcz
authors.forename: Henryk
authors.initials: H
authors.lastname: Szymański
authors.forename: Waldemar
authors.initials: W
authors.lastname: Krajewski
authors.forename: Jarosław
authors.initials: J
authors.lastname: Narecki
authors.forename: Renata
authors.initials: R
authors.lastname: Filipczak
authors.forename: Zdzisława
authors.initials: Z
authors.lastname: Piotrowska-Gede
authors.forename: Anna
authors.initials: A
authors.lastname: Widlińska-Podlacha
authors.forename: Joanna
authors.initials: J
authors.lastname: Iliew-Kedzia
authors.forename: Jolanta
authors.initials: J
authors.lastname: Tuchcińska-Sowa
authors.forename: Leszek
authors.initials: L
authors.lastname: Ujma
authors.forename: Edyta
authors.initials: E
authors.lastname: Kijlianek
authors.forename: Małgorzata
authors.initials: M
authors.lastname: Smorag
authors.forename: Jarosław
authors.initials: J
authors.lastname: Czeszejko-Sochacki
authors.forename: Małgorzata
authors.initials: M
authors.lastname: Raczyńska
authors.forename: Krystyna
authors.initials: K
authors.lastname: Trojniak
authors.forename: Krzysztof
authors.initials: K
authors.lastname: Olesiuk
authors.forename: Elzbieta
authors.initials: E
authors.lastname: Gdowska
authors.forename: Ewa
authors.initials: E
authors.lastname: Lewczyk
authors.forename: Joanna
authors.initials: J
authors.lastname: Sapota
authors.forename: Imad
authors.initials: I
authors.lastname: Ramzzi-Samaan
authors.forename: Elzbieta
authors.initials: E
authors.lastname: Kowalska
authors.forename: Andrzej
authors.initials: A
authors.lastname: Kałas
authors.forename: Danuta
authors.initials: D
authors.lastname: Sidor
authors.forename: Leszek
authors.initials: L
authors.lastname: Michniewicz
authors.forename: Eleonora
authors.initials: E
authors.lastname: Kozieł
authors.forename: Sabina
authors.initials: S
authors.lastname: Kobylińska
authors.forename: Krzysztof
authors.initials: K
authors.lastname: Kobyliński
mesh_terms: D000293:Adolescent; D001991:Bronchitis / Q000150:complications / Q000628:therapy; D002648:Child; D002675:Child, Preschool; D003440:Croup / Q000209:etiology* / Q000382:microbiology / Q000517:prevention & control / Q000628:therapy*; D004826:Epiglottitis / Q000150:complications / Q000628:therapy; D005260:Female; D006192:Haemophilus Infections / Q000097:blood / Q000628:therapy; D018073:Haemophilus Vaccines / Q000627:therapeutic use; D006801:Humans; D007223:Infant; D007827:Laryngitis / Q000150:complications / Q000628:therapy; D008297:Male; D011044:Poland; D011446:Prospective Studies; D013997:Time Factors
chemical_list: D018073:Haemophilus Vaccines