[Croup in children--results of prospective, multicenter observation].
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.
Szenborn
Leszek
L
Klinika Chorób Zakaźnych Dzieci, Akademii Medycznej we Wrocławiu. szenborn@zak.am.wroc.pl
Pejcz
Jerzy
J
Szymański
Henryk
H
Krajewski
Waldemar
W
Narecki
Jarosław
J
Filipczak
Renata
R
Piotrowska-Gede
Zdzisława
Z
Widlińska-Podlacha
Anna
A
Iliew-Kedzia
Joanna
J
Tuchcińska-Sowa
Jolanta
J
Ujma
Leszek
L
Kijlianek
Edyta
E
Smorag
Małgorzata
M
Czeszejko-Sochacki
Jarosław
J
Raczyńska
Małgorzata
M
Trojniak
Krystyna
K
Olesiuk
Krzysztof
K
Gdowska
Elzbieta
E
Lewczyk
Ewa
E
Sapota
Joanna
J
Ramzzi-Samaan
Imad
I
Kowalska
Elzbieta
E
Kałas
Andrzej
A
Sidor
Danuta
D
Michniewicz
Leszek
L
Kozieł
Eleonora
E
Kobylińska
Sabina
S
Kobyliński
Krzysztof
K
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
D018073:Haemophilus Vaccines