title: [Treatment of croup syndrome in children in Poland: results of the prospective multi-center observation].
abstract: The aim of the study was to estimate treatment practice in hospital management of croup syndrome (laryngitis subglottica) in children in Poland.
  
  
  METHODS
  During the period of 12 months, we have prospectively observed 482 children with croup syndrome admitted to 15 pediatric departments in Lower Silesia (south-west region of Poland). Data concerning epidemiology, clinical course and treatment were collected from uniform observation cards. There were 326 boys and 156 girls aged between 2 and 174 months in our study.
  
  
  RESULTS
  Among 482 observed children, received glucocorticoids 424 (88%) mainly parenteral, L-epinephrine--211 (43.8%), mist therapy--241 (50%), antihistamines--308 (63.9%), antibiotics--280 (58.1%). Children treated with antibiotics were younger (p=0.0316), their temperature, amount of leukocytes and value of C-reactive protein was higher when compared with those not treated (p=0.0002; p=0.0081, p=0.0172 respectively).
  
  
  CONCLUSIONS
  Children in Lower Silesia with croup syndrome were treated in agreement with recent standards with glucocorticoids and/or epinephrine. There was an excessive usage of antihistamines which have no established treatment role. It seems that in many cases antibiotic treatment could have been avoided.
authors.affiliation: Oddział Dzieciecy Szpitala Powiatowego w Trzebnicy.
authors.forename: Jerzy
authors.initials: J
authors.lastname: Pejcz
authors.forename: Leszek
authors.initials: L
authors.lastname: Szenborn
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: 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: Ewa
authors.initials: E
authors.lastname: Lewczyk
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; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D002648:Child; D002675:Child, Preschool; D003440:Croup / Q000188:drug therapy*; D004837:Epinephrine / Q000627:therapeutic use*; D005260:Female; D005938:Glucocorticoids / Q000627:therapeutic use*; D006634:Histamine H1 Antagonists / Q000627:therapeutic use*; D006801:Humans; D007223:Infant; D008297:Male; D011044:Poland; D011446:Prospective Studies; D013997:Time Factors; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents; D005938:Glucocorticoids; D006634:Histamine H1 Antagonists; D004837:Epinephrine