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          VOLUME 36 / ISSUE 4


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5 - A comparison of nebulized budesonide, intramuscular and oral dexamethasone in the treatment of croup among children aged 6-36 months

Bilge Sertel Tüfekçi, Günsel Kutluk, Sinan Tüfekçi, Abdülkadir Göğremiş, Feyzullah Çetinkaya, Metin Uysalol

Objective: In this study the effectiveness of nebulized budesonide, intramuscular and oral dexamethasone are compared in the treatment of croup.

Study design: We conducted a randomized- placebo controlled clinical trial among children aged 6-36 months (N=60 ) admitted to hospital with croup. We divided 60 patients in four groups. The first group was treated with nebulized budesonide, second with oral and third with intramuscular dexamethasone. The effects of all treatment models are evaluated with “Westlev Croup Score " and compared with placebo group.

Results: At the end of study the croup scores of all steroid treatment groups were significantly better than placebo group, but there was no statistically difference between three treatment groups.

Conclusions: In the croup treatment inhaler, oral and parenteral steroids have the same effectiveness and the choice depends on conditions of the patient and his doctor.

Keywords: Croup, steroid treatment

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