Croup janice charles pedriatic
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Children aged 1-4 years were most likely to be treated for croup, with a rate of 1.9 cases per 100 encounters. Boys were treated 1.5 times more often than girls. The most common treatments for croup were prednisolone oral (73.9% of cases) and medications were prescribed, supplied or advised in almost 90 per 100 croup problems. Croup was usually managed as a new problem, with this being the first presentation in 68% of cases.
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Croup janice charles pedriatic
- 1. FOCUS Childhood emergencies Croup Janice Charles Helena Britt Salma Fahridin In this analysis we used BEACH (Bettering the Evaluation and Age/gender specific rates per 100 encounters 2 Care of Health) encounters with children aged 014 years from January 2008 to December 2009. Croup was managed 276 times during that period (at 1.2% of 23 016 encounters with children in this age group). This suggests that croup is managed in general practice about 154 000 times per year nationally. 1 Keywords: child health; emergencies; croup 0 < 1 year 14 59 1014 Male Female Figure 1. Patient characteristics Children aged 14 years were significantly more likely to Table 1. Treatments recorded at croup encounters be managed for croup than children in other age groups. Treatment Number Rate per 100 Percentage of This was reflected in the age specific rate of 1.9 per 100 croup medications/ encounters for children of that age, compared with a rate problems other treatments (n=276) for croup of 1.1 per 100 encounters with infants aged less than 1 year and children aged 59 years. Rates of croup among those Medications 246 89.1 aged 1014 years were low. Boys were managed for the Prednisolone oral 204 73.9 82.9 condition 1.5 times more often than girls, with a rate of 1.4 Amoxycillin 9 3.3 3.7 per 100 encounters for boys and 0.9 for girls (Figure 1). Paracetamol 9 3.3 3.7 The most common reasons given by the patient, or their carer, for Other treatments 100 36.2 attending an encounter where croup was managed were cough and croup. Less frequently, fever, breathing problems and/or wheezing Advice/counselling 83 26.2 30.1 were the reasons for the encounter. Croup was managed most often as a new problem, with 68% of croup diagnoses being the first Authors presentation of the problem or the first presentation of a recurrence Janice Charles, Helena Britt and Salma Fahridin, Australian GP of the problem for that patient. At most encounters, croup was the Statistics & Classification Centre, University of Sydney, New only problem managed, although occasionally asthma, otitis media South Wales. and/or upper respiratory tract infections were also managed. Conflict of interest: none declared. Management Acknowledgments Medications were prescribed, supplied or advised at the high The authors thank the GP participants in the BEACH program and all members of the BEACH team. Financial contributors to BEACH between rate of almost 90 per 100 croup problems managed. Systemic 2008 and 2009: Australian Government Department of Health and corticosteroids accounted for about 90%, and penicillin made up 4% Ageing; Australian Institute of Health and Welfare; National Prescribing of these medications. Service; AstraZeneca Pty Ltd (Australia); Janssen-Cilag Pty Ltd; Clinical treatments were often provided and usually involved Merck, Sharp and Dohme (Australia) Pty Ltd; Pfizer Australia; Abbott advice and counselling about the problem and its treatment. Australasia; Sanofi-Aventis Australia Pty Ltd; Wyeth Australia Pty Ltd. Procedural treatments were rarely recorded, and investigations and referrals were not commonly ordered for croup (Table 1). Reprinted from AUSTRALIAN FAMILy PHySICIAN VoL. 39, No. 5, MAy 2010 269