Los corticoides orales, son más o menos eficaces que el budesonide inhalado, para tratar la laringitis subglótica, leve a moderada, en niños?

Abstract

Croup treatment continues to be controversial. While some doctors suggest not to treat mild croup, since it is a benignand self-limited condition, others favour pharmacologic treatment, because it can offer some benefits. Both nebulizedbudesonide and oral corticosteroids have demonstrated to improve the symptoms of mild to moderate croup, decreasethe length of stay in the emergency department, the hospital admissions and the need of intubation. The literature review showed that both nebulized budesonide and single dose oral dexamethasone are equally effective.When choosing the route of administration of corticosteroids, we must have in mind the availability of the drug, the ageof the patient, and the collaboration that both children and parents can offer. Considering this, oral dexamethasonebecomes the best treatment for children with mild to moderate croup, since it is less expensive, it is more available, andis easier to administer than budesonide.