Abstract

Dexamethasone has been shown to be effective for croup and acute asthma exacerbations in children. Current guidelines do not recommend 1 systemic corticosteroid over another, but there is some evidence to suggest dexamethasone may result in fewer gastrointestinal adverse effects. A meta-analysis aimed at determining the equivalence or superiority of dexamethasone to prednisone or prednisolone for pediatric acute asthma exacerbations found no difference in the relative risk of relapse between the 2 groups, and patients receiving dexamethasone were less likely to experience vomiting.

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