Which treatments for croup should be administered in urgent care clinics or emergency departments (ED)?

Updated: Oct 09, 2019
  • Author: Germaine L Defendi, MD, MS, FAAP; Chief Editor: Russell W Steele, MD  more...
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Answer

Current treatment approaches in the urgent care clinics or emergency departments are corticosteroids and nebulized epinephrine; steroids have proven beneficial in severe, moderate, and even mild croup. [23]  In the straightforward cases of croup, antibiotics are not prescribed, as the etiology is viral. Lack of improvement or worsening of symptoms can be due to a secondary bacterial process, which requires the use of antimicrobials for treatment. Typically, patients with a bacterial component would have had moderate-to-severe croup assessment scores, requiring inpatient care and observation.


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