Steroids in the management of croup

doi:10.1136/bmj.312.7029.510b

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Croup scores are rarely used in general practice

P I Macfarlane,
S Suri

Consultant paediatrician Registrar in paediatrics Department of Child Health, Rotherham District General Hospital, Rotherham, South Yorkshire S60 2UD

EDITOR,—Iolo Doull's recommendations about the role of steroids in the management of croup are controversial and deserve comment.1 An earlier publication that reviewed essentially the same reports was much more circumspect in its recommendations about nebulised steroids.2

There is now good evidence for a biological effect of oral, intravenous, and nebulised …