Subglottic laryngitis - changes in therapy approach over the past 20 years

Penezić, Ana and Ivkić, Mirko and Ivkić, Boris and Baudoin, Tomislav (2015) Subglottic laryngitis - changes in therapy approach over the past 20 years. Auris Nasus Larynx, 42 (5). pp. 390-395. ISSN 0385-8146

[img] PDF - Accepted Version
Download (420kB)

Abstract

OBJECTIVE: To show changes in the management of subglottic laryngitis over the last twenty years in Croatia. ----- METHODS: We sent questionnaires to paediatricians and otolaryngologists (ENT) in 9 Croatian hospitals in 1993, 2003 and 2013. In the questionnaire we presented a case of a child with moderately difficult subglottic laryngitis, after which they had to answer questions about the management of this kind of a patient and common therapy practice in their hospitals. All data were categorical, described in absolute frequencies and with relative percentages. The Cochran-Armitage test for trend was used in the analysis of different treatments over the years among ENT and paediatricians. Associations were statistically significant if p<0.05. ----- RESULTS: During a twenty-year period main novelties included the introduction of racemic epinephrine use (ENT from 3.3% in 1993 to 92.3% in 2013; paediatricians from 17.2% in 1993 to 100.0% in 2013) and downfall of humidification (ENT from 60.0% to 23.3%; paediatricians from 60.0% to 12.0%), antibiotic (ENT from 53.0% to 2.3%; paediatricians from 21.0% to 0.0%) and antihistaminic use (ENT from 67.7% to 0%; paediatricians from 43.2% to 2%), while corticosteroids (both parenteral and nebulized form) remained the cornerstone in treatment of moderately severe subglottic laryngitis. ----- CONCLUSION: Main novelties included the use of racemic epinephrine and downfall of antibiotic, antihistaminic and humidification therapy use, while corticosteroids remained the cornerstone in the treatment of moderately severe subglottic laryngitis. Differences between approaches among specialities are minimized during 20-year period.

Item Type: Article
Additional Information: Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.
MeSH: Administration, Inhalation ; Adrenal Cortex Hormones/therapeutic use ; Anti-Bacterial Agents/therapeutic use ; Attitude of Health Personnel ; Bronchodilator Agents/therapeutic use ; Child, Preschool ; Croatia ; Histamine Antagonists/therapeutic use ; Humans ; Humidifiers ; Laryngitis/therapy ; Otolaryngology/trends ; Pediatrics/trends ; Practice Patterns, Physicians'/trends ; Racepinephrine/therapeutic use ; Surveys and Questionnaires
Departments: Katedra za otorinoloringologiju s audiologijom i fonijatrijom
Depositing User: Marijan Šember
Status: Published
Creators:
CreatorsEmail
Penezić, AnaUNSPECIFIED
Ivkić, MirkoUNSPECIFIED
Ivkić, BorisUNSPECIFIED
Baudoin, TomislavUNSPECIFIED
Date: October 2015
Date Deposited: 23 May 2016 11:00
Last Modified: 23 Jul 2020 08:55
Subjects: /
Related URLs:
URI: http://medlib.mef.hr/id/eprint/2598

Actions (login required)

View Item View Item

Downloads

Downloads per month over past year