Pianosi P, Feldman W, Robson M G, McGillivray D
CMAJ. 1986 Feb 15;134(4):357-9.
Despite recent suggestions that bacterial infection is an increasingly important cause of serious croup, most authorities still consider croup a viral disease in which antibiotic therapy is unnecessary. To assess the frequency of antibiotic use in croup among children in hospital, we reviewed the records at three types of hospital in Ontario. Children with evidence of a concurrent infection that might be bacterial were considered to have received antibiotics appropriately. Whereas only 6% of cases at a university-affiliated children's hospital were inappropriately treated with antibiotics, the proportions at a small rural community hospital staffed by general practitioners and a general hospital staffed by both pediatricians and general practitioners in a medium-sized city were 63% and 38%. Possible reasons for these differences are discussed.
尽管最近有观点认为细菌感染是导致严重哮吼的一个日益重要的原因，但大多数权威人士仍认为哮吼是一种病毒性疾病，无需使用抗生素治疗。为评估住院儿童哮吼患者使用抗生素的频率，我们查阅了安大略省三类医院的记录。有证据表明存在可能为细菌性并发感染的儿童被视为接受了适当的抗生素治疗。在一所大学附属医院，仅有6%的病例接受了不适当的抗生素治疗，而在一家由全科医生坐诊的小型农村社区医院以及一座中型城市中一家由儿科医生和全科医生共同坐诊的综合医院，这一比例分别为63%和38%。文中讨论了造成这些差异的可能原因。
