Alternative Names Viral croup; Laryngotracheobronchitis - acute; Spasmodic croup Prevention Wash your hands frequently and avoid close contact with those who have a respiratory infection. The diphtheria, Haemophilus influenzae (Hib), and measles vaccines protect children from some of the most dangerous forms of croup. References Hall CB, McBride JT. Acute laryngotracheobronchitis (croup). In: Mandell GL, Bennett JE, Dolin R, eds. Principles and Practice of Infectious Diseases . 7th ed. Philadelphia, Pa: Elsevier Churchill Livingstone; 2009:chap 56. Everard ML. Acute bronchiolitis and croup. Pediatr Clin North Am . 2009;56(1):119-133. Roosevelt GE. Acute inflammatory upper airway obstruction (croup, epiglottitis, laryngitis, and bacterial tracheitis). In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF. Nelson Textbook of Pediatrics . 18th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 382.
In this entry, I would like to discuss some things to think about as families go back to school in terms of asthma. One is the increase in asthma exacerbations during this period, and the other some thoughts about asthma control as kids go back to school.
Asthma gets worse in September For several years, doctors and patients have observed that asthma control, including asthma exacerbations, increase in September. Some doctors and scientists have even called the increase in hospitalizations for asthma the "September Epidemic."
The reason for this remained obscure until recent studies that looked into the major causes of worsening asthma control and if they changed in September. It turns out that the increase in asthma worsening and kids going back to school are not merely coincidences. A detailed study of asthma attacks looking at many individuals (using 12 years of hospitalization data from the Canadian health ministry) showed that there is a sharp spike in asthma hospitalizati...
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