A child has a diagnosis of croup (laryngotracheobronchitis). He has received a corticosteroid and cool mist therapy. His caregiver asks the nurse why the doctor did not order antibiotics. The MOST appropriate response is:
a. the child is too young to receive antibiotics
b. the child may be allergic to antibiotics so the risks outweigh the benefit.
c. most antibiotics are used for bacterial germs and his type of croup is due to a virus.
d. the doctor would rather wait and see if he can get better without them.
C
Laryngotracheobronchitis (croup) is a viral illness that causes narrowing of the upper airway. Symptoms include inspiratory stridor, a barking cough, and hoarseness. The child may have a persistent low-grade fever and a history of profuse nasal drainage with increased respiratory effort for several days.
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