The widespread immunization of children against Haemwhilus influenza type b and the use of corticosteroids to treat viral croup have likely contributed to the decline in viral croup and epiglottitis, and the resulting prevalence of cases of bacterial tracheitis, reported Dr.
Respiratory failures were three times more likely to be caused by bacterial tracheitis than by viral croup and epiglottitis combined, they said.
Of the 18 cases of bacterial tracheitis reviewed, 17 (94%) children were sent to the PICU and 15 (83%) of these needed to be intubated and five had serious complications.