Intubation, emergent, usually necessary
Bronchoscopy to confirm diagnosis, rule out supraglottic pathology
Antibiotics
Third generation cephalosporin (cefotaxime or ceftriaxone)
PLUS MRSA coverage, options below depending on prevalence of CA-MRSA
Clindamycin 40mg/kg/d IV divided q8hr OR
Vancomycin 45mg/kg/d IV divided q8hr
Third generation cephalosporin (cefotaxime or ceftriaxone)
PLUS MRSA coverage, options below depending on prevalence of CA-MRSA
Clindamycin 40mg/kg/d IV divided q8hr OR
Vancomycin 45mg/kg/d IV divided q8hr
Clindamycin 40mg/kg/d IV divided q8hr OR
Vancomycin 45mg/kg/d IV divided q8hr
Bacterial tracheitis
Laryngotracheomalacia
Croup
Accounts for 60%
Peritonsillar abscess
Usually exacerbated by viral URI
Epiglottitis
Dx w/ flexible fiberoptic laryngoscopy