Laryngitis in children

EBM Guidelines
Jun 17, 2021 • Latest change Jan 21, 2022
Tarja Heiskanen-Kosma

Table of contents


  • Laryngitis is a common infection in small children. Most commonly it occurs in children aged 6 to 36 months.
  • Most patients only have mild symptoms and can be treated at home.
  • The disease resolves spontaneously. In the treatment of typical laryngitis, antimicrobial drugs, bronchodilator drugs, antihistamines or cough medicines are of no benefit.
  • Patients with troublesome symptoms are treated with glucocorticoids on an outpatient emergency unit. When necessary, racemic adrenaline with nebulizer may be also be given as first aid.
  • Monitoring in a hospital is warranted in patients with EE
    • clear inspiratory stridor and retraction on inspiration also in an upright position and at rest despite first aid medication
    • symptom recurrence during follow-up (1–2 hours) after administration of the first aid medication
    • even a mild disturbance in oxygenation after first aid medication
    • suspected bacterial tracheitis, pneumonia complicating laryngitis, or some other severe infection.

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Budesonide, Child, Croup, Dexamethasone, Dyspnea, Emergency Treatment, Epinephrine, Infectious diseases, J04*, J05*, Laryngitis, Methylprednisolone, Otorhinolaryngology, Paediatrics, Tracheitis, bacterial tracheitis, glucocorticoid therapy, inhalation therapy, inhaled steroids, racemic epinephrine, systemic glucocorticoid therapy, vapor breathing