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Tebruegge M et al. – Bacterial tracheitis remains a potentially fatal infection. However, in contrast to the high mortality rates documented in some of the earlier publications, fatal outcomes in recent reports were overall relatively rare. Active management, including timely intubation, is vital to prevent complete upper airway obstruction and consequent respiratory arrest. Based on the data presented, initial antibiotic therapy should consist of broad–spectrum coverage, including an appropriate anti–staphylococcal agent, with a view to optimizing antibiotic therapy once culture and susceptibility results become available.

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