Abstract：
OBJECTIVE:Children referred for persistent cough were evaluated for the referring and final diagnosis, and the extent of the use of medications prior to referral and the side effects encountered. METHODS:Data on children seen by respiratory paediatricians for persistent cough (> or =4 weeks) in a tertiary respiratory setting were collected prospectively over 12 months. RESULTS:Of the 49 children, 61.2% were diagnosed with asthma at referral, with similar referral rates from general practitioners and paediatricians. Children with isolated cough were just as likely to have been diagnosed with asthma as children with cough and wheeze. Medication use (asthma, gastro-oesophageal reflux and antibiotics) prior to referral was high, asthma medications were most common, and of these 12.9% had significant steroid side effects. The most common abnormality found (46.9%) was a bronchoscopically defined airway lesion, and in 56.5% of these children, another diagnosis (aspiration, achalasia, gastro-oesophageal reflux) existed. No children had a sole final diagnosis of asthma and pre-referral medications were weaned in all children. CONCLUSION:Over diagnosis of asthma and the overuse of asthma treatments with significant side effects is common in children with persistent cough referred to a tertiary respiratory clinic. Children with persistent cough deserve careful evaluation to minimize the use of unnecessary medications and, if medications are used, assessment of response to treatment is important.
journal_name
J Paediatr Child Healthjournal_title
Journal of paediatrics and child healthauthors
Thomson F,Masters IB,Chang ABdoi
10.1046/j.1440-1754.2002.00045.xkeywords:
subject
Has Abstractpub_date
2002-12-01 00:00:00pages
578-81issue
6eissn
1034-4810issn
1440-1754pii
045journal_volume
38pub_type
杂志文章abstract：AIM:We aimed to identify key socioeconomic and health factors that are associated with a child's likelihood of being retained in kindergarten prior to commencing first year of school in Australian children. METHODS:We used data linked from the School Entrant Health Questionnaire administered to children commencing sch...
journal_title：Journal of paediatrics and child health
pub_type： 杂志文章
doi：10.1111/jpc.13014
更新日期：2016-03-01 00:00:00
abstract：AIMS:Adrenal cortical tumours remain a rare entity with inconsistent consensus about treatment and follow up. This article reviews 25 years of experience in the Royal Children's Hospital, Melbourne, Australia. METHODS:All records with the diagnosis of adrenal adenoma or carcinoma between 1976 and 2001 were reviewed, e...
journal_title：Journal of paediatrics and child health
pub_type： 杂志文章
doi：10.1046/j.1440-1754.2003.00268.x
更新日期：2003-12-01 00:00:00
abstract：AIM:To determine whether, in children with congenital heart disease (CHD), disease severity is associated with health-related quality of life (HRQOL) and impact on the family. METHODS:Cross-sectional, single-centre study comparing HRQOL outcomes of age and sex matched children with hypoplasia of the left ventricle (HL...
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doi：10.1111/jpc.12296
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journal_title：Journal of paediatrics and child health
pub_type： 杂志文章
doi：10.1111/j.1440-1754.2004.00516.x
更新日期：2004-12-01 00:00:00
abstract：AIM:This study describes clinical staff opinions on the availability and suitability of resources to provide trauma care to children and their families and any perceived strengths, gaps and potential interventions to strengthen care. METHODS:A mixed-method study was conducted in five Australian paediatric trauma centr...
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更新日期：2016-08-01 00:00:00
abstract：OBJECTIVES:To evaluate the usefulness of a microelectronic tablet-dispenser for monitoring adherence to preventive therapy for tuberculosis infection in adolescents. METHODOLOGY:Twenty-one patients with positive Mantoux tests were treated with isoniazid (INH), dispensed in a microelectronic tablet-dispenser that recor...
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doi：10.1046/j.1440-1754.1999.00371.x
更新日期：1999-08-01 00:00:00
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pub_type： 杂志文章,评审
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更新日期：2012-11-01 00:00:00
abstract：:A 9 year old girl presented with seizures, weight gain and early morning behavioural changes. She had been commenced on anticonvulsants and was subsequently diagnosed with hyperinsulinaemic hypoglycaemia. This case demonstrates the importance of blood glucose monitoring in children presenting with new-onset seizures a...
journal_title：Journal of paediatrics and child health
pub_type： 杂志文章
doi：10.1111/jpc.12399
更新日期：2014-04-01 00:00:00
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journal_title：Journal of paediatrics and child health
pub_type： 临床试验,杂志文章,随机对照试验
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更新日期：1994-08-01 00:00:00
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doi：10.1111/j.1440-1754.1990.tb02418.x
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abstract：INTRODUCTION:Propranolol has recently emerged as an effective drug treatment for infantile haemangiomas. The side effect profile of the drug and the safety of administering propranolol in outpatient settings in this age group remain uncertain. We report our experience with 200 infants and children prescribed propranolo...
journal_title：Journal of paediatrics and child health
pub_type： 杂志文章
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更新日期：2012-10-01 00:00:00
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journal_title：Journal of paediatrics and child health
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journal_title：Journal of paediatrics and child health
pub_type： 杂志文章,评审
doi：10.1111/j.1440-1754.2004.00471.x
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pub_type： 杂志文章
doi：10.1111/j.1440-1754.1993.tb00484.x
更新日期：1993-06-01 00:00:00
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pub_type： 杂志文章
doi：10.1111/j.1440-1754.1995.tb02912.x
更新日期：1995-02-01 00:00:00
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journal_title：Journal of paediatrics and child health
pub_type： 杂志文章
doi：10.1046/j.1440-1754.1998.00207.x
更新日期：1998-06-01 00:00:00
abstract：:Routine childhood immunizations are compulsory in a small number of countries, including the United States of America. Arguments used to justify making immunizations compulsory include enhancing the health of the community and treating as paramount the rights of the child to be protected against vaccine-preventable di...
journal_title：Journal of paediatrics and child health
pub_type： 历史文章,杂志文章
doi：10.1111/j.1440-1754.2004.00399.x
更新日期：2004-07-01 00:00:00
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pub_type： 杂志文章
doi：10.1046/j.1440-1754.2003.00187.x
更新日期：2003-08-01 00:00:00
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doi：10.1111/j.1440-1754.2010.01741.x
更新日期：2011-03-01 00:00:00
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journal_title：Journal of paediatrics and child health
pub_type： 杂志文章
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doi：10.1046/j.1440-1754.1999.355389.x
更新日期：1999-10-01 00:00:00
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pub_type： 杂志文章
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更新日期：2020-10-14 00:00:00
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更新日期：2020-12-01 00:00:00
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pub_type： 杂志文章
doi：10.1111/j.1440-1754.2010.01985.x
更新日期：2011-06-01 00:00:00
abstract：AIM:Chest compression depth (CCD) decreases significantly when performing one-handed chest compression (OHCC). We modified OHCC posture to increase CCD as follows: first, the axis of the compression hand was adjusted to the compression area; second, the opposite hand was wrapped around the elbow of the compression arm....
journal_title：Journal of paediatrics and child health
pub_type： 杂志文章
doi：10.1111/jpc.14422
更新日期：2019-11-01 00:00:00
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journal_title：Journal of paediatrics and child health
pub_type： 指南,杂志文章,实务指引
doi：
更新日期：1994-08-01 00:00:00
abstract：OBJECTIVE:To report the efficacy and tolerability of the ketogenic diet (KD) in refractory paediatric epilepsy. METHODS:Twenty-six consecutive children were treated with the classical KD from 1996 to 2001. The epilepsy syndromes included symptomatic generalized epilepsy (15), idiopathic generalized epilepsy (4), sympt...
journal_title：Journal of paediatrics and child health
pub_type： 杂志文章
doi：10.1111/j.1440-1754.2005.00630.x
更新日期：2005-07-01 00:00:00
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journal_title：Journal of paediatrics and child health
pub_type： 杂志文章
doi：10.1111/j.1440-1754.1997.tb01009.x
更新日期：1997-04-01 00:00:00
abstract：:In families with infants between the ages of 6 and 18 months, sleep disruption can be significant, often putting parents at risk of a range of negative psychological and psychosocial consequences. Commonly prescribed sleep interventions typically involve 'extinction' methods, which require parents to completely or per...
journal_title：Journal of paediatrics and child health
pub_type： 杂志文章
doi：10.1111/jpc.14818
更新日期：2020-05-01 00:00:00
abstract：OBJECTIVE:To determine the common features of small bowel injury (SBI) in childhood and the consequences of delayed diagnosis. METHODOLOGY:A retrospective case review was performed of children with traumatic SBI between January 1988 and November 1999. RESULTS:Twenty-eight patients were identified with SBI. Road traum...
journal_title：Journal of paediatrics and child health
pub_type： 杂志文章
doi：10.1046/j.1440-1754.2000.00502.x
更新日期：2000-06-01 00:00:00
