Chronic cough in children.

Abstract:

:Chronic cough has been variably defined as a cough lasting longer than 3, 4 or 8 weeks. Many post viral or pertussis like illnesses are associated with prolonged coughing that resolves over time. Management involves first trying to make a diagnosis and identify the presence of any underlying condition. Targeted treatments can then be employed. Trials of treatments are often used to make a diagnosis. Because natural resolution of cough is so common any trial of treatment to confirm a diagnosis should be time limited and the treatment only restarted if the coughing returns. Only a small proportion of children with an isolated non-specific dry cough have asthma and care is needed not to over diagnose asthma. Children with chronic wet cough may have protracted bacterial bronchitis (PBB) that responds to a full course of antibiotics. Children with PBB failing to respond to treatment or with specific pointers should be investigated for specific causes of suppurative lung disease.

journal_name

Paediatr Respir Rev

authors

Shields MD,Doherty GM

doi

10.1016/j.prrv.2012.05.002

subject

Has Abstract

pub_date

2013-06-01 00:00:00

pages

100-5; quiz 106, 137-8

issue

2

eissn

1526-0542

issn

1526-0550

pii

S1526-0542(12)00034-6

journal_volume

14

pub_type

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