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Published on: August 2, 2024
The approach to pediatric cough
Srinivasan Ramanuja1, Pramod S Kelkar
1Mankato Clinic, Allergy/Asthma/Immunology, Mankato, Minnesota 56001, USA. VasanR@mankato-clinic.com
Insights
Pediatric cough requires careful diagnosis, considering common causes like asthma and less common ones such as foreign-body inhalation. Accurate identification of the cause is crucial for effective treatment in children.
Area of Science:
- Pediatric Pulmonology
- Allergy and Immunology
Background:
- Pediatric cough is a frequent clinical presentation.
- Accurate diagnosis is essential for appropriate management.
Purpose of the Study:
- To review the diverse etiologies of pediatric cough.
- To guide diagnosis and treatment strategies for cough in children.
Main Methods:
- Literature search of PubMed (1961-2009) using keywords: pediatric cough, cough in children.
- Review and selection of key relevant articles and textbook sections.
Main Results:
- Common causes include asthma, gastroesophageal reflux disease, and postnasal drip.
- Other potential causes: bronchitis, postviral cough, foreign-body aspiration.
- Diagnosis and treatment vary based on clinical presentation; causes can be multifactorial.
Conclusions:
- Pediatric cough is common in primary care and allergy settings.
- Physicians must recognize a broad spectrum of causes for effective diagnosis and treatment.
Objective:
To provide an overview of pediatric cough, with specific emphasis on various causes, to aid in diagnosis and treatment.
Data Sources:
Relevant articles and references published between January 1, 1961, and May 1, 2009, were found through a PubMed search using the following keywords: pediatric cough and cough in children.
Study Selection:
All key relevant articles and textbook sections were reviewed, and the most relevant were selected for inclusion in this review.
Results:
Although asthma, gastroesophageal reflux disease, and postnasal drip can be causes of cough in children, it is important to think of other potential causes, such as bronchitis, postviral cough, and foreign-body inhalation. Testing and treatment for cough will vary, depending on the presentation and diagnosis. Just as in adults, in children, the cause of cough can be multifactorial.
Conclusions:
Pediatric cough is commonly encountered by primary care physicians and allergists. Physicians should be aware of the various potential causes of cough in children to properly determine the cause so that testing and treatment can proceed appropriately.
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