Chronic Cough Related to Acute Viral Bronchiolitis in Children: CHEST Expert Panel Report

Anne B Chang1, John J Oppenheimer2, Bruce K Rubin3

  • 1Division of Child Health, Menzies School of Health Research, Darwin, Australia; Respiratory and Sleep Department, Lady Cilento Children's Hospital, Qld Uni of Technology, Brisbane, QLD, Australia.

Chest
|April 29, 2018
PubMed

Insights

This study found no evidence to recommend antibiotics, asthma medications, or hypertonic saline for treating chronic cough in children after acute viral bronchiolitis. Further research is needed for effective management strategies.

Area of Science:

  • Pediatric Pulmonology
  • Evidence-Based Medicine

Background:

  • Acute bronchiolitis is a common childhood illness.
  • A subset of children experience persistent chronic cough exceeding four weeks post-infection.

Purpose of the Study:

  • To systematically review the efficacy of antibiotics, asthma medications, and inhaled osmotic agents for chronic cough post-bronchiolitis in children.
  • To formulate evidence-based recommendations for managing this condition.

Main Methods:

  • Systematic reviews were conducted using PICO format and CHEST guidelines.
  • GRADE framework and Delphi methodology were employed to reach consensus.
  • Patient values and clinical context were integrated into suggestions.

Main Results:

  • No relevant data were found for the efficacy of antibiotics, asthma medications, or hypertonic saline in addressing chronic cough post-bronchiolitis.
  • Consequently, no recommendations could be formulated for these interventions.

Conclusions:

  • Consensus-based suggestions were developed in the absence of direct evidence.
  • Future research directions were identified to improve the management of chronic cough in children following acute viral bronchiolitis.
Abstract

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