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Yardstick for managing cough, part 2: In children

Anne B Chang1, John J Oppenheimer2, Whitney Dunlap3

  • 1Australian Centre for Health Services Innovation, Queensland's University of Technology, and Department of Respiratory and Sleep Medicine, Queensland Children's Hospital, Brisbane, Queensland, Australia; Menzies School of Health Research, Darwin, Australia.

Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology
|February 3, 2023
PubMed

Insights

This guide offers practical, evidence-based recommendations for managing chronic cough in children. It emphasizes using validated protocols and clinical clues to diagnose and treat pediatric cough effectively.

Area of Science:

  • Pediatrics
  • Respiratory Medicine
  • Clinical Practice Guidelines

Background:

  • Cough is a prevalent symptom leading to ambulatory care visits in the US and Australia.
  • Chronic cough management is a frequent reason for specialist consultations.
  • Part 2 of this series focuses on pediatric chronic cough, building on general cough management principles.

Purpose of the Study:

  • To provide evidence-based recommendations for diagnosing and managing chronic cough in children (<14 years).
  • To offer practical guidance for clinicians using validated protocols and clinical pointers.
  • To improve outcomes for pediatric patients experiencing chronic cough.

Main Methods:

  • Review of evidence-based guidelines derived from systematic reviews.
  • Expert opinion synthesis on pediatric chronic cough management.
  • Focus on established and validated diagnostic and treatment protocols.

Main Results:

  • Chronic cough in children is frequently benign and self-limiting.
  • Clinical clues from history and examination aid in identifying causes.
  • Application of protocols can enhance diagnostic accuracy and treatment success.

Conclusions:

  • Evidence-based guidelines are crucial for effective pediatric chronic cough management.
  • Clinicians can improve outcomes by utilizing specific protocols and diagnostic pointers.
  • This review offers practical recommendations for the pediatric population.

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