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Chronic Cough in Children Approach

Year 2017, Volume: 9 Issue: 2, 6 - 12, 15.03.2017

Abstract

Abstract

Cough is a common complaint in children. It might arise from a simple upper respiratory tract infection as well as other important conditions. Various guidelines areused in the diagnosis and treatment of children with chronic cough. According to these guidelines, the patients should initially be evaluated with detailed medical history,physical examination, chest X-ray and  pulmonary function tests. Depending on thefindings, specific treatment should be planned. If a specific  cause can not be  found, treatment is planned according to nature of the cough.This review  summarizes the approach to children with chronic cough, accordingto current knowledge.

References

  • Kaynaklar 1.Polverino M, Polverino F, Fasolino M, et al. Anatomy and neu-ro-pathophysiology of the cough reflex arc. MultidisciplinaryRespiratory Medicine 2012;7:5 2.Hay AD, Heron J, Ness AALSPAC study team. The prevalen-ce of symptoms and consultations in pre-school children in theAvon Longitudinal Study of Parents and Children (ALSPAC):a prospective cohort study. Fam Pract. 2005; 22(4):367-74. 3.Munyard P, Bush A. How much coughing is normal? Arch DisChild. 1996; 74(6):531-4. 4.Irwin RS, Curley FJ, French CL. Chronic cough. The spect-rum and frequency of causes, key components of the diagnos-tic evaluation and outcome of specific therapy. Am Rev Res-pir Dis. 1990; 141:640-647. 5.Irwin RS, Boulet LP, Clouier MM, et al. Managing cough asa defense mechanism and as a symptom: a concensus panelreport of the American College of Chest Physicians. Chest1998;114 (Suppl):133-181. 6.Rubin BK. Pediatricians are not just small internist. Chest2006; 129:1118-21. 7.Chang AB. Cough : are children really differnt to adults. Co-ugh. 2005;1: 7. 8.Morise A.H, Fontana G.A., Sovijarvi A.R.A., et al ERS TASKFORCE.The diagnosis and management of chronic cough. EurRespir J.2004;24: 481–492 9.Chang AB, Glomb WB Guidelines for evaluating chronic co-ugh in paediatrics: ACCP Evidence-based clinical practiceguideline. Chest. 2006;129 (1); 260-283. 10.Shields M D, Bush A, Everard M L, McKenzie S. Recommen-dations for the assessment and management of cough in child-ren. Thorax. 2008;63 (Suppl III): ii1–iii15. 11.Hay AD, Wilson A, Fahey T, et al. The duration of acute co-ugh in pre-school children presenting to primary care: a pros-pective cohort study. Fam Pract. 2003;20:696 –705 12.Hay AD, Wilson AD. The natural history of acute cough inchildren aged 0 to 4 years in primary care: a systematic re-view. Br J Gen Pract.2002;52:401– 409. 13.Chang AB, Robertson CF, Van Asperen PP et al. A cough al-gorithm for chronic cough in children: a multicenter, rando-mized controlled study. Pediatrics.2013;131:e1576. 14.De Jongste JC, Shields MD. Cough 2: Chronic cough in child-ren. Thorax. 2003; 58:998. 15.Chang AB,Asher MI. A review of cough in children. J Asth-ma. 2001;38:299 16.Marchant JM, Masters IB, Taylor SM, et al. Evaluation andoutcome of young children with chronic cough Chest.2006;129(5):1132-41. 17.Goyal V, Grimwood K, Marchant J, et al. Does failed chro-nic wet cough response to antibiotics predict bronchiectasis?Arch Dis Child. 2014; 99:522–5. 18.Jat KR. Spirometry in children. Prim Care Respir J.2013;22:221-229. 19.Debley J, Filbrun AG, Subbarao P. Clinical applications ofpediatric pulmonary function testing: Lung function in recur-rent wheezing and asthma. Pediatric Allergy, Immulogy andPulmonology. 2011;24:69-76. 20.Goldsobel AB, Chipps BE. Cough in the Pediatric Populati-on. Pediatrics. 2010;156 (3)352-358. 21.Asilsoy S, Bayram E, Ağın H, et al. Evaluation of chronic co-ugh in children. Chest. 2008;134 (6):1122-8. 22.Karabel M, Kelekçi S, Karabel D, Gurkan MF The evaluati-on of children with prolonged cough accompanied by Ame-rican Colloge of Chest Physicians guidelines. Clin Respir jo-urnal. 2014;8 (2):152-159. 23.Usta Güc B, Asilsoy S, Durmaz C. The assessment and ma-nagement of chronic cough in children according to the Bri-tish Thoracic Society guidelines: descriptive, prospective, cli-nical trial. Clin Respir Journal. 2014; DOI: 10.1111/crj.12076. 24.Wurzel DF, Marchant JM, Clark JE, et al. Wet cough in child-ren: Infectxive and inflammatory characteristics in broncho-alveolar lavage fluid. Pediatr Pulmonol. 2014;49(6):561-8 25.Johnstone KJ, Chang AB, Fong KM, et al Inhaled corticos-teroids for subacute and chronic cough in adults. CochraneDatabase Syst Rev. 2013; 28;3: CD009305.

Çocuklarda Kronik Öksürüğe Yaklaşım

Year 2017, Volume: 9 Issue: 2, 6 - 12, 15.03.2017

Abstract

Öz

Öksürük çocuklarda sık rastlanan bir yakınmadır. Basit bir üst solunum yolu enfeksiyonundan olduğu gibi daha önemli bir neden de kaynaklanabilir. Kronik öksürüklü çocukların tanı ve tedavisinde farklı klavuzlar kullanılmaktadır. Bu klavuzlarda temel olarak kronik öksürükle gelen her hastanın ayrıntılı öykü, fizik muayene,akciğer grafisi, solunum fonksiyon testi ile değerlendirilmesi, bunlara göre spesifik bulguların varlığında nedene yönelik tetkik ve tedavi planlanmalıdır. Spesifik bir neden bulunamadığında ise aile ile bilgi paylaşımında bulunularak öksürüğün yapısına göre tedavi verilmesi önerilmektedir.

References

  • Kaynaklar 1.Polverino M, Polverino F, Fasolino M, et al. Anatomy and neu-ro-pathophysiology of the cough reflex arc. MultidisciplinaryRespiratory Medicine 2012;7:5 2.Hay AD, Heron J, Ness AALSPAC study team. The prevalen-ce of symptoms and consultations in pre-school children in theAvon Longitudinal Study of Parents and Children (ALSPAC):a prospective cohort study. Fam Pract. 2005; 22(4):367-74. 3.Munyard P, Bush A. How much coughing is normal? Arch DisChild. 1996; 74(6):531-4. 4.Irwin RS, Curley FJ, French CL. Chronic cough. The spect-rum and frequency of causes, key components of the diagnos-tic evaluation and outcome of specific therapy. Am Rev Res-pir Dis. 1990; 141:640-647. 5.Irwin RS, Boulet LP, Clouier MM, et al. Managing cough asa defense mechanism and as a symptom: a concensus panelreport of the American College of Chest Physicians. Chest1998;114 (Suppl):133-181. 6.Rubin BK. Pediatricians are not just small internist. Chest2006; 129:1118-21. 7.Chang AB. Cough : are children really differnt to adults. Co-ugh. 2005;1: 7. 8.Morise A.H, Fontana G.A., Sovijarvi A.R.A., et al ERS TASKFORCE.The diagnosis and management of chronic cough. EurRespir J.2004;24: 481–492 9.Chang AB, Glomb WB Guidelines for evaluating chronic co-ugh in paediatrics: ACCP Evidence-based clinical practiceguideline. Chest. 2006;129 (1); 260-283. 10.Shields M D, Bush A, Everard M L, McKenzie S. Recommen-dations for the assessment and management of cough in child-ren. Thorax. 2008;63 (Suppl III): ii1–iii15. 11.Hay AD, Wilson A, Fahey T, et al. The duration of acute co-ugh in pre-school children presenting to primary care: a pros-pective cohort study. Fam Pract. 2003;20:696 –705 12.Hay AD, Wilson AD. The natural history of acute cough inchildren aged 0 to 4 years in primary care: a systematic re-view. Br J Gen Pract.2002;52:401– 409. 13.Chang AB, Robertson CF, Van Asperen PP et al. A cough al-gorithm for chronic cough in children: a multicenter, rando-mized controlled study. Pediatrics.2013;131:e1576. 14.De Jongste JC, Shields MD. Cough 2: Chronic cough in child-ren. Thorax. 2003; 58:998. 15.Chang AB,Asher MI. A review of cough in children. J Asth-ma. 2001;38:299 16.Marchant JM, Masters IB, Taylor SM, et al. Evaluation andoutcome of young children with chronic cough Chest.2006;129(5):1132-41. 17.Goyal V, Grimwood K, Marchant J, et al. Does failed chro-nic wet cough response to antibiotics predict bronchiectasis?Arch Dis Child. 2014; 99:522–5. 18.Jat KR. Spirometry in children. Prim Care Respir J.2013;22:221-229. 19.Debley J, Filbrun AG, Subbarao P. Clinical applications ofpediatric pulmonary function testing: Lung function in recur-rent wheezing and asthma. Pediatric Allergy, Immulogy andPulmonology. 2011;24:69-76. 20.Goldsobel AB, Chipps BE. Cough in the Pediatric Populati-on. Pediatrics. 2010;156 (3)352-358. 21.Asilsoy S, Bayram E, Ağın H, et al. Evaluation of chronic co-ugh in children. Chest. 2008;134 (6):1122-8. 22.Karabel M, Kelekçi S, Karabel D, Gurkan MF The evaluati-on of children with prolonged cough accompanied by Ame-rican Colloge of Chest Physicians guidelines. Clin Respir jo-urnal. 2014;8 (2):152-159. 23.Usta Güc B, Asilsoy S, Durmaz C. The assessment and ma-nagement of chronic cough in children according to the Bri-tish Thoracic Society guidelines: descriptive, prospective, cli-nical trial. Clin Respir Journal. 2014; DOI: 10.1111/crj.12076. 24.Wurzel DF, Marchant JM, Clark JE, et al. Wet cough in child-ren: Infectxive and inflammatory characteristics in broncho-alveolar lavage fluid. Pediatr Pulmonol. 2014;49(6):561-8 25.Johnstone KJ, Chang AB, Fong KM, et al Inhaled corticos-teroids for subacute and chronic cough in adults. CochraneDatabase Syst Rev. 2013; 28;3: CD009305.
There are 1 citations in total.

Details

Primary Language Turkish
Journal Section makale
Authors

Prof. Dr. Suna Asilsoy

Publication Date March 15, 2017
Published in Issue Year 2017 Volume: 9 Issue: 2

Cite

APA Asilsoy, P. D. S. (2017). Çocuklarda Kronik Öksürüğe Yaklaşım. Klinik Tıp Pediatri Dergisi, 9(2), 6-12.
AMA Asilsoy PDS. Çocuklarda Kronik Öksürüğe Yaklaşım. Pediatri. March 2017;9(2):6-12.
Chicago Asilsoy, Prof. Dr. Suna. “Çocuklarda Kronik Öksürüğe Yaklaşım”. Klinik Tıp Pediatri Dergisi 9, no. 2 (March 2017): 6-12.
EndNote Asilsoy PDS (March 1, 2017) Çocuklarda Kronik Öksürüğe Yaklaşım. Klinik Tıp Pediatri Dergisi 9 2 6–12.
IEEE P. D. S. Asilsoy, “Çocuklarda Kronik Öksürüğe Yaklaşım”, Pediatri, vol. 9, no. 2, pp. 6–12, 2017.
ISNAD Asilsoy, Prof. Dr. Suna. “Çocuklarda Kronik Öksürüğe Yaklaşım”. Klinik Tıp Pediatri Dergisi 9/2 (March 2017), 6-12.
JAMA Asilsoy PDS. Çocuklarda Kronik Öksürüğe Yaklaşım. Pediatri. 2017;9:6–12.
MLA Asilsoy, Prof. Dr. Suna. “Çocuklarda Kronik Öksürüğe Yaklaşım”. Klinik Tıp Pediatri Dergisi, vol. 9, no. 2, 2017, pp. 6-12.
Vancouver Asilsoy PDS. Çocuklarda Kronik Öksürüğe Yaklaşım. Pediatri. 2017;9(2):6-12.