EXPLORE!

Cough Update: Management of chronic cough

  1120 Views

eMediNexus    06 June 2021

  • Management strategies should be based upon the correct identification of the exact underlying etiology of chronic cough in children.
  • Wet cough is treated with antibiotics like amoxicillin/clav for 2 weeks and if it does not resolves refer to a specialist
  • Dry cough is managed with trial of inhaled corticosteroid medium dose for 4-6 weeks, if is unresolved, refer to specialist.
  • The application of a standardized algorithm in the management of children with chronic cough improves clinical outcomes
  • Recommendations based on evidence should be used for the management of specific causes of chronic cough in children such as asthma, cystic fibrosis, primary ciliary dyskinesia, immunodeficiency, and tuberculosis.
  • Foreign body inhalation should always be considered in children with chronic cough.
  • Protracted or persistent bacterial bronchitis is identified as a common cause of chronic cough in children and is typified as a chronic wet cough with positive bronchoalveolar lavage (Streptococcus pneumoniae, Haemophilus influenzae, and Moraxella catarrhalis) that resolves with antibiotic therapy.
  • In otherwise healthy children with non-specific chronic cough, watchful observation with follow-up assessment (in 6–8 weeks) is acceptable.
  • A diagnostic trial of anti-asthma therapy or inhaled corticosteroids can be used in severe chronic cough cases.
  • Inhaled nasal corticosteroids, anti-histamines and allergen avoidance are recommended in atopic children with features of allergic rhinitis
  • Children with features exhibiting habit (psychogenic) cough can get advantage from psychotherapy, like suggestion and/or behavioral therapy.

Source: Alsubaie H, Al-Shamrani A, Alharbi AS, Alhaider S. Clinical practice guidelines: Approach to cough in children: The official statement endorsed by the Saudi Pediatric Pulmonology Association (SPPA). Int J Pediatr Adolesc Med. 2015 Mar;2(1):38-43.

To comment on this article,
create a free account.

Sign Up to instantly get access to 10000+ Articles & 1000+ Cases

Already registered?

Login Now

Most Popular Articles

News and Updates

eMediNexus provides latest updates on medical news, medical case studies from India. In-depth medical case studies and research designed for doctors and healthcare professionals.