Chronic cough in children - 24/05/13
, Gary M. Doherty 2 
Summary |
Chronic cough has been variably defined as a cough lasting longer than 3, 4 or 8 weeks. Many post viral or pertussis like illnesses are associated with prolonged coughing that resolves over time. Management involves first trying to make a diagnosis and identify the presence of any underlying condition. Targeted treatments can then be employed. Trials of treatments are often used to make a diagnosis. Because natural resolution of cough is so common any trial of treatment to confirm a diagnosis should be time limited and the treatment only restarted if the coughing returns. Only a small proportion of children with an isolated non-specific dry cough have asthma and care is needed not to over diagnose asthma. Children with chronic wet cough may have protracted bacterial bronchitis (PBB) that responds to a full course of antibiotics. Children with PBB failing to respond to treatment or with specific pointers should be investigated for specific causes of suppurative lung disease.
Le texte complet de cet article est disponible en PDF.Keywords : Chronic cough, Protracted bacterial bronchitis, Pertussis, Cough variant asthma, Upper airways cough syndrome
Plan
Vol 14 - N° 2
P. 100-106 - juin 2013 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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