Honey and lozenges for chronic non-specific cough in children

Mulholland, Selamawit and Chang, Anne B. (2009) Honey and lozenges for chronic non-specific cough in children. Cochrane Database of Systematic Reviews, 2: CD007523.1-CD007523.14. doi:10.1002/14651858.CD007523.pub2


Author Mulholland, Selamawit
Chang, Anne B.
Title Honey and lozenges for chronic non-specific cough in children
Journal name Cochrane Database of Systematic Reviews   Check publisher's open access policy
ISSN 1469-493X
Publication date 2009
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1002/14651858.CD007523.pub2
Issue 2
Start page CD007523.1
End page CD007523.14
Total pages 14
Place of publication Oxford, United Kingdom
Publisher John Wiley & Sons
Language eng
Formatted abstract
Background: Chronic non-specific cough is a chronic, dry cough of in the absence of identifiable respiratory disease or known aetiology. Although it is usually not reflective of an underlying severe illness, it does cause significant morbidity, and as such relief from it is often sought. The use of honey and lozenges to soothe upper respiratory tract irritation is common, inexpensive, and potentially more effective in treating the symptoms than pharmacological interventions.
Objectives: To evaluate the efficacy of honey and/or lozenges in the management of children with chronic non-specific cough.
Search strategy: The Cochrane Airways Group searched the Cochrane Register of Controlled Trials (CENTRAL), MEDLINE, OLDMEDLINE, and EMBASE databases in October 2010.
Selection criteria: All randomised controlled trials comparing honey or lozenges with a placebo in treating children with chronic non-specific cough.
Data collection and analysis: The results of the searches were assessed according to the pre-determined criteria. None of the trials identified by the searches were eligible for inclusion, leaving no data available for analysis in this review.
Main results: The search did not provide any applicable randomised controlled trials that investigated the efficacy of honey and lozenges in treating children with non-specific chronic cough. Data from acute studies suggest a potential role for honey in relieving cough, but whether this is applicable to chronic cough is unknown.
Authors' conclusions: Clinically, this review was unable to provide any justifiable recommendation for or against honey and/or lozenges due to the lack of evidence. The absence of applicable studies highlights the need for further research into the area of treating children with chronic non-specific coughs with honey and/or lozenges. These treatments are not recommended when managing very young children (as lozenges are a potential choking hazard, and honey may cause infant botulism in children under one year of age).
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ
Additional Notes Article # CD007523

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
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Created: Tue, 20 Dec 2011, 09:54:23 EST by Jane Medhurst on behalf of Child Health Research Centre