Cough in children: Definitions and clinical evaluation. Position statement of the Thoracic Society of Australia and New Zealand

Chang, Anne B., Landau, Lou I., Van Asperen, Peter P., Glasgow, Nicholas J., Robertson, Colin F., Marchant, Julie M. and Mellis, Craig M. (2006) Cough in children: Definitions and clinical evaluation. Position statement of the Thoracic Society of Australia and New Zealand. Medical Journal of Australia, 184 8: 398-403.

Author Chang, Anne B.
Landau, Lou I.
Van Asperen, Peter P.
Glasgow, Nicholas J.
Robertson, Colin F.
Marchant, Julie M.
Mellis, Craig M.
Title Cough in children: Definitions and clinical evaluation. Position statement of the Thoracic Society of Australia and New Zealand
Journal name Medical Journal of Australia   Check publisher's open access policy
ISSN 0025-729X
1326-5377
Publication date 2006-04-17
Year available 2006
Sub-type Critical review of research, literature review, critical commentary
Open Access Status Not yet assessed
Volume 184
Issue 8
Start page 398
End page 403
Total pages 6
Place of publication Strawberry Hills, N.S.W., Australia
Publisher Australasian Medical Publishing Company
Language eng
Abstract The aetiology and management approach for cough in children differs greatly to that in adults, so the empirical approach commonly used in adults is unsuitable for children.
Formatted abstract
• The aetiology and management approach for cough in children differs greatly to that in adults, so the empirical approach commonly used in adults is unsuitable for children.
• Clinical evaluation of cough in children should include an assessment of environmental factors, particularly tobacco smoke, parental concerns and expectations.
• Most children with acute cough are likely to have an uncomplicated viral acute respiratory tract infection, but the possibility of a more serious problem, especially aspiration of foreign material, should always be considered.
• Isolated chronic cough in children is rarely asthma, and the term "cough variant asthma" should not be used.
• Over-the-counter and p rescription medications are ineffective for the symptomatic relief of acute cough.
• Treatment for chronic cough should be based on aetiology. Because of the favourable natural history of cough, a "positive" response in medication trials should not be assumed to be due to the medication. Children should be reassessed within the expected timeframe of response to therapy.
Keyword Randomized Controlled-Trial
Nocturnal Cough
Primary-Care
Asthma
Parents
Placebo
Wheeze
Corticosteroids
Medications
Management
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: ERA 2012 Admin Only
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Created: Tue, 20 Dec 2011, 21:09:54 EST by Jane Medhurst on behalf of Child Health Research Centre