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Chronic cough - case-based discussion

Chang, Anne B. (2011). Chronic cough - case-based discussion. In: Paediatrics and Child Health Annual Meeting, Darwin, 22-25 May 2011.

Document type: Conference Paper
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IRMA ID jsingletonxPUB45
Author Chang, Anne B.
Title Chronic cough - case-based discussion
Conference Name Paediatrics and Child Health Annual Meeting
Conference Location Darwin
Conference Dates 22-25 May 2011
Conference Publication Title Journal of Paediatrics and Child Health
Place of Publication United Kingdom
Publisher Wiley-Blackwell Publishing Ltd.
Publication Year 2011
Volume Number 47
Issue Number Supplement s2
ISSN 1440-1754   (check CDU catalogue open catalogue search in new window)
Start Page 2
End Page 17
HERDC Category E3 - Conference Publication - Extract of paper (internal)
Abstract Cough is the most common presenting symptom to medical practitioners in many countries including Australia. Worldwide, the desire to reduce the impact of the symptom of cough is refl ected in the billions of dollars spent cough medications. When is cough a ‘nuisance’? When is cough a serious symptom? Does chronic cough matter? Missing a serious aetiology may lead to increased later morbidity. Thus, each child that presents with a chronic cough requires a systematic approach.[1]

To assist in the decision of whether or not to investigate, it is necessary to have operational defi nitions for clinical use. Based on current data, paediatric cough defi nitions have been formulated on three main categories, built on different constructs: (a) duration, (b) cough quality and characteristics, (c) clinical characteristics based on the likelihood of an underlying disease or process (expected cough, specifi c cough, non-specifi c cough). These definitions are not exclusive (i.e. can overlap). These are also distinct from adult definitions as many of adult-type aspects of cough cannot be applied to young children. The depth of investigations is highly dependent on the clinical characteristics present.

If medications are tried, the concept of ‘time to response’ is important. In most situations ‘time to response’ is generally 2 weeks.[2] There is, however, limited evidence for the above.[1] The evidence (as well as the lack of evidence), for and against, the above will be highlighted within the case discussion. The management of the common symptom of chronic cough in children needs to be further improved with relevant clinical research and education.

Additional Notes Abtract for the Paediatrics & Child Health Annual Meeting, 22-25 May 2011
 
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