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CICADA: Cough in children and adults: Diagnosis and assessment. Australian Cough Guidelines summary statement

Gibson, Peter G., Chang, Anne B., Glasgow, Nicholas J., Holmes, Peter W., Kemp, Andrew S., Katelaris, Peter, Landau, Louis I., Mazzone, Stuart, Newcombe, Peter, Van Asperen, Peter and Vertigan, Anne E. (2010). CICADA: Cough in children and adults: Diagnosis and assessment. Australian Cough Guidelines summary statement. Medical Journal of Australia,192(5):265-271.

Document type: Journal Article
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IRMA ID 81704288xPUB25
Title CICADA: Cough in children and adults: Diagnosis and assessment. Australian Cough Guidelines summary statement
Author Gibson, Peter G.
Chang, Anne B.
Glasgow, Nicholas J.
Holmes, Peter W.
Kemp, Andrew S.
Katelaris, Peter
Landau, Louis I.
Mazzone, Stuart
Newcombe, Peter
Van Asperen, Peter
Vertigan, Anne E.
Journal Name Medical Journal of Australia
Publication Date 2010
Volume Number 192
Issue Number 5
ISSN 0025-729X   (check CDU catalogue open catalogue search in new window)
Start Page 265
End Page 271
Total Pages 6
Place of Publication Australia
Publisher Australasian Medical Publishing Company Pty. Ltd.
HERDC Category C2 - Journal Article - Other contributions to refereed journal (internal)
Abstract •Cough is a common and distressing symptom that results in significant health care costs from medical consultations and medication use.

•Cough is a reflex activity with elements of voluntary control that forms part of the somatosensory system involving visceral sensation, a reflex motor response and associated behavioural responses.

•At the initial assessment for chronic cough, the clinician should elicit any alarm symptoms that might indicate a serious underlying disease and identify whether there is a specific disease present that is associated with chronic cough.

•If the examination, chest x-ray and spirometry are normal, the most common diagnoses in ADULTS are asthma, rhinitis or gastro-oesophageal reflux disease (GORD). The most common diagnoses in CHILDREN are asthma and protracted bronchitis.

•Management of chronic cough involves addressing the common issues of environmental exposures and patient or parental concerns, then instituting specific therapy.

•In ADULTS, conditions that are associated with removable causes or respond well to specific treatment include protracted bacterial bronchitis, angiotensin-converting enzyme inhibitor use, asthma, GORD, obstructive sleep apnoea and eosinophilic bronchitis.

•In CHILDREN, diagnoses that are associated with removable causes or respond well to treatment are exposure to environmental tobacco smoke, protracted bronchitis, asthma, motor tic, habit and psychogenic cough.

•In ADULTS, refractory cough that persists after therapy is managed by empirical inhaled corticosteroid therapy and speech pathology techniques.
Description for Link Link to published version
URL https://www.mja.com.au/journal/2010/192/5/cicada-cough-children-and-adults-diagnosis-and-assessment-australian-cough


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