Australian Centre for Health Services Innovation, Queensland's University of Technology, and Department of Respiratory and Sleep Medicine, Queensland Children's Hospital, Brisbane, Queensland, Australia; Menzies School of Health Research, Darwin, Australia.
Rutgers New Jersey Medical School, Newark, New Jersey.
Ann Allergy Asthma Immunol. 2023 May;130(5):681-689. doi: 10.1016/j.anai.2023.01.026. Epub 2023 Feb 2.
Nationwide statistics in the United States and Australia reveal that cough of undifferentiated duration is the most common complaint for which patients of all ages seek medical care in the ambulatory setting. Management of chronic cough is one of the most common reasons for new patient visits to respiratory specialists. Because symptomatic cough is such a common problem and so much has been learned about how to diagnose and treat cough of all durations but especially chronic cough, this 2-part yardstick has been written to review in a practical way the evidence-based guidelines most of which have been developed from high-quality systematic reviews on how best to manage cough of all durations in adults, adolescents, and children. Chronic cough in children is often benign and self-limiting. Using established and validated protocols and specific pointers (clues in history, findings on examination) can aid the clinician in identifying causes when present and improve outcomes. In this manuscript, part 2 of the 2-part series, we provide evidence-based, expert opinion recommendations on the management of chronic cough in the pediatric patient (<14 years of age).
美国和澳大利亚的全国统计数据显示,无明确时间限定的咳嗽是所有年龄段患者在门诊寻求医疗的最常见主诉。慢性咳嗽的管理是呼吸科专家新接诊患者的最常见原因之一。由于症状性咳嗽是如此常见的问题,而且我们已经了解了如何诊断和治疗所有持续时间的咳嗽,尤其是慢性咳嗽,因此编写了这两部分标准,以实用的方式回顾了大部分基于循证的指南,这些指南主要是基于如何最好地管理成人、青少年和儿童所有持续时间的咳嗽的高质量系统评价制定的。儿童慢性咳嗽通常是良性和自限性的。使用既定和经过验证的方案和具体指标(病史中的线索、检查结果)可以帮助临床医生在存在病因时识别病因,并改善结果。在本文中,两部分系列的第二部分,我们提供了针对儿科患者(<14 岁)慢性咳嗽管理的循证、专家意见建议。