Francis Gilchrist f.j.gilchrist@keele.ac.uk
An approach to the child with a wet cough.
Gilchrist
Authors
Abstract
When children have a wet cough, it suggests the presence of secretions in their airways. This often has an infectious aetiology which is usually a self-limiting viral infection requiring no investigation or treatment. In those with acute wet cough it is, however, important to identify features suggestive of community acquired pneumonia or an inhaled foreign body as these causes require specific management. When there is chronic wet cough, the most common diagnoses are protracted bacterial bronchitis (PBB) and bronchiectasis. The relationship between these two conditions is complex as the development of bronchiectasis manifests as a clinical continuum in which the early features of which are indistinguishable from PBB. It is therefore important to identify PBB and chronic cough endotypes which are associated with an increased risk of bronchiectasis. This article offers a pragmatic approach to the investigation and treatment of children with wet cough. It is hoped this will limit unnecessary investigations whist aiding the prompt diagnosis of conditions needing treatment to reduce symptom burden and prevent further lung damage.
Acceptance Date | Nov 16, 2018 |
---|---|
Publication Date | Aug 1, 2019 |
Journal | Paediatric Respiratory Reviews |
Print ISSN | 1526-0542 |
Publisher | Elsevier |
Pages | 75-81 |
DOI | https://doi.org/10.1016/j.prrv.2018.11.002 |
Keywords | Acute cough; Bronchiectasis; Chronic cough; Community acquired pneumonia; Inhaled foreign body; Productive cough; Protracted bacterial bronchitis; Viral upper respiratory tract infection; Wet cough |
Publisher URL | http://dx.doi.org/10.1016/j.prrv.2018.11.002 |
Files
F Gilchrist - Wet Cough.pdf
(667 Kb)
PDF
Publisher Licence URL
https://creativecommons.org/licenses/by-nc-nd/4.0/
You might also like
COVID‐19 infection and nocardiosis causing the death of an adolescent with cystic fibrosis
(2022)
Journal Article
Saving our planet one puff at a time
(2022)
Journal Article
Downloadable Citations
About Keele Repository
Administrator e-mail: research.openaccess@keele.ac.uk
This application uses the following open-source libraries:
SheetJS Community Edition
Apache License Version 2.0 (http://www.apache.org/licenses/)
PDF.js
Apache License Version 2.0 (http://www.apache.org/licenses/)
Font Awesome
SIL OFL 1.1 (http://scripts.sil.org/OFL)
MIT License (http://opensource.org/licenses/mit-license.html)
CC BY 3.0 ( http://creativecommons.org/licenses/by/3.0/)
Powered by Worktribe © 2024
Advanced Search