Gilchrist, FJ (2019) An approach to the child with a wet cough. Paediatric Respiratory Reviews, 31. pp. 75-81. ISSN 1526-0542

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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.

Item Type: Article
Additional Information: The final published version of this accepted manuscript is available online at
Uncontrolled Keywords: Acute cough; Bronchiectasis; Chronic cough; Community acquired pneumonia; Inhaled foreign body; Productive cough; Protracted bacterial bronchitis; Viral upper respiratory tract infection; Wet cough
Subjects: R Medicine > R Medicine (General)
Divisions: Faculty of Medicine and Health Sciences > Institute for Applied Clinical Sciences
Related URLs:
Depositing User: Symplectic
Date Deposited: 07 Jan 2019 12:24
Last Modified: 23 Nov 2019 01:30

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