A multi-disciplinary approach to chronic cough in children.

Autor: Mukerji SS; Department of Otolaryngology Head Neck Surgery Baylor College of Medicine, Texas Children's Hospital Houston Texas USA., Yenduri NJS; Department of Pulmonary Medicine and Critical Care Baylor College of Medicine, Texas Children's Hospital Houston Texas USA., Chiou E; Department of Gastroenterology and Nutrition Baylor College of Medicine, Texas Children's Hospital Houston Texas USA., Moonnumakal SP; Department of Pulmonary Medicine and Critical Care Baylor College of Medicine, Texas Children's Hospital Houston Texas USA., Bedwell JR; Department of Otolaryngology Head Neck Surgery Baylor College of Medicine, Texas Children's Hospital Houston Texas USA.
Jazyk: angličtina
Zdroj: Laryngoscope investigative otolaryngology [Laryngoscope Investig Otolaryngol] 2022 Mar 23; Vol. 7 (2), pp. 409-416. Date of Electronic Publication: 2022 Mar 23 (Print Publication: 2022).
DOI: 10.1002/lio2.778
Abstrakt: Objectives: (1) To highlight the important causes of chronic and recurrent cough in children. (2) To discuss multidisciplinary approach to management of chronic/recurrent pediatric cough.
Methods: Review of scholarly articles, guidelines, expert panels via PubMed and Google Scholar.
Conclusion: Chronic cough (CC) in children is mainly attributed to persistent bacterial bronchitis, asthma, nonspecific cough, and gastroesophageal reflux disease (GERD) symptoms. A multi-disciplinary approach is cost-effective and aids with earlier diagnosis and appropriate treatment. Congenital or acquired narrowing of the subglottis is the leading ENT cause for recurrent croup (RC) in children. Laryngeal cleft-type 1 is commonly seen in children with recurrent aspiration and CC. Children are usually referred to pulmonologists for wet cough not responding to treatment. Eosinophilic esophagitis (EoE) and GERD should be considered in the differential diagnosis of CC in children with both respiratory symptoms and failure to thrive.Level of Evidence: 2a.
Competing Interests: None.
(© 2022 The Authors. Laryngoscope Investigative Otolaryngology published by Wiley Periodicals LLC on behalf of The Triological Society.)
Databáze: MEDLINE