Chronic cough postacute respiratory illness in children: a cohort study

Abstract

When chronic cough develops post-ARI, clinical review is warranted, particularly if parents report a history of prolonged or recurrent cough. Parents of children presenting acutely to ED with cough should be counselled about the development of chronic cough, as an underlying respiratory condition is not uncommon.

Respiratory sequelae and quality of life in children one‐year after being admitted with a lower respiratory tract infection: A prospective cohort study from a developing country

“…Blood and nasopharyngeal aspirate (NPA) were tested for bacteria via PCR for Staphylococcus aureus, Streptococcus pneumoniae, Haemophilus influenzae, Bordetella pertussis, Mycoplasma pneumoniae , and Chlamydophila pneumoniae . Moraxella catarrhalis was considered a significant pathogen if induced sputum culture had a pure growth of Moraxella catarrhalis , that is, in the presence of epithelial cells: pus cell <1:10 . Chest radiographs were reviewed by a designated radiologist who was blinded to the signs and symptoms of the patient.…”

“…During admission for their LRTI, induced sputum 18 19,20 Chest radiographs were reviewed by a designated radiologist who was blinded to the signs and symptoms of the patient.…”

Paediatric and adult bronchiectasis: Diagnosis, disease burden and prognosis

“…A study of 93 children with persistent cough and bronchiectasis found that the duration of the cough correlated with severity markers for bronchiectasis . Children with episodes of recurrent pneumonia, recurrent prolonged bacterial bronchitis or a cough that is not responsive to a prolonged (more than 4 weeks) course of antibiotics should also be considered for an underlying diagnosis of bronchiectasis . In addition, children investigated for asthma in whom symptoms do not improve with treatment should be investigated for bronchiectasis, especially those presenting with cough variant asthma.…”

Recurrent lower respiratory tract infections in children

“…Any daily, chronic, productive-sounding cough should raise the suspicion of an underlying cause, especially if the child is ill or has other worrying features 30. British Thoracic Society guidelines define chronic cough as cough lasting more than eight weeks,31 whereas other documents define it as lasting more than four weeks,32 neither figure being evidence based.…”