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Practice Guideline

Diagnosis and management of cough executive summary: ACCP evidence-based clinical practice guidelines

Richard S Irwin et al. Chest. 2006 Jan.
No abstract available

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Figures

Figure 1
Figure 1
Acute cough algorithm for the management of patients ≥ 15 years of age with cough lasting < 3 weeks. For diagnosis and treatment recommendations refer to the section indicated in the algorithm. PE = pulmonary embolism; Dx = diagnosis; Rx = treatment; URTI = upper respiratory tract infection; LRTI = lower respiratory tract infection. Section 7 = Irwin; Section 8 = Pratter; Section 9 = Pratter; Section 10 = Pratter; Section 11 = Dicpinigaitis; Section 12 = Irwin; Section 13 = Braman; Section 14 = Braman; Section 16 = Rosen; Section 22 = Irwin et al.
Figure 2
Figure 2
Subacute cough algorithm for the management of patients ≥ 15 years of age with cough lasting 3 to 8 weeks. For diagnosis and treatment recommendations refer to the section indicated in the algorithm. AECB = acute exacerbation of chronic bronchitis. See the legend of Figure 1 for abbreviations not used in the text. See Figure 1 for references to Sections.
Figure 3
Figure 3
Chronic cough algorithm for the management of patients ≥ 15 years of age with cough lasting > 8 weeks. ACE-I = ACE inhibitor; BD = bronchodilator; LTRA = leukotriene receptor antagonist; PPI = proton pump inhibitor. See the legend of Figure 1 for abbreviations not used in the text.
Figure 4
Figure 4
Approach to a child < 15 years of age with chronic cough. There are limitations of the algorithm, which should be read with the accompanying text. Spirometry can usually be reliably performed in children > 6 years of age and in some children > 3 years of age if trained pediatric personnel are present. CXR = chest radiograph.
Figure 5
Figure 5
Approach to a child ≤ 14 years of age with chronic specific cough (ie, cough associated with other features suggestive of an underlying pulmonary and/or systemic abnormality). Children > 14 years of age should be managed as outlined in adult guidelines but there is no good evidence where the age cutoff should be. TEF = tracheal esophageal fistula. See the legend of Figure 4 for abbreviation not used in the text.
See this image and copyright information in PMC

References

    1. Irwin RS, Boulet LP, Cloutier MM, et al. Managing cough as a defense mechanism and as a symptom: a consensus panel report of the American College of Chest Physicians. Chest. 1998;114(suppl):133S–181S. - PubMed
    1. Rudolph C, Mazur L, Liptak G, et al. Guidelines for evaluation and treatment of gastroesophageal reflux in infants and children: recommendations of the North American Society for Pediatric Gastroenterology and Nutrition. J Pediatr Gastroenterol Nutr. 2001;32(suppl):S1–S31. - PubMed
    1. Pratter MR, Brightling CE, Boulet LP, et al. An empiric integrative approach to the management of cough: ACCP evidence-based clinical practice guidelines. Chest. 2006;129(suppl):222S–231S. - PubMed
    1. Chang AB, Glomb WB. Guidelines for evaluating cough in pediatrics: ACCP evidence-based clinical practice guidelines. Chest. 2006;129(suppl):260S–283S. - PubMed
    1. McCrory DC, Zelman Lewis S. Methodology and grading of the evidence for the diagnosis and management of cough: ACCP evidence-based clinical practice guidelines. Chest. 2006;129(suppl):28S–32S. - PubMed

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