- Title
- Cough in Children and Adults: Diagnosis, Assessment and Management (CICADA). Summary of an updated position statement on chronic cough in Australia
- Creator
- Marchant, Julie M.; Chang, Anne B.; Fitzerlakey, Naomi; George, Johnson; Holland, Anne; Rigby, Debbie; Mann, Jennifer; Mazzone, Stuart; O'Brien, Mearon; O'Grady, Kerry-Ann; Petsky, Helen L.; Pham, Jonathan; Kennedy, Emma; Vertigan, Anne E.; Wark, Peter; Vertigan, AE; Wark, P; King, David; Perret, Jennifer L.; Schultz, Andre; Toombs, Maree R.; Versteegh, Lesley; Dharmage, Shyamali C.; Dingle, Rebecca
- Relation
- Medical Journal of Australia Vol. 220, Issue 1, p. 35-45
- Publisher Link
- http://dx.doi.org/10.5694/mja2.52157
- Publisher
- John Wiley & Sons
- Resource Type
- journal article
- Date
- 2024
- Description
- Introduction: Cough is the most common symptom leading to medical consultation. Chronic cough results in significant health care costs, impairs quality of life, and may indicate the presence of a serious underlying condition. Here, we present a summary of an updated position statement on cough management in the clinical consultation. Main recommendations: Assessment of children and adults requires a focused history of chronic cough to identify any red flag cough pointers that may indicate an underlying disease. Further assessment with examination should include a chest x-ray and spirometry (when age > 6 years). Separate paediatric and adult diagnostic management algorithms should be followed. Management of the underlying condition(s) should follow specific disease guidelines, as well as address adverse environmental exposures and patient/carer concerns. First Nations adults and children should be considered a high risk group. The full statement from the Thoracic Society of Australia and New Zealand and Lung Foundation Australia for managing chronic cough is available at https://lungfoundation.com.au/resources/cicada-full-position-statement. Changes in management as a result of this statement: ; Algorithms for assessment and diagnosis of adult and paediatric chronic cough are recommended. ; High quality evidence supports the use of child-specific chronic cough management algorithms to improve clinical outcomes, but none exist in adults. ; Red flags that indicate serious underlying conditions requiring investigation or referral should be identified. ; Early and effective treatment of chronic wet/productive cough in children is critical. ; Culturally specific strategies for facilitating the management of chronic cough in First Nations populations should be adopted. ; If the chronic cough does not resolve or is unexplained, the patient should be referred to a respiratory specialist or cough clinic.
- Subject
- chronic cough; red flag cough pointers; diagnostic management algorithms; medical consultation
- Identifier
- http://hdl.handle.net/1959.13/1500936
- Identifier
- uon:55045
- Identifier
- ISSN:0025-729X
- Language
- eng
- Reviewed
- Hits: 3872
- Visitors: 3836
- Downloads: 0
| Thumbnail | File | Description | Size | Format |
|---|