Emerging Trends in Paediatric Cough Management
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Dr. Viswanath S
Cough guidelines provide varying definitions for paediatric cough, categorising acute paediatric cough as lasting less than 2–3 weeks, and chronic paediatric cough as having a longer duration. An acute cough is most commonly caused by a viral upper respiratory tract infection (URTI), but other causes include inhaled foreign bodies, seasonal allergic rhinitis, or the initial presentation of a chronic disease. Chronic cough is most often caused by acute viral RTI but can also stem from bacterial infections, allergies, and asthma.1 Initial evaluation involves a thorough clinical history, targeted physical examination, chest radiography (CXR), and spirometry, which can be performed in children aged five and older. Cough due to URTI typically resolves spontaneously without treatment. Treatment options include inhaled corticosteroids (ICS) and bronchodilators, ensuring correct inhalation techniques. Persistent bacterial bronchitis typically requires oral antibiotics.2