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Therapy of acute cough in children – evidence based review


Authors: J. Tuková;  P. Koťátko
Authors‘ workplace: Klinika dětského a dorostového lékařství UK 1. LF a VFN, Praha přednosta prof. MUDr. J. Zeman, DrSc.
Published in: Čes-slov Pediat 2013; 68 (6): 364-371.
Category: Review

Overview

Acute cough is one of the most common symptoms presented by children. Causal therapy may resolve coughing in a minority of cases, in practice treatment of cough usually tends to be symptomatic. The evidence on effectiveness of antitussives is limited and these medications are responsible for serious adverse events, especially among children younger than six years. Most of mucolytics are considered to be effective for acute cough, nevertheless their application in children younger than two years should be avoided because of possible paradoxically increased bronchorrhoea observed in infants.

The list of recommendations presented in this article is limited owing to the lack of scientific data from studies in children with cough during acute respiratory infection.

Key words:
acute cough, antitussives, mucoactive substances, evidence-based medicine


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Labels
Neonatology Paediatrics General practitioner for children and adolescents
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