Acute cough in children and adolescents: A systematic review and a practical algorithm by the Italian Society of Pediatric Allergy and Immunology

Gian Luigi Marseglia, Sara Manti, Elena Chiappini, Ilaria Brambilla, Carlo Caffarelli, Mauro Calvani, Fabio Cardinale, Claudio Cravidi, Marzia Duse, Alberto Martelli, Domenico Minasi, Michele Miraglia Del Giudice, Giovanni Pajno, Diego G. Peroni, Maria Angela Tosca, Amelia Licari, Giorgio Ciprandi

Research output: Contribution to journalReview articlepeer-review

Abstract

The current systematic review presented and discussed the most recent studies on acute cough in pediatric age. After that, the Italian Society of Pediatric Allergy and Immunology elaborated a comprehensive algorithm to guide the primary care approach to pediatric patients, such as infants, children, and adolescents, with acute cough. An acute cough is usually consequent to upper respiratory tract infections and is self-resolving within a few weeks. However, an acute cough may be bothersome, and therefore remedies are requested, mainly by the parents. An acute cough may significantly affect the quality of life of patients and their family.Several algorithms for the management of acute cough have been adopted and validated in clinical practice; however, unlike the latter, we developed an algorithm focused on pediatric age, and, also, in accordance to the Italian National Health System, which regularly follows the child from birth to all lifelong. Based on our findings, infants from 6 months, children, and adolescents with acute cough without cough pointers can be safely managed using well-known medications, preferably non-sedative agents, such as levodropropizine and/or natural compounds, including honey, glycerol, and herb-derived components.

Original languageEnglish
Pages (from-to)155-169
Number of pages15
JournalAllergologia et Immunopathologia
Volume49
Issue number2
DOIs
Publication statusPublished - 2021

Keywords

  • acute cough
  • acute cough relievers
  • adolescents
  • algorithm
  • children

ASJC Scopus subject areas

  • Immunology and Allergy
  • Immunology
  • Pulmonary and Respiratory Medicine

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