Evaluation of patients with chronic cough in school age children

Year 2023, , 33 - 39, 30.04.2023

Belgin Usta Güç

https://doi.org/10.36516/jocass.1253196

Abstract

Introduction: Chronic cough is a common problem in childhood. Simple viral infections can cause chronic cough, as well as underlying progressive diseases. For this reason, guidelines that can be applied in clinical practice are very valuable. In our study, we aimed to evaluate our school-age patients with chronic cough in the light of the literature.
Material Method:
The files of children over the age of 6 who applied to the pediatric allergy outpatient clinic between January 2022 and June 2022 with cough for more than 4 weeks were evaluated retrospectively.
Results:
182 patients aged 6-17.9 years were included in the study. 62.1% of the patients were male, the mean age was 9.8±3.8 years. 32.4% of our patients had asthma; 43.4% Upper airways cough syndrome (20.9% sinusitis, 17.6% allergic rhinitis, 4.9% non-allergic rhinitis); 7.68% Protracted bacterial bronchitis; 6.59% postinfectious cough; 4.9% of our patients had psychogenic cough; 2.2% Gastroesophageal reflux disease; 1.1% patients had brochiectasis; 1.1% of patients had primary ciliary dyskinesia; 0.55% of the patients were diagnosed with eosinophilic esophagitis.
Conclusion:
Chronic cough in childhood can be caused by many different underlying diseases. It is observed that patients often use drugs such as antibiotics and symptom relievers unnecessarily. Accurate evaluation of patients, especially taking a detailed history, is very important in the management of these cases. It is very valuable to evaluate each patient individually.

Keywords

asthma, childhood, etiological evaluation, chronic cough

Okul çağı kronik öksürük yakınması ile gelen hastaların değerlendirilmesi

Abstract

Giriş:
Kronik öksürük çocukluk çağında sık karşılaşılan bir sorundur. Basit viral enfeksiyonlar kronik öksürüğe sebep olabileceği gibi altta yatan ilerleyici hastalıklarda buna sebep olabilmektedir. Bu sebeple klinik pratikte uygulanabilecek rehberler oldukça kıymetlidir. Çalışmamızda kronik öksürük yakınması olan okul çağı hastalarımızı literatür ışığında değerlendirilmeyi amaçladık.
Gereç ve Yöntemler:
Ocak 2022 - Haziran 2022 arasında çocuk alerji polikliniğine 4 haftadan uzun süredir öksürük sebebiyle başvuran 6 yaş üstü çocukların dosyaları retrospektif olarak değerlendirildi.
Sonuç:
6-17.9 yaş arasında 182 hasta çalışmaya dahil edildi. Hastaların % 62,1 erkek, yaş ortalaması 9.8± 3.8 yıldı. Hastalarımızın %32.4’e astım; %43,4 Üst havayolları kaynaklı öksürük sendromu (%20,9 sinuzit, %17,6 alerjik rinit,% 4,9 non-alerjik rinit); %7,68 uzamış bakteriyel bronşit; %6,59 postenfeksiyöz öksürük; %4,9 hastamıza psikojenik öksürük; %2,2 Gastroözefagial reflü hastalığı; %1,1 hastaya broşiektazi; %1,1 hastaya Primer silier diskinezi; %0,55 hastaya eosinophilic esophagitis tanısı konuldu.
Tartışma:
Çocukluk çağında Kronik öksürüğe altta yatan birçok farklı hastalık sebep olabilmektedir. Hastalara sıklıkla antibiyotik, semptom giderici gibi ilaçların gereksiz yere kullanıldığı gözlenmektedir. Hastaların doğru şekilde değerlendirilmesi, özellikle öykünün detaylı alınması bu olguların yönetiminde oldukça önemlidir. Her hastanın kendi özgülünde değerlendirilmesi oldukça kıymetlidir.

Keywords

astım, çocukluk çağı, etyolojik değerlendirme, kronik öksürük

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