Guide to Analysis
Highlights of 2020 European Respiratory Society guidelines on the diagnosis and treatment of chronic cough in adults and children
Li Yazhen, Feng Mengjie, Li Chenhui, Chen Rongchang, Wang Lingwei
Published 2021-05-20
Cite as Int J Respir, 2021, 41(10): 721-728. DOI: 10.3760/cma.j.cn131368-20200712-00597
Abstract
European Respiratory Society guidelines on the diagnosis and treatment of chronic cough in adults and children was issued on European Respiratory Journal in January 2020.The highlights of this guidelines were summarizes in this paper.The guidelines provided evidence-based recommendations for eight important questions about diagnosis and therapy of chronic cough.Increased cough hypersensitivity was found in different phenotypes of cough.Diagnosis and treatment procedures for adults and children were recommended separately.The importance of sequential trial treatment was emphasized for different cough phenotypes.Classic asthma, cough variant asthma and eosinophilic bronchitis were classified as asthmatic cough.Asthma should be diagnosed or excluded according to the treatments responses to anti-asthmatic drugs.The importance on bronchial provocation test and induced sputum eosinophils counting were no longer emphasized in the diagnosis of asthmatic cough.Diagnostic value and cut-off value of fractional exhaled nitric oxide and blood eosinophils counting are still need to be validated.
Key words:
Child; Chronic cough; Adults
Contributor Information
Li Yazhen
Department of Respiratory and Cricital Care Medicine, Shenzhen People′s Hospital (The Second Clinical Medical College of Jinan University, the First Affiliated Hospital of Southern University of Science and Technology), Shenzhen Institute of Respiratory Diseases (Shenzhen Key Laboratory of Respiratory Diseases, Medical Prevention and Respiratory Medicine Project Team, Shenzhen Center for Prevention and Treatment of Major Respiratory Disease), Shenzhen 518020, China
Feng Mengjie
Department of Respiratory and Cricital Care Medicine, Shenzhen People′s Hospital (The Second Clinical Medical College of Jinan University, the First Affiliated Hospital of Southern University of Science and Technology), Shenzhen Institute of Respiratory Diseases (Shenzhen Key Laboratory of Respiratory Diseases, Medical Prevention and Respiratory Medicine Project Team, Shenzhen Center for Prevention and Treatment of Major Respiratory Disease), Shenzhen 518020, China
Li Chenhui
Department of Respiratory and Cricital Care Medicine, Shenzhen People′s Hospital (The Second Clinical Medical College of Jinan University, the First Affiliated Hospital of Southern University of Science and Technology), Shenzhen Institute of Respiratory Diseases (Shenzhen Key Laboratory of Respiratory Diseases, Medical Prevention and Respiratory Medicine Project Team, Shenzhen Center for Prevention and Treatment of Major Respiratory Disease), Shenzhen 518020, China
Chen Rongchang
Department of Respiratory and Cricital Care Medicine, Shenzhen People′s Hospital (The Second Clinical Medical College of Jinan University, the First Affiliated Hospital of Southern University of Science and Technology), Shenzhen Institute of Respiratory Diseases (Shenzhen Key Laboratory of Respiratory Diseases, Medical Prevention and Respiratory Medicine Project Team, Shenzhen Center for Prevention and Treatment of Major Respiratory Disease), Shenzhen 518020, China
Wang Lingwei
Department of Respiratory and Cricital Care Medicine, Shenzhen People′s Hospital (The Second Clinical Medical College of Jinan University, the First Affiliated Hospital of Southern University of Science and Technology), Shenzhen Institute of Respiratory Diseases (Shenzhen Key Laboratory of Respiratory Diseases, Medical Prevention and Respiratory Medicine Project Team, Shenzhen Center for Prevention and Treatment of Major Respiratory Disease), Shenzhen 518020, China
