{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T23:36:40Z","timestamp":1788478600996,"version":"build-2803163510"},"reference-count":19,"publisher":"BMJ","issue":"2","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Arch Dis Child Educ Pract Ed"],"accepted":{"date-parts":[[2017,6,14]]},"published-print":{"date-parts":[[2018,4]]},"abstract":"<jats:p>Coughing is a primary pulmonary defence mechanism that enhances clearance of secretions and particles from the airways and protects against aspiration of foreign materials. Coughing may affect 30% of children at any given time (1). Many are healthy children but some may have serious underlying disease. Childhood cough accounts for a large number of consultations and 80% of families who are referred to a paediatric respiratory clinic for chronic cough have sought medical advice five times or more (2). The majority of childhood coughs are secondary to an acute respiratory tract infection and will improve once the infection resolves, usually within 1 to 3 weeks. With pre-school children who may experience between 6 and 10 respiratory infections a year differentiating acute recurrent cough from chronic cough is key (Table 1). Chronic cough can significantly impact a family\u2019s quality of life, as it affects the child\u2019s sleep, school attendance and play. Parents experience distress and anxiety, worrying that the cough may lead to long-term chest damage or even death (3). This article aims to guide clinicians through the assessment of the child with a chronic cough. It will discuss identifying causes, use of first line investigations, initiating appropriate management and addressing parental anxiety and exacerbating factors (4,5).<\/jats:p>","DOI":"10.1136\/archdischild-2017-313496","type":"journal-article","created":{"date-parts":[[2017,8,5]],"date-time":"2017-08-05T20:20:12Z","timestamp":1501964412000},"page":"65-70","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["Fifteen-minute consultation: A structured approach to the management of chronic cough in a child"],"prefix":"10.1136","volume":"103","author":[{"given":"Cherry","family":"Alviani","sequence":"first","affiliation":[{"name":"Department of Paediatric Respiratory Medicine, King\u2019s College Hospital, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gary","family":"Ruiz","sequence":"additional","affiliation":[{"name":"Department of Paediatric Respiratory Medicine, King\u2019s College Hospital, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atul","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Paediatric Respiratory Medicine, King\u2019s College Hospital, London, UK"},{"name":"Paediatric Respiratory Medicine, King\u2019s College London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2017,8,5]]},"reference":[{"key":"2025090701152943000_103.2.65.1","doi-asserted-by":"publisher","DOI":"10.1136\/thx.54.1.27"},{"key":"2025090701152943000_103.2.65.2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.07-2236"},{"key":"2025090701152943000_103.2.65.3","doi-asserted-by":"publisher","DOI":"10.1093\/fampra\/10.2.193"},{"key":"2025090701152943000_103.2.65.4","doi-asserted-by":"publisher","DOI":"10.1136\/thx.2007.077370"},{"key":"2025090701152943000_103.2.65.5","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2005.090753"},{"key":"2025090701152943000_103.2.65.6","doi-asserted-by":"publisher","DOI":"10.1136\/thx.2005.056986"},{"key":"2025090701152943000_103.2.65.7","doi-asserted-by":"publisher","DOI":"10.1186\/1465-9921-6-3"},{"key":"2025090701152943000_103.2.65.8","doi-asserted-by":"publisher","DOI":"10.1378\/chest.115.2.434"},{"key":"2025090701152943000_103.2.65.9","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.g3668"},{"key":"2025090701152943000_103.2.65.10","doi-asserted-by":"crossref","first-page":"1279","DOI":"10.1378\/chest.13-2348","article-title":"Children with chronic nonspecific isolated cough","volume":"145","author":"Yilmaz","year":"2014","journal-title":"Chest"},{"key":"2025090701152943000_103.2.65.11","first-page":"CD001831","article-title":"Over-the-counter medications for acute cough in children and adults in ambulatory settings","volume":"4","author":"Schroeder","year":"2004","journal-title":"Cochrane Database Syst Rev"},{"key":"2025090701152943000_103.2.65.12","first-page":"CD004823","article-title":"Gastro-oesophageal reflux treatment for prolonged non-specific cough in children and adults","volume":"1","author":"Chang","year":"2011","journal-title":"Cochrane Database Syst Rev"},{"key":"2025090701152943000_103.2.65.13","doi-asserted-by":"crossref","first-page":"398","DOI":"10.12968\/hmed.2015.76.7.398","article-title":"Recognition and management of children with protracted bacterial bronchitis","volume":"76","author":"Paul","year":"2015","journal-title":"Br J Hosp Med"},{"key":"2025090701152943000_103.2.65.14","doi-asserted-by":"publisher","DOI":"10.1378\/chest.129.5.1132"},{"key":"2025090701152943000_103.2.65.15","doi-asserted-by":"crossref","first-page":"120","DOI":"10.1378\/chest.15-2065","article-title":"Children with chronic wet or productive cough\u2014treatment and investigations: a systematic review","volume":"149","author":"Chang","year":"2016","journal-title":"Chest"},{"key":"2025090701152943000_103.2.65.16","doi-asserted-by":"publisher","DOI":"10.1136\/thoraxjnl-2011-201506"},{"key":"2025090701152943000_103.2.65.17","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1378\/chest.15-1403","article-title":"Use of management pathways or algorithms in children with chronic cough: systematic reviews","volume":"149","author":"Chang","year":"2016","journal-title":"Chest"},{"key":"2025090701152943000_103.2.65.18","doi-asserted-by":"publisher","DOI":"10.1378\/chest.129.1_suppl.260S"},{"key":"2025090701152943000_103.2.65.19","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2012-3318"}],"container-title":["Archives of disease in childhood - Education &amp; practice edition"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/archdischild-2017-313496","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,7]],"date-time":"2025-09-07T08:15:37Z","timestamp":1757232937000},"score":1,"resource":{"primary":{"URL":"https:\/\/ep.bmj.com\/lookup\/doi\/10.1136\/archdischild-2017-313496"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,8,5]]},"references-count":19,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2018,3,21]]},"published-print":{"date-parts":[[2018,4]]}},"alternative-id":["10.1136\/archdischild-2017-313496"],"URL":"https:\/\/doi.org\/10.1136\/archdischild-2017-313496","relation":{},"ISSN":["1743-0585","1743-0593"],"issn-type":[{"value":"1743-0585","type":"print"},{"value":"1743-0593","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,8,5]]}}}