Jan 1, 2018 Issue
Delayed Antibiotic Prescription for New-Onset Cough Associated with Decreased Reconsultation [POEMs]

Delayed antibiotic treatment (that is, giving a prescription with a suggestion to fill it only if symptoms are still present after three days) was associated with decreased revisits by adults with new-onset cough deemed to be infective.

Jan 1, 2018 Issue
Oral Steroids Not Helpful for Acute Lower Respiratory Tract Infection in Nonasthmatic Adults [POEMs]

This study found no clinically significant benefit of steroids for the treatment of acute LRTI in adults without asthma, including those presenting with wheezing or shortness of breath.

Nov 1, 2017 Issue
Chronic Cough: Evaluation and Management [Article]

Learn which four conditions are the most likely cause, which imaging tests to order, and when to refer patients with refractory cough to a subspecialist.

Nov 1, 2017 Issue
Reflux-Cough Syndrome: Guidelines from the ACCP [Practice Guidelines]

In their updated guideline, the American College of Chest Physicians offers recommendations addressing: (1) whether treating gastroesophageal reflux disease (GERD) improves cough in patients with chronic cough, and (2) which clinical criteria suggest that chronic cough will respond to therapy.

May 1, 2017 Issue
Beta2 Agonists for Acute Cough or a Clinical Diagnosis of Acute Bronchitis [Cochrane for Clinicians]

There is insufficient evidence to determine whether beta2 agonists can improve symptoms for children with acute cough or bronchitis with wheeze. Beta2 agonists are not likely to benefit and may cause adverse effects in adults who do not have evidence of airflow restriction (number needed to harm [NNH] = 2).

Jul 1, 2016 Issue
Honey for Acute Cough in Children [Cochrane for Clinicians]

For patients one to 18 years of age, providing honey for cough symptoms can reduce the frequency and severity of cough, as well as improve sleep for patients and parents, when compared with placebo or no treatment. Honey is no better than dextromethorphan for symptom control.

Jun 1, 2016 Issue
ACCP Releases Guideline for the Treatment of Unexplained Chronic Cough [Practice Guidelines]

Persistent cough with an unknown etiology is difficult to treat and can significantly affect quality of life. Although the evidence for the diagnosis and treatment of adults with unexplained chronic cough is limited, the American College of Chest Physicians (ACCP) has released guidelines based on th...

Mar 1, 2016 Issue
ACCP Provides Updated Recommendations on the Management of Somatic Cough Syndrome and Tic Cough [Practice Guidelines]

A cough that has no medical diagnosis and does not respond to treatment is sometimes labeled as psychogenic cough, habit cough, or tic cough. These disorders should be distinguished from other forms of chronic cough, but there is little consistency or evidence on how to best diagnose a chronic cough...

Nov 15, 2013 Issue
A Simple Cough Algorithm for Children with Chronic Cough [POEMs]

In children with chronic cough, a simple approach of ruling out specific indicators of cause, followed by treating a “wet” cough with antibiotics, results in a significant decrease in the duration of cough. Some of the causes of chronic cough were reactive airway disease, bronchiectasis, and aspiration.

Apr 1, 2013 Issue
Honey Improves Nocturnal Cough in Children [POEMs]

A teaspoonful of honey, given alone or with a noncaffeinated liquid before bedtime, decreases cough frequency and severity while improving the sleep of parents and the child with acute cough.

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