Kocaeli Med J. 2023; 12(3): 306-313 | DOI: 10.5505/ktd.2023.53533

Evaluation of pediatric patients with chronic cough

Ýlknur Sürücü Kara¹, Vildan Küçüksümbül¹, Necla Aydýn Peker¹, Yusuf Kemal Arslan², Cumali Alan^1
1Department of Pediatrics, Erzincan Binali Yýldýrým University Faculty of Medicine, Erzincan, Turkey.
²Department of Biostatistics and Medical Informatics Cukurova University Faculty of Medicine, Adana, Turkey.

INTRODUCTION: We aimed to investigate the associated factors, treatment modalities, algorithm and the importance of anamnesis in children with chronic cough.
METHODS: Patients diagnosed with chronic cough in the Pediatrics unit were questioned about their medical history, symptoms and findings. All information was recorded. At the end of the study, the medications prescribed to the patients, diagnoses and investigations were reviewed.
RESULTS: In a total of 94 cases, 51(54.3%) males and 43(45.7%) females, mean age was 4.8±3.1 years, history of normal delivery was 59(62.8%), mean gestational age was 37.9±2.1 weeks, and duration of breastfeeding was 17.5(min: 0-max: 67) months. Seventy percent of the patients had chronic cough in the first three years of life, 80(85.1%) patients had exposure to allergenic agents, 38(40.4%) patients had atopic family history, and 53(56.4%) patients had evidence of reactive airway disease. Asthma was diagnosed in 15(15.9%) patients, 18(19.1%) patients were not started on any medication, 35(37.2%) patients were started on antibiotics, 45(47.8%) patients were started on montelukast-antihistamine and were followed up, 37(39.4%) patients were using alternative medicine methods when they were admitted.
DISCUSSION AND CONCLUSION: The cause, follow-up and treatment of chronic cough are important. Chronic cough in children is most commonly seen at a young age, exposure to allergenic agents, mode of birth, birth week are all important factors. As the duration of the disease prolongs, families seek remedies in traditional and alternative medicine methods. Taking the correct anamnesis with the appropriate algorithm in the outpatient clinic can facilitate the work of the physician and provide a faster and more accurate diagnosis.

Keywords: Chronic cough, child, allergy, alternative medicine, antibiotic

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Kronik Öksürüðü Olan Çocuk Hastalarýn Deðerlendirilmesi

Ýlknur Sürücü Kara¹, Vildan Küçüksümbül¹, Necla Aydýn Peker¹, Yusuf Kemal Arslan², Cumali Alan^1
1Erzincan Binali Yýldýrým Üniversitesi Týp Fakültesi Çocuk Saðlýðý ve Hastalýklarý Anabilim Dalý, Erzincan, Türkiye.
²Çukurova Üniversitesi Týp Fakültesi Biyoistatistik ve Týbbi Biliþim Anabilim Dalý, Adana, Türkiye.

GÝRÝÞ ve AMAÇ: Kronik öksürüðü olan çocuklarda iliþkili faktörleri, uygulanan tedavi yöntemlerini, algoritma ve anamnezin önemini araþtýrmayý amaçladýk.
YÖNTEM ve GEREÇLER: Çocuk Saðlýðý ve Hastalýklarý biriminde kronik öksürük tanýsý konulan hastalara öykü, semptom ve bulgularla ilgili anket yapýldý. Bilgileri kaydedildi. Çalýþma bitiminde hastalara yazýlan ilaçlar, taný ve tetkikleri kontrol edildi.
BULGULAR: Erkek 51 (%54.3), kýz 43 (%45.7) olmak üzere toplam 94 vakanýn yaþ ortalamasý 4.8±3.1 yýl, normal doðum öyküsü 59 (%62.8) kiþi, ortalama doðum haftasý 37.9± 2.1, anne sütü alma süresi 17.5 (min: 0- max: 67) ay idi. Hastalarýn %70’inde ilk üç yaþta kronik öksürük, 80 (%85.1) kiþide alerjen ajan maruziyeti, 38 (%40.4) kiþide atopik aile öyküsü, 53 (%56.4) kiþide reaktif hava yolu hastalýðý bulgusu vardý. Hastalarýn 15 (%15.9)’ ine astým tanýsý konuldu, 18 (%19.1)’ine ilaç baþlanmadý, 35 (%37.2)’ine antibiyotik, 45 (%47.8)’ine montelukast-antihistaminik baþlandý ve takibe alýndý, 37 (% 39.4)’si geldiðinde alternatif týp yöntemlerini kullanýyordu.
TARTIÞMA ve SONUÇ: Kronik öksürüðün sebebi, takip ve tedavisi önemlidir. Çocuklarda kronik öksürük, en sýk küçük yaþta görülür, alerjen ajan maruziyeti, doðum þekli, doðum haftasý önemlidir. Hastalýk süresi uzadýkça aileler geleneksel ve alternatif týp yöntemlerinde çare aramaktadýr. Poliklinikte uygun algoritma ile doðru anamnez alýnmasý hekimin iþini kolaylaþtýrarak hýzlý ve daha doðru taný konmasýný saðlayabilir.

Anahtar Kelimeler: Kronik öksürük, çocuk, alerji, alternatif týp, antibiyotik

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