Tosse em pediatria

Martins, Susana; de Moura, Marta Carneiro; Neves, Ana Margarida; Trindade, José Costa

doi:10.1016/S0873-2159(15)30256-7

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Resumo

A tosse é provavelmente o sintoma mais frequente na criança e, consequentemente, um dos principais motivos de consulta em pediatria. Os mecanismos e as causas da tosse na criança diferem das do adulto e, por esse motivo, é necessária uma diferente abordagem diagnóstica e terapêutica. Este artigo de revisão abrange a fisiopatologia da tosse na criança, as causas mais frequentes, a avaliação diagnóstica inicial e a orientação terapêutica.

Rev Port Pneumol 2008; XIV (4): 517-531

Palavras-chave:

Tosse

pediatria

crianças

adultos

fisiopatologia

causas

classificação

diagnóstico

terapêutica

Abstract

Cough is perhaps the most frequently seen symptom in children and as such one of the most common reasons for physician appointments. The mechanics and causes of cough in children are different to those in adults and imply a different diagnostic and therapeutic management. This article reviews the physiopathology of cough in children, the most frequent causes, the initial evaluation and the treatment slant.

Rev Port Pneumol 2008; XIV (4): 517-531

Key-words:

Cough

paediatric

adults

physiopathology

causes

classification

diagnostic

therapeutics

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Bibliografia

[1.]

A.B. Chang, et al.

Cough in children: definitions and clinical evaluation. Position statement of the Thoracic Society of Australia and New Zealand.

MJA, 184 (2006), pp. 398-403

Medline

[2.]

A.B. Chang.

Cough: are children really different to adults?.

Cough, 1 (2005), pp. 7

http://dx.doi.org/10.1186/1745-9974-1-7 | Medline

[3.]

Victor Chernick, et al.

Kendig's Disorders of respiratory tract in children, 7, Saunders, (2006), pp. 86-87

[4.]

J.M. Marchant, et al.

Evaluation and outcome of young children with chronic cough.

Chest, (2006),

Medline

[5.]

J. Martins Palminha.

Eugénia Monteiro Andrade.

Orientação Diagnóstica e Pediátrica, 1, pp. 294-297

[6.]

A.B. Chang, W.B. Glomb.

Guidelines for evaluating chronic cough in pediatrics: evidence-based clinical practise guidelines.

Chest, 129 (2006), pp. 260S-283S

http://dx.doi.org/10.1378/chest.129.1_suppl.260S | Medline

[7.]

Kligman Behrman, Jenson.

16, Saunders, (2000), pp. 1311-1312

[8.]

J.M. Marchant, et al.

Utility of signs and symptoms of chronic cough in predicting specific cause in children.

Thorax, 61 (2006), pp. 694-698

http://dx.doi.org/10.1136/thx.2005.056986 | Medline

[9.]

S.S. Braman.

Posinfectious cough: ACCP evidence–based clinical guidelines.

Chest, 129 (2006), pp. 138S-146S

http://dx.doi.org/10.1378/chest.129.1_suppl.138S | Medline

[10.]

R.S. Irwin, et al.

Interpreting the histopathology of chronic cough: controlled, comparative study.

Chest, 130 (2006), pp. 362-370

http://dx.doi.org/10.1378/chest.130.2.362 | Medline

[11.]

N.S. Crowncroft, R.G. Pebody.

Recent developments in pertussis.

Lancet, 367 (2006), pp. 1926-1936

http://dx.doi.org/10.1016/S0140-6736(06)68848-X | Medline

[12.]

A.B. Chang, et al.

Cough and reflux esophagitis in children: their co-existence airway cellularity.

BMC Pediatrics, (2006),

[13.]

M.R. Pratter.

Unexplained (idiopathic) cough: ACCP evidence-based practice guidelines.

Chest, 129 (2006), pp. 220S-221S

http://dx.doi.org/10.1378/chest.129.1_suppl.220S | Medline

[14.]

A.B. Chang, J. Peake, M.S. McElrea.

Anti-histamines for prolonged non-specific cough in children.

Cochrane Database Syst Rev, 3 (2006),

http://dx.doi.org/10.1002/14651858.CD009601.pub2 | Medline

[15.]

K. Schroeder, T. Fahey.

Over-the counter medications for acute cough in children and adults in ambulatory settings.

Cochrane Database Syst Rev, 4 (2004),

http://dx.doi.org/10.1002/14651858.CD002771.pub3 | Medline

[16.]

J.M. Marchant, et al.

Antibiotics for prolonged moist cough in children.

Cochrane Database Syst Rev, 4 (2005),

http://dx.doi.org/10.1002/14651858.CD002771.pub3 | Medline

[17.]

A.B. Chan, et al.

Gastro-oesophageal reflux treatment for prolonged cough in children and adults.

Cochrane database Syst Rev, 4 (2006),

http://dx.doi.org/10.1002/14651858.CD002771.pub3 | Medline

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