Tosse em pediatria

 

Cough in paediatrics

 

Susana Martins ¹

Marta Carneiro de Moura ²

Ana Margarida Neves ³

José Costa Trindade ⁴

 

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.

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.

Key-words: Cough, paediatric, adults, physiopathology, causes, classification, diagnostic, therapeutics.

 

Texto completo disponível apenas em PDF.

Full text only available in PDF format.

 

Bibliografia

1. Chang AB, et al. Cough in children: definitions and clinical evaluation. Position statement of the Thoracic Society of Australia and New Zealand. MJA 2006; 184(8):398 -403.        [ Links ]

2. Chang AB. Cough: are children really different to adults? Cough 2005; 1:7.

3. Victor Chernick, et al. In: Kendig's Disorders of respiratory tract in children. 7th ed. Saunders 2006. 86 -7.

4. Marchant JM et al. Evaluation and outcome of young children with chronic cough. Chest 2006. In press.

5. J. Martins Palminha, Eugénia Monteiro Andrade. In: Orientação Diagnóstica e Pediátrica. 1st ed. Lidel, 2003:  294 -297.

6. Chang AB, Glomb WB. Guidelines for evaluatingchronic cough in pediatrics: evidence-based clinical practise guidelines. Chest 2006; 129 (Suppl 1): 260S -283S.

7. Behrman, Kligman, Jenson. Nelson – Textbook of Pediatrics. 16th ed. Saunders 2000: 1311 -2.

8. Marchant JM, et al. Utility of signs and symptoms of chronic cough in predicting specific cause in children. Thorax 2006; 61(8):694 -8.

9. Braman SS.Posinfectious cough: ACCP evidence-based clinical guidelines. Chest 2006; 129(Suppl 1): 138S -146S.

10. Irwin RS, et al. Interpreting the histopathology of chronic cough: controlled, comparative study. Chest 2006; 130(2):362 -70.

11. Crowncroft NS, Pebody RG. Recent developments in pertussis. Lancet 2006; 367(9526):1926 -36.

12. Chang AB, et al. Cough and reflux esophagitis in children: their co-existence airway cellularity. BMC Pedia trics 2006.

13. Pratter MR. Unexplained (idiopathic) cough: ACCP evidence-based practice guidelines. Chest. 2006; 129 (Suppl. 1):220S -221S.

14. Chang AB, Peake J, McElrea MS. Anti –histamines for prolonged non-specific cough in children. Cochrane Database Syst Rev 2006; 3:CD005604.

15. Schroeder K, Fahey T. Over -the counter medications for acute cough in children and adults in ambulatory settings. Cochrane Database Syst Rev 2004; (4): CD001831.

16. Marchant JM, et al. Antibiotics for prolonged moist cough in children. Cochrane Database Syst Rev 2005; (4):CD004822.

17. Chan AB, et al. Gastro-oesophageal reflux treatment  for prolonged cough in children and adults. Cochrane database Syst Rev 2006; (4):CD004833.

 

¹ Interna do 5.º ano de Pediatria do Hospital de Santa Maria, Lisboa

² Interna do 5.º ano de Pediatria do Hospital Fernando da Fonseca, Amadora

³ Assistente Graduada da Unidade de Imunoalergologia, Departamento da Criança e da Família, Hospital de Santa Maria, Lisboa

⁴ Chefe de Serviço da Unidade de Imunoalergologia Pediátrica, Departamento da Criança e da Família, Hospital de Santa Maria, Lisboa

 

Unidade de Imunoalergologia, Departamento da Criança e da Família, Hospital de Santa Maria, Lisboa

 

Recebido para publicação/received for publication: 07.12.04

Aceite para publicação/accepted for publication: 08.03.31