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Revised Korean Cough Guidelines, 2020: Recommendations and Summary Statements

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Abstract
Cough is the most common respiratory symptom that can have various causes. It is a major clinical problem that can reduce a patient’s quality of life. Thus, clinical guidelines for the treatment of cough were established in 2014 by the cough guideline committee under the Korean Academy of Tuberculosis and Respiratory Diseases. From October 2018 to July 2020, cough guidelines were revised by members of the committee based on the first guidelines. The purpose of these guidelines is to help clinicians efficiently diagnose and treat patients with cough. This article highlights the recommendations and summary of the revised Korean cough guidelines. It includes a revised algorithm for the evaluation of acute, subacute, and chronic cough. For a chronic cough, upper airway cough syndrome (UACS), cough variant asthma (CVA), and gastroesophageal reflux disease (GERD) should be considered in differential diagnoses. If UACS is suspected, first-generation antihistamines and nasal decongestants can be used empirically. In cases with CVA, inhaled corticosteroids are recommended to improve cough. In patients with suspected chronic cough due to symptomatic GERD, proton pump inhibitors are recommended. Chronic bronchitis, bronchiectasis, bronchiolitis, lung cancer, aspiration, intake of angiotensin-converting enzyme inhibitor, intake of dipeptidyl peptidase-4 inhibitor, habitual cough, psychogenic cough, interstitial lung disease, environmental and occupational factors, tuberculosis, obstructive sleep apnea, peritoneal dialysis, and unexplained cough can also be considered as causes of a chronic cough. Chronic cough due to laryngeal dysfunction syndrome has been newly added to the guidelines.
Author(s)
이세원Chi Young KimChin Kook RheeDeog Kyeom KimDong-Gyu KimHayoung ChoiHongseok YooHui Jung KimHyeon-Kyoung KooHyonsoo JooHyoung Kyu YoonIna JeongJin Woo KimJi-Yong MoonJong Wook ShinJoo-Hee KimKyung Hoon MinSeung Hun JangSo Young ParkSung Kyoung KimTai Joon AnYee Hyung Kim
Issued Date
2021
Type
Article
Keyword
coughguidelineKorea내과학
DOI
10.4046/trd.2021.0038
URI
https://oak.ulsan.ac.kr/handle/2021.oak/7166
https://ulsan-primo.hosted.exlibrisgroup.com/primo-explore/fulldisplay?docid=TN_cdi_nrf_kci_oai_kci_go_kr_ARTI_9865620&context=PC&vid=ULSAN&lang=ko_KR&search_scope=default_scope&adaptor=primo_central_multiple_fe&tab=default_tab&query=any,contains,Revised%20Korean%20Cough%20Guidelines,%202020:%20Recommendations%20and%20Summary%20Statements&offset=0&pcAvailability=true
Publisher
Tuberculosis and Respiratory Diseases
Location
대한민국
Language
영어
ISSN
1738-3536
Citation Volume
84
Citation Number
4
Citation Start Page
263
Citation End Page
273
Appears in Collections:
Medicine > Medicine
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