Breaking News
December 18, 2018 - California Farm Implicated in Outbreak of E. coli Tied to Romaine Lettuce
December 18, 2018 - Mobile health has power to transform HIV/AIDS nursing
December 18, 2018 - Celiac Vaccine in Clinical Trials at Columbia
December 18, 2018 - Research into mental health first aid prompts practical guidance and resources for workplace
December 18, 2018 - Researcher conducts study to investigate peripheral blood markers of Alzheimer’s disease
December 18, 2018 - Researchers identify link between mucus in the small airways and pulmonary fibrosis
December 18, 2018 - EU Commission’s Health Policy Platform to host EKHA program on transplantation
December 18, 2018 - Survivors of childhood Hodgkin lymphoma have high risk of developing solid tumors
December 18, 2018 - Small changes to cafeteria design can get kids to eat healthier, new assessment tool finds
December 18, 2018 - From Machines to Cyclic Compounds
December 18, 2018 - New study reveals best assessment tools to establish delirium severity
December 18, 2018 - Rice University scientists develop synthetic protein switches to control electron flow
December 18, 2018 - Home-based pulmonary function monitoring for teens with Duchenne muscular dystrophy
December 18, 2018 - Researchers identify potential target for new breast cancer treatments
December 18, 2018 - National Biofilms Innovation Centre award grant to Neem Biotech for novel anti-biofilm drug development
December 18, 2018 - Artificial intelligence and the future of medicine
December 18, 2018 - Montana State doctoral student receives grant for her work to improve neuroscience tool
December 18, 2018 - Early postpartum initiation of opioids associated with persistent use
December 18, 2018 - Russian scientists identify molecular ‘switch’ that could be target for treatment of allergic asthma
December 18, 2018 - Surgeons make more mistakes in the operating room during stressful moments, shows study
December 18, 2018 - Immune cells explode themselves to inform about the danger of invading bacteria
December 18, 2018 - Malnutrition in children with Crohn’s disease linked with increased risk of surgical complications
December 18, 2018 - FDA Approves Motegrity (prucalopride) for Adults with Chronic Idiopathic Constipation (CIC)
December 18, 2018 - The long and short of CDK12
December 18, 2018 - Hologic’s Cynosure division introduces TempSure Surgical RF technology in North America
December 18, 2018 - CMR Surgical partners with Nicholson Center to launch U.S.-based training program for Versius
December 18, 2018 - Findings reinforce guidelines for cautious use of antipsychotics in younger populations
December 18, 2018 - Study finds new strains of hepatitis C virus in sub-Saharan Africa
December 18, 2018 - New battery-free, implantable device aids weight loss
December 18, 2018 - Parental alcohol use disorder associated with offspring marital outcomes
December 18, 2018 - Novel Breast Imaging Technique Might Cut Unnecessary Biopsies
December 18, 2018 - What can a snowflake teach us about how cancer spreads in the body?
December 18, 2018 - Management of nausea and vomiting in pregnancy costs the NHS more than previously thought
December 18, 2018 - Green leafy vegetables may reduce risk of developing liver steatosis
December 18, 2018 - Veganism linked to nutrient deficiencies and malnutrition if not planned correctly
December 18, 2018 - Coming Soon: A Tiny Robot You Swallow to Help You Stay Healthy
December 18, 2018 - Modified malaria drug proven effective at inhibiting Ebola
December 18, 2018 - Study finds epigenetic differences in the brains of individuals with schizophrenia
December 18, 2018 - Fitness instructors’ motivational comments influence women’s body satisfaction
December 18, 2018 - Study focuses on modification of lipid nanoparticles for successful brain cell targeting
December 18, 2018 - New gut bacteria may be effective against obesity, metabolic and mental disorders
December 18, 2018 - New two-in-one powder aerosol to upgrade fight against deadly superbugs in lungs
December 18, 2018 - Biofilms feed with swirling flows
December 17, 2018 - Study identifies specific neurological changes related to traumatic brain injury
December 17, 2018 - New study confirms geographic bias in lung allocation for transplant
December 17, 2018 - Research focuses on optimization of solid lipid nanoparticle that encapsulates Vinorelbine bitartrate
December 17, 2018 - Carpal tunnel syndrome – Genetics Home Reference
December 17, 2018 - A novel insulin accelerant
December 17, 2018 - Tips for caring for patients with disabilities, from a mother and physician
December 17, 2018 - Menopause-related sexual, urinary problems tied to worse quality of life
December 17, 2018 - In-school nutrition programs among students limit increases in BMI, finds study
December 17, 2018 - Risk for Hospitalization for Heart Failure Greater With Diabetes
December 17, 2018 - Food assistance may help older adults adhere to diabetes meds
December 17, 2018 - Supporting a family’s goals during a difficult pregnancy
December 17, 2018 - Neurons with Good Housekeeping Are Protected from Alzheimer’s
December 17, 2018 - New approach to tumor analysis could improve prognosis for bowel cancer patients
December 17, 2018 - New ‘epigenetics-based’ cervical cancer test outperforms Pap smear and HPV tests
December 17, 2018 - Ten year follow-up after negative colonoscopy related to reduced risk of colorectal cancer
December 17, 2018 - CTF along with NTAP and Sage announce first-ever open data portal for neurofibromatosis
December 17, 2018 - Intimacy: The Elusive Fountain of Youth?
December 17, 2018 - Will saliva translate to a real diagnostic tool?
December 17, 2018 - DFG establishes nine new Research Units and one new Clinical Research Unit
December 17, 2018 - Assisted living’s breakneck growth leaves patient safety behind
December 17, 2018 - America’s teens report dramatic increase in their use of vaping devices in just one year
December 17, 2018 - Enlarged heart linked to a higher risk of dementia
December 17, 2018 - Prostate cancer detection using MRI now first-line investigation tool
December 17, 2018 - Loughborough academics part of new project investigating effectiveness of personalized breast cancer screening
December 17, 2018 - Adolescents who use cognitive reappraisal had better metabolic measures, shows study
December 17, 2018 - Probiotics may offer therapeutic benefits for biopolar patients
December 17, 2018 - Stealth BioTherapeutics Granted Fast Track Designation for Elamipretide for the Treatment of Dry Age-Related Macular Degeneration with Geographic Atrophy
December 17, 2018 - Studies reveal role of red meat in gut bacteria, heart disease development
December 17, 2018 - Eisai enters into agreement with Eurofarma for its anti-obesity agent lorcaserin
December 17, 2018 - Researchers use brain connectome to reassess neuroimaging findings of Alzheimer’s disease
December 17, 2018 - “Miracle” baby survives Ebola in Congo and rapid a new Ebola detection device
December 17, 2018 - Mechanisms behind neonatal diabetes uncovered
December 17, 2018 - AHF urges the WHO to expedite approval process for vaccine effective against Ebola
December 17, 2018 - Study finds misuse of benzodiazepines to be highest among young adults
December 17, 2018 - TGen receives PayPal grant to underwrite costs of genetic tests for children with rare disorders
December 17, 2018 - New research highlights why HIV-infected patients suffer higher rates of cancer
December 17, 2018 - Antibiotic-resistant bacteria could soon be targeted with Alzheimer’s drug
Antibiotics best paediatric treatment for children’s chronic wet cough

Antibiotics best paediatric treatment for children’s chronic wet cough

image_pdfDownload PDFimage_print
Credit: CC0 Public Domain

A new study has confirmed the use of antibiotics for prolonged wet cough in children is the most effective treatment to prevent the illness from getting worse.

The QUT-led research published in the Cochrane Database of Systematic Reviews found children, who had a cough lasting more than four weeks, benefitted from antibiotic intervention.

Research findings:

  • In Australia, 9.4 per cent of presentations to GPs were due to coughing illnesses
  • Chronic childhood wet cough is a cough that lasts more than a month
  • Two weeks of antibiotics was most effective treatment
  • Timely treatment of children preserves future lung health

Associate Professor Julie Marchant, from QUT’s Institute Of Health and Biomedical Innovation, said given concerns over the increasing use of antibiotics it was important to get accurate diagnosis for respiratory illnesses.

“Cough is one of the most common reasons why children are taken to see a doctor,” Associate Professor Marchant said.

“It causes a high degree of parental stress and worry and financial burden with doctors’ visits, medication and time off work.”

Associate Professor Marchant described wet cough in children as moist or productive-sounding, with or without phlegm and was often accompanied by a rattling sound in the chest.

She said it was different to a cough that is dry and should not be treated with antibiotics.

“The aim of the study was to examine whether antibiotics were useful in treating children who had ongoing persistent wet cough.”

The global study reviewed clinical trials involving 190 children who had chronic wet cough.

It found treatment with antibiotics reduced the proportion of children not cured at follow-up.

“Antibiotics also prevented the illness from getting worse, thus avoiding a further course of antibiotics for one in every four children treated,” she said.

Associate Professor Marchant, who works as a paediatric respiratory physician at the Lady Cilento Children’s Hospital in Brisbane, said knowledge of chronic cough in children had progressed greatly in the past decade.

“One of the most common causes is protracted bacterial bronchitis (PBB) which can be treated effectively with two weeks of appropriate antibiotic therapy,” she said.

“PBB is characterised by a chronic wet cough in otherwise well children with no other signs or symptoms and is due to chronic infection and inflammation.”

She said chronic daily wet cough could indicate more serious underlying conditions and it should never be ignored in children.

“If treatment with two weeks of antibiotics does not lead to resolution of the cough children should be referred to a respiratory specialist,” she said.

Associate Professor Marchant is recognised as a leading Brisbane researcher on childhood respiratory illnesses, aiding in the clinical definition of protracted bacterial bronchitis (PBB) which is incorporated into paediatric cough guidelines worldwide.

She said further research is investigating the long-term outcomes of 150 children with PBB over a five year follow-up period.


Explore further:
Antibiotics not effective for cough due to ‘common cold’ in children

More information:
Julie M Marchant et al. Antibiotics for prolonged wet cough in children, Cochrane Database of Systematic Reviews (2018). DOI: 10.1002/14651858.CD004822.pub3

Journal reference:
Cochrane Library

Provided by:
Queensland University of Technology

Tagged with:

About author

Related Articles