BACKGROUND Cough is one of the most common presenting symptoms to general practitioners. The objective of this article is to collate the pediatric components of the CHEST chronic cough guidelines that have recently updated the 2006 guidelines to assist general and specialist medical practitioners in the evaluation and management of children who present with chronic cough. METHODS We reviewed all current CHEST Expert Cough Panel's statements and extracted recommendations and suggestions relating to children aged ≤14-years with chronic cough (>4-weeks duration). Additionally, we undertook systematic reviews to update other sections we considered relevant and important. RESULTS The 8 recent CHEST guidelines relevant to children, based on systematic reviews, reported some high-quality evidence in the management of chronic cough in children (e.g. use of algorithms and management of wet/productive cough using appropriate antibiotics). However, much evidence is still inadequate particularly in the management of non-specific cough in the community. CONCLUSION The recommendations and suggestions related to the management of chronic cough in the pediatric age group have been based upon high quality systematic reviews and are summarized in this article. Compared to the 2006 Cough Guidelines, there is now high-quality evidence for some aspects of the management of chronic cough in children. However, further studies particularly in primary healthcare are required.

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慢性咳嗽作为儿童症状的管理和管理算法：CHEST 指南和专家小组报告

背景咳嗽是全科医生最常见的症状之一。本文的目的是整理最近更新了 2006 年指南的 CHEST 慢性咳嗽指南的儿科部分，以帮助全科医生和专科医生评估和管理患有慢性咳嗽的儿童。方法 我们回顾了当前所有 CHEST 咳嗽专家小组的声明，并提取了与 14 岁以下儿童慢性咳嗽（> 4 周持续时间）相关的建议和建议。此外，我们进行了系统审查以更新我们认为相关和重要的其他部分。结果 基于系统评价，最近 8 项与儿童相关的 CHEST 指南报告了一些关于儿童慢性咳嗽管理的高质量证据（例如 使用适当的抗生素使用算法和管理湿咳/咳咳）。然而，很多证据仍然不足，特别是在社区非特异性咳嗽的管理方面。结论 与儿科年龄组慢性咳嗽管理相关的推荐和建议基于高质量的系统评价，并在本文中进行了总结。与 2006 年《咳嗽指南》相比，现在在儿童慢性咳嗽管理的某些方面有了高质量的证据。然而，需要进一步研究，特别是在初级保健方面。结论 与儿科年龄组慢性咳嗽管理相关的推荐和建议基于高质量的系统评价，并在本文中进行了总结。与 2006 年《咳嗽指南》相比，现在在儿童慢性咳嗽管理的某些方面有了高质量的证据。然而，需要进一步研究，特别是在初级保健方面。结论 与儿科年龄组慢性咳嗽管理相关的推荐和建议基于高质量的系统评价，并在本文中进行了总结。与 2006 年《咳嗽指南》相比，现在在儿童慢性咳嗽管理的某些方面有了高质量的证据。但是，还需要进一步研究，特别是在初级保健方面。