Post-Infectious Coughs

Document Type : Review Article

Author

Shiraz University of Medical Sciences

Abstract

Introduction:Coughs lasting more than 3 weeks after airway infections are likely regarded as post-infectious coughs. A normal chest radiography unfavors possibility of pulmonary infection. These coughs are self-limited. This study reviews conducted studies in order to identify and define prevalence, pathogenesis, and cure of post-infectious constant coughs. Methodology: The necessary data and guidelines are gained from English articles in PubMed website. Post-infectious and cough are searched. Results: Post-infectious cough pathogeneses are not known; nevertheless, inflammation, epithelial damages of upper and lower airways, increased mucus secretion, and an increased reactivity of airways can cause these coughs. Despite self-limitedness of these coughs, dextromethorphan, antihistamines, ipratropium bromide, and decongestant are usually prescribed for cure of these coughs. Conversely, antibiotics play no significant role in this regard. These coughs constitutessmaller percentage of chronic coughs and are primarily classified in subacute coughs.Discussion:Pathogeneses of post-infectious coughs are not known. Experiential treatments are suggested despite self-limitedness of post-infectious coughs. Antibiotics play no significant role in this regard. Further studies should cover sub-acute and chronic properties of these coughs as well as their prevalence in different age groups and their determinants.

Keywords


  1. Irwin RS1, Baumann MH, Bolser DC, Boulet LP, Braman SS, Brightling CE, et al.
  2. Diagnosis and management of cough executive summary: ACCP evidence-based clinical practice guidelines.Chest.2006;129(1 Suppl):1S-23S. Available at http://www.ncbi.nlm.nih.gov/pubmed/16428686
  3. Monto A, Arbor A. Viral Respiratory Infection in the Community: Epidemiology, Agents, and Interventions. Am J Med. 1995;29;99(6B):24S-27S. Available at http://www.ncbi.nlm.nih.gov/pubmed/8585553
  4. Greenberg S. Respiratory Viral Infections in adults. Curr Opin Pulm Med.2002;8(3):201-8. Available at http://www.ncbi.nlm.nih.gov/pubmed/11981309
  5. Lieberman D1, Shvartzman P, Lieberman D, Ben-Yaakov M, Lazarovich Z, Hoffman S, et al. Etiology of respiratory tract infection in adults in a general practice setting. Eur J Clin Microbiol Infect Dis.1998;17(10):685-9. Available at http://www.ncbi.nlm.nih.gov/pubmed/9865980
  6. Mackie P. L. The classification of viruses infecting the respiratory tract .PaediatrRespir Rev. 2003;4(2):84-90. Available at http://www.ncbi.nlm.nih.gov/pubmed/?term=12758044
  7. Braman SS.Postinfectious cough: ACCP evidence-based clinical practice guidelines. Chest. 2006;129(1 Suppl):138S-146S. Available at http://www.ncbi.nlm.nih.gov/pubmed/16428703
  8. Zimmerman B1, Silverman FS, Tarlo SM, Chapman KR, Kubay JM, Urch B. Induced sputum: comparison of postinfectious cough with allergic asthma in children. J Allergy Clin Immunol. 2000;105(3):495-9 Available at.http://www.ncbi.nlm.nih.gov/pubmed/10719299
  9. Ryan NM, Gibson PG Extrathoracic airway hyperresponsiveness as a mechanism of post infectious cough: case report. Cough. 2008;4:7. doi: 10.1186/1745-9974-4-7.
  10. Available at http://www.ncbi.nlm.nih.gov/pubmed/ 18673583
  11. Chung KF, Pavord ID.Prevalence, pathogenesis, and causes of chronic cough. Lancet. 2008;371(9621):1364-74. Available at http://www.ncbi.nlm.nih.gov/pubmed/18424325
  12. Ryan NM, Vertigan AE, Ferguson J, Wark P, Gibson PG. Clinical and physiological features of postinfectious chronic cough associated with H1N1 infection. Respir Med. 2012;106(1):138-44. Available at http://www.ncbi.nlm.nih.gov/pubmed/22056406
  13. Kwon NH1, Oh MJ, Min TH, Lee BJ, Choi DC. Causes and clinical features of subacute cough. Chest. 2006;129(5):1142-7. Available at http://www.ncbi.nlm.nih.gov/pubmed/16685003
  14. Curley FJ, Irwin RS, Pratter MR, et al. Cough and the common cold. Am Rev Respir Dis 1988; 138: 305–11. Available at http://www.ncbi.nlm.nih.gov/pubmed/16685003
  15. Al-Mobeireek AF, Al-Sarhani A, Al-Amri S, Bamgboye E, Ahmed SS. Chronic cough at a non-teaching hospital: Are extrapulmonary causes overlooked? Respirology. 2002;7(2):141-6.Available at http://www.ncbi.nlm.nih.gov/pubmed/11985737
  16. Morice AH, McGarvey L, Pavord I & British Thoracic Society Cough Guideline G, Recommendations for the management of cough in adults, Thorax, 61 Suppl 1 (2006) i1-24.
  17. Available at http://www.ncbi.nlm.nih.gov/pubmed/16936230
  18. Poe RH, Harder RV, Israel RH, Kallay MC. Chronic persisten tcough. Experience in diagnosis and outcome using an anatomic diagnostic protocol. Chest. 1989;95(4):723-8. Available at http://www.ncbi.nlm.nih.gov/pubmed/?term=2924600
  19. Fujimori K, Suzuki E, Arakawa M. Clinical features of postinfectious chronic cough Arerugi. 1997;46(5):420-5. Japanese. Available at http://www.ncbi.nlm.nih.gov/pubmed/9232911
  20. Fujimori K, Suzuki E, Arakawa M.Effects of oxatomide, H1-antagonist, on
  21. postinfectious chronic cough; a comparison of oxatomide combined with
  22. dextromethorphan versus dextromethorphan alone Arerugi. 1998;47(1):48-53. Japanese.
  23. Available at http://www.ncbi.nlm.nih.gov/pubmed/9528165
  24. Liu W, Jiang HL, Mao B.Chinese herbal medicine for postinfectious cough: a systematic review of randomized controlled trials.Evid Based Complement Alternat Med. 2013;2013:906765 Available at http://www.ncbi.nlm.nih.gov/pubmed/24005278
  25. Wang K, Birring SS, Taylor K, Fry NK, Hay AD, Moore M, Jin J, Perera R, Farmer A, Little P, Harrison TG, Mant D, HarndenA.Montelukast for postinfectious cough in adults: a double-blind randomised placebo-controlled trial. Lancet Respir Med. 2014;2(1):35-. Available at http://www.ncbi.nlm.nih.gov/pubmed /24461900.
  26. Pornsuriyasak P, Charoenpan P, Vongvivat K, Thakkinstian A. Inhaled corticosteroid for persistent cough following upper respiratory tract infection. Respirology. 2005;10(4):520-4. Available at http://www.ncbi.nlm.nih.gov/pubmed/?term=16135178
  27. Holmes PW, Barter CE, Pierce RJ. Chronic persistent cough: use of ipratropium bromide in undiagnosed cases following upper respiratory tract infection. Respir Med. 1992;86(5):425-9. Available at http://www.ncbi.nlm.nih.gov/pubmed/?term=1462022
  28. Barnes PJ. Effect of corticosteroids on airway hyperresponsiveness. Am Rev Respir Dis. 1990 Feb;141(2 Pt 2):S70-6. Available at http://www.ncbi.nlm.nih.gov/pubmed/2178516
  29. Connett G, Lenney W.Prevention of viral induced asthma attacks using inhaled budesonide. Arch Dis Child. 1993;68(1):85-7. Available at http://www.ncbi.nlm.nih.gov/pubmed/?term=8435016
  30. Evald T1, Munch EP, Kok-Jensen A. Chronic non-asthmatic cough is not affected by inhaled beclomethasone dipropionate. A controlled double blind clinical trial. Allergy.1989;44(7):510-4. Available at http://www.ncbi.nlm.nih.gov/pubmed/?term=2683836.
  31. Gillissen A, Richter A, Oster H. Clinical efficacy of short-term treatment with extra-fine HFA beclomethasone dipropionate in patients with post-infectious persistent cough. J Physiol Pharmacol. 2007;58 Suppl 5(Pt 1):223-32. Available at http://www.ncbi.nlm.nih.gov/pubmed/18204132
  32. .Boulet LP. Future directions in the clinical management of cough: ACCP evidence-based clinical practice guidelines. Chest. 2006;129(1 Suppl):287S-92S. Available at http://www.ncbi.nlm.nih.gov/pubmed/16428721
  33. Boulet LP. The current state of cough research: the clinician's perspective. Lung. 2008;186Suppl 1:S17-22 Available at http://www.ncbi.nlm.nih.gov/pubmed/?term=17912588
  34. Braman SS.Chroniccough due to chronicbronchitis: ACCP evidence-based clinical practice guidelines.Chest.2006;129(1Suppl):104S-115S.Available at http://www.ncbi.nlm.nih.gov/pubmed/16428699