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KMID : 0383820160790010014
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Tuberculosis and Respiratory Diseases
2016 Volume.79 No. 1 p.14 ~ p.21
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The Korean Cough Guideline: Recommendation and Summary Statement
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Rhee Chin-Kook
Jung Ji-Ye
Lee Sei-Won
Kim Joo-Hee
Park So-Young
Yoo Kwang-Ha
Park Dong-Ah
Koo Hyeon-Kyoung
Kim Yee-Hyung
Jeong Ina
Kim Je-Hyeong
Kim Deog-Kyeom
Kim Sung-Kyoung
Kim Yong-Hyun
Park Jin-Kyeong
Choi Eun-Young
Kim Hui-Jung
Jung Ki-Suck
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Abstract
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Cough is one of the most common symptom of many respiratory diseases. The Korean Academy of Tuberculosis and Respiratory Diseases organized cough guideline committee and cough guideline was developed by this committee. The purpose of this guideline is to help clinicians to diagnose correctly and treat efficiently patients with cough. In this article, we have stated recommendation and summary of Korean cough guideline. We also provided algorithm for acute, subacute, and chronic cough. For chronic cough, upper airway cough syndrome (UACS), cough variant asthma (CVA), and gastroesophageal reflux disease (GERD) should be considered. If UACS is suspicious, first generation anti-histamine and nasal decongestant can be used empirically. In CVA, inhaled corticosteroid is recommended in order to improve cough. In GERD, proton pump inhibitor is recommended in order to improve cough. Chronic bronchitis, bronchiectasis, bronchiolitis, lung cancer, aspiration, angiotensin converting enzyme inhibitor, habit, psychogenic cough, interstitial lung disease, environmental and occupational factor, tuberculosis, obstructive sleep apnea, peritoneal dialysis, and idiopathic cough can be also considered as cause of chronic cough. Level of evidence for treatment is mostly low. Thus, in this guideline, many recommendations are based on expert opinion. Further study regarding treatment for cough is mandatory.
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KEYWORD
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Cough, Guideline, Korean
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