Guidelines for Evaluating Chronic Cough in Pediatrics Anne B. Chang, MBBS, PhD, William B. Glomb, MD, FCCP  CHEST  Volume 129, Issue 1, Pages 260S-283S (January 2006) DOI: 10.1378/chest.129.1_suppl.260S Copyright © 2006 The American College of Chest Physicians Terms and Conditions

Figure 1 Classification of types of cough in children. The figure was reproduced from the article by Chang.272 CHEST 2006 129, 260S-283SDOI: (10.1378/chest.129.1_suppl.260S) Copyright © 2006 The American College of Chest Physicians Terms and Conditions

Figure 2 Approach to a child < 15 years of age with chronic cough. There are limitations to the algorithm, which should be read with the accompanying text. Spirometry can usually be reliably performed in children > 6 years of age and in some children > 3 years of age if trained pediatric personnel are present.81 CXR = chest radiograph. CHEST 2006 129, 260S-283SDOI: (10.1378/chest.129.1_suppl.260S) Copyright © 2006 The American College of Chest Physicians Terms and Conditions

Figure 3 Approach to a child ≤ 14 years of age with chronic specific cough (ie, cough associated with other features suggestive of an underlying pulmonary and/or systemic abnormality). Children > 14 years of age should be managed as outlined in adult guidelines, but there is no good evidence concerning where the age cutoff for treatment should be. TB = tuberculosis; TEF = tracheoesophageal fistula. CHEST 2006 129, 260S-283SDOI: (10.1378/chest.129.1_suppl.260S) Copyright © 2006 The American College of Chest Physicians Terms and Conditions