The diagnosis and treatment of acute cough in adults.
Identifieur interne : 000148 ( Main/Exploration ); précédent : 000147; suivant : 000149The diagnosis and treatment of acute cough in adults.
Auteurs : Felix Holzinger ; Sabine Beck ; Lorena Dini ; Christiane Stöter ; Christoph HeintzeSource :
- Deutsches Arzteblatt international [ 1866-0452 ] ; 2014.
Descripteurs français
- KwdFr :
- Adulte, Agents de l'appareil respiratoire (usage thérapeutique), Allemagne, Femelle, Guides de bonnes pratiques cliniques comme sujet, Humains, Maladie aigüe, Mâle, Médecine de famille (normes), Médecine générale (normes), Pneumologie (normes), Techniques de diagnostic respiratoire (normes), Toux (), Toux (diagnostic).
- MESH :
- diagnostic : Toux.
- normes : Médecine de famille, Médecine générale, Pneumologie, Techniques de diagnostic respiratoire.
- usage thérapeutique : Agents de l'appareil respiratoire.
- Adulte, Allemagne, Femelle, Guides de bonnes pratiques cliniques comme sujet, Humains, Maladie aigüe, Mâle, Toux.
- Wicri :
- geographic : Allemagne.
English descriptors
- KwdEn :
- Acute Disease, Adult, Cough (diagnosis), Cough (therapy), Diagnostic Techniques, Respiratory System (standards), Family Practice (standards), Female, General Practice (standards), Germany, Humans, Male, Practice Guidelines as Topic, Pulmonary Medicine (standards), Respiratory System Agents (therapeutic use).
- MESH :
- chemical , therapeutic use : Respiratory System Agents.
- geographic : Germany.
- diagnosis : Cough.
- standards : Diagnostic Techniques, Respiratory System, Family Practice, General Practice, Pulmonary Medicine.
- therapy : Cough.
- Acute Disease, Adult, Female, Humans, Male, Practice Guidelines as Topic.
Abstract
Cough is the most common complaint for which patients visit their primary care physician, being present in about 8% of consultations. A profusion of new evidence has made it necessary to produce a comprehensively updated version of the guideline on cough of the German College of General Practitioners and Family Physicians (Deutsche Gesellschaft für Allgemeinmedizin und Familienmedizin, DEGAM), which was last issued in 2008.
DOI: 10.3238/arztebl.2014.0356
PubMed: 24882627
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Medicine, Charité-Universitätsmedizin Berlin.</nlm:affiliation><wicri:noCountry code="subField">Charité-Universitätsmedizin Berlin</wicri:noCountry></affiliation></author><author><name sortKey="Beck, Sabine" sort="Beck, Sabine" uniqKey="Beck S" first="Sabine" last="Beck">Sabine Beck</name></author><author><name sortKey="Dini, Lorena" sort="Dini, Lorena" uniqKey="Dini L" first="Lorena" last="Dini">Lorena Dini</name></author><author><name sortKey="Stoter, Christiane" sort="Stoter, Christiane" uniqKey="Stoter C" first="Christiane" last="Stöter">Christiane Stöter</name></author><author><name sortKey="Heintze, Christoph" sort="Heintze, Christoph" uniqKey="Heintze C" first="Christoph" last="Heintze">Christoph Heintze</name></author></analytic><series><title level="j">Deutsches Arzteblatt international</title><idno type="eISSN">1866-0452</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Acute Disease</term><term>Adult</term><term>Cough (diagnosis)</term><term>Cough (therapy)</term><term>Diagnostic Techniques, Respiratory System (standards)</term><term>Family Practice (standards)</term><term>Female</term><term>General Practice (standards)</term><term>Germany</term><term>Humans</term><term>Male</term><term>Practice Guidelines as Topic</term><term>Pulmonary Medicine (standards)</term><term>Respiratory System Agents (therapeutic use)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Agents de l'appareil respiratoire (usage thérapeutique)</term><term>Allemagne</term><term>Femelle</term><term>Guides de bonnes pratiques cliniques comme sujet</term><term>Humains</term><term>Maladie aigüe</term><term>Mâle</term><term>Médecine de famille (normes)</term><term>Médecine générale (normes)</term><term>Pneumologie (normes)</term><term>Techniques de diagnostic respiratoire (normes)</term><term>Toux ()</term><term>Toux (diagnostic)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Respiratory System Agents</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Germany</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Cough</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Toux</term></keywords><keywords scheme="MESH" qualifier="normes" xml:lang="fr"><term>Médecine de famille</term><term>Médecine générale</term><term>Pneumologie</term><term>Techniques de diagnostic respiratoire</term></keywords><keywords scheme="MESH" qualifier="standards" xml:lang="en"><term>Diagnostic Techniques, Respiratory System</term><term>Family Practice</term><term>General Practice</term><term>Pulmonary Medicine</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Cough</term></keywords><keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Agents de l'appareil respiratoire</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Acute Disease</term><term>Adult</term><term>Female</term><term>Humans</term><term>Male</term><term>Practice Guidelines as Topic</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Allemagne</term><term>Femelle</term><term>Guides de bonnes pratiques cliniques comme sujet</term><term>Humains</term><term>Maladie aigüe</term><term>Mâle</term><term>Toux</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Allemagne</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Cough is the most common complaint for which patients visit their primary care physician, being present in about 8% of consultations. A profusion of new evidence has made it necessary to produce a comprehensively updated version of the guideline on cough of the German College of General Practitioners and Family Physicians (Deutsche Gesellschaft für Allgemeinmedizin und Familienmedizin, DEGAM), which was last issued in 2008.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">24882627</PMID><DateCompleted><Year>2015</Year><Month>04</Month><Day>13</Day></DateCompleted><DateRevised><Year>2018</Year><Month>11</Month><Day>13</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1866-0452</ISSN><JournalIssue CitedMedium="Internet"><Volume>111</Volume><Issue>20</Issue><PubDate><Year>2014</Year><Month>May</Month><Day>16</Day></PubDate></JournalIssue><Title>Deutsches Arzteblatt international</Title><ISOAbbreviation>Dtsch Arztebl Int</ISOAbbreviation></Journal><ArticleTitle>The diagnosis and treatment of acute cough in adults.</ArticleTitle><Pagination><MedlinePgn>356-63</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.3238/arztebl.2014.0356</ELocationID><ELocationID EIdType="pii" ValidYN="Y">arztebl.2014.0356</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Cough is the most common complaint for which patients visit their primary care physician, being present in about 8% of consultations. A profusion of new evidence has made it necessary to produce a comprehensively updated version of the guideline on cough of the German College of General Practitioners and Family Physicians (Deutsche Gesellschaft für Allgemeinmedizin und Familienmedizin, DEGAM), which was last issued in 2008.</AbstractText><AbstractText Label="METHOD" NlmCategory="METHODS">The interdisciplinary evidence and consensus based S3 guideline on cough of the DEGAM was updated on the basis of a systematic review of the relevant literature published from 2003 to July 2012 (MEDLINE, Cochrane Library, EMBASE, Web of Science). Evidence levels were assessed and consensus procedures were followed as prescribed by AWMF standards, with the participation of 7 medical societies.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">182 publications were used to update the guideline, including 45 systematic reviews (26 of which included a meta-analysis) and 17 randomized controlled trials (RCTs). 11 recommendations for acute cough were approved by consensus in a nominal group process. The history and physical examination are the basis of diagnostic evaluation. When the clinical diagnosis is that of an acute, uncomplicated bronchitis, no laboratory tests, sputum evaluation, or chest x-rays should be performed, and antibiotics should not be given. There is inadequate evidence for the efficacy of antitussive or expectorant drugs against acute cough. The state of the evidence for phytotherapeutic agents is heterogeneous. Persons with community-acquired pneumonia should receive empirical antibiotic treatment for 5 to 7 days; specific risk factors can influence the choice of drug to be used. It is recommended that laboratory tests should not be performed and neuraminidase inhibitors should not be given in the routine management of influenza.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">A specifically intended effect of these recommendations is to reduce the use of antibiotics to treat colds and acute bronchitis, for which they are not indicated. Further clinical trials of treatments for cough should be performed in order to extend the evidence base, which is now fragmentary.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Holzinger</LastName><ForeName>Felix</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Institute of General Practice and Family Medicine, Charité-Universitätsmedizin Berlin.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Beck</LastName><ForeName>Sabine</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Dini</LastName><ForeName>Lorena</ForeName><Initials>L</Initials></Author><Author ValidYN="Y"><LastName>Stöter</LastName><ForeName>Christiane</ForeName><Initials>C</Initials></Author><Author ValidYN="Y"><LastName>Heintze</LastName><ForeName>Christoph</ForeName><Initials>C</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>Germany</Country><MedlineTA>Dtsch Arztebl Int</MedlineTA><NlmUniqueID>101475967</NlmUniqueID><ISSNLinking>1866-0452</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D019141">Respiratory System Agents</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="CommentIn"><RefSource>Dtsch Arztebl Int. 2014 Oct 31;111(44):757</RefSource><PMID Version="1">25412636</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D000208" MajorTopicYN="N">Acute Disease</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003371" MajorTopicYN="N">Cough</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003948" MajorTopicYN="N">Diagnostic Techniques, Respiratory System</DescriptorName><QualifierName UI="Q000592" MajorTopicYN="Y">standards</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005194" MajorTopicYN="N">Family Practice</DescriptorName><QualifierName UI="Q000592" MajorTopicYN="N">standards</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D058006" MajorTopicYN="N">General Practice</DescriptorName><QualifierName UI="Q000592" MajorTopicYN="Y">standards</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005858" MajorTopicYN="N" Type="Geographic">Germany</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" 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sort="Beck, Sabine" uniqKey="Beck S" first="Sabine" last="Beck">Sabine Beck</name><name sortKey="Dini, Lorena" sort="Dini, Lorena" uniqKey="Dini L" first="Lorena" last="Dini">Lorena Dini</name><name sortKey="Heintze, Christoph" sort="Heintze, Christoph" uniqKey="Heintze C" first="Christoph" last="Heintze">Christoph Heintze</name><name sortKey="Holzinger, Felix" sort="Holzinger, Felix" uniqKey="Holzinger F" first="Felix" last="Holzinger">Felix Holzinger</name><name sortKey="Stoter, Christiane" sort="Stoter, Christiane" uniqKey="Stoter C" first="Christiane" last="Stöter">Christiane Stöter</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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