Chronic cough in preschool aged children

What you need to knowChronic cough in preschool aged children is a common cause of concern for parents and caregivers, and has a substantial impact on quality of life for the whole familyAssess whether the cough is dry or wet, and what triggers are present, to help determine the cause and whether further intervention is requiredFor a well child with normal examination findings and no red flag features, no further investigations are requiredA 20 month old boy is brought for review in general practice because his parents are concerned that he has had a persistent cough for nearly six months. Six weeks ago, he was diagnosed with a lower respiratory tract infection based on crepitations heard on auscultation. He was given a five day course of amoxicillin and his cough improved slightly, but only for a few days. A subsequent trial of inhaled salbutamol was ineffective. A week ago, he…
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