German Respiratory Society guidelines for diagnosis and treatment of adults suffering from acute, subacute and chronic cough

P Kardos; Q T Dinh; K-H Fuchs; A Gillissen; L Klimek; M Koehler; H Sitter; H Worth

doi:10.1016/j.rmed.2020.105939

German Respiratory Society guidelines for diagnosis and treatment of adults suffering from acute, subacute and chronic cough

Respir Med. 2020 Aug-Sep:170:105939. doi: 10.1016/j.rmed.2020.105939. Epub 2020 Apr 25.

Authors

P Kardos¹, Q T Dinh², K-H Fuchs³, A Gillissen⁴, L Klimek⁵, M Koehler⁶, H Sitter⁷, H Worth⁸

Affiliations

¹ Group Practice & Center, Allergy, Respiratory and Sleep Medicine at Red Cross Maingau Hospital, 60318, Frankfurt am Main, Germany. Electronic address: [email protected].
² Department of Internal Medicine V-Pulmonology, Allergology, Respiratory Intensive Care Medicine, Saarland University Hospital, Homburg, 66421, Homburg, Saar, Germany. Electronic address: [email protected].
³ University of California San Diego, Center for the Future of Surgery, 9500 Gilman Drive, MC:0740, La Jolla, CA, 92093, USA. Electronic address: [email protected].
⁴ District Hospital / Ermstalklinik, Department of Internal Medicine III, Stuttgarterstr. 100, 72574, Bad Urach, Germany. Electronic address: [email protected].
⁵ Centre for Rhinology and Allergology, An Den Quellen, 10 D-65183, Wiesbaden, Germany. Electronic address: [email protected].
⁶ German Patient League for Respiratory Diseases, Office: Adnet-Str. 14, 55276, Oppenheim, Germany. Electronic address: [email protected].
⁷ German Patient League for Respiratory Diseases, Office: Adnet-Str. 14, 55276, Oppenheim, Germany; Institute for Theoretical Surgery University Medical Center Giessen and Marburg, Philipps-University Baldingerstraße l, 35043, Marburg, Germany. Electronic address: [email protected].
⁸ Medical Specialist Forum Fürth, Bahnhofplatz 6, 90762, Fürth, Germany. Electronic address: [email protected].

PMID: 32843157
DOI: 10.1016/j.rmed.2020.105939

Abstract

The present 2019 S2k consensus guideline of the German Respiratory Society was written for pneumologists - in contrast to the more general predecessor's S3 guidelines from 2004 to 2010 -, since 2014 the German College of General Practitioners and Family Physicians (DEGAM) published their own cough guidelines. The guidelines contain 48 recommendations agreed upon the consensus and 16 statements, which are explained in the background text in the following nine chapters: epidemiology, physiology, classification, acute, subacute or chronic cough, diagnostics and therapy; an extra chapter was dedicated to chronic idiopathic/refractory cough. Further emphasis of the guidelines is the physiology of cough in anticipation of the introduction of new drugs, as well as detailed treatment for cough triggered by affectations of the upper respiratory tract or gastroesophageal reflux. The guideline should provide the pneumologist with the latest knowledge for neighboring disciplines required for diagnosis and therapy of cough. The clinical chapters also contain a short summary, practical recommendations and a bibliography of their own. Three new simplified algorithms for acute, subacute and chronic cough, round off the diagnostics chapter.

Keywords: Chronic idiopathic cough; Chronic refractory cough; Cough; Cough diagnostic assessment; Guidelines.

Publication types

Review

MeSH terms

Acute Disease
Adult
Algorithms
Chronic Disease
Cough / diagnosis*
Cough / epidemiology
Cough / etiology
Cough / therapy*
Female
Germany
Humans
Male
Practice Guidelines as Topic*
Pulmonary Medicine / organization & administration*
Societies, Medical / organization & administration*
Time Factors