Portal de Periódicos da CAPES

Occupational and Environmental Contributions to Chronic Cough in Adults

2016; Elsevier BV; Volume: 150; Issue: 4 Linguagem: Inglês

10.1016/j.chest.2016.07.029

1931-3543

Susan M. Tarlo, Kenneth W. Altman, John Oppenheimer, Kaiser G. Lim, Anne E. Vertigan, David J. Prezant, Richard S. Irwin, Todd M. Adams, Kenneth W. Altman, Élie Azoulay, Alan F. Barker, Surinder S. Birring, Fiona Blackhall, Donald C. Bolser, Louis‐Philippe Boulet, Sidney S. Braman, Christopher E. Brightling, Priscilla Callahan-Lyon, Anne B. Chang, Satoru Ebihara, Ali A. El Solh, Patricio Escalante, Anthony Feinstein, Stephen K. Field, Dina Fisher, Cynthia T. French, Peter G. Gibson, Philip Gold, Michael K. Gould, Cameron Grant, Susan M. Harding, Anthony Harnden, Adam T. Hill, Richard S. Irwin, Peter J. Kahrilas, Karina A. Keogh, Kefang Lai, Andrew P. Lane, Kaiser G. Lim, Mark A. Malesker, Stuart B. Mazzone, Lorcan McGarvey, Alex Molasiotis, M. Hassan Murad, John Oppenheimer, David J. Prezant, Marcos I. Restrepo, Mark J. Rosen, Bruce K. Rubin, Jay H. Ryu, Susan M. Tarlo, Anne E. Vertigan, Gang Wang, Miles Weinberger, Kelly A. Weir,

Occupational exposure and asthma

BackgroundIn response to occupational and environmental exposures, cough can be an isolated symptom reflecting exposure to an irritant with little physiological consequence, or it can be a manifestation of more significant disease. This document reviews occupational and environmental contributions to chronic cough in adults, focusing on aspects not previously covered in the 2006 ACCP Cough Guideline or our more recent systematic review, and suggests an approach to investigation of these factors when suspected.MethodsMEDLINE and TOXLINE literature searches were supplemented by articles identified by the cough panel occupational and environmental subgroup members, to identify occupational and environmental aspects of chronic cough not previously covered in the 2006 ACCP Cough Guideline. Based on the literature reviews and the Delphi methodology, the cough panel occupational and environmental subgroup developed guideline suggestions that were approved after review and voting by the full cough panel.ResultsThe literature review identified relevant articles regarding: mechanisms; allergic environmental causes; chronic cough and the recreational and involuntary inhalation of tobacco and marijuana smoke; nonallergic environmental triggers; laryngeal syndromes; and occupational diseases and exposures. Consensus-based statements were developed for the approach to diagnosis due to a lack of strong evidence from published literature.ConclusionsDespite increased understanding of cough related to occupational and environmental triggers, there remains a gap between the recommended assessment of occupational and environmental causes of cough and the reported systematic assessment of these factors. There is a need for further documentation of occupational and environmental causes of cough in the future. In response to occupational and environmental exposures, cough can be an isolated symptom reflecting exposure to an irritant with little physiological consequence, or it can be a manifestation of more significant disease. This document reviews occupational and environmental contributions to chronic cough in adults, focusing on aspects not previously covered in the 2006 ACCP Cough Guideline or our more recent systematic review, and suggests an approach to investigation of these factors when suspected. MEDLINE and TOXLINE literature searches were supplemented by articles identified by the cough panel occupational and environmental subgroup members, to identify occupational and environmental aspects of chronic cough not previously covered in the 2006 ACCP Cough Guideline. Based on the literature reviews and the Delphi methodology, the cough panel occupational and environmental subgroup developed guideline suggestions that were approved after review and voting by the full cough panel. The literature review identified relevant articles regarding: mechanisms; allergic environmental causes; chronic cough and the recreational and involuntary inhalation of tobacco and marijuana smoke; nonallergic environmental triggers; laryngeal syndromes; and occupational diseases and exposures. Consensus-based statements were developed for the approach to diagnosis due to a lack of strong evidence from published literature. Despite increased understanding of cough related to occupational and environmental triggers, there remains a gap between the recommended assessment of occupational and environmental causes of cough and the reported systematic assessment of these factors. There is a need for further documentation of occupational and environmental causes of cough in the future.