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  1. Article: Unexplained (idiopathic) cough: ACCP evidence-based clinical practice guidelines.

    Pratter, Melvin R

    Chest

    2006  Volume 129, Issue 1 Suppl, Page(s) 220S–221S

    Abstract: Objective: To review the literature on unexplained cough, previously referred to as idiopathic cough.: Methods: Search of MEDLINE (through May 2004) for studies published in the English language since 1980 on human subjects using the medical subject ... ...

    Abstract Objective: To review the literature on unexplained cough, previously referred to as idiopathic cough.
    Methods: Search of MEDLINE (through May 2004) for studies published in the English language since 1980 on human subjects using the medical subject heading terms "cough," "unexplained cough," and "idiopathic cough." We selected case series and prospective descriptive clinical trials. We also obtained any references from these studies that were pertinent to the topic.
    Results: The diagnosis of unexplained (idiopathic) cough should only be considered after a thorough diagnostic and treatment approach for the most common causes of cough has been completed and uncommon causes have been adequately evaluated Unless this is done, it is likely that many patients with a definable cause of cough will be misdiagnosed as having "unexplained cough."
    Conclusion: The diagnosis of unexplained cough is probably made too often based on an inadequate diagnostic workup or treatment course to determine the specific cause of cough. Nevertheless, there may be a group of patients in whom none of the usual explanations for cough may be present. For this group, the committee unanimously recommends using the diagnostic term unexplained cough, rather than idiopathic cough.
    MeSH term(s) Biopsy ; Bronchitis/chemically induced ; Bronchitis/pathology ; Cough/diagnosis ; Cough/etiology ; Cough/therapy ; Diagnosis, Differential ; Humans ; Lymphocytes/pathology ; Practice Guidelines as Topic ; Respiratory Mucosa/pathology
    Language English
    Publishing date 2006-01
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1032552-9
    ISSN 1931-3543 ; 0012-3692
    ISSN (online) 1931-3543
    ISSN 0012-3692
    DOI 10.1378/chest.129.1_suppl.220S
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Cough and the common cold: ACCP evidence-based clinical practice guidelines.

    Pratter, Melvin R

    Chest

    2006  Volume 129, Issue 1 Suppl, Page(s) 72S–74S

    Abstract: Objective: To review the literature on cough and the common cold.: Methods: MEDLINE was searched through May 2004 for studies published in the English language since 1980 on human subjects using the medical subject heading terms "cough" and "common ... ...

    Abstract Objective: To review the literature on cough and the common cold.
    Methods: MEDLINE was searched through May 2004 for studies published in the English language since 1980 on human subjects using the medical subject heading terms "cough" and "common cold." Selected case series and prospective descriptive clinical trials were reviewed. Additional references from these studies that were pertinent to the topic were also reviewed.
    Results: Based on extrapolation from epidemiologic data, the common cold is believed to be the single most common cause of acute cough. The most likely mechanism is the direct irritation of upper airway structures. It is also clear that viral infections of the upper respiratory tract that produce the common cold syndrome frequently produce a rhinosinusitis. In the setting of a cold, the presence of abnormalities seen on sinus roentgenograms or sinus CT scans are frequently due to the viral infection and are not diagnostic of bacterial sinus infection.
    Conclusion: Cough due to the common cold is probably the most common cause of acute cough. In a significant subset of patients with "postinfectious" cough, the etiology is probably an inflammatory response triggered by a viral upper respiratory infection (ie, the common cold). The resultant subacute or chronic cough can be considered to be due to an upper airway cough syndrome, previously referred to as postnasal drip syndrome. This process can be self-perpetuating unless interrupted with active treatment.
    MeSH term(s) Acute Disease ; Common Cold/complications ; Cough/etiology ; Cough/therapy ; Humans ; Practice Guidelines as Topic
    Keywords covid19
    Language English
    Publishing date 2006-01-18
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1032552-9
    ISSN 1931-3543 ; 0012-3692
    ISSN (online) 1931-3543
    ISSN 0012-3692
    DOI 10.1378/chest.129.1_suppl.72S
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Overview of common causes of chronic cough: ACCP evidence-based clinical practice guidelines.

    Pratter, Melvin R

    Chest

    2006  Volume 129, Issue 1 Suppl, Page(s) 59S–62S

    Abstract: Objective: To review the literature on the most common causes of chronic cough.: Methods: MEDLINE was searched (through May 2004) for studies published in the English language since 1980 on human subjects using the medical subject heading terms " ... ...

    Abstract Objective: To review the literature on the most common causes of chronic cough.
    Methods: MEDLINE was searched (through May 2004) for studies published in the English language since 1980 on human subjects using the medical subject heading terms "cough," "causes of cough," and "etiology of cough." Case series and prospective descriptive clinical trials were selected for review. Also obtained were any references from these studies that were pertinent to the topic
    Results: Upper airway cough syndrome (UACS) due to a variety of rhinosinus conditions, previously referred to as postnasal drip syndrome, asthma, nonasthmatic eosinophilic bronchitis (NAEB), and gastroesophageal reflux disease (GERD) are the most common causes of chronic cough. Each of these diagnoses may be present alone or in combination and may be clinically silent apart from the cough itself.
    Conclusion: In the absence of evidence for the presence of another disorder, an approach focused on detecting the presence of UACS, asthma, NAEB, or GERD, alone or in combination, is likely to have a far higher yield than routinely searching for relatively uncommon or obscure diagnoses.
    MeSH term(s) Asthma/complications ; Bronchitis/complications ; Chronic Disease ; Cough/diagnosis ; Cough/etiology ; Diagnosis, Differential ; Gastroesophageal Reflux/complications ; Humans ; Practice Guidelines as Topic ; Severity of Illness Index ; Smoking/adverse effects
    Language English
    Publishing date 2006-01
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1032552-9
    ISSN 1931-3543 ; 0012-3692
    ISSN (online) 1931-3543
    ISSN 0012-3692
    DOI 10.1378/chest.129.1_suppl.59S
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Chronic upper airway cough syndrome secondary to rhinosinus diseases (previously referred to as postnasal drip syndrome): ACCP evidence-based clinical practice guidelines.

    Pratter, Melvin R

    Chest

    2006  Volume 129, Issue 1 Suppl, Page(s) 63S–71S

    Abstract: Objective: To review the literature on postnasal drip syndrome (PNDS)-induced cough and the various causes of PNDS. Hereafter, PNDS will be referred to as upper airway cough syndrome (UACS).: Methods: MEDLINE search (through May 2004) for studies ... ...

    Abstract Objective: To review the literature on postnasal drip syndrome (PNDS)-induced cough and the various causes of PNDS. Hereafter, PNDS will be referred to as upper airway cough syndrome (UACS).
    Methods: MEDLINE search (through May 2004) for studies published in the English language since 1980 on human subjects using the medical subject heading terms "cough," "causes of cough," "etiology of cough," "postnasal drip," "allergic rhinitis," "vasomotor rhinitis," and "chronic sinusitis." Case series and prospective descriptive clinical trials were selected for review. Also, any references from these studies that were pertinent to the topic were obtained.
    Results: In multiple prospective, descriptive studies of adults, PNDS due to a variety of upper respiratory conditions has been shown either singly or in combination with other conditions, to be the most common cause of chronic cough. The symptoms and signs of PNDS are nonspecific, and a definitive diagnosis of PND-induced cough cannot be made from the medical history and physical examination findings alone. Furthermore, the absence of any of the usual clinical findings does not rule out a response to treatment that is usually effective for PND-induced cough. The differential diagnosis of PNDS-induced cough includes allergic rhinitis, perennial nonallergic rhinitis, postinfectious rhinitis, bacterial sinusitis, allergic fungal sinusitis, rhinitis due to anatomic abnormalities, rhinitis due to physical or chemical irritants, occupational rhinitis, rhinitis medicamentosa, and rhinitis of pregnancy. Because of a high prevalence of upper respiratory symptoms associated with gastroesophageal reflux disease (GERD), GERD may occasionally mimic PNDS. A crucial unanswered question is whether the conditions listed above actually produce cough through a final common pathway of PND or whether, in fact, in some circumstances they cause irritation or inflammation of upper airway structures that directly stimulate cough receptors and produce cough independently of or in addition to any associated PND.
    Conclusion: PNDS (ie, UACS) secondary to a variety of rhinosinus conditions is the most common cause of chronic cough. Because it is unclear whether the mechanisms of cough are the PND itself or the direct irritation or inflammation of the cough receptors located in the upper airway, the guideline committee has decided that, pending further data that address this difficult question, the committee unanimously recommends that the term upper airway cough syndrome be used in preference to postnasal drip syndrome when discussing cough associated with upper airway conditions.
    MeSH term(s) Chronic Disease ; Cough/diagnosis ; Cough/etiology ; Cough/therapy ; Diagnosis, Differential ; Humans ; Practice Guidelines as Topic ; Rhinitis/complications ; Risk Factors ; Sinusitis/complications ; Syndrome
    Language English
    Publishing date 2006-01
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1032552-9
    ISSN 1931-3543 ; 0012-3692
    ISSN (online) 1931-3543
    ISSN 0012-3692
    DOI 10.1378/chest.129.1_suppl.63S
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Impact of Moderate Sedation versus Monitored Anesthesia Care on Outcomes and Cost of Endobronchial Ultrasound Transbronchial Needle Aspiration.

    Boujaoude, Ziad / Arya, Rohan / Shrivastava, Aseem / Pratter, Melvin / Abouzgheib, Wissam

    Pulmonary medicine

    2019  Volume 2019, Page(s) 4347852

    Abstract: Background and objectives: The ideal type of sedation for endobronchial ultrasound transbronchial needle aspiration (EBUS-TBNA) is not known. Two previous studies comparing the diagnostic yield between moderate sedation (MS) and deep sedation/general ... ...

    Abstract Background and objectives: The ideal type of sedation for endobronchial ultrasound transbronchial needle aspiration (EBUS-TBNA) is not known. Two previous studies comparing the diagnostic yield between moderate sedation (MS) and deep sedation/general anesthesia (DS/GA) had provided conflicting results with one study clearly favoring the latter. No study had addressed cost. This is concerning for pulmonologists without routine access to anesthesia services. Our objective was to assess the impact of MS and Monitored Anesthesia Care (sedation administered and monitored by an anesthesiologist) on the outcomes and cost of EBUS-TBNA.
    Materials and methods: We performed a retrospective review of prospectively collected data on consecutive EBUS-TBNA performed under two different types of sedation in a single academic center. A diagnostic TBNA was defined as an aspirate yielding any specific diagnosis or if subsequent surgery or follow-up of nondiagnostic/normal aspirates showed no pathology. Current Medicare time-based allowances were used for professional charges calculation.
    Results: There was no difference observed between MS and MAC in regards of the diagnostic yield (92.9% versus 91.9%), procedure duration, number, location, and size of lymph node (LN) sampled, but there were more passes per LN with MAC. The average charges were 74.30 USD for MS and 319.91 for MAC. There were more hypotensive and desaturations episodes with MAC but none required escalation of care.
    Conclusions: When performed under MS, EBUS-TBNA has similar diagnostic yield as under MAC but may be associated with less side effects. The difference in sedation cost is modest; however, an additional 245$ for each EBUS done under MAC would have significant cost implications on the health system. These findings are of critical importance for bronchoscopists without routine access to anesthesia services and for optimization of healthcare cost and resource utilization.
    MeSH term(s) Anesthesia, General ; Conscious Sedation ; Deep Sedation ; Endoscopic Ultrasound-Guided Fine Needle Aspiration/economics ; Female ; Humans ; Hypotension/etiology ; Lymph Nodes/pathology ; Male ; Middle Aged ; Predictive Value of Tests ; Retrospective Studies
    Language English
    Publishing date 2019-05-09
    Publishing country Egypt
    Document type Comparative Study ; Journal Article
    ZDB-ID 2603580-7
    ISSN 2090-1844 ; 2090-1844
    ISSN (online) 2090-1844
    ISSN 2090-1844
    DOI 10.1155/2019/4347852
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Clinical approach to acute cough.

    Boujaoude, Ziad C / Pratter, Melvin R

    Lung

    2009  Volume 188 Suppl 1, Page(s) S41–6

    Abstract: Acute cough is among the most common symptoms for which patients seek medical attention. It accounts for millions of days lost from school and work and billions of dollars spent on medical care. Acute cough is defined as cough present for 3 weeks or less. ...

    Abstract Acute cough is among the most common symptoms for which patients seek medical attention. It accounts for millions of days lost from school and work and billions of dollars spent on medical care. Acute cough is defined as cough present for 3 weeks or less. It most often is caused by a viral infection of the upper respiratory tract ("common cold") or lower respiratory tract (i.e., "acute bronchitis"). The most effective treatment for cough due to the common cold is a combination first-generation antihistamine plus decongestant. Antibiotics are not indicated for most cases of acute cough. Occasionally, acute cough can be a symptom of a life-threatening condition.
    MeSH term(s) Acute Disease ; Bordetella pertussis ; Bronchitis/complications ; Bronchitis/diagnosis ; Bronchitis/drug therapy ; Common Cold/complications ; Common Cold/drug therapy ; Common Cold/virology ; Cough/drug therapy ; Cough/etiology ; Cough/physiopathology ; Humans ; Reflex/physiology ; Time Factors ; Whooping Cough/drug therapy
    Keywords covid19
    Language English
    Publishing date 2009-08-22
    Publishing country United States
    Document type Journal Article
    ZDB-ID 6165-7
    ISSN 1432-1750 ; 0341-2040
    ISSN (online) 1432-1750
    ISSN 0341-2040
    DOI 10.1007/s00408-009-9170-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: "Make the cough go away".

    Pratter, Melvin R / Abouzgheib, Wissam

    Chest

    2006  Volume 129, Issue 5, Page(s) 1121–1122

    MeSH term(s) Antitussive Agents/therapeutic use ; Bronchodilator Agents/therapeutic use ; Cough/diagnosis ; Cough/drug therapy ; Diagnosis, Differential ; Histamine H1 Antagonists/therapeutic use ; Humans ; Prospective Studies
    Chemical Substances Antitussive Agents ; Bronchodilator Agents ; Histamine H1 Antagonists
    Language English
    Publishing date 2006-05
    Publishing country United States
    Document type Comment ; Comparative Study ; Editorial
    ZDB-ID 1032552-9
    ISSN 1931-3543 ; 0012-3692
    ISSN (online) 1931-3543
    ISSN 0012-3692
    DOI 10.1378/chest.129.5.1121
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Lung abscess: update on microbiology and management.

    Yazbeck, Moussa F / Dahdel, Maher / Kalra, Ankur / Browne, Alexander S / Pratter, Melvin R

    American journal of therapeutics

    2014  Volume 21, Issue 3, Page(s) 217–221

    Abstract: A lung abscess is a circumscribed collection of pus in the lung as a result of a microbial infection, which leads to cavity formation and often a radiographic finding of an air fluid level. Patients with lung abscesses commonly present to their primary ... ...

    Abstract A lung abscess is a circumscribed collection of pus in the lung as a result of a microbial infection, which leads to cavity formation and often a radiographic finding of an air fluid level. Patients with lung abscesses commonly present to their primary care physician or to the emergency department with "nonresolving pneumonia." Although, the incidence of lung abscess has declined since the introduction of antibiotic treatment, it still carries a mortality of up to 10%-20%. This article discusses in detail the up-to-date microbiology and the management of lung abscesses.
    MeSH term(s) Anti-Bacterial Agents/therapeutic use ; Emergency Service, Hospital ; Humans ; Lung Abscess/microbiology ; Lung Abscess/mortality ; Lung Abscess/therapy ; Pneumonia/microbiology ; Pneumonia/therapy
    Chemical Substances Anti-Bacterial Agents
    Language English
    Publishing date 2014-05
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1280786-2
    ISSN 1536-3686 ; 1075-2765
    ISSN (online) 1536-3686
    ISSN 1075-2765
    DOI 10.1097/MJT.0b013e3182383c9b
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Cough and asthma.

    Abouzgheib, Wissam / Pratter, Melvin R / Bartter, Thaddeus

    Current opinion in pulmonary medicine

    2007  Volume 13, Issue 1, Page(s) 44–48

    Abstract: Purpose of review: The intention of this article is to discuss and place into perspective recent articles on cough and asthma.: Recent findings: Asthma continues to be a major diagnosis in most studies of cough. The first prospective study of sub- ... ...

    Abstract Purpose of review: The intention of this article is to discuss and place into perspective recent articles on cough and asthma.
    Recent findings: Asthma continues to be a major diagnosis in most studies of cough. The first prospective study of sub-acute cough demonstrated an asthma incidence lower than that for chronic cough, a logical finding; upper airway cough syndrome often causes cough in the postinfectious state. The first prospective study of cough in infants suggested asthma to be a minor cause of cough in infants, but methodological flaws make the conclusions uncertain. Efforts to separate cough-variant asthma from classic asthma continue. One group has demonstrated that the maximal bronchoconstrictor response in cough-variant asthma is blunted when compared with classic asthma, a possible explanation for the absence of wheeze and dyspnea in cough-variant asthma. Another look at airway resistance showed a less rapid rate of rise in resistance in cough-variant asthma with increasing methacholine dosing than in classic asthma. On the biochemical front, a group has demonstrated differences in vascular endothelial growth factor, which may be the underpinnings of differences between cough-variant asthma and classic asthma.
    Summary: Recent data suggest that cough-variant asthma is part of a continuum in the expression of asthma symptoms and in the asthmatic inflammatory response.
    MeSH term(s) Adrenal Cortex Hormones/therapeutic use ; Airway Resistance/drug effects ; Asthma/complications ; Asthma/drug therapy ; Asthma/physiopathology ; Bronchial Hyperreactivity/physiopathology ; Bronchoconstrictor Agents/pharmacology ; Bronchodilator Agents/therapeutic use ; Cough/drug therapy ; Cough/etiology ; Cough/physiopathology ; Disease Progression ; Humans ; Methacholine Chloride/pharmacology ; Pneumonia/complications ; Pneumonia/physiopathology
    Chemical Substances Adrenal Cortex Hormones ; Bronchoconstrictor Agents ; Bronchodilator Agents ; Methacholine Chloride (0W5ETF9M2K)
    Language English
    Publishing date 2007-01
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1285505-4
    ISSN 1531-6971 ; 1070-5287 ; 1078-1641
    ISSN (online) 1531-6971
    ISSN 1070-5287 ; 1078-1641
    DOI 10.1097/MCP.0b013e328011391c
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Clinical Approach to Acute Cough

    Boujaoude, Ziad C / Pratter, Melvin R

    Lung. 2010 Jan., v. 188, no. 1

    2010  

    Abstract: Acute cough is among the most common symptoms for which patients seek medical attention. It accounts for millions of days lost from school and work and billions of dollars spent on medical care. Acute cough is defined as cough present for 3 weeks or less. ...

    Abstract Acute cough is among the most common symptoms for which patients seek medical attention. It accounts for millions of days lost from school and work and billions of dollars spent on medical care. Acute cough is defined as cough present for 3 weeks or less. It most often is caused by a viral infection of the upper respiratory tract (“common cold”) or lower respiratory tract (i.e., “acute bronchitis”). The most effective treatment for cough due to the common cold is a combination first-generation antihistamine plus decongestant. Antibiotics are not indicated for most cases of acute cough. Occasionally, acute cough can be a symptom of a life-threatening condition.
    Keywords covid19
    Language English
    Dates of publication 2010-01
    Size p. 41-46.
    Publisher Springer-Verlag
    Publishing place New York
    Document type Article
    ZDB-ID 6165-7
    ISSN 1432-1750 ; 0341-2040
    ISSN (online) 1432-1750
    ISSN 0341-2040
    DOI 10.1007/s00408-009-9170-6
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