Chronic cough in children: an evidence-based clinical practice guideline adapted for the use in Egypt using ‘Adapted ADAPTE’

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2024年4月12日

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Eman Mahmoud Fouda,
Hala Hamdi Shaaban,
Mona Mohsen Elattar,
Abla Saleh Mostafa,
Dina H. Hamed,
Aya Samir Mohamed Saleh,
Sally Raafat Ishak,
Tarek Hamed,
Magda Hassab Allah Mohamed,
Shahenaz Mohamoud Hussien,
Mohamed Mahmoud Rashad,
Hala Gouda Elnady,
Hoda M. Salah El Din Metwally,
Laila Abd Elghaffar,
Sherif Reda,
Ashraf Abdel Baky,
Tarek Omar,
Yasser Amer,
Dina Tawfeek Sarhan,
Amira S. El Refay

摘要

Background

We recently adopted a guideline for chronic cough in children in the Egyptian health system. Adapting clinical practice guidelines (CPGs) to the local healthcare setting is a valid alternative to de-novo development that can improve their uptake and implementation without demanding a substantial drain on resources. The objective of this study was to adapt evidence-based recommendations from global high-quality CPGs for children with a chronic cough to suit the Egyptian healthcare context.

Methods

We followed the Adapted ADAPTE methodological framework for guideline adaptation. This process includes three phases: set-up, adaptation, and finalization. A guideline adaptation group (GAG) and an external review group including clinical content experts and methodologists conducted the process.

Results

The GAG adapted 10 sections of recommendations from three original CPG(s) including (i) the American College of Chest Physicians (ACCP) 2006–2020, (ii) the European Respiratory Society (ERS) 2019, (iii) the Korean Academy of Asthma, Allergy and Clinical Immunology (KAAACI) 2018. A set of CPG implementation tools was added to enhance implementability including an algorithm, a slide presentation for clinical diagnosis, investigations and treatment of chronic cough, patient education, and online resources.

Conclusion

The adapted CPG provides pediatricians and related healthcare workers with applicable evidence-based recommendations for chronic cough in children in Egypt. The project also highlighted the utility of Adapted ADAPTE and the invaluable collaboration between the clinical and methodological experts for the adaptation of pediatric national guidelines.