hoestcentrum

Hoestcentrum is a medical facility or department dedicated to the assessment and management of acute and chronic cough. The term is used in Dutch-speaking healthcare contexts to describe clinics, units, or programs within hospitals or primary care networks that specialize in cough evaluation.

Objectives and approach: The goal is to identify the underlying cause of cough, distinguish self-limiting conditions from more serious disease, and provide targeted treatment. Patients typically undergo triage by a nurse or physician, followed by a structured history and physical examination focusing on duration, onset, triggers, smoking status, medications, and comorbid conditions.

Diagnostics: Depending on findings, investigations may include spirometry with bronchodilator testing, chest X-ray or CT, sputum analysis, allergy testing, and assessment for gastroesophageal reflux or vocal cord dysfunction. Additional tests may be ordered as needed.

Differential diagnosis and management: Common causes include postnasal drip syndrome, asthma, COPD, chronic bronchitis, gastroesophageal reflux disease, infections, and less commonly bronchiectasis or interstitial lung disease. Management targets the underlying cause and may involve inhaled therapies, antibiotics when indicated, cough suppressants for symptomatic relief, treatment of nasal or reflux symptoms, and lifestyle measures such as smoking cessation and hydration. Speech therapy or physiotherapy can be part of chronic cough management.

Outcomes and scope: Many patients experience resolution within weeks; others require longer follow-up or referral to subspecialists. Hoestcentra are part of broader respiratory or ENT services and may operate within tertiary care centers or regional networks.