Occupational and Environmental Contributions to Chronic Cough in Adults

Publication Date: September 30, 2016
Last Updated: March 14, 2022


I. Air-Handling Systems in Health-Care Facilities

B. Monitor ventilation systems in accordance with engineers’ and manufacturers’ recommendations to ensure preventive engineering, optimal performance for removal of particulates, and elimination of excess moisture.
(Category IB, IC)

Recommendation Grading




Occupational and Environmental Contributions to Chronic Cough in Adults

Authoring Organization

Publication Month/Year

September 30, 2016

Last Updated Month/Year

August 1, 2023

Supplemental Implementation Tools

Document Type


External Publication Status


Country of Publication


Document Objectives

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.

Target Patient Population

Patients with chronic cough

Inclusion Criteria

Female, Male, Adolescent, Adult, Older adult

Health Care Settings

Ambulatory, Hospital, Outpatient, School

Intended Users

Nurse, nurse practitioner, physician, physician assistant


Assessment and screening, Diagnosis, Management, Treatment

Diseases/Conditions (MeSH)

D003371 - Cough, D000073863 - Cigar Smoking, D008385 - Marijuana Smoking, D012907 - Smoking, D004777 - Environment, D016273 - Occupational Exposure, D016272 - Occupational Health


allergy, occupational, cough, chronic cough, environmental

Supplemental Methodology Resources

Data Supplement