Doctor insights on:
Pertussis Exposure And Pregnancy
Coworker may have touched 1 month olds hand? She was asleep and we tried to drive as fast as we could to get home to clean them. Is this an exposure for pertussis or flu? What should we do?
When your due date arrives, you will be more than ready to have your baby! Most women deliver the baby somewhere between 37 and 42 weeks. According to the American College of Obstetricians and Gynecologists, only 5% of babies arrive on the exact due date. Approximately 7% of babies are not delivered by 42 weeks, and when that happens, it is referred to ...Read more
Suspicion/duration: Since most adults have not bothered to get a pertussis booster, they represent a target of opportunity. Pertussis germs can ride into town in an international traveler or someone from the west coast & spread it to you (or your susceptible kids).In adults, it often seems to be a mild cold until you get past the initial phase, then the persistent "hundred days cough" sets in. Dx from test is possible. ...Read more
Respiratory tract: The germ targets the upper and lower respiratory tract, producing an outpouring of thick mucous that leads to the chronic cough.Affected infants can cough so hard they develop brain injury and or die during the process. Adults often have an intractable cough lasting 3 months or more. ...Read more
Why?: You don't usually need a support group for an acute infection that you recover from. Support groups are for people with chronic infections. And if everyone got vaccinated, there would be no pertussis. ...Read more
See below: Pertussis begins with mild respiratory symptoms similar to common cold (catarrhal stage), followed by paroxysmal stage characterized by paroxysmal cough and whoop often followed by vomiting. This stage often lasts 6 to 8 weeks. Severe cough spell and apnea (cessation of breathing) especially in young children can result in rectal prolapse, subconjunctival hemorrhage, and seizure. ...Read more
Yes: Yes, in my area we are in the midst of a serious outbreak, mostly in school age kids and adults. Rarely have infants been diagnosed currently. The mix includes underimmunized patients needing booster updates, not immunized at all and occasionally immunized patients where the vaccine apparently did not "take". ...Read more
Antibiotics: A reasonable guideline is to treat persons aged >1 year within 3 weeks of cough onset and infants aged <1 year and pregnant women (especially near term) within 6 weeks of cough onset. The antimicrobial agents of choice for treatment or chemoprophylaxis of pertussis are azithromycin, Clarithromycin and erythromycin. ...Read more
Well, it can't...: ...Last longer than a few minutes, because death occurs after that. ...Read more
Waning immunity: Pertussis & most other bacterial vaccines (meningitis, diptheria, tetanus, etc.) give the body a time limited period of benefit. By 6-10 years after the last vaccine, the decrease allows people to develop symptomatic disease & or pass it to others. Since pertussis is more a chronic cough with teens & adults, some may never know they have it. ...Read more
Yes: Up until the present pertussis vaccine was released, it was not given after the age of 6 due to the many side effects of the whole cell vaccine. Teens and adults with waining immunity often developed the "100 days cough" as the pertussis is often called. Today the acellular pertussis can be given to teens and adults and cut their risk and prevent the spread in the community. ...Read more
Dr. Or Public Health: Most pediatricians and family physicians offer them in their offices, and you local dept. Of public health will also have them, often at a reduced prices. ...Read more
Once a baby has been diagnosed with pertussis, the normal treatment is Azithromycin (zithromax). One is considered contagious until one completes the 5-day course. After that your baby will not be contagious, even if he/she is still coughing. The cough can go on for awhile.
Hopefully this was not because of missing vaccinations, which are quite effective at preventing pertussis in children. ...Read more
Breathing sounds: With severe croup, you may hear stridor, which is an inspiratory sucking or squeaking sound. This is a sign of severe tracheal narrowing and warrants immediate medical attention. With pertussis, there are many coughs in a row (>5) which makes it hard to breath in between. Sometimes there's a whooping sound after the cough attack. For both conditions, the child should be evaluated. ...Read more
Consult your doc: Pertussis, whooping cough, is a highly contagious bacterial disease known for violent uncontrollable coughing. Antibiotics can be prescribed, but other supportive treatment might be required based on the general health of the person infected. It would be wise to consult your doctor about this. More info here: http://www. Ncbi. Nlm. Nih. Gov/pubmedhealth/pmh0002528/. ...Read more
Cough is getting worse. Can they test for pertussis now even though she's not coughing very heavily?
Yes: Specimen obtained from nasopharyngeal swab is often sent to a special lab to culture or to do pcr test. ...Read more
I've been hearing of cases of young children getting pertussis even if they've been vaccinated. It just happened at sons school. He's 5. Common?
Pertussis is not common in children who have received 5 doses of dpt vaccines 3 in first year, 1 in 2nd year and 5th at 4to6 years. Those children who have not received full course of the DPT Vaccine are vulnerable to suffer from Pertussis
Now a days a booster is recommended with Tdap a different vaccine at age 11.And then a booster after 10 years as adult ...Read more
Whooping cough: Pertussis is a highly contagious respiratory disease caused by a bacteria called bordetella pertussis. It causes heavy, uncontrollable coughing that sound like barking. It is on the rise, therefore immunization against it is now recommended. Most of us have been immunized against it during our early years of life through the tdap tetanus vaccine and now booster is recommended for unimmunized. ...Read more
Cough: It usually starts with a runny nose and congestion and then it's becomes a long, persistent, annoying cough for adults. In kids or infants it will often come with coughing fits that result in a whoop of inspiration after the coughing fit or sometimes after cough vomiting. Hence the name whooping cough. ...Read more
Whooping cough: That is the common name for pertussis. If vcaccinated it is very unlikely. ...Read more
Yes: The latest research demonstrates that approximately 60- 70% of infants with documented whooping cough or pertussis have been infected by contacts with family members. If the grandparents have not been recently vaccinated with the tdap vaccine, they should receive one asap. Remember that pertussis can be deadly in infants. ...Read more
Whooping cough: Whooping cough, formally called pertussis, is a respiratory disease that in its classic form in small children can produce paroxysms of cough strong enough to fracture a rib and long enough to cause lack of oxygen in the body. It is especially harmful in infants less than 12 months old who are not yet immunized. Because of waning immunity from vaccine, boosters are now recommended in adults. ...Read more