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Whooping Cough
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What is whooping cough (or pertussis)?
How do you get whooping cough?
How long does it take for symptoms to show?
What are the symptoms of whooping cough?
How is whooping cough diagnosed?
How is whooping cough it treated?
How long
does whooping cough last?
How can whooping cough be prevented?
Where can I buy home test kits for contributing factors of this
condition?
What is whooping cough (or pertussis)? (top)
Pertussis, commonly known as "whooping cough," is an
infection of the respiratory tract caused by Bordetella pertussis
bacteria. A pertussis infection is very contagious and can be quite
serious. Once this infection is inside the airways, it can produce
chemical substances (toxins) that interfere with the respiratory tract's
normal ability to eliminate germs. Whooping cough also can produce
chemicals that cause inflammation, damaging the lining of the breathing
passages.
How do you get whooping cough? (top)
People become infected with Bordetella pertussis
bacteria by inhaling contaminated droplets from an infected person's
cough or sneeze.
Although most infants in the United States are now
immunized against pertussis, this immunity usually fades as a person
enters early adulthood. This means that almost all American adults and
teenagers are potential targets for pertussis infection. About 90
percent of non-immune family members are likely to develop whooping
cough if they live in the same household as someone who has the illness.
Currently, 25 percent of whooping cough cases in the United States occur
among adolescents and adults (often in nursing homes and on college
campuses). In fact, adults and teenagers (who are not usually diagnosed
as having whooping cough) are now a major source for spreading it to
infants and children.
How long does it take for symptoms to show? (top)
Once an un-immunized child has been infected after
exposure to a person with pertussis, it usually takes three days to 21
days for symptoms to begin.
What are the symptoms of whooping cough? (top)
•
The first symptoms of
whooping cough may be similar to those of a common cold, including nasal
congestion, runny nose, sneezing, red and watery eyes, mild fever, and a
dry cough.
•
After about one week to 2 weeks, the dry cough becomes a
wet cough that brings up thick, stringy mucus. At the same time,
coughing begins to occur in long spells that may last for over a minute,
sometimes causing a child to turn red from effort or blue from lack of
oxygen.
•
At the end of a coughing spell, the child gasps for air
with a characteristic "whooping" sound. Infants may not whoop at all or
as loudly as older children.
Severe coughing spells can lead to vomiting and may make
it hard for a child to eat or drink. Severe coughing can also cause
petechiae (tiny, red spots caused by ruptures in blood vessels at the
skin's surface) in the skin of the upper body, as well as small areas of
bleeding in the whites of the eyes. Coughing spells can continue for
several weeks.
Because adults and adolescents with pertussis may have
milder symptoms, they may be thought to simply have "bronchitis."
How is whooping cough diagnosed? (top)
Your doctor can confirm whooping cough by taking
cultures of respiratory fluids for examination in the laboratory. This
involves taking a sample of secretions from the nose or throat and
identifying the pertussis bacteria in the secretions. Blood tests and a
chest X-ray may also be done.
How is
whooping cough it treated? (top)
Whooping cough is treated with antibiotics, usually
erythromycin. Some experts believe that treatment is most effective when
antibiotics are started early in the course of the illness. Follow your
doctor's schedule for giving antibiotic medication. Antibiotics are also
very important in stopping the spread of pertussis bacteria from the
infected child to other people. Ask your doctor's advice about the need
for giving prophylactic (preventive) antibiotics or vaccine boosters to
others in your household.
Follow your doctor's advice about dealing with pertussis
coughing spells. The pertussis cough can cause your child to vomit,
losing the nutrients that he needs to recover his strength. To help
decrease the chance of vomiting, give frequent meals with small
portions. Encourage your child to drink water, fruit juice, and clear
soups to prevent dehydration.
In some cases, a child with whooping cough may
need treatment in a hospital. Almost all infants with whooping cough
who are less than six months old receive hospital treatment for their
illness, and about 40 percent of older babies with whooping cough
are also hospitalized. Many of these children have pneumonia associated
with this infection. Other possible complications of whooping cough
include apnea, ear infection, and seizures.
While in the hospital, a child with pertussis may need
suctioning of thick respiratory secretions. His breathing will be
monitored, and he may need extra oxygen. The child will be isolated from
other patients, with special precautions to prevent his infection from
spreading to others.
How long
does whooping cough last? (top)
Whooping cough lasts for several weeks or longer. There
are usually two weeks of common cold symptoms, followed by two weeks of
severe coughing, followed by two weeks of a convalescent period when
coughing occurs less often. In some children, the convalescent stage may
last for months.
How can whooping cough be prevented?
(top)
Pertussis can be prevented by the pertussis vaccine,
which is part of the DTaP (diphtheria, tetanus, acellular pertussis) or
DTP immunizations. These important immunizations are routinely given in
five doses before a child's sixth birthday. The pertussis vaccine has
dramatically decreased the number of cases of whooping cough that occur
each year and saved countless lives.
Click here
for more information on DTaP vaccines.
Prophylactic (preventive) oral antibiotics should be
given to anyone who lives in the same household as someone with
pertussis. Others who have had close contact with the infected person,
including day-care staff and students, should also receive prophylactic
antibiotic treatment.
Click here to buy home test kits for
contributing factors of this condition
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