Pertussis is also known as whooping cough. It is a highly contagious disease marked by severe coughing. It is an acute infectious disease caused by the bacterium Bordetella pertussis. It is named after the "whoop" sound children and adults make when they try to breathe in during or after a severe coughing spell.
There are 3050 million pertussis cases and about 300,000 deaths per year (World Health Organization data). The disease is also dangerous in the elderly but tends to be less severe in older children and adults.
Causes
It is caused by germs (bacteria) that affect into the throat and lungs. Pertussis is spread through respiratory droplets when an infected person coughs, sneezes or talks. The greatest risk of spread is during the early stage when it appears to be a cold. Those treated with antibiotics are contagious until the first 5 days of appropriate antibiotic treatment have been completed. If you are not protected against pertussis through vaccination, you can become ill with whooping cough.
Symptoms
At first, there may only be a runny nose, mild cough, and low-grade fever. But as the disease progresses, the nasal discharge becomes thicker and more profuse, leading to severe upper respiratory congestion in a young baby.
At the second stage, bursts of coughing, or numerous rapid coughs, apparently due to difficulty expelling thick mucus from the airways in the lungs. At the end of the bursts of rapid coughs, a long inspiratory effort (breathing in) is usually accompanied by a characteristic high-pitched whoop. Children and young infants appear especially ill and distressed. Vomiting and exhaustion commonly follow the episodes of coughing. Paroxysmal attacks occur more frequently at night, with an average of 15-24 attacks per 24 hours.
At the third stage, lasting for a few weeks or months, is a gradual recovery period. Coughing spells become less frequent but may flare up again if a cold or other upper respiratory illness develops. Complications, such as pneumonia or exertion-related injuries from coughing, such as a hernia, can develop from whooping cough. These types of health problems pose the most serious risk to children younger than 4 months and adults age 60 and older.
Treatment
Pertussis is usually treated with a multi-day course of appropriate antibiotics, such as azythromycin, erythromycin or clarithromycin, or an acceptable alternative. Unfortunately, most patients are only diagnosed after the period of time when antibiotics are most effective, and so generally they are not used. But even if antibiotics are started later, they're still important because they can stop the spread of the pertussis infection to others. Ask your child's doctor whether preventive antibiotics or vaccine boosters for other family members are needed.
All close contacts younger than seven years of age should complete their DTaP vaccine series if they have not already done so. If they have completed their primary four dose series, but have not had a dose within the last three years, they should be given a booster dose.
Whooping Cough Symptoms Adults
Whooping cough is an infectious bacterial illness that affects the respiratory passages. The disease is most contagious during the cold-like initial phase (catarrhal phase). In its early stages, pertussis is indistinguishable from the many colds common in children. However, after one or two weeks, the illness gets progressively worse. Worldwide there are over 60 million cases of pertussis a year with more than half a million deaths. Whooping cough is still a very serious disease when it occurs in children under the age of one year old. Pertussis can be fatal, but in the United States, widespread vaccination against the infection has made the disease rare. In the more advanced stages, it's marked by the symptom that gives the disease its name: a severe, hacking cough followed by a high-pitched intake of breath that sounds like "whoop." It is spread by droplets from the respiratory tract, rarely it may also spread on clothes, toys, etc. You can also become infected through direct contact with discharges from the nose or throat of an infected person.
Whooping cough exists everywhere in the world and can lead to a variety of diseases and complications, including death. Whooping cough in a recognizable form evolves over a period of 2 weeks. Sometimes the patient stops breathing after a severe bout of coughing, long enough to go blue. Occasionally the patient faints as well. It's mainly affected infants who are younger than 6 months old before they are adequately protected by their immunizations, and kids who are 11 to 18 years old whose immunity has faded. With proper care, most teenagers and adults recover from whooping cough without complications. There is a danger that people with less severe, undiagnosed cases may spread the infection to infants who have not yet been immunized. Treatment of whooping cough is supportive, meaning that treatment is directed at the symptoms, e.g., cough; however, young infants often need hospitalization if the coughing becomes severe.
Causes of Whooping cough
The common causes and risk factor's of Whooping cough include the following:
Whooping cough is caused by the bacteria Bordetella pertussis .
It is spread through children from exposure to infected persons through droplets in the air.
Any one who is not protected (by recent immunisation or by having had the infection before) can get whooping cough, including older children and adults.
Underlying medical conditions are other medical conditions that may possibly cause Whooping Cough.
Symptoms of Whooping cough
Some symptoms related to Whooping cough are as follows:
Runny nose.
Sneezing.
General feeling of being unwell and loss of appetite.
Dry cough.
Characteristic ?whooping' sound on inhalation.
A mild fever.
Vomiting at the end of a bout of coughing.
Watery eyes.
Cough can be started by many factors, including feeding, crying, or playing.
Treatment of Whooping cough
Here is list of the methods for treating Whooping cough:
Whooping cough is generally treated with antibiotics.
Drink plenty of fluids, including water, juices, soups, and fruits to prevent dehydration.
Isolation to prevent contagion.
Young babies with whooping cough are often so ill that they need hospital treatment. Feeding can be a problem because they often vomit after coughing. A baby may need tube feeding.
Eating small, frequent meals.
Use a cool mist vaporizer to help loosen secretions and soothe the cough.
Both Alien & Juliet Cohen are contributors for EditorialToday. The above articles have been edited for relevancy and timeliness. All write-ups, reviews, tips and guides published by EditorialToday.com and its partners or affiliates are for informational purposes only. They should not be used for any legal or any other type of advice. We do not endorse any author, contributor, writer or article posted by our team.
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