Treatment methods for pertussis

Written by Li Jian Wu
Pulmonology
Updated on September 27, 2024
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For the treatment of whooping cough, the first step should be to drink plenty of water and maintain a suitable indoor temperature and humidity. In terms of medication, it is necessary to choose macrolide antibiotics and adhere to an inflammatory treatment course. Clinically common drugs include erythromycin, roxithromycin, azithromycin, clarithromycin, etc., and generally, medication is required for at least about ten days. At the same time, it is recommended to use antitussive and expectorant drugs. If there are symptoms of breathing difficulty, oxygen inhalation can also be administered. There are many expectorant drugs clinically available, such as carbocisteine or She Dan Chuan Bei liquid, ambroxol oral solution, etc., all of which can serve the function of suppressing coughs and expelling phlegm.

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Written by Li Jian Wu
Pulmonology
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Does whooping cough infect adults?

Pertussis, a respiratory infectious disease, can also be transmitted to adults, although the chances are generally small. It mostly occurs in adults with low immunity and those who are frail and ill when they come into contact with the pathogen. The incubation period is about two to three weeks, during which paroxysmal cluster-like coughing occurs, causing facial redness and a runny nose. Some may also experience nausea and vomiting. It is necessary to check chest X-rays, routine blood tests, and sputum pathogen cultures for diagnosis. Early detection and treatment are crucial to prevent other complications.

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Written by Li Jian Wu
Pulmonology
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Does whooping cough cause a runny nose?

In the early stages of whooping cough, also known as the incubation period, symptoms similar to those of a cold can occur, including runny nose, sneezing, mild fever, and an irritating dry cough. If the disease progresses for two to four weeks, it typically presents with episodes of spasmodic, convulsive coughing, characterized by a notable change in the sound of the cough. Some children might exhibit a bark-like cough or a crowing-like cough. Accompanying symptoms can include redness of the face and ears, tearing, more runny nose, as well as signs of oxygen deprivation such as nausea, vomiting, and cyanosis of the lips. It is advisable to further conduct pathogen culture to confirm the diagnosis and initiate timely treatment.

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Written by Li Jian Wu
Pulmonology
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whooping cough symptoms

Whooping cough is a common respiratory infectious disease, mainly caused by infection with Bordetella pertussis. Typical symptoms include colds, runny nose, etc., and feature paroxysmal coughing. The main characteristic is paroxysmal, spasmodic coughing that occurs in strings, with more than ten or even dozens of coughs at a time. The coughing increases abdominal pressure, leading to nausea and vomiting. Infants and young children may also experience a barking cough and wheezing. Some may also experience symptoms such as urinary and fecal incontinence, flushed face, runny nose, teary eyes, and cyanosis of the lips. Once diagnosed, it is important to promptly select sensitive antibiotics for anti-inflammatory treatment. Currently, the main approach to managing this disease is prevention, including timely vaccination against whooping cough.

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Written by Zeng Hai Jiang
Pediatrics
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How to determine whether it is the paroxysmal stage or the recovery stage of pertussis?

After the incubation period, typical whooping cough goes through three clinical stages. The first stage is the catarrhal stage, also called the pre-paroxysmal stage, during which the infectivity is the strongest. If treated promptly during this stage, the progress of the disease can be controlled. If the catarrhal stage is not effectively controlled, it then enters the paroxysmal stage. During the paroxysmal stage, the patient will experience episodic spasmodic coughing, with more severe episodes at night. During spasms, there will be neck vein distension, swollen and congested eyelids and face, and cyanosis of the lips. This stage can last up to two months. After the paroxysmal stage follows the convalescent stage, where the episodic spasmodic coughing gradually decreases and becomes less severe.

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Written by Yan Xin Liang
Pediatrics
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Symptoms and Treatment of Whooping Cough in Children

The common symptoms of whooping cough are coughing, prolonged coughing, and spasmodic coughing, which ends with a crowing sound, and it mainly occurs during the night. The face may turn bright red during coughing, which is a typical symptom of whooping cough. For treatment, in the early stages of whooping cough, erythromycin is definitely used and can be effective. However, in pediatrics, if the whooping cough has lasted for a long time, the effectiveness of the treatment is relatively not as good. If the coughing period is long and medication is used in the middle to late stages, even with some treatment, it might still continue for two to three months. Although treatments like cough suppressants and expectorants can alleviate the symptoms, a cough usually still persists to some degree.