Is whooping cough an infectious disease?

Written by Li Jian Wu
Pulmonology
Updated on September 23, 2024
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Pertussis, also known as whooping cough, is a contagious disease that is a respiratory tract infection. It primarily spreads through airborne droplets and close daily contact. Clinically, there is a vaccine available for this condition, mainly the DTP (diphtheria, tetanus, and pertussis) vaccine. Following the vaccination schedule and developing antibodies can effectively prevent the disease. This disease has a lengthy course and can easily cause recurrent coughing episodes and persistent symptoms. It is important to correctly understand and be aware of the characteristics of its onset. If suspected, early examination and timely selection of medications for symptom control are essential, along with addressing the underlying cause.

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Written by Li Jian Wu
Pulmonology
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How is whooping cough transmitted?

Pertussis, commonly known as whooping cough, is primarily caused by the infection of Bordetella pertussis. The main transmission routes are through the respiratory tract or via close contact, particularly in classrooms where young children are present, which can easily lead to cross-infection. The disease has an incubation period of about three to seven days, and in some cases, it can range from two to three weeks. Children under the age of five have the highest incidence rate. Clinically, vaccination is recommended for prevention. Once infected, the early stages of the disease resemble those of a common cold, with typical symptoms being paroxysmal, spasmodic coughing.

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Written by Li Jian Wu
Pulmonology
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Whooping cough is transmitted through respiratory droplets.

Pertussis is mainly transmitted through airborne droplets and is a commonly seen respiratory infectious disease in clinical settings. If a child is at school and classmates have pertussis without antibodies in their body, it is quite possible for the infection to occur, commonly seen in babies under five years old. If there are episodes of spasmodic, convulsive coughing accompanied by a barking sound or a crowing sound during inhalation, this disease should be highly suspected, and prompt culturing of the pathogen is needed for confirmation.

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Written by Li Jian Wu
Pulmonology
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What are the symptoms of whooping cough?

Pertussis, also known as whooping cough, typically manifests as paroxysmal coughing. During the acute phase, the cough is spasmodic, and some patients may produce sounds similar to a dog's bark or a rooster's crow. This type of cough can lead to complications such as a runny nose, tearing, facial flushing, red ears, and vomiting. Diagnosis should be confirmed through routine examination of secretions. During the acute phase, symptomatic treatment should be administered, along with the selection of macrolide antibiotics to eliminate the pathogenic bacteria, which are mostly due to infection by Corynebacterium diphtheriae or Bordetella pertussis. Patients should adjust their mindset, drink plenty of warm water, and maintain clean indoor air.

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Written by Li Jian Wu
Pulmonology
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Pertussis vaccine side effects

In clinical practice, the pertussis vaccine commonly used is mostly the DTP (Diphtheria, Tetanus, and Pertussis) vaccine, which primarily includes diphtheria, pertussis (whooping cough), and tetanus. This vaccine effectively prevents these three infectious diseases. Common adverse reactions and side effects from the vaccine injection include local muscle site reactions such as redness, swelling, and hard lumps; if there is a secondary bacterial infection, it may also lead to purulent discharge. Additionally, some patients may experience transient fever symptoms, generally not lasting more than twenty-four hours, followed by common gastrointestinal reactions.

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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.