Is whooping cough contagious?

Written by Li Jian Wu
Pulmonology
Updated on December 27, 2024
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Whooping cough is a contagious disease, and principally transmitted from person to person. Currently, an effective way to prevent this disease is by vaccination with the DTaP vaccine. The name "whooping cough" does not mean the cough lasts for a hundred days; this is just a colloquial expression referring to its prolonged duration. The primary symptoms of this disease include severe, spasmodic coughing, during which the patient may exhibit redness in the face and ears, a runny nose, and even nausea and vomiting. Additional symptoms can include cyanosis of the lips and choking. In severe cases, it can cause whole-body convulsions leading to ischemic and hypoxic encephalopathy. Once diagnosed, it is crucial to promptly treat with antibiotics and medications that relieve bronchial smooth muscle spasms. During the acute phase, corticosteroids may also be used in treatment.

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Written by Li Jian Wu
Pulmonology
45sec home-news-image

Can whooping cough be treated with Chinese medicine?

Whooping cough is an acute respiratory infectious disease caused by Bordetella pertussis or Corynebacterium diphtheriae. Traditional Chinese medicine treatment is also an option. There are many commonly used traditional Chinese medicine formulas, such as Pediatric Whooping Cough Powder, Qingfei Zhike San, Feier Wan, Huachong Wan, Bai Ji Granules, Zuo Jin Wan, etc., which all have certain effects and efficacy in treating whooping cough. Traditional Chinese Medicine believes that whooping cough is caused by pathogenic factors attacking the lung defense, reduced function of the lung's descending and clearing action, and cough symptoms due to qi moving in the wrong direction.

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Written by Li Ying
Neonatology
1min 18sec home-news-image

After receiving the DTP vaccine, can you still get whooping cough?

The DTP vaccine is a combination of pertussis bacteria, diphtheria toxoid, and tetanus toxoid, which can prevent whooping cough, diphtheria, and tetanus simultaneously. The target group for the DTP vaccine is children aged 3 months to 7 years. The DTP vaccine requires three consecutive shots. Only after the three consecutive injections will sufficient antibodies be produced. However, these antibodies can only be maintained for a certain period of time and do not provide lifelong immunity. Many parents mistakenly think that once their child is vaccinated, they are invulnerable to all diseases, but this is an unscientific notion. The efficacy of vaccines is not 100%. The common basic vaccines currently used generally have an efficacy rate of over 80%, meaning that after vaccination, 80% of people will produce antibodies. However, since the antibody concentration of some vaccines can decrease significantly over time to a level that does not reach the immunity concentration, booster shots are necessary.

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Written by Li Jian Wu
Pulmonology
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Is nebulization useful for pertussis?

Nebulized inhalation for localized treatment of pertussis can be quite effective. It helps alleviate bronchial smooth muscle spasms and is used for spasmodic coughs, effectively easing cough symptoms as a symptomatic treatment measure. However, it is also necessary to target the infectious pathogens with oral or intravenous macrolide antibiotics for anti-inflammatory treatment. Drinking plenty of water, maintaining suitable indoor temperature and humidity, and having confidence in overcoming the disease are important. Although the course of the disease may be long, complete recovery is possible through proper treatment, so there is no need for excessive worry.

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Written by Zeng Hai Jiang
Pediatrics
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Is whooping cough without the crowing sound getting better?

Pertussis without a crowing sound indicates recovery. Pertussis, also known as whooping cough, is an acute respiratory infection caused by Bordetella pertussis, commonly seen in children. The progression of pertussis can be divided into three stages: The first stage is the catarrhal stage, also known as the pre-paroxysmal stage. At the early stage, the child shows symptoms similar to the common cold, followed by worsening cough. If the condition is not effectively controlled during this stage, It then progresses to the second stage, the paroxysmal stage. During the paroxysmal stage, the child exhibits characteristic episodic spasmodic coughing and crowing inhalation sounds. This period can last up to two months. Finally, it moves into the recovery stage. In the recovery stage, the frequency and severity of the episodic spasmodic cough and crowing inhalation sounds gradually alleviate. Thus, the absence of a crowing sound in whooping cough is an indication of approaching recovery.

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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.