How is whooping cough treated?

Written by Li Jian Wu
Pulmonology
Updated on April 09, 2025
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Pertussis, also known as whooping cough, is an infectious respiratory disease caused by the infection of Bordetella pertussis or Bordetella parapertussis. Clinically, it is characterized by episodes of sudden, rapid coughing, a bark-like cough, and an inspiratory "crowing" sound. It is also advisable to check the sputum culture to confirm the cause of the disease. In terms of treatment, in addition to symptomatic treatment, macrolide antibiotics should be selected and administered for at least about half a month. Options include intravenous drips of erythromycin injection or azithromycin injection.

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Written by Li Jian Wu
Pulmonology
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Where to get tested for whooping cough

Pertussis, commonly known as whooping cough, is a prevalent infectious respiratory disease in children. If the disease is suspected, one can visit a nearby public hospital for a physical examination. Tests can include a complete blood count and erythrocyte sedimentation rate, as well as a sputum culture to identify pathogens such as Corynebacterium diphtheriae and Bordetella pertussis for diagnosis. Typical symptoms include a cough resembling a dog's bark or a crowing sound. Prompt treatment with macrolide antibiotics and cough suppressants and expectorants is necessary to alleviate discomfort.

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Written by Li Jian Wu
Pulmonology
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Does whooping cough require isolation?

Pertussis, this contagious disease, once diagnosed, requires isolation to prevent infection to healthy children or even adults with low immunity. It is necessary to provide an isolated room for the child, and attention should be paid to indoor ventilation, appropriate temperature, frequent cleaning and sunning of clothes and bedding, ensuring adequate and good sleep, and maintaining clean, ventilated air indoors. Dietary adjustments should also be made, avoiding too cold, spicy, or acidic foods. Timely selection of sensitive antibacterial drugs and cough suppressants can help alleviate symptoms of coughing and wheezing.

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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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Does whooping cough require hospitalization for treatment?

This particular disease cannot be certain whether hospitalization is needed; it depends on the severity of the disease, the patient's constitution, the duration of the illness, and the body's sensitivity to the pathogens. If it is just mild paroxysmal spasmodic coughing without persistent high fever, breathing difficulty, or hypoxia, hospitalization is generally not necessary. Treatment can be managed at home with oral medication or nebulized inhalation for symptomatic treatment. The main principle is to eradicate the Bordetella pertussis bacteria.

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

Pertussis has many symptoms. The early symptoms are the same as those of a common cold, including a runny nose, sore throat, and fever. About one to two weeks later, episodic, spastic coughing occurs. Some may also experience a barking cough and a crowing sound during inhalation, which are characteristic symptoms of pertussis. This type of cough can lead to complications such as an acute facial expression, redness in the face and ears, runny nose, tears, and vomiting. It is necessary to culture the pathogen and choose sensitive antibiotics to kill this bordetella pertussis.