Can whooping cough be vaccinated against?

Written by Li Jian Wu
Pulmonology
Updated on December 31, 2024
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Pertussis can be prevented with a vaccination and is a type of respiratory infectious disease. The main clinical preventive measure is vaccination, specifically with the DTP vaccine, which is a national Category I vaccine and part of basic immunization. The first dose should be administered when the baby is three months old. The DTP vaccine prevents not only pertussis but also diphtheria and tetanus infections. The complete course consists of three injections, with the second and third doses administered in the fourth month and between the fourth and fifth months, respectively.

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Written by Li Jian Wu
Pulmonology
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Where to treat whooping cough?

Pertussis, a respiratory infectious disease, is recommended to be checked and treated at local formal medical institutions. Once diagnosed, the main principle is to kill the Corynebacterium diphtheriae and choose sensitive antibiotics, such as macrolide antibiotics like erythromycin, azithromycin, or clarithromycin. Additionally, symptomatic treatment should be provided, including oxygen therapy for breathing difficulties, using medications to relieve bronchial smooth muscle spasms, thinning mucus, and alleviating uncomfortable symptoms such as coughing. It is also important to drink plenty of water, rest, and maintain good hygiene.

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Written by Tong Peng
Pediatrics
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The difference between pertussis and allergic cough

Pertussis (whooping cough) and allergic cough are different. Firstly, pertussis is an acute respiratory infectious disease caused by Bordetella pertussis. Its symptoms include paroxysmal and frequent coughing, sometimes accompanied by a deep, crowing, inspiratory whoop sound. If not treated promptly, the condition can last for several months, which is why it is called whooping cough. Due to its high contagiosity and epidemic history, if infants contract pertussis, their condition can worsen, making them prone to complications like severe pneumonia or heart failure. However, allergic cough is a non-infectious condition primarily caused by hypersensitivity of the airways, easily triggered by various external allergens, leading to irritating dry coughs, but not worsening to lower respiratory tract infections. In daily life, by avoiding environmental allergens and using treatments such as nebulization and oral antiallergic medications, management is possible.

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Written by Li Ying
Neonatology
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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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How long is the incubation period for whooping cough?

Once the body is infected with the bacterium that causes whooping cough, the incubation period of this disease is about one to two weeks. The contagion is strongest within two to three weeks after becoming ill. This disease is a respiratory infectious disease, mainly transmitted through airborne droplets, with children under five being the most susceptible to infection. Clinically, vaccination is primarily used to prevent the occurrence of the disease. Once infected, symptomatic treatment is needed, and one can also choose macrolide antibiotics, such as clarithromycin and erythromycin, for treatment.

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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.