Does whooping cough require hospitalization for treatment?

Written by Li Jian Wu
Pulmonology
Updated on March 19, 2025
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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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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 Zeng Hai Jiang
Pediatrics
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Why is whooping cough milder during the day and worse at night?

Whooping cough is an acute respiratory infectious disease caused by Bordetella pertussis infection, commonly seen in children. The main symptoms are paroxysmal spasmodic coughing, a crowing inspiratory noise, with coughing occurring both during the day and at night, more significantly at night. The main reasons are as follows: first, the dry indoor air causes irritation. Second, during the night, the mucus secreted by the bronchial mucosa cannot be expelled from the body, which stimulates the bronchial nerves and triggers worsening cough symptoms. Coughing can also cause redness of the face and ears, runny nose, nausea, and vomiting.

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Written by Li Jian Wu
Pulmonology
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What is whooping cough?

Pertussis, also known as whooping cough, is a highly contagious respiratory tract infection. It primarily infects infants under the age of five, leading to distinctive coughing fits that are paroxysmal and may also include a barking cough or a crowing sound during inhalation. Some may also experience redness of the face and ears, runny nose, teary eyes, abdominal pain, nausea, and vomiting as complications. Upon observing these typical symptoms, it is advised to visit a hospital for appropriate diagnostic tests and timely symptomatic treatment, along with maintaining adequate hydration and keeping the indoor temperature comfortable.

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Written by Li Jian Wu
Pulmonology
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Is whooping cough easy to treat?

Whooping cough is treatable. This disease is a highly contagious respiratory tract infection common in children. Its main characteristics are paroxysmal, spasmodic coughing. Some children may also have a bark-like cough and a crowing sound during inhalation. It is important to correctly identify and check the pathogen, which could be due to infection by the diphtheria bacillus or the whooping cough bacillus. Typically, it can be treated with intravenous macrolide antibiotics or penicillin antibiotics to eliminate the pathogen, along with symptomatic 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.