late stage symptoms of whooping cough

Written by Li Jian Wu
Pulmonology
Updated on February 10, 2025
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Pertussis, also known as whooping cough, is a highly contagious respiratory disease caused by the Bordetella pertussis or Corynebacterium diphtheriae bacteria. After infection, paroxysmal coughing occurs, and in later stages, the frequency of coughing episodes decreases and the duration of symptoms shortens. The main treatment should involve the use of macrolide antibiotics to eliminate the pathogen. Additionally, it is advisable to drink plenty of water, rest adequately, measure body temperature twice daily, and avoid excessive fatigue. As long as function and symptoms gradually ease, it indicates the recovery phase is beginning, generally requiring about fifteen to twenty days for complete recovery.

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Written by Li Jian Wu
Pulmonology
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Treatment methods for pertussis in children

The treatment methods for pertussis in children mainly involve anti-inflammatory processes, along with etiological treatment. Pertussis in children typically requires the selection of antimicrobial drugs to eradicate Bordetella pertussis. Clinically, macrolide antibiotics are primarily chosen, such as erythromycin, azithromycin, or clarithromycin. Also, depending on the nature of the cough, some central antitussive agents or cough and phlegm relieving drugs can be used to alleviate the symptoms of cough. Additionally, in the acute phase of inflammation where fever is present, antipyretic analgesics should be taken for symptomatic treatment. (Medication use should be under the guidance of a doctor.)

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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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Whooping cough vaccine at what age?

The pertussis vaccine is generally administered within the first year of age. Under normal circumstances, children should be taken to hospitals or public health prevention stations for vaccination according to the course of treatment. The first dose starts at the third month after birth, followed by the second dose at four months and the third dose at five months old. A booster can be administered when the baby is two years old. The DTP vaccine used in clinics mainly consists of three components: pertussis, diphtheria, and tetanus.

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Can you still get whooping cough even if you have been vaccinated?

If the whooping cough vaccine is administered effectively and antibodies are produced, it generally prevents reinfection. However, if the vaccine is not administered according to the prescribed schedule, or if no antibodies are produced after the vaccination, exposure to this pathogen may still lead to infection. The disease is characterized by fits of coughing, which can cause blushing, runny nose, tears, nausea, and vomiting. Some children may also experience a barking cough and a crowing sound during inhalation.

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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.