What should I do if whooping cough keeps recurring?

Written by Tong Peng
Pediatrics
Updated on February 25, 2025
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Whooping cough is repeatedly characterized by coughing due to its specific etiology. As a type of upper respiratory tract infectious disease, whooping cough mainly results from external stimuli causing respiratory infections. It tends to affect populations with weaker immunity and resistance, especially infants. Furthermore, in daily life, it's important to avoid contact with or consumption of foods that may cause allergies or irritate the respiratory and gastrointestinal tract. It's crucial to ensure proper ventilation in living environments, and symptomatic medication should be administered to whooping cough patients. Treatment may involve oral medications or inhalation therapy, and regular follow-ups are necessary to control the condition and prevent recurrence.

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Is pertussis a Class B infectious disease?

Pertussis, or whooping cough, is definitely classified as a contagious disease. According to the current infectious disease management laws in our country, pertussis is categorized under Class B infectious diseases. After understanding that it is a Class B infectious disease, we should also be aware of how infectious diseases are classified in our country. They are divided into Class A, Class B, and Class C based on the level of harm caused by the disease. Simply put, the more harmful, the less effective the treatment, and the higher the mortality rate, the more likely the disease will be classified as Class A, such as plague and cholera. On the other hand, diseases that are less harmful, such as influenza, rubella, and leprosy, are classified under Class C.

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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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Treatment methods for pertussis

For the treatment of whooping cough, the first step should be to drink plenty of water and maintain a suitable indoor temperature and humidity. In terms of medication, it is necessary to choose macrolide antibiotics and adhere to an inflammatory treatment course. Clinically common drugs include erythromycin, roxithromycin, azithromycin, clarithromycin, etc., and generally, medication is required for at least about ten days. At the same time, it is recommended to use antitussive and expectorant drugs. If there are symptoms of breathing difficulty, oxygen inhalation can also be administered. There are many expectorant drugs clinically available, such as carbocisteine or She Dan Chuan Bei liquid, ambroxol oral solution, etc., all of which can serve the function of suppressing coughs and expelling phlegm.

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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.

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Is whooping cough contagious?

Pertussis, a type of disease, is an infectious respiratory infection, thus it is contagious. If there is a pertussis patient in the home, it is recommended to isolate the patient for treatment, ensure air ventilation and disinfection in the living space, and use personal items separately. Patients should ideally wear masks to block the bacteria from spreading through respiratory passages, and should actively choose antimicrobial drugs to control the infection, drink plenty of water, and rest sufficiently. When feverish, adopt physical methods to reduce fever or take antipyretic medication for symptomatic treatment. The main principle should be to choose macrolide antibiotics to control the infection. (Please use medication under the guidance of a professional physician and do not self-medicate.)