Skip to main content

Pertussis

Reviewed 06/2018
 


BASICS

  • Highly contagious

  • Synonym: Whooping cough

DESCRIPTION

  • Host: humans

  • Most common reservoir: adults

  • Ages: all

  • Distribution: worldwide

  • Pattern: endemic or epidemic with outbreaks every 3 to 5 years

  • Seasona...

DIAGNOSIS

HISTORY

  • Exposure to pertussis

  • Incubation period 7 to 10 days (range 5 to 21 days)

PHYSICAL EXAM

  • Classic pertussis has three phases, which occur over 6 to 10 weeks:

    • Catarrhal phase: rhinorrhea, ...

TREATMENT

GENERAL MEASURES

Waiting rooms, during transport and procedures: Patients with suspected pertussis should wear masks. 

MEDICATION

  • Start empiric antibiotic therapy once diagnostic testing is per...

ONGOING CARE

Supportive 

FOLLOW UP RECOMMENDATIONS

  • Monitor infants who received EES or azithromycin for pyloric stenosis.

  • Neurologic and/or pulmonary follow-up as necessary

Patient Monitoring

ICU care may ...

REFERENCES

1
Centers for Disease Control and Prevention. Pertussis: fast facts. https://www.cdc.gov/pertussis/fast-facts.html. Accessed July 2, 2017.
2
Lopez MA, Cruz AT, Kowalkowski MA, et al. Trends in...

ADDITIONAL READING

  • American Academy of Pediatrics. Pertussis (whooping cough). In: Kimberlin DW, Brady MT, Jackson MA, et al, eds. Red Book. Elk Grove Village, IL: American Academy of Pediatrics: 20...

CODES

ICD10

  • A37.90 Whooping cough, unspecified species without pneumonia

  • A37.80 Whooping cough due to other Bordetella species w/o pneumonia

  • A37.10 Whooping cough due to Bordetella parapertussis w/o pneu...

CLINICAL PEARLS

  • Hospitalizations for pertussis is highest in infants <6 months of age.

    • Maternal Tdap is effective in protecting young infants against pertussis, especially during first 2 months of...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

 
×