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Pertussis

Susan McDiarmid, EdD, MS, PA-C and Michelle E Duffelmeyer, MD Reviewed 05/2023
 


BASICS

  • Highly contagious respiratory illness among close contacts

  • Synonyms: whooping cough, “the cough of 100 days”

DESCRIPTION

  • Host: humans

  • Most common reservoir: adults

  • Ages: all

  • Distribution: worldwide

  • Pa...

DIAGNOSIS

HISTORY

  • Exposure to pertussis

  • Insidious onset

  • Classic clinical manifestations include paroxysmal cough, inspiratory whoop and posttussive emesis

  • Incubation period 7 to 10 days (range 5 to 21 day...

TREATMENT

GENERAL MEASURES

  • Hospitalization with continuous cardiopulmonary monitoring is recommended for neonates with pertussis.

  • Supplemental oxygen and/or mechanical ventilatory support may be needed.

MEDICATION

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

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

  • Neurologic and/or pulmonary follow-up as necessary

Patient Monitoring

ICU care may...

REFERENCES

1
Lopez  MA, Cruz  AT, Kowalkowski  MA, et al. Trends in hospitalizations and resource utilization for pediatric pertussis. Hosp Pediatr.  2014;4(5):269–275. [Vi...

SEE ALSO

  • American Academy of Pediatrics. Pertussis (whooping cough). In: Red Book: 2021-2024 Report of the Committee on Infectious Diseases. 32nd ed. Kimberlin DW, Barnett ED, Lynfield R, Sawyer MH (E...

CODES

ICD10

  • A37.10 Whooping cough due to Bordetella parapertussis without pneumonia

  • A37 Whooping cough

  • A37.91 Whooping cough, unspecified species with pneumonia

  • A37.01 Whooping cough due to Bordetella per...

CLINICAL PEARLS

  • Classic clinical manifestations include paroxysmal cough, inspiratory whoop and posttussive emesis

  • Hospitalizations for pertussis is highest in infants <4 months of age.

    • Maternal Tdap...

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