Pertussis is an acute respiratory infection caused by Bordetella pertussis. Pertussis is also called ' hundred day cough ' by Chinese. The main victims are preschool children , although highest mortality is seen in below 6 months age group.
The main mode of transmission is droplet infection. Direct contact with the infected ones is also transmitting means. The clinical feature of this disease shows the different stages. First comes Catarrhal stage , which lasts for almost 7-10 days following running nose, conjunctivitis, cough, mild fever. Then comes Paroxysmal stage, that lasts for about 2-4 days, which follows irritating cough, slowly increasing in severity and duration and ending in characteristic whoop or loud crowing inspiration. Finally Convalescent stage for 1-2 weeks, resulting recovery, or complications or death. Several complications are directly related to pertussis or whooping cough. Bronchitis, is one of the complications, that causes difficulty in breathing and causes swallowing problems. Similarly, pneumonia can be resulted if the cough gets worst. Epistaxis, Hemoptysis and convulsions are some of the other complications. In several cases, coma has been also resulted due to the pertussis.
People usually are careless in manner of pertussis , however it can result worst situation. Isolation of cases should be done within the 4 weeks. Penicillin and erythromycin can be effective. Several contacts like prophylactic erythromyocin or penicillins should be adopted. The main prevention is done by no exposure to the patients. The infected ones should also adopt a lot care while sneezing, coughing to prevent droplet transmission. Prevention includes vaccination with pertussis vaccine either single or combined DPT.
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