How is whooping cough transmitted?

Written by Li Jian Wu
Pulmonology
Updated on August 31, 2024
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Pertussis, commonly known as whooping cough, is primarily caused by the infection of Bordetella pertussis. The main transmission routes are through the respiratory tract or via close contact, particularly in classrooms where young children are present, which can easily lead to cross-infection. The disease has an incubation period of about three to seven days, and in some cases, it can range from two to three weeks. Children under the age of five have the highest incidence rate. Clinically, vaccination is recommended for prevention. Once infected, the early stages of the disease resemble those of a common cold, with typical symptoms being paroxysmal, spasmodic coughing.

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Written by Li Jian Wu
Pulmonology
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Is whooping cough very harmful?

Pertussis belongs to infectious diseases and certainly poses some risk to health, with the degree of harm varying greatly from person to person. Typical symptoms include paroxysmal, barking coughs, fever, and runny nose. Some may also exhibit cyanosis (bluish hue to lips) and signs of hypoxia. Coughing can also lead to runny nose, teary eyes, and even convulsions, nausea, and vomiting. Some patients may present with an inspiratory crowing sound. Treatment involves anti-inflammatory measures based on the number of infectious pathogens and specific symptoms, and isolation precautions should be taken to prevent the infection from spreading to other children.

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Written by Tong Peng
Pediatrics
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The difference between pertussis and allergic cough

Pertussis (whooping cough) and allergic cough are different. Firstly, pertussis is an acute respiratory infectious disease caused by Bordetella pertussis. Its symptoms include paroxysmal and frequent coughing, sometimes accompanied by a deep, crowing, inspiratory whoop sound. If not treated promptly, the condition can last for several months, which is why it is called whooping cough. Due to its high contagiosity and epidemic history, if infants contract pertussis, their condition can worsen, making them prone to complications like severe pneumonia or heart failure. However, allergic cough is a non-infectious condition primarily caused by hypersensitivity of the airways, easily triggered by various external allergens, leading to irritating dry coughs, but not worsening to lower respiratory tract infections. In daily life, by avoiding environmental allergens and using treatments such as nebulization and oral antiallergic medications, management is possible.

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Written by Li Ying
Neonatology
1min 18sec home-news-image

After receiving the DTP vaccine, can you still get whooping cough?

The DTP vaccine is a combination of pertussis bacteria, diphtheria toxoid, and tetanus toxoid, which can prevent whooping cough, diphtheria, and tetanus simultaneously. The target group for the DTP vaccine is children aged 3 months to 7 years. The DTP vaccine requires three consecutive shots. Only after the three consecutive injections will sufficient antibodies be produced. However, these antibodies can only be maintained for a certain period of time and do not provide lifelong immunity. Many parents mistakenly think that once their child is vaccinated, they are invulnerable to all diseases, but this is an unscientific notion. The efficacy of vaccines is not 100%. The common basic vaccines currently used generally have an efficacy rate of over 80%, meaning that after vaccination, 80% of people will produce antibodies. However, since the antibody concentration of some vaccines can decrease significantly over time to a level that does not reach the immunity concentration, booster shots are necessary.

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Written by Zeng Hai Jiang
Pediatrics
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Why is whooping cough milder during the day and worse at night?

Whooping cough is an acute respiratory infectious disease caused by Bordetella pertussis infection, commonly seen in children. The main symptoms are paroxysmal spasmodic coughing, a crowing inspiratory noise, with coughing occurring both during the day and at night, more significantly at night. The main reasons are as follows: first, the dry indoor air causes irritation. Second, during the night, the mucus secreted by the bronchial mucosa cannot be expelled from the body, which stimulates the bronchial nerves and triggers worsening cough symptoms. Coughing can also cause redness of the face and ears, runny nose, nausea, and vomiting.

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Written by Li Jian Wu
Pulmonology
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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.)