Is pertussis prone to recurrence?

Written by Li Jian Wu
Pulmonology
Updated on April 27, 2025
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Pertussis is a common respiratory infectious disease. If it is not fully treated and medication is stopped right after the symptoms are alleviated, it is likely to cause repeated relapses and persistent prolongation. Therefore, the treatment of this disease should follow the doctor's advice, choose an adequate amount of antibiotics, and adhere to the prescribed course of treatment. After one course of treatment, a re-examination should be conducted to confirm the absence of the pathogen in the body before discontinuing the medication. Medication should not be stopped merely based on symptom relief, as doing so can easily lead to repeated relapses and prolonged disease, affecting the child’s normal life and, in severe cases, possibly causing delayed growth and development.

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Written by Li Jian Wu
Pulmonology
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What causes whooping cough?

Pertussis, also known as whooping cough, is a respiratory infectious disease primarily caused by the Bordetella pertussis or Corynebacterium diphtheriae bacteria. It is contagious and has a prolonged course, often leading to paroxysmal spasmodic coughing. It is commonly seen in infants and spreads through airborne droplets and close contact. The disease is generally prevented through vaccination. It has been included in the national free vaccination program, with babies receiving injections at three, four, and five months of age as part of their basic immunization, followed by a booster shot after the age of two. Once antibodies are produced, they can effectively prevent the disease.

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Written by Li Jian Wu
Pulmonology
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Does whooping cough require hospitalization for treatment?

This particular disease cannot be certain whether hospitalization is needed; it depends on the severity of the disease, the patient's constitution, the duration of the illness, and the body's sensitivity to the pathogens. If it is just mild paroxysmal spasmodic coughing without persistent high fever, breathing difficulty, or hypoxia, hospitalization is generally not necessary. Treatment can be managed at home with oral medication or nebulized inhalation for symptomatic treatment. The main principle is to eradicate the Bordetella pertussis bacteria.

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Written by Li Jian Wu
Pulmonology
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Whooping cough vaccine at what age?

The pertussis vaccine is generally administered within the first year of age. Under normal circumstances, children should be taken to hospitals or public health prevention stations for vaccination according to the course of treatment. The first dose starts at the third month after birth, followed by the second dose at four months and the third dose at five months old. A booster can be administered when the baby is two years old. The DTP vaccine used in clinics mainly consists of three components: pertussis, diphtheria, and tetanus.

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Written by Li Jian Wu
Pulmonology
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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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Written by Li Jian Wu
Pulmonology
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What are the symptoms of whooping cough?

Pertussis, a disease caused by infection with the Bordetella pertussis or Corynebacterium diphtheriae, is a contagious respiratory illness. The typical symptom is severe coughing, which presents as paroxysmal, rapid coughing fits. This coughing can lead to redness in the face and ears, a runny nose, tears, and bulging neck veins. If these coughing symptoms are prolonged, it is advisable to visit a hospital to check the pathogen in the secretions. Once the pathogen is confirmed, treatment can include oral or intravenous macrolide antibiotics to control the infection, along with symptomatic treatment. (Note: The use of medications should be under the guidance of a professional doctor.)