Pertussis is diagnosed through what?

Written by Li Jian Wu
Pulmonology
Updated on December 28, 2024
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Whooping cough is a respiratory infectious disease, generally diagnosed through typical clinical symptoms and laboratory test results. Typical symptoms include paroxysmal, spasmodic coughing, which can also lead to flushed face and ears, runny nose, acute sickly appearance, while some patients may have a cough that sounds like a puppy's bark and others may exhibit a crowing sound during inhalation. During this period, sputum pathogen culture or other auxiliary examinations can be used for diagnosis, and sensitive antimicrobial drugs can be chosen for anti-inflammatory treatment.

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Written by Li Jian Wu
Pulmonology
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What causes fever in pertussis?

Pertussis, a symptom caused by the infection of Corynebacterium diphtheriae or Bordetella pertussis, facilitates the presence of these substantive pathogens in the body. These pathogens stimulate the body's temperature regulation center, leading to immune fever symptoms. This is a reaction where the body's resistance is fighting against these pathogens, causing a rise in body temperature which is considered normal. During the acute phase, symptomatic treatment should be administered. At the same time, based on the type of infectious pathogen, a sensitive antimicrobial agent should be chosen for etiological treatment. Additionally, it's important to drink plenty of fluids and maintain clean indoor air.

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Written by Li Jian Wu
Pulmonology
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Treatment methods for pertussis in children

The treatment methods for pertussis in children mainly involve anti-inflammatory processes, along with etiological treatment. Pertussis in children typically requires the selection of antimicrobial drugs to eradicate Bordetella pertussis. Clinically, macrolide antibiotics are primarily chosen, such as erythromycin, azithromycin, or clarithromycin. Also, depending on the nature of the cough, some central antitussive agents or cough and phlegm relieving drugs can be used to alleviate the symptoms of cough. Additionally, in the acute phase of inflammation where fever is present, antipyretic analgesics should be taken for symptomatic treatment. (Medication use should be under the guidance of a doctor.)

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Written by Li Jian Wu
Pulmonology
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How to Read Pertussis Test Results

The test for whooping cough is to see if there are any pathogens in the body. If it is confirmed that there is Bordetella pertussis, it can be determined that this disease causes spasmodic coughing, which might be prolonged and recurrent. It may also lead to fever, breathing difficulties, cyanosis of the lips, and signs of hypoxia, requiring symptomatic treatment first. At the same time, selecting macrolide antibiotics to kill the Bordetella pertussis, maintaining a good mental attitude, and ensuring that the room temperature and humidity are kept at appropriate levels are important. Attention should also be paid to the disinfection of the air. Additionally, as it is a communicable disease, isolation treatment is recommended to prevent cross-infection. It is important to adjust your mental attitude, follow the course of medication, and have regular check-ups.

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Written by Li Jian Wu
Pulmonology
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Can you still get whooping cough even if you have been vaccinated?

If the whooping cough vaccine is administered effectively and antibodies are produced, it generally prevents reinfection. However, if the vaccine is not administered according to the prescribed schedule, or if no antibodies are produced after the vaccination, exposure to this pathogen may still lead to infection. The disease is characterized by fits of coughing, which can cause blushing, runny nose, tears, nausea, and vomiting. Some children may also experience a barking cough and a crowing sound during inhalation.

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Written by Li Jian Wu
Pulmonology
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Is the pertussis vaccine a live vaccine?

The pertussis vaccine is a type of attenuated live vaccine, which clinically is mainly part of a combination vaccine that includes pertussis, diphtheria, and tetanus, commonly referred to as the DTP vaccine. Normally, a baby should receive the first dose at three months of age, followed by the second dose in the fourth and fifth months, as part of basic immunization. Between the age of eighteen months and two years, another dose is administered to boost immunity, which after producing lifelong antibodies, prevents reinfection with the disease.