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Tuesday, November 27, 2007

A Simple guide to Whooping Cough

A Simple guide to Whooping Cough
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What is Whooping Cough?
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Whooping cough is an acute infectious childhood disease of the respiratory tract caused by the bacillus Bordetella pertussis.

How is Whooping Cough transmitted?
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Whooping Cough is transmitted by droplets from coughing spells.

It is highly infectious.

The early stage when it appears to be a cold is the most infectious peroid.

Most infections occur in children under six years of age.

One attack usually confers immunity

What are the Signs and Symptoms of Whooping Cough?
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The incubation peroid is usually 10 - 12 days after contact with an infected child.
Symptoms start off with:
1.an ordinary cold (runny nose, sneezing, cough, fever) for 1-2 weeks followed by:

2.uncontrolled coughing that can last 1 - 2 months
.

Cough persists and become paroxysmal ending in a noisy inspiration "whoop" sound causing the child to go blue and vomit.

Between the spasms of coughing the child seems relatively well

What are the complications of Whooping Cough?
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The worst affected are children below the 1 year old.
Some serious complications are:
1.pneumonia,

2.seizures,

3.brain damage

4.nose bleeds

5.death
can occur during the severe coughing stage.

Serious complications are less with older children or adults.

Adults rarely get whooping cough because their immmunity from vaccination usually last 10 years after the last dose.

When adults get whooping cough, a prolonged, irritating cough may be present instead of whooping type of cough.

What is the Treatment of Whooping Cough?
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Antibiotics (erythromycin) are used in the treatment of Whooping cough.

Once severe coughing has begun, antibiotics are less effective. They can reduce the duration of the illness and stop the spread to others.

Family members should be treated once there is an infected person.

Tetracycline is used if the patient is allergic to erythromycin but should avoided in children because of the staining of the teeth.

Besides antibiotics, the following will help:
1.Steam inhalation

2.cough mixtures

3.oxygen therapy


4.avoid smokes, dust, dry air,sudden temperature change

What is the Prevention for Whooping Cough?
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Vaccination against whooping cough is the best prevention .

Since vaccination began, the worldwide incidence of whooping cough has declined.

Vaccination against diphtheria, pertussis (whooping cough), tetanus (DPT) is usually given to a baby at 3 months of age and repeated at 4 and 5 months of age.

There is a booster vaccination at 18 months.

In very rare cases (1 in 100,000 cases), there has been serious reactions such as seizures to the whooping cough part of the vaccination.

Recently, an improved acellular pertussis vaccine is now available. There are fewer side effects such as high fever and seizureswith this new vaccine.

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