{"id":4540,"date":"2023-07-04T06:13:26","date_gmt":"2023-07-04T06:13:26","guid":{"rendered":"https:\/\/blog.georgiaemsacademy.com\/?p=4540"},"modified":"2023-07-04T06:13:26","modified_gmt":"2023-07-04T06:13:26","slug":"pertussis-2","status":"publish","type":"post","link":"https:\/\/blog.georgiaemsacademy.com\/?p=4540","title":{"rendered":"Pertussis"},"content":{"rendered":"\n<h2>What is Pertussis?<\/h2>\n\n\n\n<p>Pertussis,&nbsp;also&nbsp;called \u201cwhooping&nbsp;cough,\u201d&nbsp;is&nbsp;a&nbsp;disease&nbsp;caused&nbsp;by&nbsp;bacteria&nbsp;(germs)&nbsp;that&nbsp;is&nbsp;easily spread from person&nbsp;to&nbsp;person.&nbsp;Pertussis&nbsp;is&nbsp;usually&nbsp;mild&nbsp;in&nbsp;older&nbsp;children&nbsp;and&nbsp;adults,&nbsp;but&nbsp;it&nbsp;often&nbsp;causes&nbsp;serious&nbsp;problems&nbsp;in&nbsp;very&nbsp;young&nbsp;children.<\/p>\n\n\n\n<h2><strong>What are the symptoms of pertussis?<\/strong><\/h2>\n\n\n\n<p>Pertussis symptoms have three&nbsp;stages.&nbsp;The&nbsp;first&nbsp;stage&nbsp;begins&nbsp;like&nbsp;a cold with a&nbsp;runny&nbsp;nose, sneezing&nbsp;and&nbsp;cough.&nbsp;The&nbsp;cough&nbsp;lasts&nbsp;for&nbsp;a&nbsp;week&nbsp;or&nbsp;two&nbsp;then&nbsp;slowly&nbsp;gets&nbsp;worse.&nbsp;The&nbsp;second&nbsp;stage&nbsp;is&nbsp;marked&nbsp;by&nbsp;uncontrolled&nbsp;coughing spells,&nbsp;vomiting&nbsp;after coughing,&nbsp;and&nbsp;sometimes a&nbsp;whooping&nbsp;noise&nbsp;that&nbsp;you&nbsp;can&nbsp;hear&nbsp;when&nbsp;the&nbsp;person&nbsp;breathes in.&nbsp;During&nbsp;severe coughing spells&nbsp;or&nbsp;spasms,&nbsp;a&nbsp;person&nbsp;may&nbsp;stop&nbsp;breathing&nbsp;or&nbsp;become&nbsp;blue&nbsp;in&nbsp;the&nbsp;face&nbsp;from&nbsp;lack&nbsp;of&nbsp;air.&nbsp;Between&nbsp;spells,&nbsp;the person often appears&nbsp;to&nbsp;be&nbsp;well.&nbsp;This&nbsp;stage&nbsp;lasts&nbsp;for&nbsp;about 2&nbsp;to&nbsp;6 weeks. The&nbsp;final&nbsp;stage&nbsp;is&nbsp;when&nbsp;the&nbsp;symptoms&nbsp;begin&nbsp;to&nbsp;gradually lessen. The&nbsp;person&nbsp;still&nbsp;may&nbsp;have coughing&nbsp;spells,&nbsp;but&nbsp;is&nbsp;beginning&nbsp;to&nbsp;get&nbsp;better. The&nbsp;duration&nbsp;of&nbsp;classic pertussis&nbsp;is&nbsp;about 6&nbsp;to&nbsp;10&nbsp;weeks.&nbsp;Adults,&nbsp;teens&nbsp;and&nbsp;vaccinated&nbsp;children&nbsp;often have&nbsp;milder&nbsp;symptoms&nbsp;that&nbsp;can&nbsp;be&nbsp;like&nbsp;bronchitis&nbsp;or&nbsp;some&nbsp;other&nbsp;cough illness.<\/p>\n\n\n\n<h2><strong>How is pertussis spread?<\/strong><\/h2>\n\n\n\n<p>The&nbsp;germs&nbsp;that cause pertussis&nbsp;live&nbsp;in&nbsp;the&nbsp;nose,&nbsp;mouth&nbsp;and&nbsp;throat,&nbsp;and&nbsp;are&nbsp;sprayed&nbsp;into&nbsp;the air&nbsp;when&nbsp;an&nbsp;infected person&nbsp;sneezes,&nbsp;coughs&nbsp;or&nbsp;talks. Other people nearby&nbsp;can&nbsp;then breathe&nbsp;in&nbsp;the germs.&nbsp;Touching&nbsp;a tissue&nbsp;or&nbsp;sharing a&nbsp;cup&nbsp;used&nbsp;by&nbsp;someone&nbsp;with&nbsp;pertussis&nbsp;can&nbsp;also spread&nbsp;the&nbsp;disease.&nbsp;The&nbsp;first&nbsp;symptoms&nbsp;appear about 7&nbsp;to&nbsp;10&nbsp;days&nbsp;after&nbsp;a&nbsp;person&nbsp;is&nbsp;exposed. People&nbsp;with&nbsp;pertussis&nbsp;can&nbsp;spread the disease&nbsp;starting&nbsp;up&nbsp;to&nbsp;2 weeks before until 3 weeks after&nbsp;the&nbsp;cough&nbsp;starts,&nbsp;or&nbsp;until they have finished 5 days&nbsp;of&nbsp;an&nbsp;appropriate&nbsp;antibiotic&nbsp;treatment.<\/p>\n\n\n\n<h2><strong>Who gets pertussis?<\/strong><\/h2>\n\n\n\n<p>In Massachusetts, pertussis&nbsp;is&nbsp;most&nbsp;common&nbsp;among&nbsp;people&nbsp;over&nbsp;10&nbsp;years&nbsp;old&nbsp;who&nbsp;have&nbsp;lost&nbsp;the protection they&nbsp;got&nbsp;from&nbsp;childhood&nbsp;vaccines.&nbsp;Infants&nbsp;are&nbsp;also&nbsp;very&nbsp;likely&nbsp;to&nbsp;get&nbsp;the&nbsp;disease&nbsp;since&nbsp;they&nbsp;are&nbsp;often&nbsp;too&nbsp;young&nbsp;to&nbsp;have&nbsp;full&nbsp;protection&nbsp;from&nbsp;the&nbsp;vaccine. However, anyone&nbsp;can&nbsp;catch&nbsp;pertussis&nbsp;and&nbsp;it&nbsp;can&nbsp;be&nbsp;hard&nbsp;to&nbsp;diagnose because symptoms&nbsp;may&nbsp;resemble a&nbsp;cold,&nbsp;followed&nbsp;by&nbsp;a nagging cough that&nbsp;lasts&nbsp;for&nbsp;weeks&nbsp;or&nbsp;months.<\/p>\n\n\n\n<h2><strong>Is pertussis dangerous?<\/strong><\/h2>\n\n\n\n<p>It&nbsp;can&nbsp;be,&nbsp;especially&nbsp;for&nbsp;infants. Pertussis&nbsp;can&nbsp;cause&nbsp;breathing&nbsp;problems,&nbsp;pneumonia,&nbsp;and&nbsp;swelling&nbsp;of&nbsp;the brain (encephalitis), which&nbsp;can&nbsp;lead&nbsp;to&nbsp;seizures&nbsp;and&nbsp;brain&nbsp;damage.&nbsp;Pertussis&nbsp;can&nbsp;also&nbsp;cause death, especially&nbsp;in&nbsp;very&nbsp;young&nbsp;infants,&nbsp;but&nbsp;this&nbsp;is&nbsp;rare.&nbsp;In&nbsp;older&nbsp;children,&nbsp;teens&nbsp;and&nbsp;adults, the&nbsp;disease&nbsp;is&nbsp;milder&nbsp;but&nbsp;may&nbsp;last&nbsp;for&nbsp;weeks&nbsp;or&nbsp;months.<\/p>\n\n\n\n<h2><strong>How is pertussis diagnosed?<\/strong><\/h2>\n\n\n\n<p>Pertussis can be very hard to diagnose. A doctor may think a patient has pertussis because of the symptoms, but a laboratory test is the only way to be sure. Pertussis is often diagnosed using a swab taken from the back of the nose. A blood test can also be done in some adolescents and adults.<\/p>\n\n\n\n<h2><strong>How is pertussis treated?<\/strong><\/h2>\n\n\n\n<p>The main treatment&nbsp;is&nbsp;plenty&nbsp;of&nbsp;rest&nbsp;and&nbsp;fluids,&nbsp;and&nbsp;antibiotics.&nbsp;Oxygen,&nbsp;medicine&nbsp;to&nbsp;help&nbsp;the&nbsp;patient&nbsp;breathe&nbsp;and&nbsp;mild&nbsp;sedatives&nbsp;are&nbsp;sometimes needed&nbsp;to&nbsp;help control severe coughing spells. Antibiotics&nbsp;can&nbsp;make&nbsp;the&nbsp;disease&nbsp;milder&nbsp;and&nbsp;the&nbsp;person less&nbsp;able&nbsp;to&nbsp;spread the disease&nbsp;if&nbsp;they&nbsp;are&nbsp;started early enough.&nbsp;Anyone&nbsp;who&nbsp;has&nbsp;been&nbsp;exposed&nbsp;to&nbsp;pertussis should see a&nbsp;doctor&nbsp;for&nbsp;antibiotics&nbsp;to&nbsp;prevent&nbsp;the disease, even&nbsp;if&nbsp;they&nbsp;were vaccinated.<\/p>\n\n\n\n<h2><strong>If I had pertussis in the past, can I get it again?<\/strong><\/h2>\n\n\n\n<p>Although pertussis&nbsp;disease&nbsp;is&nbsp;likely&nbsp;to&nbsp;provide&nbsp;immunity&nbsp;against pertussis,&nbsp;the&nbsp;duration&nbsp;of&nbsp;such&nbsp;immunity decreases over time.&nbsp;For&nbsp;this&nbsp;reason,&nbsp;people&nbsp;exposed&nbsp;to&nbsp;pertussis should see their&nbsp;doctor&nbsp;for&nbsp;antibiotics, even&nbsp;if&nbsp;they&nbsp;had&nbsp;the disease&nbsp;in&nbsp;the past.&nbsp;Children&nbsp;younger&nbsp;than&nbsp;7&nbsp;years&nbsp;old should have their immunization&nbsp;record&nbsp;reviewed&nbsp;by&nbsp;their&nbsp;doctor,&nbsp;in&nbsp;case&nbsp;they&nbsp;need&nbsp;more&nbsp;DTaP&nbsp;(diphtheria, tetanus&nbsp;and&nbsp;acellular&nbsp;pertussis)&nbsp;shots.&nbsp;Older&nbsp;children&nbsp;and&nbsp;adults&nbsp;who&nbsp;have&nbsp;never&nbsp;received&nbsp;a single&nbsp;dose&nbsp;of&nbsp;Tdap&nbsp;(tetanus, diphtheria&nbsp;and&nbsp;acellular&nbsp;pertussis)&nbsp;vaccine should&nbsp;talk&nbsp;to&nbsp;their doctor about getting a&nbsp;Tdap&nbsp;shot.<\/p>\n\n\n\n<h2><strong>Can pertussis be prevented?<\/strong><\/h2>\n\n\n\n<p>Vaccination&nbsp;is&nbsp;the&nbsp;best&nbsp;way&nbsp;to&nbsp;protect against pertussis. Pertussis vaccine&nbsp;is&nbsp;given&nbsp;with&nbsp;diphtheria&nbsp;and&nbsp;tetanus vaccines&nbsp;in&nbsp;the&nbsp;same&nbsp;shot.&nbsp;The&nbsp;shot&nbsp;that&nbsp;is&nbsp;currently&nbsp;used&nbsp;for&nbsp;children&nbsp;less&nbsp;than 7&nbsp;years&nbsp;old&nbsp;is&nbsp;called&nbsp;DTaP&nbsp;(diphtheria, tetanus, acellular&nbsp;pertussis).&nbsp;Tdap (tetanus,&nbsp;diphtheria,&nbsp;acellular pertussis)&nbsp;is&nbsp;a vaccine&nbsp;for&nbsp;children&nbsp;7&nbsp;years&nbsp;of&nbsp;age&nbsp;and&nbsp;older,&nbsp;adolescents&nbsp;and&nbsp;adults.&nbsp;Currently&nbsp;only&nbsp;1&nbsp;dose&nbsp;of&nbsp;Tdap&nbsp;is&nbsp;recommended. Before the Tdap&nbsp;vaccine&nbsp;was&nbsp;available,&nbsp;adolescents&nbsp;and&nbsp;adults&nbsp;did&nbsp;not&nbsp;have a good&nbsp;way&nbsp;to&nbsp;prevent pertussis&nbsp;because&nbsp;immunity&nbsp;to&nbsp;pertussis from&nbsp;childhood&nbsp;vaccines decreases&nbsp;over&nbsp;time.<\/p>\n\n\n\n<h2><strong>What are the risks from these vaccines?<\/strong><\/h2>\n\n\n\n<p>All&nbsp;vaccines,&nbsp;like&nbsp;other&nbsp;medicines,&nbsp;can&nbsp;cause side effects&nbsp;in&nbsp;some&nbsp;people.&nbsp;The&nbsp;DTaP&nbsp;vaccine&nbsp;can&nbsp;cause&nbsp;redness, swelling&nbsp;where&nbsp;the&nbsp;shot was&nbsp;given, fever, drowsiness,&nbsp;or&nbsp;fretfulness.&nbsp;More&nbsp;serious reactions, including seizures&nbsp;and&nbsp;persistent&nbsp;crying&nbsp;lasting&nbsp;for&nbsp;more&nbsp;than 3 hours,&nbsp;are&nbsp;very&nbsp;rare. Getting&nbsp;the&nbsp;DTaP&nbsp;vaccine&nbsp;is&nbsp;much&nbsp;safer&nbsp;than&nbsp;getting&nbsp;pertussis,&nbsp;and&nbsp;most&nbsp;people&nbsp;do&nbsp;not&nbsp;have&nbsp;any&nbsp;problems&nbsp;with&nbsp;the&nbsp;vaccine.&nbsp;Many&nbsp;more&nbsp;young&nbsp;children&nbsp;will&nbsp;get&nbsp;pertussis&nbsp;if&nbsp;parents&nbsp;stop&nbsp;getting&nbsp;them vaccinated.<\/p>\n\n\n\n<p>The&nbsp;Tdap&nbsp;vaccine&nbsp;can&nbsp;cause&nbsp;pain,&nbsp;redness, swelling&nbsp;where&nbsp;the&nbsp;shot&nbsp;was&nbsp;given, fever,&nbsp;headache,&nbsp;nausea, vomiting,&nbsp;diarrhea&nbsp;and&nbsp;other&nbsp;mild&nbsp;problems. More serious&nbsp;reactions&nbsp;are&nbsp;very&nbsp;rare.&nbsp;Getting&nbsp;the Tdap vaccine&nbsp;is&nbsp;much&nbsp;safer&nbsp;than getting&nbsp;pertussis,&nbsp;and&nbsp;most&nbsp;people&nbsp;do&nbsp;not&nbsp;have&nbsp;any&nbsp;problems&nbsp;with&nbsp;the&nbsp;vaccine.<\/p>\n\n\n\n<h2><strong>Who should get DTaP vaccine?<\/strong><\/h2>\n\n\n\n<p>All&nbsp;children&nbsp;younger than 7&nbsp;years&nbsp;old should&nbsp;get&nbsp;this&nbsp;vaccine&nbsp;unless&nbsp;they have a&nbsp;history&nbsp;of&nbsp;seizures&nbsp;or&nbsp;other&nbsp;brain problem&nbsp;or&nbsp;had&nbsp;a serious health problem after getting&nbsp;DTaP&nbsp;before. If&nbsp;not,&nbsp;your child should&nbsp;get&nbsp;DTaP&nbsp;when&nbsp;he&nbsp;or she&nbsp;is:&nbsp;<strong>2 months&nbsp;old,&nbsp;4&nbsp;months&nbsp;old,&nbsp;6<\/strong><strong>&nbsp;months&nbsp;old,&nbsp;12\u201315&nbsp;months&nbsp;old,&nbsp;and&nbsp;4\u20136&nbsp;years&nbsp;old.<\/strong><\/p>\n\n\n\n<h2><strong>Who should get Tdap vaccine?<\/strong><\/h2>\n\n\n\n<p>Older&nbsp;children&nbsp;and&nbsp;adults&nbsp;should&nbsp;get&nbsp;one&nbsp;shot&nbsp;of&nbsp;Tdap instead&nbsp;of&nbsp;a regular&nbsp;tetanus&nbsp;shot&nbsp;(Td). Adolescents&nbsp;usually&nbsp;get&nbsp;the&nbsp;Tdap&nbsp;shot&nbsp;at&nbsp;their&nbsp;11-12&nbsp;year old&nbsp;visit.&nbsp;It&nbsp;is&nbsp;especially important&nbsp;for&nbsp;adults&nbsp;in&nbsp;contact&nbsp;with&nbsp;young&nbsp;infants,&nbsp;such&nbsp;as&nbsp;parents,&nbsp;grandparents,&nbsp;health&nbsp;care&nbsp;workers&nbsp;and&nbsp;child&nbsp;care&nbsp;providers,&nbsp;to&nbsp;get&nbsp;a&nbsp;single&nbsp;Tdap&nbsp;shot.&nbsp;Children&nbsp;7&nbsp;to&nbsp;10&nbsp;years&nbsp;of&nbsp;age&nbsp;can&nbsp;get&nbsp;a dose&nbsp;of&nbsp;Tdap&nbsp;if&nbsp;they have&nbsp;not&nbsp;received&nbsp;all&nbsp;of&nbsp;their&nbsp;doses&nbsp;of&nbsp;DTaP&nbsp;and&nbsp;are&nbsp;not&nbsp;fully&nbsp;protected against&nbsp;pertussis.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>What is Pertussis? Pertussis,&nbsp;also&nbsp;called \u201cwhooping&nbsp;cough,\u201d&nbsp;is&nbsp;a&nbsp;disease&nbsp;caused&nbsp;by&nbsp;bacteria&nbsp;(germs)&nbsp;that&nbsp;is&nbsp;easily spread from person&nbsp;to&nbsp;person.&nbsp;Pertussis&nbsp;is&nbsp;usually&nbsp;mild&nbsp;in&nbsp;older&nbsp;children&nbsp;and&nbsp;adults,&nbsp;but&nbsp;it&nbsp;often&nbsp;causes&nbsp;serious&nbsp;problems&nbsp;in&nbsp;very&nbsp;young&nbsp;children. What are the symptoms of pertussis? Pertussis symptoms have three&nbsp;stages.&nbsp;The&nbsp;first&nbsp;stage&nbsp;begins&nbsp;like&nbsp;a cold with a&nbsp;runny&nbsp;nose, sneezing&nbsp;and&nbsp;cough.&nbsp;The&nbsp;cough&nbsp;lasts&nbsp;for&nbsp;a&nbsp;week&nbsp;or&nbsp;two&nbsp;then&nbsp;slowly&nbsp;gets&nbsp;worse.&nbsp;The&nbsp;second&nbsp;stage&nbsp;is&nbsp;marked&nbsp;by&nbsp;uncontrolled&nbsp;coughing spells,&nbsp;vomiting&nbsp;after coughing,&nbsp;and&nbsp;sometimes a&nbsp;whooping&nbsp;noise&nbsp;that&nbsp;you&nbsp;can&nbsp;hear&nbsp;when&nbsp;the&nbsp;person&nbsp;breathes in.&nbsp;During&nbsp;severe coughing spells&nbsp;or&nbsp;spasms,&nbsp;a&nbsp;person&nbsp;may&nbsp;stop&nbsp;breathing&nbsp;or&nbsp;become&nbsp;blue&nbsp;in&nbsp;the&nbsp;face&nbsp;from&nbsp;lack&nbsp;of&nbsp;air.&nbsp;Between&nbsp;spells,&nbsp;the person often appears&nbsp;to&nbsp;be&nbsp;well.&nbsp;This&nbsp;stage&nbsp;lasts&nbsp;for&nbsp;about 2&nbsp;to&nbsp;6 weeks. The&nbsp;final&nbsp;stage&nbsp;is&nbsp;when&nbsp;the&nbsp;symptoms&nbsp;begin&nbsp;to&nbsp;gradually lessen. The&nbsp;person&nbsp;still&nbsp;may&nbsp;have coughing&nbsp;spells,&nbsp;but&nbsp;is&nbsp;beginning&nbsp;to&nbsp;get&nbsp;better. The&nbsp;duration&nbsp;of&nbsp;classic pertussis&nbsp;is&nbsp;about 6&nbsp;to&nbsp;10&nbsp;weeks.&nbsp;Adults,&nbsp;teens&nbsp;and&nbsp;vaccinated&nbsp;children&nbsp;often have&nbsp;milder&nbsp;symptoms&nbsp;that&nbsp;can&nbsp;be&nbsp;like&nbsp;bronchitis&nbsp;or&nbsp;some&nbsp;other&nbsp;cough illness. How is pertussis spread? The&nbsp;germs&nbsp;that cause pertussis&nbsp;live&nbsp;in&nbsp;the&nbsp;nose,&nbsp;mouth&nbsp;and&nbsp;throat,&nbsp;and&nbsp;are&nbsp;sprayed&nbsp;into&nbsp;the air&nbsp;when&nbsp;an&nbsp;infected person&nbsp;sneezes,&nbsp;coughs&nbsp;or&nbsp;talks. Other people nearby&nbsp;can&nbsp;then breathe&nbsp;in&nbsp;the [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[1],"tags":[],"_links":{"self":[{"href":"https:\/\/blog.georgiaemsacademy.com\/index.php?rest_route=\/wp\/v2\/posts\/4540"}],"collection":[{"href":"https:\/\/blog.georgiaemsacademy.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blog.georgiaemsacademy.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blog.georgiaemsacademy.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/blog.georgiaemsacademy.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=4540"}],"version-history":[{"count":1,"href":"https:\/\/blog.georgiaemsacademy.com\/index.php?rest_route=\/wp\/v2\/posts\/4540\/revisions"}],"predecessor-version":[{"id":4541,"href":"https:\/\/blog.georgiaemsacademy.com\/index.php?rest_route=\/wp\/v2\/posts\/4540\/revisions\/4541"}],"wp:attachment":[{"href":"https:\/\/blog.georgiaemsacademy.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=4540"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.georgiaemsacademy.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=4540"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.georgiaemsacademy.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=4540"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}