Bordetella Pertussis Flashcards
1
Q
What kind of bacteria is it?
A
gram negative coccobacillus
2
Q
3 stages of infection
A
Catarrhal - URI-like sxs for 1-2 weeks
Paroxysmal - inspiratory whoop and posttussive emesis for 1 month; absent fever and well-appearing in between
Convalescent
3
Q
How is it diagnosed?
A
PCR
4
Q
Treatment
A
Azithromycin (macrolides) –> TMP-SMX
5
Q
Infants younger than 6 weeks taking macrolides for pertussis must be monitored for what?
A
Infantile Hypertrophic Pyloric Stenosis
6
Q
What are the only contraindications to pertussis vaccination?
A
previous anaphylactic reaction to dose or vaccine component
OR
encephalopathy within 7 days of previous dose of pertussis-containing vaccine that is not attributable to other cause
