Pertussis

Question 1

Organisms that cause pertussis?

Answer 1

Bordetella pertussis, bordatella parapertussis

Question 2

Name the stage of pertussis infection?

Answer 2

Catarrhal stage, paroxysmal stage, convalescent stage

Question 3

Describe catarrhal stage

Answer 3

URI symptoms, low grade fever 1-2 weeks

Question 4

Describe paroxysmal stage

Answer 4

Whoop, post tussive emesis, prolonged coughing fits

Question 5

When do you need to diagnosis and treat to prevent whooping cough episodes?

Answer 5

Catarrhal stage

Question 6

What labs and imaging should you get if you suspect pertussis?

Answer 6

Pertussis pcr, only test obtained if you suspect pertusis, CBC (may show lymphocytosis), CXR

Question 7

What is used in early treatment?

Answer 7

Azithromycin, eliminates nosopharyngeal carriage. Want to prophylactically treat family

Question 8

Possible complications of pertusis?

Answer 8

pneumonia, atelectasis (complete or partial collapse of the lung), pneumothorax, pneumomediastinum, emphysema

Question 9

What is the recommended interval for pertussis vaccine?

Answer 9

DTAP- 2, 4, 6, months. Booster at 18 months and 4 yo. TDAP at 11 years old. Booster every 10 years (ONLY VACCINE FOR BORDATELLA PERTUSSIS)

Question 10

What should pregnant women receive and when?

Answer 10

TDAP in 3rd trimester