PERTUSSIS / Whooping cough

Question 1

acute infection of the respiratory tract characterized by repeated attacks of spasmodic coughing which consists of a series of explosive expirations, producing a crowing sound, “the whoop”, and usually followed by vomiting.

Answer 1

WHOOPING COUGH/PERTUSSIS

Question 2

SOURCE OF INFECTION

Answer 2

discharges from laryngeal and bronchial membrane

Question 3

3 Causative Agents of PERTUSSIS

Answer 3

1.Haemophilus pertussis
2.Bordet Gengou bacillus
3.Bordetella pertussis

Question 4

PERTUSSIS CLASSIFICATION:

Answer 4

bacteria

Question 5

PERTUSSIS Mode of Transmission:

Answer 5

§ Direct- respiratory and salivary contacts
§ Contact- crowding and close association with
patients
§ Droplet

Question 6

SUSCEPTIBILITY:

Answer 6

ONE ATTACK: definite and prolonged
immunity

Question 7

s/sx of PERTUSSIS
name the 2 stages

Answer 7

A. Invasive/ Catarrhal stage (7-14 days)
B. Spasmodic stage (4 to 12 weeks)

Question 8

1. Fever
2. Dry cough
3. Coryza

what stage of PERTUSSIS?

Answer 8

Invasive/ Catarrhal stage (7-14 days)

Question 9

1. Paroxysmal cough (PS)
2. Protrusion of eyes
3. Lymphadenopathy (dilated veins of the neck)
   what stage of PERTUSSIS?

Answer 9

Spasmodic stage (4 to 12 weeks)

Question 10

What precautionary measure is recommended for individuals with pertussis to prevent the spread of the infection?

Answer 10

Droplet precautions
-covering the mouth
-cough etiquette

Question 11

Why is isolation recommended for individuals with pertussis, and for how many weeks should it be maintained?

Answer 11

Pertussis is highly contagious, and ISOLATION FOR 3-6 WEEKS is recommended

Question 12

Why is abdominal support recommended for individuals with pertussis?

Answer 12

To prevent abdominal hernias due to paroxysmal coughing

COMMON: Umbilical Hernia

Question 13

Recommended approach for handling clothing contaminated with discharges from individuals with pertussis?

Answer 13

Boil the clothing for 15 minutes before laundering

Question 14

MEDICAL MANAGEMENT of PERTUSSIS/ WHOOPING COUGH:

Answer 14

o Droplet precaution (cover mouth)
o Cough etiquette
o Isolation for 3-6 weeks (highly communicable)
o AVOID USE of COMMON TOWELS, glasses and eating
utensils
o Abdominal support (abd. Hernia may happen d/t
paroxysmal cough; common=UMBILICAL HERNIA)
o Clothing contaminated with discharges should be
boiled for 15 minutes before laundering

Question 15

PERTUSSIS COMPLICATION
“bahahahahehe”
B-H-H

Answer 15

1. BRONCHOPNEUMONIA [infants and children]
2. HERNIA
   [when an internal organ pushes through a week
   spot in a muscle or tissue]
3. HEMORRHAGES
   [prevention]

Question 16

PERTUSSIS PREVENTION

Answer 16

1.DPT (6 weeks, 10 weeks, 14 weeks)
2. Booster dose is given at age 2 years old and
again at 4 or 5 years of age