Whooping cough is not an easy test, both for the child and for the parents. Unlike other types of infections, accompanied by cough, with this pathology cough attacks arise from various triggers, last from a few seconds to minutes, leaving the child marked discomfort. The cause of the disease are special bacteria that produce toxin that affects the epithelium of the respiratory tract. In the initial stage, whooping cough is treatable with antibiotics; in addition, it can be prevented with a vaccine!
What is whooping cough?
Whooping cough is one of the infections belonging to the category of children. The most dangerous is whooping cough due to the fact that the child has episodes of severe cough (reprises), which end with a distinct sound of “cock crow” when the child tries to inhale between cough jolts. Intense coughing attacks are repeated several times a day, provoking the slightest irritation (light, sound, excitement). Whooping cough cough is sometimes called a “100-day” cough, since it can last for several months in the absence of treatment.
Dangerous bacteria that cause disease
Whooping cough is caused by Bordetella pertussis bacteria, transmitted from sick people or carriers to healthy children. Bacteria invade the mucous membranes of the nose, oropharynx, and bronchial epithelium. Once inside the body, bacteria are fixed on the epithelial cells of the respiratory system and secrete cytotoxin, which acts on the cilia of the epithelium lining the airways. Cilia keep the airway clean, removing mucus and any foreign particles that enter the bronchi when breathing. The bacterial cytotoxin blocks their movement, and the person is forced to cough heavily in order to keep the airways clean, which causes pertussis coughing attacks.
A child becomes infected with whooping cough when he is in close contact with an infected person who can spread the bacteria, sneezing or coughing. Pertussis bacteria are highly contagious, and 80% of children who are not immune to infection can develop a serious form of the disease.
Severe whooping cough in a child: risk factors
There are a number of factors that can increase the risk of developing a child with whooping cough and its severe course. First of all, age plays a significant role: a young child is at a higher risk of infection, and children under six months are the most susceptible. Small children do not produce enough antibodies to protect against the pathogen, which makes them vulnerable to whooping cough. No less dangerous infection for the child who is immunocompromised - congenital or acquired.
A child who has not been vaccinated against pertussis is also more likely to get sick. If the baby becomes infected, early detection of symptoms is important to prevent deterioration.
The development of infection: the first manifestations
Pertussis symptoms develop one to three weeks after the baby becomes infected with bacteria. There are three stages of infection, the clinical picture in which is significantly different. The first stage lasts for the first and second week from the moment of infection. Early signs of infection include a runny nose, sneezing, a periodic, mild cough that sounds normal and is not like pertussis. Low fever is possible when the body temperature is between 37-37,7 ° C. Often the infection is taken for signs of SARS, the child does not receive proper treatment, which leads to a worsening of the condition.
Disease development: coughing
The second stage begins with the third week from the moment of infection. At this stage, the symptoms are acute, it is important to immediately show the child to the doctor if the parents notice the symptoms of the second stage of whooping cough. First of all, the cough does not decrease, but increases, occurs in the form of attacks. The child, under the action of the smallest irritants, will continuously cough until it stops. After a few minutes, the cough begins again and the picture continues. Attack paroxysmal cough lasts 15-30 seconds. During this time, the baby’s face may turn red or turn blue, and will return to normal after coughing stops. The sound of coughing seems loud, noisy, it is very dry and painful. Intense noisy breathing, which resembles a cock crow, interrupts cough. The sound is formed because the child has trouble breathing. It may seem that the cough is getting louder and sharper after each episode.
The child may have difficulty in inhaling and exhaling, you may notice that the child has shortness of breath during an attack and a pause in breathing (apnea). During cough, the child may vomit, especially if the attack is caused by feeding. The temperature may rise, crying without tears and a decrease in urination, indicating dehydration.
Final stage of whooping cough
The third stage of infection begins from the fourth week from the moment of infection. At this time, there is a gradual decrease in coughing and vomiting episodes. A typical sound during coughing and vomiting may stop completely by the sixth week. Sometimes it may seem like a child is getting better, but by the next week, whooping cough begins again. The child will continue periodic bouts of cough for more than ten weeks, that is, more than two months.
Often, if there is no indication of contact with a sick child who has had pertussis, the symptoms may initially be taken for other diseases. But as typical reprisals form, the diagnosis becomes clear.
To make a diagnosis at an earlier stage, it is important to collect nasopharyngeal swabs with the definition of bacteria that provoke an infection. In addition to their detection, antibiotic susceptibility studies are also conducted in order to begin treatment as soon as possible. In controversial cases, a blood test confirms the presence of antibodies in the blood that indicate an infection. Treatment of whooping cough begins after diagnostic tests accurately determine the presence of microbes in the child’s body.
Pertussis danger for children
The person has one hundred percent susceptibility to whooping cough. Therefore, if the vaccine was not delivered to him, then, having first met the pathogen, he will definitely get sick. This is especially true for children, and, the younger the child, the higher the risk that the disease will have a severe course. Bacteria is transmitted by airborne droplets.
Most often, children under 2 years of age suffer from whooping cough. It is in this age group that a large number of deaths are recorded.
It should be understood that vaccine resolution is not a panacea for the disease, and the risk of infection still remains. However, the chances that an infection will happen are extremely small. Moreover, if the bacterium does penetrate the child’s airway, it will not be able to seriously damage its health.
Neither the vaccine, nor the disease once transferred do not give lifelong immunity to pertussis. Antibodies will circulate in the body for no more than 5 years, after which their number will begin to decline sharply. Already 12 years after the last vaccination, pertussis immunity in a person is completely lost. This explains the fact that if an infected person appears in the family, all its members will become ill.
The average duration of the disease is 3 months. The therapy carried out at this time does not have any significant effect on the timing in terms of their reduction.
Symptoms of whooping cough in children
The main danger of whooping cough is that in the initial stages of development, it successfully "masks" under the usual acute respiratory disease. Moreover, it is at this time that whooping cough has maximum contagiosity and is transmitted almost instantly from one person to another. 20 days after the manifestation of the disease, the danger of infection of healthy people is reduced to zero. Despite this, the child will suffer from whooping cough symptoms for at least 2 more months, and maybe even longer.
The first symptoms that indicate the development of whooping cough in a child:
Sore throat that does not have a high intensity.
If the values on the thermometer exceed 38 ° C, then whooping cough can be excluded with a 100% probability.
After 10 days, these symptoms give way to coughing, which once again gains strength. After another 10 days, he acquires the character of attacks that are very difficult for young children to cope with. They simply begin to choke, as they are unable to take a full breath. Often these seizures end in vomiting. Between the attacks, the child feels satisfactory.
Paroxysmal cough is the main diagnostic criterion that allows to suspect whooping cough in a child. Cough persists in the background of good health and the absence of other symptoms of the disease.
One-day cough - a sign of whooping cough
Specific pertussis cough has a scientific basis.
It is known that inside the bronchi are lined with ciliated epithelium, which are in constant motion. This allows the sputum to move along the respiratory tract, providing them with moisture and protection.
Pertussis wand "grows" on these cilia, populating them and breeding there. Naturally, it responds to irritation of the epithelium. It sends a signal along the nerve endings to the brain, to the cough center, trying to get rid of the pathogenic stimulus in this way. As a result, the child has the same paroxysmal cough, which is so difficult for him to cope with.
Whooping cough cough lasts for 3 months, not because the body is unable to cope with the bacteria. Their numbers are sharply reduced already on day 20 of the onset of the disease. A prolonged cough torments a person because at the height of the infection the cough center was affected, in which a hotbed of irritation arose. Therefore, doctors use such a thing as a “hundred day cough” - it is characterized by whooping cough better than other symptoms.
It is in paroxysmal cough is the main distinguishing feature of whooping cough. The bacterium contributes to the strongest irritation of the cough center, then dies, and the cough persists for a long time. The child continues to suffer from attacks, although his body is already completely clean. Get rid of pertussis cough with the help of drugs will not succeed, it remains only to wait for it to go out on its own.
How to alleviate the condition of the child?
Although it is impossible to cure cough with whooping cough, it’s still really possible to make it less intense.
It is important to monitor how the baby breathes. If the air is cool and humid, coughing fits will be much easier.
Therefore it is necessary to observe the following recommendations:
Maintain a room temperature of 15 ° C Celsius above zero. Humidity should not be less than 30%.
Spend as much time as possible with your child in the fresh air, taking walks.
During coughing attacks, the child should be upright.
It is impossible for a child to experience fear during the next coughing fit. It is known that pertussis cough has a neuropsychiatric basis, and therefore, will increase under the influence of stress. You need to stay calm and try to distract the baby by other activities.
Every effort should be made to keep the child happy and calm. As an experiment, you can offer him a new toy or include a fascinating cartoon. Please note that if a child is busy with an interesting affair, he does not worry about coughing.
Cough preparations do not help to reduce its intensity in whooping cough, so it makes no sense to use them. It is much more effective in terms of treatment to spend time in the fresh air, as well as to bring joy to your child. Positive emotions from communicating with parents, watching your favorite cartoons and other activities that are exciting for kids allow you to quickly get rid of obsessive coughing attacks.
Doctors strongly recommend "distracting" the child's brain from coughing, taking up its useful and interesting activities. Therefore, at the time of recovery from whooping cough, you can allow the child even what was previously prohibited.
Treatment of pertussis in children
It is often too late to treat whooping cough with drugs. The fact is that the time when they could bring real effect is almost always lost.
Pertussis stick shows its maximum activity in the first 10-12 days after its contact with the mucous membrane of the respiratory tract. If the child receives an antibacterial drug during this time period, the disease will not develop. However, it is almost impossible to identify whooping cough at such an early stage. The disease is very successfully masked by acute respiratory viral diseases that do not require antibiotics.
The pertussis stick is unable to develop resistance to antimicrobials. Therefore, if a person receives an antibiotic in the first 10 days after infection, the disease in him will be stopped, and all bacteria will be destroyed even before they damage the ciliated epithelium of the bronchi.
The paradox is that the cough manifests itself only after 10-12 days from the onset of the disease. At this time, taking antibiotics no longer makes sense, since the body destroyed the bacterium on its own and began to get rid of it.
Therefore, it is safe to say that the cure for pertussis exists! However, it is almost never possible to start taking it in time.
Preventing the disease with antibiotics
Erythromycin is an antibacterial drug that can and should be used for prophylactic purposes.
Evgeny Olegovich Komarovsky, a famous pediatrician who strongly opposes prophylactic antibiotics, has the following view on this question: “Whooping cough is one of the few diseases that requires antibiotics for prophylactic purposes. Erythromycin, taken before the onset of cough, as the main symptom of the disease, prevents the development of seizures and prevents all possible complications. Erythromycin does not have a significant negative effect on the intestines, liver and other internal organs. It is safe and effective in preventing pertussis. ”
It is necessary to take an antibiotic in the case when a child or an adult probably had contact with a person with whooping cough. For example, in a situation where there is a child in the family who has been diagnosed with whooping cough, it is necessary to drink the antibacterial drug to all of his close associates. And it does not matter whether the vaccination of adults was carried out in childhood.
Should I get a pertussis vaccine?
Whooping cough is a deadly threat to children under the age of 2 years. This is due to the underdevelopment of the respiratory muscles of the child, who is unable to cope with long-term coughing attacks. Therefore, the first pertussis vaccine is produced at the age of 3 months. Congenital immunity from the disease in children do not.
In the case when the infant suffers from whooping cough at the age of 3 months, compulsory hospitalization is required.
The pertussis vaccine is part of the DTP vaccine, during which the child also receives protection against diphtheria and tetanus.
Many parents wonder about the need for revaccination of the child from whooping cough at an older age. Experts point out that revaccination is necessary, as children belong to the group of people most vulnerable to whooping cough. They carry the infection especially hard. Moreover, the younger the child, the harder it will be for his body to cope with the disease, or rather, with its main symptom - paroxysmal cough.
Therefore, you should take care of the health and well-being of your baby and vaccinate him against this dangerous disease.
Parents should remember that before the vaccine was invented, whooping cough took many children's lives. This disease was in the first place among the causes of infant mortality until 1960. After the start of the mass vaccination campaign, the number of deaths decreased by 45 times. Despite this, children continue to die from whooping cough, and the reason is the carelessness of their parents who refuse to administer the vaccine!
Education: The diploma in the specialty “General Medicine” was obtained at the Volgograd State Medical University. Immediately received a specialist certificate in 2014
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Why is pertussis dangerous?
The causative agent of pertussis is Gram-negative bacterium Bordetella pertussis, which is very unstable in the external environment and dies after being treated with standard disinfectants. This microorganism has in its arsenal several components that infect the cellular elements of the human body.
The entrance gate for the infection is the mucous membrane of the upper respiratory tract, in which Bordetella begins to multiply actively, without entering the systemic circulation.
Components of bacteria such as exotoxins A and B, lipopolysaccharide (endotoxin) are the most aggressive for the mucous membrane. They contribute to its inflammation, increased sensitivity to histamine, as if "exposing" the mucous membrane, on contact with which any substance causes an paroxysmal spastic cough.
Coughing is a defense mechanism developed by nature in order to get rid of enemies in the airways. But under certain conditions it becomes painful, exhausting the patient and the pathological manifestation that does not bring relief and benefit. Gradually, the cough reflex is fixed in the brain, coughing attacks become more frequent and prolonged, forming a pathological dominant focus. At the same time, the stimuli entering this focus can cause excitation of the neighboring centers of vomiting and the vasomotor center, as well as the departments responsible for the innervation of skeletal muscles.
Thus, the peculiarities of the pertussis pathogen make it practically invulnerable. The period when it is possible to influence this microorganism proceeds with minimal clinical manifestations, which usually patients hardly pay attention to.
And after 3 weeks, when the height of the disease comes with coughing and breathing stops, the pathogen is almost completely eliminated from the body. And it remains to rely only on the strength of its own immune system and symptomatic treatment.
What is dangerous whooping cough?
Like any other disease, whooping cough is dangerous for its manifestations and complications, which can be very serious. Moreover, the younger the child, the harder the whooping cough and the higher the risk of death. The question “until what age is pertussis dangerous” does not have a clear answer, since the initial state of a human body that has encountered the pertussis pathogen may be different, therefore, the spectrum of manifestations and possible complications may be different. Even for an adult, whooping cough can be dangerous, especially if the patient has a weak immune system or has a chronic illness. But it is definitely particularly dangerous for young children (up to 2-3 years), and most of all - in the neonatal period.
The danger of whooping cough
It is considered that there are typical and atypical forms of whooping cough. Typical manifestations include all that are accompanied by paroxysmal cough, regardless of the presence or absence of a reprise (respiratory arrest). For atypical - abortive, erased or asymptomatic forms of the disease.
What pertussis manifestations are dangerous and why:
Danger of pertussis complications
Complications can occur no matter how early the treatment is started. But the sooner, naturally, the less often they appear.
Complications are divided into two large groups:
- Associated with exposure to pertussis pathogen.
- Associated with exposure to secondary bacterial flora.
Effect of Pertussis Infection
Complications that are associated with exposure to pertussis infection are dangerous due to the development of secondary changes in the respiratory system, cardiovascular and nervous.
If the respiratory system is damaged, lung atelectasis can develop due to the accumulation of sputum in remote areas of the lung, which does not disappear for a long time. In this place, a sclerotic focus is formed, that is, a functioning lung tissue is replaced by connective tissue, which has only a structural function. As a result of this process, the total functional volume of the lungs decreases and, accordingly, healthy areas work with increased load, which subsequently leads to decompensation.
Complications of the cardiovascular system are the development of "pulmonary heart" due to increased stress in the vessels of the pulmonary circulation. This develops due to the fact that the vessels enveloping the alveoli have to work hard because the lumen has narrowed in the alveoli or the sclerotherapy has developed, they become inelastic and no longer participate in the exchange of oxygen. At the same time, blood pressure rises first in these microscopic vessels, and then retrograde - in larger vessels. And thus pressure in the right parts of the heart rises and a structural reorganization of the heart begins.
In addition, due to severe paroxysms of cough, an increase in pressure develops in the vessels of other organs and hemorrhages may occur in the conjunctiva, in the ventricles of the brain, in the heart muscle, in the kidneys and other organs.
The place where the hemorrhage occurred is then replaced by connective tissue and microtubules are formed.
Ecthefalopathy with whooping cough has the same mechanism as the damage to the cardiovascular system, microtubules are formed in the brain, disrupting its full-fledged work. Despite the fact that the human body has a huge potential for recovery, and the function of the lost area is assumed by the neighboring healthy tissues, nevertheless, this process is more difficult for the nervous system. And if a large area is affected, then the changes may be irreversible.
The effect of bacterial flora
Bacterial complications such as bronchitis and bronchiolitis as well as pneumonia develop as a result of the addition of a secondary infection. Stagnation of sputum in remote areas of the bronchial tree leads to the active reproduction of pathogenic bacteria, which contribute to the above-mentioned diseases. And in the conditions of the mucous membrane affected by whooping cough, it is very difficult to treat such complications, and in many patients the treatment takes place in conditions of the intensive care unit.
Thus, complications of pertussis are dangerous by the formation of foci of sclerosis in various organs and tissues and bacterial infection, as a result of which such an organ can no longer fully perform its functions.
Is pertussis dangerous in vaccinated people?
The child’s or adult’s body can be helped only by increasing the body’s non-specific resistance (hardening, day regimen, and other procedures) or by vaccination, artificially introducing the immune system with the pertussis pathogen. At the same time, antibodies are developed in the human body, which, when in contact with a “real” pathogen, will be able to resist it. Therefore, vaccinated children with DTP vaccine (of course, it is better to use a highly purified vaccine), whooping cough is relieved, the spasmodic cough period is shortened (up to one week instead of 2-4 weeks), the overall duration of the disease is shortened, and the risk of complications is reduced. Again, due to the fact that the immune system of the infected person vaccinated on time begins to delimit the area of impact of Bordetella pertussis.
That is, the danger of pertussis for those vaccinated is several dozen times lower than for the unvaccinated, and severe forms of the disease, as a rule, do not develop.
Hazard in young children
Perhaps the most unprotected cohort of patients with whooping cough is children under 2–3 years old.
The reasons why these children are most vulnerable are:
These features lead to the following consequences:
- The extended period of spasmodic cough compared with older children and adults.
- Hemorrhagic syndrome (hemorrhage) develops mainly in the brain, which leads to severe residual neurological consequences.
- More often develop severe and moderate forms of the disease.
- Violation of the general condition of the child even in the interictal period, and some children lose their previously acquired skills (sit, walk, etc.).
- Characterized by a large percentage of complications, both bacterial and associated with the development of hemorrhages in organs and tissues.
- Signs of secondary immunodeficiency are noted earlier.
Thus, the most unprotected category of patients are newborns and children up to three years old, as well as unvaccinated patients. Therefore, before deciding not to vaccinate your child, you need to weigh all the risks and decide for yourself what is more dangerous: vaccination or complications of pertussis. Health to you and your children!
Whooping cough - a very contagious disease, to avoid infection when in contact with a patient is almost impossible. But we must bear in mind that the contact must be very close, the pathogen of the disease does not dissipate even when coughing by more than 2-3 meters, and it does not live in the external environment. Pertussis does not have an abrupt onset, so the patient may not even be aware of his diagnosis and quietly visit public places. At the initial stages, catarrhal manifestations of the disease may be absent, and even the temperature may not be understood, and it is at this stage that the patient is very contagious.
Increased symptoms and the onset of spasmodic cough can be expected around the thirteenth or fourteenth day. At this stage a characteristic pertussis cough with reprises appears. Depending on the severity of the course of the disease, the duration of attacks and the number of cycles of cough tremors can vary. During attacks, respiratory arrest and minor hemorrhages in the scleras of the eyes and on the conjunctiva are often observed.
The main symptom of whooping cough is a cough with "reprise"
Such a cough is most dangerous for young children, as they experience prolonged breathing stops, brain lesions and convulsive twitching of the whole body can occur. Often coughing attacks are accompanied by vomiting. Given that such a cough can last three to four weeks, it becomes a real test for both the baby and his parents. After this comes the resolution, it does not mean that the cough stops, it just becomes less dangerous and gradually stops.
In adults, the disease is much easier, but still causes a lot of trouble. A long cough for a month or two makes it difficult to work productively and destroys the entire usual rhythm of life.
Diagnosis and treatment of whooping cough
There are many ways to diagnose whooping cough, but all of them are not sufficiently effective and informative, therefore most often this diagnosis is made on the basis of a simple examination and questioning of the patient. Of course, it does not hurt the general blood test. Sometimes x-rays can show the presence of atelectasis in the lungs. It is also possible to diagnose whooping cough at an early stage using a bacteriological method, but the detection of bacteria in smears is not always possible, therefore, this method cannot be considered reliable.
Bed rest is very important in the treatment of pertussis in children.
The tactics of pertussis treatment is not different in children and in adults.. But in adults, the disease is much easier, so in most cases bed rest is not needed. Children need to limit their locomotor activity. Treatment of children under one year old and children with severe disease progression is performed only in the hospital setting. With home treatment, it is important to eliminate all factors that trigger coughing attacks, for example, even a harsh sound can cause coughing. In addition, it is necessary to ensure that the room where the patient is located, always has clean, moist and cool air, and a minimum of dust.
It is mandatory to use antibiotics in the treatment of whooping cough. If you start treatment with antibiotics before the appearance of characteristic coughing attacks, they can be avoided. If the cough has already appeared, then this indicates a lesion of the cough center of the brain, therefore, even after the pertussis stick is destroyed, the cough will not stop. In the case of a very strong cough, antitussives can be prescribed, in other cases you just have to endure and wait.
Should you be afraid of whooping cough
Vaccination against pertussis is mandatory for all children and is usually carried out in several stages, starting at 3 months of age. It is justified by the fact that maternal antibodies are practically not transmitted to the baby and the probability of being infected and getting sick for him is at a very early age. The worst thing is that For babies up to one year, whooping cough is a deadly disease.
Children under one year old do not know how to cough, and their nervous system is still immature compared with an adult. In such children, against the background of whooping cough, sufficiently long breath delays occur, which can lead to lesions of the nervous system and brain, as well as death.
Vaccination - the best method of prevention of whooping cough
For older children, whooping cough is not so dangerous, but an exhausting cough for several months is not the best entertainment anyway. Besides, Pertussis often causes complications, such as pneumonia, caused by pertussis as well as other microbes. Laryngitis, bronchiolitis, nasal bleeding and hernia are also often noted. More severe complications are encephalopathy, epilepsy and deafness.
Therefore, it can be said with confidence that, if they are not afraid, then one should definitely fear pertussis. Even if you are not a small child, and you are lucky to recover without complications, and you do not infect anyone, weeks of dry cough can drive anyone crazy.
How to protect against whooping cough (Video)
The most effective way to protect against whooping cough is grafting. Everyone knows this, but, nevertheless, some parents deliberately deprive their children of protection, believing that if everything around is vaccinated, then nothing threatens them. Indeed, the pertussis component of the DPT vaccination is difficult enough, often the temperature of the children increases, there is a slight discomfort and loss of appetite, and this makes the parents “pity” the child. The problem is that there are many such irresponsible parents in our country and the likelihood of whooping cough is high enough in any region.
Is there any chance of infection with whooping cough after vaccination? Of course there is. Even if all polls were vaccinated, some minimum probability would still remain. In the current situation, this probability is more than real.But it is important to remember that a vaccinated child, if sick, is easy. Most likely, he will not notice a significant discomfort, except that he coughs a little more than with a simple ARI, and certainly vaccination will avoid a fatal outcome.
It is also important to remember that unvaccinated adult - a threat to the baby up to 3 months. Your friend who “coughs for a long time” may well have whooping cough and infect a child. Therefore, with small children it is not necessary to visit societies where there can be many people in a confined space. As we have said, the pertussis stick can scatter up to 3 meters, so it is better not to let coughing people get closer and certainly not allow strangers to look into the stroller / sling and touch the child.
What is dangerous for whooping cough?
The danger of whooping cough for the patient lies in the cough itself, and in subsequent complications.
The first danger of whooping cough is asphyxiation. Due to strong coughing during the next unproductive breath with a characteristic whistling sound, the child can remain up to a minute almost without air, sometimes longer. Some parents panic when their baby coughs to nausea and turns blue because it cannot breathe from the spasm.
The second danger, which is even more terrible than the first, is the secondary infection with staphylococci, streptococci and other cocci through the damaged mucous membrane, which leads to pneumonia.
Why is pneumonia worse than whooping cough? Because according to the Federal State Statistics Service, one (1) person died of whooping cough in Russia in a year, and more than 26,000 of all kinds of pneumonia.
Danger to others
Whooping cough is very contagious. The probability of infection upon contact with a patient is 90%. At the onset of the disease, whooping cough manifests itself as a simple cough without fever and snot, and the patient is infectious from the first day for a whole month. This period can be reduced by taking antibiotics, to which bordetella pertussis is susceptible, but do not drink the same antibiotics with every cough! In the meantime, the cough will become characteristic and recognizable, it will take several days of inactivity, during which the patient carries whooping cough across the team or within the family.
How to treat whooping cough?
To prevent whooping cough, you can take several preventive measures:
- Vaccination. The pertussis vaccine is a part of the DPT vaccination, which, according to the National Calendar, vaccines are given to children at 3 months, at 4.5 months and at 6 months, and revaccination at one and a half years. It is the anti-pertussis component that, according to experts, gives the greatest complications, and the vaccination itself does not provide strong immunity. There is something to think about.
- Fresh air. Dry and warm air is not conducive to abundant sputum, mucus becomes thick and does not have a good expectoration. The body creates excellent conditions for the reproduction of harmful "cocci", which we have already written. Thus, the best prevention is a walk in the fresh air, and the room should be aired more often and, if necessary, further moisten the air.
If prevention did not help, call your local doctor. The doctor will listen and hear everything. Other diagnostic tools are not very effective.
Having determined whooping cough, doctors usually prescribe antibiotics. Acceptance of antibiotics has two objectives: to kill all bordetella pertussis and to prevent the reproduction of other pathogens in the lungs. A cough, if it is heavy, does not become easier after taking antibiotics, because antibiotics cannot restore the cilia of the epithelium, then you just have to wait. Wait, walk, breathe fresh air.