WHOOPING
COUGH
INTRODUCTION
•Whooping cough is a highly contagious
bacterial infection of the lungs. It is also
known as pertussis.
DEFINITION
Whooping cough is an acute infectious disease,
usually of young children caused by Bordetella
pertussis. It is clinically characterized by an
insidious onset with mild fever and an irritating
cough, gradually becoming paroxysmal with
characteristic “whoop” often with cyanosis and
vomiting.
EPIDEMIOLOGICAL DETERMINANTS
MODE OF
TRANSMISSION
PATHOPHYSIOLOGY
INCUBATION PERIOD
Usually 7 to 14 days, but not more than 3
weeks.
COMPLICATIONS
• bronchitis,
• bronchopneumonia
• bronchiectasis
• subconjunctival hemorrhages
• epistaxis
• hemoptysis and punctate cerebral hemorrhages which may
cause convulsions and coma.
CONTROL OF PERTUSSIS
CASES:-
The general principles of control includes early
diagnosis, isolation and treatment of cases, and
disinfection of discharges from nose and throat.
CONTACTS :-
Infants and young children should be
kept away from cases
MANAGEMENT OF PERTUSIS
Medical Management:-
Hospitalization
 Diet
Activity
Monitoring
Pharmacological
Management
ACTIVE IMMUNIZATION :- DPT is administer
In India, the National Policy is to immunize against
diphtheria, pertussis and tetanus simultaneously, by
administering 3 doses (each dose about 0.5 ml) of DPT
vaccine intramuscularly- at 1 month interval, starting at
the age of 6 weeks.
UNTOWARD REACTIONS
Pertussis vaccines may give rise to local
reactions at the site of injection, mild
fever, irritability.
CONTRAINDICATIONS
•anaphylactic reaction,
•encephalopathy
• a personal or strong family history of
epilepsy
• convulsions
NURSING ASSESSMENT
•Airway patency
•Auscultation
•Respirations
Pertusis

Pertusis