00:01
Wrapping up, in a nutshell,
pertussis is a bacterial infection
caused by the <i>Bordetella pertussis</i> bacteria.
00:08
It is a highly contagious bacteria.
00:11
It is vaccine-preventable.
00:13
In children, they will
receive the DTaP vaccine.
00:15
The P is the pertussis coverage.
00:17
And in older children and adults,
they will receive the TDaP vaccine.
00:21
Again, the P is the pertussis coverage.
00:24
There are 3 stages of this.
00:26
The catarrhal, which is the
wet phase, first phase,
when patients think they have a cold.
00:31
They're spreading pertussis everywhere
because they have a mild illness.
00:34
Next, they will go into the second
stage, which is the paroxysmal phase
where they develop the deep whooping cough
that can make them vomit and
take their breath away.
00:43
And then the third stage where
they will improve and convalesce.
00:47
There's a variable testing window
and a variable treatment window,
so it's really important to have pertussis
on your differential in a high-risk patient.
00:58
So macrolides are the preferred treatment.
01:01
It is a required public health
notification in all cases of pertussis,
and household contacts also need to
be treated to prevent the spread.
01:11
Some patients may require
support in the hospital
and this is typically, the infant population.
01:16
And it can also be life-threatening.
01:19
Thank you for watching
this lecture on pertussis.