The child was ill with whooping cough. Whooping cough. Evidence-Based Guidelines for Patients If a Child Has Whooping Cough as a Child

Let's try to find answers to some of them together.

How is whooping cough transmitted?

How can you get whooping cough? Do I need to be in close proximity to the patient to do this?

Whooping cough is transmitted exclusively by airborne droplets. Moreover, outside the body, the bacteria that cause it die very quickly under the influence of direct sunlight, so the distance to the patient should be minimal. Another option for infection is a long stay in the same room with other children, some of whom may be carriers of the bacteria. But if you have concerns, it is better to contact the district pediatrician or a specialized clinic. Modern diagnostic methods allow you to determine the presence of an infection in the body in minutes.

It largely depends on which drug is used. In the DTP (adsorbed pertussis-diphtheria-tetanus) vaccine familiar to many mothers, recommended for use in the Russian Federation, it is as follows: your child will receive four vaccinations in infancy: 3; 4.5; 6 and 18 months. Two more - at 7 and 14 years old. And then - re-vaccination of adults every 10 years. For them, ADS or ADS-M preparations are used, in which there is no pertussis component.

risk of recurrence

What is the probability that a child who has been ill once again “receives” the same diagnosis and begins to cough heavily? Is it safe to be in the same apartment with him?

Pediatricians are aware of cases of re-infection, but they are extremely rare. Children diagnosed with whooping cough in the Russian Federation receive standard and highly effective treatment. As a result, their immunity begins to produce specific antibodies that fight the bacterium Bordetella pertussis. Therefore, if a previously ill child is worried about coughing, it is almost 100% likely not caused by whooping cough. And if there are other children next to him in the apartment, then they have practically no chance of getting whooping cough.

Is it possible to make a diagnosis of whooping cough without additional research?

In the initial stage of development, this is extremely unlikely: whooping cough can be easily confused with SARS or bronchitis. Because of this, therapeutic measures do not bring any noticeable result, and the general condition of the child remains quite satisfactory. When whooping cough passes into a spasmodic stage, in which external manifestations become more pronounced, the correct diagnosis does not present any difficulties.

What happens if whooping cough is not treated: complications

Is it true that the greatest risk to health is not the disease itself, but the complications after it? Why do doctors often insist on hospitalization even when the child's condition is quite satisfactory?

Stabilization of the temperature regime, a general improvement in well-being and a significant decrease in the severity of coughing attacks do not mean that the child has recovered. Whooping cough is a very insidious infection, so you need to approach the doctor's recommendations with all possible responsibility. The body of a baby who has barely survived a serious illness will not be able to effectively resist the infection, since the immune system is extremely weakened. Moreover, the slightest violation of the regimen can provoke complications that are extremely dangerous for health and life, which are often not related to the lungs or the ear-nose-throat zone.

• Protracted bronchitis.
• Pneumonia.
• Otitis.
• Spasm of the bronchi or blood vessels.
• Pertussis encephalopathy. This is a severe lesion of the central nervous system, manifested by fainting, convulsions, visual and hearing impairments. If you notice any of these symptoms, seek medical attention as soon as possible.
• Hernia and prolapse of the rectum. The hacking, heavy cough is to blame for this, which can significantly increase intra-abdominal pressure.
• Atelectasis (collapse of the alveoli) of the lung. This condition often develops very quickly and leads to acute respiratory failure. How to deal with it? Call an ambulance immediately.
• Stroke and retinal detachment. Such conditions are explained by sharp pressure surges that occur as a result of a strong cough attack. The likelihood of such complications is extremely small, but if you encounter characteristic symptoms, you should not delay contacting a doctor.

Can you really die from whooping cough?

Rumors that this disease is fatal are very far from the real state of affairs. Even in the 19th century, when little was known about the potential for vaccination, the death rate from whooping cough did not exceed the number of cases per person. After the experiments of Edward Gener (he first vaccinated cowpox in humans in 1796) received medical recognition, and Louis Pasteur developed methods of vaccination against other diseases, the death rate from whooping cough dropped significantly - up to cases per person.

But if you take into account the newly born babies, the situation will no longer be so rosy. They do not yet have their own immunity from whooping cough, and they will receive their first vaccination only at 3 months. Moreover, if a poor-quality vaccine is used (or its storage conditions are grossly violated), the likelihood of serious side effects will increase significantly.

In other words, if you followed all the recommendations of doctors during pregnancy, were revaccinated in a timely manner, made all the necessary vaccinations according to the schedule for the baby and did not expose his body to excessive stress, the probability of death will be extremely low.

How is whooping cough different from parapertussis?

Both of these diseases have a similar clinical picture, but it would be a big mistake to consider them as different manifestations of the same pathological process. If we discard subtleties of little interest to an ordinary person, then it will be possible to argue that parapertussis is a lite version of ordinary whooping cough. It proceeds much easier, does not give complications and does not always require any specific treatment.

• Pathogen: parapertussis (Bordetella parapertussis), which produces a toxin less powerful than Bordetella pertussis.
• Risk group: children 3-6 years old.
• Contagious period: no more than 14 days.
• Main symptom: cough (3-5 weeks). At the same time, the child most often maintains normal health, and fever and severe attacks with reprisals and vomiting are practically not observed.
• Incubation period: 7 to 15 days.
• Treatment: symptomatic.
• Duration of quarantine: 15 days.
• Active immunization: not available.
• Forecast: always (!) Favorable.
• Probability of re-infection: none.

Similarity to common whooping cough:

• potential source of infection;
• transmission routes;
• pathogenesis;
• methods and methods of diagnostics.

Is it possible to get whooping cough on the street

It is quite possible. You must understand that pertussis bacteria outside the body of the carrier is extremely unviable and dies very quickly. Therefore, the chance of infection on the street through accidental contact is quite small, although it still cannot be called zero.

If we talk about the possibility of infection in public places (theaters, schools, kindergartens, various sections and circles), where the duration of potential contact with the carrier of Bordetella pertussis is much longer, the situation will not be so rosy. In any room with insufficient ventilation and lack of direct sunlight, the bacterium can remain viable for a long time, as a result of which it will sooner or later "find" a new host.

But it does not at all follow from this that the baby needs to be kept at home all childhood, letting him go outside only on special occasions. If you do preventive vaccinations in a timely manner and teach your child to follow basic hygiene rules, the likelihood of infection can be significantly reduced.

reinfection

Is DTP a guarantee that a vaccinated child will never get whooping cough again? Does it make sense to refuse vaccination if whooping cough can still come back?

If your child has already had whooping cough, then doctors categorically do not recommend refusing routine DTP vaccinations. The fact is that the immunity that they provide is not stable. Sooner or later, he will no longer "recognize" Bordetella pertussis, and the likelihood of re-infection will increase significantly (on average, DTP lasts no more than 5-6 years). According to statistical studies, about 12% of all cases are adolescents over 15 years of age and adults, although whooping cough is considered exclusively a childhood disease.

It should be clarified that re-infection rarely leads to any serious consequences, and the disease itself is much easier. Therefore, you should not refuse preventive vaccinations: in any case, they “work”, as they significantly alleviate the symptoms.

Can whooping cough be treated with antibiotics?

There is no single answer to this question. The pertussis bacillus shows the greatest activity in the body of the carrier only during the first days. Therefore, if the child is given antibiotics at this time (remember, only a doctor should prescribe them!), Bordetella pertussis will be completely destroyed and the child will begin to recover quickly.

But the main problem of this method of treating whooping cough is that it is almost impossible to diagnose the disease at the very beginning of its development without laboratory tests. There is no cough, there are no specific symptoms, and visible clinical manifestations rather indicate ARVI or bronchitis. And if the district pediatrician has no particular reason to suspect whooping cough, he will prescribe ordinary vitamins or general strengthening agents for the small patient, which will not affect Bordetella pertussis in any way.

After 12 days, a paroxysmal period begins, characterized by severe coughing attacks. It can last quite a long time, sometimes up to 2-3 months. Antibiotics, even very strong ones, are practically powerless, which is why the prescribed treatment is most often symptomatic.

In this situation, doctors recommend at the first sign of a cold to still consult a doctor. Modern methods of laboratory diagnostics can detect whooping cough in less than an hour. And if, immediately after confirming the diagnosis, a mild and safe antibiotic (for example, erythromycin) is given to the child, it will suppress the reproduction of bacteria and make the recovery process much faster.

Disease risk for adults

Is it possible to catch whooping cough if you have already graduated from school and are raising children yourself? Why can the risk of infection persist for almost a lifetime?

Theoretically, this is possible (especially if the patient's defenses are weakened), but the likelihood of this is extremely small. The immunity provided by standard vaccines is not very durable - only 5-6 years. Therefore, doctors recommend that after this period, repeated vaccinations not only for children, but also for adults.

Can a child play sports with whooping cough?

Questions

Q: Is it possible to get whooping cough again?

Can you get whooping cough again?

Yes, such cases do occur. The fact is that vaccination immunity develops for a period of 5 to 12 years, after which it begins to decline, and susceptibility to the disease increases.

Learn more on this topic:

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Please use the search for answers (Database contains more than answers). Many questions are already answered.

Can you get whooping cough multiple times?

Whooping cough is a serious and dangerous disease that is caused by a bacterial infection. The disease is transmitted by airborne droplets. Whooping cough most often affects children and adolescents. The main symptom of whooping cough is a characteristic cough.

Children under the age of 2-3 years are most difficult to tolerate this disease, in young children complications may occur in the form of: otitis media, bronchitis, pneumonia, encephalopathy, apnea attacks, seizures. Due to severe coughing, hemorrhage in the brain can occur.

After the disease, persistent natural immunity is developed, the likelihood of re-illing with whooping cough is very small.

The whooping cough vaccine does not give permanent immunity, for this reason a second vaccination is needed.

whooping cough can be ill repeatedly and even after inoculation with DTP, where K is whooping cough. vaccination does not protect against the disease in general, but against severe forms of the disease in which a fatal outcome is possible

Whooping cough.

List of posts in the topic "Whooping cough." Forum Parents Meeting > Child Health

The children of friends were diagnosed with whooping cough today, we talked a week or two ago, their children have been very sick for a week now.

What should we do? the whole family has a cough and runny nose, I have the strongest, the child has the weakest. Describe to me, pliz, the symptoms of whooping cough, after how long should I go to donate blood?

And is it possible to get sick twice, my mom proves that I was already sick 😉

What we have now, my son has light snot, there is no cough at all, I have a bad runny nose in the morning, I have been weak since lunch and so every day, cough without attacks 2-3 times a day, my voice is shrunken, my husband just has a sore throat and a taste of metal, me the same.

Does this sound like the onset of whooping cough?

The last communication with a sick child was last Saturday, she had a fever on Saturday evening, we started to snort on Sunday afternoon, before that we met around September, from what date is quarantine considered, can we infect someone now? our nanny came down this Wednesday with our own symptoms, what does it look like, and when the child can go outside, we walked quietly until Friday (until we found out their diagnosis).

The pertussis causative agent is found in large quantities in the patient's sputum. Together with the smallest drops of sputum released during coughing, whooping cough pathogens enter the air, and from there into the respiratory tract of a healthy person. Sometimes whooping cough germs settle on toys, utensils and other items that the patient uses. If these items are then used by a healthy child, he will become infected with whooping cough. Small children are especially easily infected in this way, who take everything they come across by mouth.

A person with whooping cough is especially contagious at the onset of the disease, he remains contagious for 5-6 weeks.

Whooping cough affects children at any age, but most often in the younger - up to 5 years. A child who has whooping cough does not get sick again.

Severe attacks usually last 1-2 weeks, then the child begins to gradually recover. On average, children get sick for 5-6 weeks, and some for 2-3 months. Whooping cough lasts a long time if it is complicated by pneumonia or exacerbates tuberculosis.

In the warm season, a child with whooping cough should be kept outdoors all day. In winter, he must spend 4-8 hours in the air at a temperature not lower than -12 °. It is advisable to organize daytime sleep in the air, while the child should be warmly dressed, covered with a warm blanket. It is even better to use a warm quilted or fur bag.

If pneumonia has joined the whooping cough, the child should also be taken out into the air. This contributes to an easier course of the disease.

As a rule, a child with whooping cough, when he is carried away by some activity, does not cough. Therefore, it is necessary to strive in every possible way to interest the child in toys, pictures, to make him not be afraid of a coughing fit. It is very important not to irritate a child with whooping cough: any injustice towards him, refusal to comply with a request, force-feeding or dressing cause an increase in painful coughing fits and worsen the course of the disease. If others are nervous, react painfully to a coughing attack in a child, then the patient also becomes restless, which negatively affects his condition. Parents need to remember this.

The food of a child with whooping cough should contain many vitamins. Therefore, he needs to be given more fruits and berry juices, berries and vegetables rich in vitamins.

If coughing attacks are accompanied by vomiting, then the child loses part of the food eaten. Therefore, we must try to feed him more often - every 2-3 hours in small portions, give tasty and varied food.

Especially it is necessary to protect children from whooping cough in the first months of life. If in a family where there is a small child, the elder falls ill with whooping cough, it is necessary to place the patient in a hospital or send him to relatives who do not have children.

If a child with whooping cough cannot be provided with the necessary care at home or has serious complications, it is necessary to send him to the hospital.©

And still, at night began to be written! he has not been written for a long time, check the kidneys everything is ok. child 2.7 years old

a week and a half - snot, even went to the garden, everything is ok. On Friday, a cough appeared, and even vomited once, but not with thick sputum, but with what he had just eaten and drunk, and diarrhea (infrequent, but diarrhea). On Sunday evening, the temperature went up to 39. Now snot-cough, the temperature is still holding.

Maybe or is it SARS so vile?

my daughter coughed for a long time, several times a night, but for a total of 2-3 hours and at the end she vomited with transparent snot, without food, there was no temperature at all, it all lasted 2 months

the doctors first sent us, from the pediatrician to the ENT, and they didn’t find anything, because there was a completely normal child in a non-night cough, and when they sent us to an allergist ......

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A detailed explanation of whooping cough in children and adults: what it is, why this disease is dangerous, what symptoms and signs it manifests itself, necessary tests and examinations, treatment, vaccination.

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Last revision date: 05/23/2013

Volume: 10 pages For one page, the volume of text is approximately equal to the volume of one book page.

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What is whooping cough? Can he be dangerous?

Whooping cough is a contagious disease in which a sick person develops a painful cough.

In adolescents and adults, especially if they have previously been vaccinated against this disease, whooping cough does not cause any serious complications and, as a rule, ends with a complete recovery.

At the same time, for children of the first year of life, whooping cough poses a serious danger, especially if the child becomes ill with whooping cough in the first 6 months of life, if a child who was born prematurely, or a child who did not receive a vaccine against this infection on time, becomes infected with whooping cough.

In newborns and infants, whooping cough can cause sudden death due to respiratory arrest and heart failure. Of 100 children who get whooping cough in their first year of life, 1-2% die.

Every year, more than 50 million people worldwide fall ill with whooping cough, of whom about 300,000 die, most of them young children.

Where does whooping cough come from? How can a person get infected with it?

The causative agent of whooping cough is a microbe (bacterium), which in medicine is called Bordetella pertussis (bordetella pertusis).

Once in the human body, this bacterium produces toxins (poisonous substances), which cause severe inflammation and irritation of the surface of the respiratory tract. Outwardly, this is manifested by prolonged bouts of painful, dry cough.

In the course of epidemiological studies, it was found that the infection that causes whooping cough can only spread among people. For this reason, a healthy person (adult or child) can only get whooping cough from another person who has the disease.

As will be shown below in the chapter on whooping cough symptoms, quite often in adolescents and adults this disease is mild, in which the person has only a mild cough. People who get this form of whooping cough often believe that they have a common cold and therefore rarely go to the doctor, and even in those cases when they do go to the doctor, they are not always prescribed tests that can establish this infection. Because of this, people with whooping cough can spend many weeks infecting other people around them with whooping cough, not knowing that they are spreading a dangerous infection.

Whooping cough is transmitted by airborne droplets. This means that a healthy person can contract this infection by inhaling particles of mucus and saliva that are released into the air when a sick person sneezes or coughs.

It is believed that for infection with whooping cough it is enough:

How long is the incubation period for whooping cough?

Incubation period The incubation period is the period of time between the moment an infection enters the human body and the moment the first symptoms of the disease appear.

For many viral infections of the respiratory tract, such as influenza, the incubation period is 1-3 days (that is, the first symptoms of the disease appear 1-3 days after exposure to the virus). For other infections, the incubation period can vary from a few days (rarely hours) to weeks, months, or years. with whooping cough it can last from 5-7 days to 3 weeks.

When does a person with whooping cough become contagious and how long does it remain contagious?

A person with whooping cough becomes contagious as soon as the coughing fits start and may remain contagious for the next 2-4 weeks or more if not treated with antibiotics.

People who start antibiotic treatment (see below for which antibiotics are active against whooping cough) are no longer contagious within the first 5 days of treatment.

How long should a child be kept at home?

If your child gets whooping cough, they need to stay at home and not attend kindergarten or school (quarantine) for at least 5 days if they are receiving antibiotics, and at least 3 weeks if they are not receiving antibiotics.

Why do adults and children who have been vaccinated against this disease get sick with whooping cough?

The whooping cough vaccine is medically known as DTP.

According to the national vaccination schedules adopted in Russia and in many other countries, DPT vaccination is given to children in the form of 4 doses, aged 3 months, 4.5 months, 6 months and 1.5 years.

Observations of large groups of children who received all 4 doses of DTP showed that this vaccine is really effective and makes about 80-85% of children who received it immune to whooping cough (in the remaining 15-20% of children, the vaccine forms immunity, allowing the development of only mild forms of the disease ).

However, studies have shown that immunity against whooping cough does not last for life, but only for a period of 4 to 12 years after the last dose of vaccination.

It is for this reason that many children (and especially adults) can get whooping cough again (in a milder form than people who have never received the vaccine) several years after vaccination and become spreaders of this infection.

In this regard, in some countries, DTP vaccination is recommended not only for children, but also for adolescents (aged) and adults (especially pregnant women).

What are the symptoms and signs of whooping cough?

The symptoms and signs of whooping cough depend on the age of the affected person, whether they have been vaccinated against the disease, and what treatment they receive. We will explain this in detail below.

The first symptoms of whooping cough often resemble those of a common cold: runny nose, slight fever (up to 38.5 C), sore throat, occasional cough, and malaise.

1-2 weeks after the onset of these symptoms, when it seems to a person that he has already almost recovered, the main symptom of whooping cough appears: a dry, choking cough that comes in the form of attacks lasting for 1-2 minutes.

Whooping cough attacks can recur several times an hour and are especially common at night.

Whooping cough can be so severe that after a few bouts, the sick person may vomit or pass out.

In medicine, cases are also described when, during a strong cough, a person's ribs broke.

When the coughing fit subsides, a person infected with whooping cough may look normal and feel practically healthy.

A few weeks after the onset of the disease, the cough begins to subside. In general, whooping cough cough can persist for up to 6-10 weeks or even more.

In children and adults who have been vaccinated against whooping cough, this disease can develop in the so-called "atypical" or "erased" form, in which the sick person is only bothered by a dry cough (no runny nose, no fever), lasting several weeks. It should be noted that even with “erased” forms of whooping cough, despite the mild development of the disease, a sick person can infect other people around him (including children who do not yet have immunity to this infection and who can get sick with more severe forms of this disease). ).

In addition to whooping cough, some other dangerous diseases, including pulmonary tuberculosis, in which a person needs special help, can be the cause of a prolonged dry cough.

Symptoms and signs of whooping cough in young children

Most often, newborns, infants and children of the first years of life become infected with whooping cough from their parents, brothers or sisters who fell ill with an erased form of the disease and are unaware that they are the source of the infection.

We have already said above that in young children the development of whooping cough can be extremely dangerous, therefore, at the slightest likelihood that a child could get this infection, he should be shown to a doctor.

You may suspect that your child has whooping cough if you notice the following symptoms and signs:

• The child breathes heavily and strangely, as if he were short of breath;
• The child has attacks of dry cough, after which it is difficult for him to breathe or after which he stops breathing

What tests and examinations can a doctor prescribe to detect whooping cough?

Whooping cough is diagnosed and treated by infectious disease doctors.

To check for whooping cough, your doctor may order the following tests:

If these tests show that a person is indeed infected with whooping cough, the doctor will have to prescribe special treatment for him and all people who have come into contact with him.

What is the treatment for whooping cough?

All people infected with whooping cough should be treated with antibiotics. Without this treatment, they can remain contagious for a long time (4 weeks or more) and infect many healthy people around them (including children in whom this infection can cause severe complications).

What antibiotics should be taken?

If you or your child is found to have whooping cough, your doctor will be able to suggest antibiotic treatment such as Erythromycin, Azithromycin, Clarithromycin, Biseptol (co-trimoxazole, trimethoprim-sulfamethoxazole).

For newborns and children of the first year, Azithromycin is considered the safest. Children older than 2 months who cannot tolerate azithromycin may be given trimethoprim-sulfamethoxazole. The same drug is used in the treatment of whooping cough resistant to Azithromycin.

Possible treatment regimens for whooping cough in adults may include:

• Azithromycin: 500 mg on the first day, then 250 mg daily for 4 more days;
• Clarithromycin: 500 mg twice a day for 7 days;
• Erythromycin: 500 mg 4 times a day for 14 days;
• Trimethoprim-sulfamethoxazole (co-trimoxazole): 2 tablets 2 times a day for 14 days;

In some rare cases, while taking antibiotics, or a few weeks after treatment is completed, a person can develop a dangerous intestinal infection, the symptoms of which may include abdominal pain and watery diarrhea.

If you're experiencing similar symptoms, see our article Diarrhea Associated with Antibiotic Treatment for our recommendations.

Why does a cough persist after starting antibiotic treatment? Does this mean that the treatment is not working?

In whooping cough, it is not the microbes themselves that cause the cough, but their toxins, which can persist in the respiratory tract for several weeks.

Antibiotics can kill bacteria but are not effective against the toxins they have already produced. In this regard, if antibiotic treatment is started after the onset of a cough (that is, after the microbes have had time to produce toxins), then the cough will continue for several more weeks.

What can be done to ease whooping cough cough?

Numerous studies have shown that conventional cough medicines are practically ineffective for whooping cough and may even harm people who take them.

Because of this, other medicines such as corticosteroid hormones (in small doses in short courses of treatment), antihistamines (such as suprastin), salbutamol, or anti-pertussis immunoglobulin are used to relieve the cough caused by whooping cough.

If you have a severe cough, be sure to discuss with your doctor what medications you may be taking.

Based on their experience with whooping cough, some experts believe that medications such as zafirlukast and montelukast (used in the treatment of asthma) can relieve whooping cough, but there is currently no scientific evidence to support this assumption.

Recovery from whooping cough can be quite long. As you recover, the cough will become rarer and weaker, however, for a long time after recovery, the airways of a person who has been ill with whooping cough remain extremely sensitive, which is why a strong cough can appear even after a mild cold.

Can you get whooping cough again? What can I do to avoid getting sick again?

We have already said above that after vaccination, strong immunity against whooping cough lasts only for 4-12 years. The same can be said about the immunity that remains after illness. For this reason, a person who has been ill with whooping cough can get it again in a few years.

In order to prevent pertussis infection, experts recommend that all people receive the DTP vaccine every 10 years.

What should other family members do if someone gets whooping cough?

All family members who may have been in contact with a person with whooping cough should receive prophylactic antibiotic treatment.

Because whooping cough can be easily transmitted from one person to another and can cause severe consequences in some people, experts now believe that all people who may have been in contact with a person with the disease should receive preventive treatment. For example, if a child falls ill, then, in addition to family members, all his classmates and teachers should undergo preventive treatment.

Children under 1 year of age, pregnant women in the third trimester of pregnancy, people with reduced immunity

people who are infected with HIV or have AIDS,

people who have diabetes

people who have cancer and are taking cancer treatment (chemo, radiotherapy),

people who are taking treatment with glucocorticoid drugs or other drugs that reduce the activity of the immune system (for example, methotrexate, azathioprine, mercaptopurine, etc.),

people who have undergone an internal organ transplant and are taking medications that suppress transplant rejection,

people who suffer from chronic diseases of internal organs: chronic renal failure, chronic hepatitis, cirrhosis, heart failure. and people who have serious lung disease (such as asthma) should receive prophylactic treatment for whooping cough even if they have not been in direct contact with a person with the disease, but have been in close contact with another person who may have contracted it.

Do people who have previously been vaccinated against whooping cough need to undergo prophylactic treatment?

Even if a person has previously been vaccinated against whooping cough, they still have a risk of contracting the disease again. For this reason, even if someone who has been in contact with a person with whooping cough has received all vaccinations against this infection, they should still receive prophylactic antibiotic treatment.

If a person has never received a whooping cough vaccine, then at the same time as prophylactic antibiotic treatment, he should also receive a vaccination.

All women should be vaccinated against whooping cough during every pregnancy to protect the newborn baby.

We have already said above that whooping cough can be especially dangerous for children of the first year of life, especially in the first months after birth.

In 2012, data from one US study was published showing that of more than 2,200 cases of whooping cough reported in the US that year, more than 2,200 cases were in infants, of whom 15 died. In about 40% of cases, children contracted whooping cough from mothers who had a mild form of the infection.

In order to protect newborns from whooping cough, it is currently recommended that all pregnant women get the whooping cough vaccine (DTP) in the third trimester, between 27 and 36 weeks of pregnancy.

Thanks to such a vaccination, antibodies quickly appear in the body of a pregnant woman, which pass into the body of a developing child and will protect him from whooping cough in the first months after birth, until he can receive the first dose of DTP vaccination.

You should get the whooping cough vaccine even if you have received all the recommended doses of DTP in the past.

There are currently no whooping cough vaccines that can be given to children immediately after birth. In this regard, protecting the child through vaccination of the mother is the only solution so far.

It will be right if, in addition to the pregnant woman, all other people who will often contact the child during the first months of his life (for example, father, grandparents) will receive a whooping cough vaccine (DTP). They must be vaccinated no later than 2 weeks before the birth of the child.

Is the whooping cough vaccine safe during pregnancy?

The DTP vaccine is currently considered safe for pregnant women. Until now, there have been no cases of its negative impact on the course of pregnancy or on the development of the fetus.

Do I need to repeat the vaccination during every pregnancy?

Due to the fact that after vaccination the concentration of antibodies against whooping cough in the mother's body gradually decreases, for optimal protection of newborn babies, women are recommended to be vaccinated at the end of each pregnancy.

• Center of Disease Control and Prevention (CDC). Pertussis (Whooping Cough)
• Altunaiji, S.M. et al., 2012. Antibiotics for whooping cough (pertussis). Evidence-Based Child Health, 7(3), pp.893–956.
• Bjornson, C.L. & Johnson, D.W., 2013. Group in children. Cmaj, 185(15), pp.1317–1323.
• Luiz Rachid Trabulsi, M.B.M., 2008. Bordetella pertussis. Microbiologia., pp. 257–261.
• Snyder, J. & Fisher, D., 2012. Pertussis in Childhood. Pediatrics in Review, 33(9), pp.412–421.
• Gall SA. Prevention of pertussis, tetanus, and diphtheria among pregnant women, postpartum women, and infants. Clin Obstet Gynecol. 2012;55(2):.

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Whooping cough has different consequences. This common childhood disease is acute infectious. Whooping cough is the causative agent of whooping cough, which quickly dies in the external environment. Therefore, a sick person is the only source of infection (in the first 7-14 days).

Medical indications

The ailment in question is spread by airborne droplets. What is dangerous whooping cough in children, parents should know. The main symptom of the disease is a paroxysmal cough. It is difficult to treat and lasts 1-2 weeks. Complications of whooping cough can be presented in the form of pneumonia.

Timely and correct treatment of the patient prevents the development of various complications. The main method of preventing the disease is vaccination of children.

The first symptoms of the disease appear after the infection enters the human body after 14 days.

Doctors refer to the consequences of whooping cough:

• suppression of the immune system;
• bronchitis;
• otitis;
• pleurisy;
• encephalopathy.

The last disease is the defeat of the central nervous system of the patient. This ailment manifests itself after 2-3 weeks of whooping cough. At the same time, the child develops such new symptoms as fainting, impaired vision and hearing, convulsions. With such signs, it is recommended to immediately seek medical help. Otherwise, the disease will affect the psychomotor development of the baby. Physicians refer prolapse of the rectum and hernia to the severe consequences of the disease. In rare cases, doctors observe lung atelectasis and cerebral hemorrhage.

Classification of the disease

Specialists distinguish the following forms of whooping cough:

1. Typical.
2. Atypical.

To the 1st form of the disease, doctors include those variants of the disease, which are characterized by a paroxysmal cough. Complications of a typical whooping cough are presented in the form of lesions of the bronchopulmonary, cardiovascular system, encephalopathy. The general condition of the sick child does not change. Pediatricians distinguish the following symptoms characteristic of the catarrhal period:

• persistent cough;
• the presence of hard breathing;
• pale skin;
• leukocytosis in the blood.

The preconvulsive period lasts 10-13 days. During the spasmodic period, a paroxysmal cough appears, the child's face becomes red, his eyes watery. If the little patient is over a year old, then the cough may be accompanied by vomiting.

The convulsive period is characterized by some changes in the lungs, including wet and dry rales. The last symptom of whooping cough disappears after a coughing fit. It may appear after a certain period of time over other lung fields.

Read also: Symptoms and treatment of scarlet fever

The main forms of the disease

The abortive form is characterized by a catarrhal and short-term period with a convulsive cough. Then comes recovery. With the erased form, convulsions are not observed. Children suffering from this disease develop a dry obsessive cough. The asymptomatic form proceeds without clinical signs. At the same time, the titers of specific antibodies increase. Atypical forms of the disease appear in adults and vaccinated children. Physicians distinguish the following classification of whooping cough, taking into account the severity:

• light;
• moderate;
• heavy.

With a non-smooth course of the disease, chronic diseases are exacerbated. In children under 1 year old, there is a severe and moderate form of whooping cough. There is a high chance of death. The incubation period is 1-2 days. Convulsive cough is observed for 6-8 weeks.

Newborns suffer from a weak, muffled cough with little sputum. Between attacks the child is lethargic, his appetite decreases. Of the complications pediatricians distinguish:

• stop breathing;
• cerebrovascular accident.

From nonspecific complications, experts determine bacterial and viral genesis. Secondary immunodeficiency is noted in the early stages and is of a long-term nature. For vaccinated children, certain features of the disease in question are characteristic. Babies vaccinated against whooping cough get sick for the following reasons:

• insufficient development of immunity;
• decrease in immunity.

Scientists have proven that a vaccinated child can get whooping cough 3-5 years or more after the last vaccination.

Children suffer from mild, erased and moderate forms of the disease.

Current Complications

The vaccinated children are characterized by specific complications of the nervous and bronchopulmonary systems. But such consequences are not life-threatening for the patient. In unvaccinated children, there is a long incubation and catarrhal period (14 days), and a spasmodic cough lasts 2 weeks. In vaccinated children, edema and vomiting are not observed. There is lymphocytosis in the peripheral blood.

The following complications are characteristic of a specific form of whooping cough:

• emphysema;
• segmental atelectasis;
• pneumonia;
• breathing is disturbed (doctors distinguish 2 types of apnea: spasmodic (occurs with a convulsive cough) and syncapole. The main factors in the development of such a complication include prematurity, intrauterine infection, and peritoneal damage to the central nervous system);
• bleeding from the nose and bronchi;
• inguinal and umbilical hernia;
• rupture of the eardrum.

The source of the disease is a whooping cough bacillus, it releases a toxin that irritates the nerve endings that are in the mucous membrane of the upper respiratory tract, which leads to irritation and triggers a cough reflex, also getting into the blood, it has a general toxic toxic effect, primarily on central nervous system. This leads to contraction (spasm) of the smallest bronchi, larynx (glottis), twitching and even seizures similar to epileptic seizures.

Whooping cough in the external environment quickly dies, as well as under the influence of high temperature, direct sunlight, drying and the use of various disinfectant solutions. This explains the seasonality of the disease, most often in the autumn-winter period, in crowded places and transport.

The source of infection is a sick person, in any form, including possibly erased forms, especially infectious are patients in the initial period. Patients excrete whooping cough up to 30 days. It is transmitted through the air, airborne droplets when coughing, infection can occur when communicating with the patient. Therefore, isolation of the patient warns against the spread of infection. Whooping cough at the beginning of the disease is very similar in symptoms to and can be confused with a viral infection. Most often, children under five years of age, children under six months old and even newborns are susceptible to the disease. After the illness, a stable immunity is formed, although some sources speak of only five years. The infection enters through the respiratory tract: nose, mouth. If a child has whooping cough, the stick populates the mucous membrane, starting from the larynx and descending lower and lower, hitting all the lungs to the smallest bronchi and lung tissue. Even after the stick has died, its toxin continues to act on the brain, thereby irritating it, which contributes to the continuation of coughing. For diagnosing whooping cough in children, pediatricians prescribe for whooping cough, parapertussis, blood is taken from a vein twice, with an interval of 14 days. Let's take a closer look.

Diagnosis of whooping cough in children.

The incubation period is about a week, but can be longer, up to two weeks. During this time, the whooping cough, getting on the mucous membrane of the upper respiratory tract, begins to multiply and send irritating signals to the brain. There is a dry, strong, debilitating cough. Signs are divided into periods.

In the first period

Body temperature may be moderately elevated or normal. A dry cough appears, a runny nose is possible, then the cough intensifies. The well-being of the child in this period is not disturbed. The duration of this period is from three to fourteen days. In small babies, the so-called first period is shorter, while in older children, on the contrary, it can be delayed. The transition to the second period occurs gradually.

Diagnosis of whooping cough in children in the second period

The cough turns into spasmodic and is formed on exhalation, which prevents the baby from taking a breath, forcing him to cough strongly. It occurs suddenly or after precursors: sore throat, anxiety, chest pain. Then, on a deep breath accompanied by a whistle (reprise), a whistling sound appears due to a spasm of the glottis, after which the attack continues. The child's face may turn blue or red at this moment due to a lack of oxygen blocked by coughing fits. After a strong cough, there may be vomiting with viscous sputum. In severe whooping cough, vomiting almost always occurs, and in mild forms, it may not be at all. The acute phase occurs after 10-12 days of increasing cough. During an attack, the cervical veins swell, the eyes become bloodshot, lacrimation appears, the tongue sticks out to the limit, its tip bends to the top. Involuntary urination and defecation (fecal incontinence) is also possible. For more than two weeks, the symptoms of coughing remain the same, then there is a slow mitigation of the attacks and their reduction. In the interval between coughing fits, the child behaves as if in full health: he plays, his appetite does not suffer, he walks. In there is an increase in leukocytes to high numbers, and the ESR is normal or low.

Third period

The cough subsides, the sputum becomes mucus-purulent and all symptoms gradually disappear. This period lasts up to a month. The total duration of the disease lasts up to 3 months, pediatricians also call it a "hundred-day cough."

whooping cough forms.

• Light- the frequency of attacks is 5-15 times / day, the attacks end quickly, there is no vomiting, the child feels well.
• Moderate - the number of attacks is 15 - 24 times / day, each attack lasts longer and has several repetitions, quite often vomiting appears at the end of coughing attacks. The general condition of the baby suffers, but not much.
• The child was ill with a severe form of whooping cough - the number of attacks is more than 30 times / day or more, the attacks are severe and sometimes last up to fifteen minutes, have 10 reprises or more. Such attacks end in vomiting. In a severe form, the child refuses to eat, sleep is disturbed, and the child begins to lose weight.

But recently, an erased form of whooping cough appears more and more, in which there is a lack of attacks typical of whooping cough. In these cases, a diagnosis is made: tracheitis or tracheobronchitis. Such forms are more often observed in vaccinated children. If vaccinated children fall ill with whooping cough, then in comparison with those who are not vaccinated, the course of the disease in mild and erased forms more often occurs.

Complications.

• Bronchopneumonia.
• Pleurisy.
• Epileptic convulsions (occur at the height of a cough attack and can be repeated several times a day) during an attack in children under one year old, respiratory arrest may occur.

Treatment.

• The child is isolated
• Make sure to sanitize the premises
• Maintaining the humidity of the air where the patient is
• The temperature in the room is within 18 - 21 degrees
• Fresh air intake to reduce seizures and their intensity
• Reduce physical activity
• You can walk once a day, duration one hour
• Eliminate solid food so as not to provoke vomiting
• With frequent vomiting, give food in small portions crushed in mashed potatoes
• Antibiotics are used in the treatment (Ampicillin, Flemoxin), if there is intolerance to this group, then (Summamed), drugs are prescribed in tablets, when the child can swallow, if vomiting or spastic cough appears, the child is transferred to intramuscular administration of antibiotics, the course is 5 - 7 days.
• Severe forms are treated in hospitals
• Antitussives that suppress the cough reflex (Sinekod, Codelac)
• Anti-inflammatory (Erespal)
• Anti-allergic to relieve swelling (Zirtek, Zodek)
• In oxygen deficiency, oxygen supply
• For immunity vitamin and mineral complex

Disease prevention.

There is no innate immunity to whooping cough, antibodies are not transmitted from mother to child, a newborn child can also become ill with this disease, therefore, prevention is only vaccination, which starts from three months DTP vaccination (combined), since there is no monovaccine. For the development of good, stable immunity, it is necessary to do three DTP vaccinations with an interval of forty-five days. The first vaccination at three months, the second at four and a half, the third at six months and at 1.6 years revaccination. Good immunity persists for three years after revaccination, then weakens. There are also other vaccines that are used for pertussis vaccination, Infantrix, Bubo-Kok, Pentaxim.

Of the four unvaccinated children, one eldest daughter was ill with whooping cough. Confirmed by analyses. My daughter had whooping cough for about a year and 3 months. We went to the doctor, in the second week of coughing they prescribed antibiotics, but did not give them. We went to another doctor, by coughing he made the correct diagnosis in the first 5 minutes of admission. Donated blood, the diagnosis was confirmed. Actively coughed for another 3 months, then for 3 months she coughed only at night. That is, once or twice a night the child woke up from a wild cough.
As a result of whooping cough, immunity was planted very strongly, for almost a year constant snot, cough, etc.
After a year and a half, the disease reminds of itself - with strong crying, coughing attacks return; (

Will I vaccinate the younger one against whooping cough - yes, I will, because I saw how my vaccinated older child and the unvaccinated younger one (now the middle one) were sick. The older one did not differ in anything from a light orvi. hello, not all doctors prescribe sowing for whooping cough! we had ifa on the 13th day of the illness and everything was negative, but the whooping cough clinic! We got whooping cough at 5 months. Small children under one year old are immediately admitted to the hospital. Under the supervision of a physician. We were lucky. We were laid down when we did not know about the disease. There was no such thing that they could not make a diagnosis for a long time. Tests were taken upon admission. Nothing serious was found. Planned release. But the doctor drew attention to the cough and said that it is characteristic of whooping cough. I didn't attach much importance to her words. I didn't know it was a serious illness. In the hospital, the disease was confirmed and was gaining momentum. The first two weeks were the hardest. Sleepless nights, restless state .. The support of loved ones is very important. No need to read horror stories on the Internet about this disease. Love for the child, support of loved ones, mandatory rest and everything will be fine. You just need to be patient. Our cough persisted for three months. Then to extinction. Six months later it was all over. I have a patient child. Courageously endured the disease. Well done! At 10 months old, I got rotavirus. Nothing good either. Now we are 2 years 3 months old. there was nothing more than snot. Dear mothers, take care of your nerves, strength, you and your child need them. Don't worry! Everything will be fine. Tell me, how long after whooping cough should I refrain from playing sports? tele222
After the new year, they already noticed that the child almost did not cough ... I was afraid that this cough would continue (
Thanks for the answer) Ksyushachka
Ketotifen has not been used for a long time, there are more effective drugs, but you need to consult a doctor. Strong attacks have passed, but the child coughs periodically. Appointed Ketotifen 1.5 months to drink. Has anyone had any experience with this drug? How long does a cough last after whooping cough? What are the possible consequences and complications?

None. The anti-vaxxers are a cult. Rational arguments won't break them.

I totally agree. It is more surprising where all these rational people were many years ago, when they didn’t really ask if they wanted to or not. Or another question, how are they themselves - children of the 80s and even earlier, all vaccinated, and now it’s just evil, not vaccines. ta-nyska

If so, then this is not complete, not reliable information. When they could not explain how life originates, they thought that mice spontaneously arise in dirty laundry. There was such a very scientifically sound theory.
Knowledge will accumulate, new information will appear. It will become clear what specifically sensitizes the intestinal epithelium. Maybe wheat will be banned by law. Maybe people are genetically modified.

And by the way, children with celiac disease should not get sick either. Immunosuppression occurs after a protracted illness. And the toxin from bordetella colonies clearly exceeds 25 micrograms per dose. Because the toxicity is higher, and the temperature and other symptoms develop. The vaccine mimics the disease in an ultra-mild form.
It is impossible to rely on the fact that the child will not get whooping cough during his life. And if everyone stops vaccinating children, epidemics will begin.

What to do then?
Hide

Many people read us, and we must understand that among the reliably registered post-vaccination complications there is neither autism nor celiac disease, which is much more likely that these diseases are caused by spontaneous mutations.

If you are not sure about your heredity, the child is retarded or has health problems, it is reasonable to vaccinate him according to an individual schedule, or not to vaccinate, but then he will have two or three childhood diseases before the age of 14 years, as in the pre-vaccination era.
Severe manifestations and disorders of mental development and malabsorption in the intestine are visible by the age of two. If you're really scared, delay vaccinations until age three, or until your child starts school. This tactic works well if the child is the only one, and does not always work if there are many children.

There is no conspiracy of pharmaceutical companies or the Department of Health. Information about the side effects of medicines and vaccines is recorded non-stop, with the accumulation of a certain number of complaints (information on adverse events is processed once a quarter or half a year, reports are available to healthcare professionals), the drug can be withdrawn from the market even if a serious an undesirable event - such as death or disability. And I know such examples.
Falsifying clinical trial data is very difficult, due to scrutiny by various regulatory authorities, and is reputationally deadly for a company. After that, she will go bankrupt. Bringing the drug to the market cost 1 billion euros 10 years ago, and already 2-3 billion now. Clinical work from a hypothesis to the creation of a final registered product that has passed the 3rd stage of clinical trials takes about 10 years.

We owe the emergence of the latest Ebola vaccine only to the threat of a pandemic, for the first time the world community has chipped into research, and scientists from several international centers have combined their data.

I don’t know what other arguments to bring to stop blaming vaccines alone as the cause of the growth of cancer and other diseases. llazy

This article is about the risk of bowel lymphoma. What about vaccinations?

There are loci of certain genes responsible for the metabolism of the amino acids proline, lensin and tryptophan, in particular. If something is not synthesized properly, then it is impossible to assemble proteins from amino acids. We are made up of proteins with a variety of functions.
It's like removing or breaking all the small rectangular parts from a Lego set. What you don’t build or break or fail to assemble.

There is a syndrome of connective tissue dysplasia, which includes a very wide range of symptoms, from psychiatric - depression, ADHD, to musculoskeletal disorders and symptoms similar to celiac disease.

Because the amino acids proline, lysine are part of collagen. And tryptophan turns into serotonin, and this is an active substance that is responsible for both mood and autoimmune processes, and some for the motility of the small intestine.
If very exaggerated.

Conscientious scientists have found some interesting facts, but do not draw far-reaching conclusions.
Including they examined the data of people with Hodgkin's lymphoma, what do we know about the causes of this lymphoma. That this is a defect in immunity, people with HIV in the AIDS stage get sick, that there is a genetic predisposition, which is more often a white race.
Well, yes. Celiac disease is more common in whites because they eat more wheat. But nevertheless, it is impossible to say that gluten intolerance causes lymphoma. Even if the word immune system is used here and there to describe the causes of the disease.

For autism and autoimmune diseases, a gluten-free diet sometimes helps, sometimes not. In schizophrenia, it is not effective, those disorders in the receptors of the brain that occur have no direct connection with the quality of absorption of substances from the small intestine. Sometimes schizophrenia drugs work for autism, sometimes they don't. What suggests that there are different mechanisms of brain dysfunction affecting learning and socialization, and sometimes they are associated with allergic reactions to gluten and their consequences, sometimes not.

Violation of absorption of vitamin D. Vitamin D deficiency leads to an increase in the formation of autoantibodies - this contributes to the formation of bronchial asthma.

Deficiency of vitamins of group B. There, metabolic disorders at the genetic level and processes in the intestines, and a violation of the normal flora are involved.
Polyneuropathies have been described as classic symptoms of severe vitamin B malabsorption or dietary deficiency.

I can't read this. We do not absorb undigested proteins. The intestine is not a sieve, protein molecules get stuck in the intercellular matrix. Simple osmosis moves only ions along the concentration gradient. The sodium atom can walk back and forth through the cells.
If particles of undigested food enter our bloodstream, we will die. Sooner or later, a fat embolus will clog the pulmonary or some other important artery. There will be a stroke or a heart attack, or a pulmonary embolism.
Therefore, rumors that chewed, but underdigested noodles flow through the intestinal veins to the great vena cava of the liver to cause trouble there, are slightly exaggerated.
http://biochemistry.ru/biohimija_severina/B5873Part69-461.html here are many letters how proteins go through all stages of processing in the gastrointestinal tract, and in the end, protein hydrolysis occurs, and amino acids are already absorbed.

But not crackers crumbs and sausage pieces.

I understood what you were trying to tell me, that here is an article about immunity disorders in celiac disease, here are the possible terrible consequences. But what about vaccinations? Introducing a suspension of shells of killed microbes affects the intestines?
This is the composition of the Infanrix vaccine:
One dose (0.5 ml) contains at least 30 International Immunizing Units (MIU) of diphtheria toxoid, at least 40 IU of tetanus toxoid and 25 micrograms of detoxified pertussis toxin, and 25 micrograms of filamentous haemagglutinin and 8 micrograms of pertactin. Diphtheria and tetanus toxoids obtained from cultures of Corynebacterium diphteriae and Clostridium tetani are inactivated and purified. The acellular pertussis vaccine components are prepared by growing a phase I culture of Bordetella pertussis from which PT, FHA and pertactin are extracted and purified.

It contains 25 micrograms of detoxified pertussis toxin. Which is administered twice (an interval of 4 weeks). Total 50 micrograms of toxin. If you replace the frightening word toxin with protein, you get 50 micrograms of foreign protein.

And gluten which in the human diet contains from 10 to 40 grams per day. That is, for the year the child manages to get at least 360 grams.

One gram contains million micrograms.
That is, the number of pertussis proteins obtained even in a month, intramuscularly, will be 60,000 times less than the amount of gluten consumed directly inside and in contact with the intestinal villi.

If you believe the article that you gave me as an example, and gluten, such a super allergen pertussis toxin modestly smokes on the sidelines. It cannot cause a stable immune response even in 30%. llazy

Whooping cough is a serious infectious disease that occurs mostly in childhood. Pediatricians assure that this disease can be extremely dangerous for children, and vaccination is the only way to protect against it. But can whooping cough develop after vaccination?

This infectious disease is provoked by a specific pathogen - a bacterium with the Latin name Bordetella pertussis. It is able to enter the body of a healthy individual only from a sick person: pathogens are easily transmitted with droplets of saliva through the air during sneezing or coughing, as well as when laughing or talking. In a certain percentage of cases, whooping cough is characterized by an erased course, accompanied by only an insignificant cough. Accordingly, such people themselves become carriers of the infection without knowing it. If one of the family members is affected by whooping cough, the probability of developing the disease in unvaccinated children reaches eighty percent.

The first manifestations of the disease can become apparent seven to ten days after the infection has occurred. But sometimes the incubation period lasts an order of magnitude longer - up to three weeks. Sick people become contagious already at the stage of the onset of a runny nose and release the causative agent of the disease into the environment until the fifth day from the start of treatment with antibacterial drugs.

Can you get whooping cough if you have been vaccinated?

In order to understand whether a vaccinated child can get whooping cough, it is necessary to understand the mechanism of action of the vaccine against this disease. To date, for the prevention of such an ailment, routine vaccination is carried out using DPT - this is the abbreviated name of the adsorbed (purified and attenuated) complex vaccine containing killed pertussis bacteria, as well as diphtheria and tetanus toxoid. Doctors may also suggest vaccinating your child with other vaccines that contain a pertussis component.

Vaccinations against whooping cough are done in several stages: at three months, at four and a half months and at six months. Then revaccination is carried out - in a year and a half. Pediatricians claim that vaccination can provide sufficiently reliable protection against whooping cough for several years. However, over time, the severity of protection gradually decreases.

Even doctors and scientists agree that the effectiveness of pertussis vaccination does not exceed eighty-five percent. And the period of post-vaccination immunity, on average, is no more than ten to twelve years.

The human body is highly susceptible to the causative agent of whooping cough. And the probability of meeting him in everyday life is quite high. Accordingly, it is quite possible to get whooping cough after vaccination.

How does the whooping cough vaccine work?

The vaccine contributes to the development of immunity from this disease by simulating infection. Killed whooping cough pathogens introduced along with the vaccine are unable to provoke the development of the disease, but they train the immune system to produce specific T-lymphocytes and antibodies. After successfully defeating the adsorbed components of the vaccine, the immune system "remembers" all the tools that it used to protect the body. The body retains a certain number of T-lymphocytes, which are also referred to as "memory cells". When the causative agent of the disease again enters the body, such cells are quickly activated and will help to cope with the threat as soon as possible.

Repeated administration of the whooping cough vaccine allows the child's body to most effectively learn to recognize dangerous bacteria and quickly destroy them.

It is impossible to get whooping cough from vaccination, since the vaccine contains non-viable components that cannot provoke the onset of symptoms of the disease.

Why do vaccinated children get sick?

Vaccination against whooping cough is not able to give one hundred percent protection against the disease. Sometimes, even when vaccinated according to the schedule, the body cannot form a full-fledged immunity to whooping cough. According to doctors, whooping cough infection after DPT vaccination is due solely to the individual characteristics of a particular child.

But you need to take into account the fact that over time, the effectiveness of the protection that the vaccine gives naturally weakens. Already five years after the revaccination (according to the schedule - in a year and a half), the body may lose the ability to fully resist pertussis bacteria. Therefore, a child can easily become infected with whooping cough through contact with a sick person.

Features of the course of whooping cough in vaccinated children

If a vaccinated child gets whooping cough, the disease proceeds in the same way as in unvaccinated children. However, the severity of symptoms and the duration of the disease may be less. The classic manifestations of whooping cough:

1. The illness begins like a common cold. There may be an increase in temperature, the occurrence of a runny nose, dry cough, perspiration and sore throat.


2. Over time, the runny nose disappears, the temperature returns to normal. A characteristic agonizing cough occurs, in which a specific whistling breath is usually observed in the interval between many cough shocks (this breath is called a reprise). Cough can be painful, cause watery eyes, vomiting, sudden respiratory arrest.
3. The period of whooping cough can last a very long time - up to six months, but the manifestations gradually fade away. Children become non-infectious twenty-five days after the first symptoms of the disease.

Possible differences in the course of the disease in vaccinated children:

• the temperature often does not rise;
• health may remain within the normal range;
• cough can be moderate, not very frequent and without reprise;
• whooping cough after DTP vaccination can proceed like a normal acute respiratory disease;
• the duration of recovery is shorter than in the absence of vaccinations.

The course of the disease in most cases is much easier after vaccination.

Features of the treatment of whooping cough in vaccinated children

If a vaccinated child develops whooping cough, they usually do not require hospitalization. With an early diagnosis, the doctor may prescribe low-toxic antibacterial medicines. In general, treatment is non-specific and aimed at reducing the frequency of coughing attacks, it may include:

• Finding a child in the fresh air is best near a pond.
• Regular airing of the apartment and wet cleaning.
• The use of special devices for humidifying the air.
• Distracting the child with interesting activities to reduce the excitation of the cough center.

How can you protect a child from illness with a natural weakening of immunity? There are two main methods for protecting children and adolescents a few years after the completed revaccination at one and a half years:

1. Scheduled revaccination in ten years.
2. Blood test for immunity tension and, if necessary, revaccination.

Should children be vaccinated against whooping cough?

Today in society there is a tendency to refuse routine vaccination of children. And information about the possibility of developing the disease after all vaccinations contributes to this. But doctors insist on the need for vaccination, because:

• Whooping cough is extremely dangerous for babies under one year old; in patients of this age group, it can cause respiratory arrest and death. Vaccination protects the child from a dangerous illness for this period.
• According to statistics, whooping cough that occurred after DTP vaccination proceeds more easily than without it. Cough in such patients lasts much less, and complications occur less frequently.
• Vaccination has reduced the death rate from whooping cough by 45 times.

Vaccination significantly reduces the risk of developing an infection and the occurrence of complications of the disease, so it is advisable to vaccinate children by age in accordance with the recommendations of specialists.