PERTUSSIS / whooping cough

PERTUSSIS
Causative Agent: Bordetella pertussis
Mode of Transmission: droplet
Incubation: 7-14 days, disease is 6 weeks
Signs and Symptoms:
1. Catarrhal Stage
- nasal catarrhal, frequent sneezing, teary-eyed
- cough
2. Paroxysmal Stage
- cough worsens: becomes rapid, successive, paroxysmal, ends in inspiratory whoop,
followed by vomiting
- force of coughing may cause involuntary micturation/defecation, bulging of eyes,
intracerebral hemorrhage, abdominal hernia
- vomiting signals end attack
Convalescence
Diagnostic: Borde-Gengou Culture naso pharyngeal swab
Treatment: Penicillin
PERTUSSIS
Nursing Care:
Bed rest
Proper positioning during attacks
Nutritious diet
Abdominal binders
Adequate ventilation
Close nursing observation during attacks
Concurrent disinfection
Avoid precipitating attacks
Prevention:
Avoid mode of transmission
Immunization