It most commonly attacks very young children, with a high mortality rate. The
disease, however, is rarely serious once the child has passed his first birthday.
Typically, the child will cough forcefully 5 to 10 times during a single expiration.
This is followed by a sudden intake of air and a whooping sound as it is inhaled
against the narrowed glottis.
During these coughing spells, the face may turn red or blue, the eyes bulge, the
tongue protrude, and there may be drooling. Vomiting may accompany the
coughing. Understandably, these attacks leave the child exhausted. This stage
may last 2 to 4 weeks or even longer; weight loss is common. The coughing
attacks gradually become less frequent and disappear, but a cough may persist
for several months after recovery.
Suction to remove the secretions from the upper nose and upper respiratory tract
may be necessary in very young children, and oxygen also may be required.
Fluids should be given to prevent dehydration, and even though the disease is
exhausting and a child may not feel like eating, maintaining nutrition is
important, especially in an infant.
The American Academy of Pediatrics states that all children should receive 5
doses of pertussis (and diphtheria and tetanus) vaccine by their seventh birthday.
This includes 3 doses of the primary series at 2, 4, and 6 months of age and 2
doses of booster vaccine at 15 to 18 months and 4 to 6 years of age.
Can it be prevented?
If the other family members have been immunized, should they stay away from
the infected person?
Is hospitalization necessary?