Combating Infection: Pertussis: Not just for kids anymore
Steven J. Schweon MPH, MSN, RN, CIC, HEM

$3.95
Nursing2015
October 2011 
Volume 41  Number 10
Pages 61 - 62
 
  PDF Version Available!

ABSTRACT
THE INCIDENCE OF pertussis, commonly known as whooping cough, has been on the rise during the last two decades, even in countries with high vaccination coverage.1 Although it's usually thought of as a pediatric infection, pertussis is highly contagious and also infects adolescents and adults.2 In 2009, almost 17,000 cases of pertussis were reported in the United States, but many more may be undiagnosed and not reported.3Pertussis, or "violent cough," was first described in 1540.2 The bacterium Bordetella pertussis is transmitted from person to person by large respiratory droplets during talking, coughing, and sneezing. Individuals with pertussis may be asymptomatic but still infectious. Others may develop a mild cough or paroxysmal coughing episodes. Pertussis transmission to exposed household contacts can be as high as 90%.2Adolescents and adults may become infected and transmit pertussis to susceptible infants in the home, daycare, healthcare settings, and the community. Older adults may also transmit the infection to infants; grandparents are increasingly providing childcare for working parents, and one study found that grandparents were responsible for 6% to 8% of pertussis transmission to infants.4 Infants under age 6 months have the highest infection rate and are at greatest risk for severe disease and death.5The increasing number of pertussis cases since the 1980s is due in part to waning immunity from previous pertussis infection or vaccination. Waning immunity occurs 4 to 20 years after natural infection and 4 to 12 years after vaccination.6 Additional reasons for the increase include bacterial genetic mutations, making the current pertussis vaccine less effective; a heightened awareness of the illness in certain age groups, leading to more cases being diagnosed and treated; and improved lab testing.2Initial signs and symptoms of pertussis in adults can mimic those of other respiratory diseases such as influenza, Mycoplasma pneumoniae, and Chlamydia pneumoniae.

Purchase Now !

To purchase this item, follow the instructions below. If you’re not already logged in, be sure to enter your login information below to ensure that your item is saved to your File Drawer after you purchase it.

Not a member? Join now for Free!


Cost:$3.95
1) If you're not already logged in, enter your information below to save this item in your File Drawer for future viewing.

User name:


Password


Forgot your user name or password?
2)  If you have a coupon or promotional code, enter it
here.(If not, just click Continue.


Digital Coupon: (optional)

3)  Click Continue to go to the next screen, where
you'll enter your payment details.






jQuery UI Accordion - Default functionality

For life-long learning and continuing professional development, come to Lippincott's NursingCenter.

Nursing Jobs Plus
Featured Jobs
Recommended CE Articles

Blunt Chest Trauma
Journal of Trauma Nursing, November/December 2014
Expires: 12/31/2016 CE:2 $21.95


The School Age Child with Congenital Heart Disease
MCN, The American Journal of Maternal/Child Nursing, January/February 2015
Expires: 2/28/2017 CE:2.5 $24.95


Understanding multiple myeloma
Nursing Made Incredibly Easy!, January/February 2015
Expires: 2/28/2017 CE:2 $21.95


More CE Articles

Subscribe to Recommended CE

Recommended Nursing Articles

Comprehensive Care: Looking Beyond the Presenting Problem
Journal of Christian Nursing, January/March 2015
Free access will expire on March 2, 2015.


Pain and Alzheimer dementia: A largely unrecognized problem
Nursing Made Incredibly Easy!, January/February 2015
Free access will expire on February 16, 2015.


Glycemic control in hospitalized patients
Nursing2015 Critical Care, January 2015
Free access will expire on February 16, 2015.


More Recommended Articles

Subscribe to Recommended Articles

Evidence Based Practice Skin Care Network NursingCenter Quick Links What’s Trending Events