Pertussis

Whooping cough (Bordatella pertussis)

Quick Links:
 * 1) California Department of Public Health Quick Sheet: Quick guide to diagnosis, testing, reporting and treatment.
 * 2) CDC Pertussis Home Page: Comprehensive guide to Pertussis information
 * 3) Contra Costa Health Services [|Pertussis Home Page]:
 * Fact Sheets in [|English]and [|Spanish]
 * Local links including on [|where to get vaccinated.]
 * New guidelines on vaccination requirements before entering school

Acute Infection
Suspect: Anyone with 14 days of cough, with or without "whooping" or post-tussive vomiting. Test: Dacron Swab transported in appropriate media to the public health lab for PCR. Must be obtained from posterior nasopharynx. See [|demonstration]. Treat: Report: Complete CMR (confidential Morbidity Report) and submit to public health for any probable or confirmed cases Vaccinate: Update Tdap immunization for all cases and contacts.
 * If <3 mo, test and treat, admit to hospital with consultation. See June 2011 Managment Guidelines for infection in young infants
 * If <1 year, treat within 6 weeks of cough onset before PCR results are obtained. Provide chemoprophylaxis to househould contacts.
 * If >1 year, and in close contact with infant <1 year, treat within 3 weeks of cough onset before PCR results obtained. Provide chemoprophylaxis to household contacts.
 * If >1 year, and not in close contact with infant <1 year, wait for PCR results. If positive, treat and provide chemoprophylaxis to househould contacts.

Vaccination
DTaP: Routine Childhood Immunization. See CAIR database for schedule. VIS Statements

Tdap for anyone age 7 or above. VIS Statements
 * If they did not receive 5th dose booster of DTaP (between 4-6 years of age)
 * Routine booster age 11-18 (required to start 7th grade)
 * Routine booster age 19-65
 * Pregnancy
 * Postpartum
 * Over age 65 in contact with infants <1 year

Other Links
CDPH Pertussis Home Page. June 2011 Managment Guidelines for infection in young infants: Expert Opinion endorsed by CDPH and AAP. Case Presentation and [|Powerpoint] on 2010 outbreak in California from Children's Hospital Oakland Manual of Surveillance of Vaccine Preventable Diseases: Pertussis Guidelines for the Control of Pertussis Outbreaks