Pertussis / Whooping Cough Pertussis Causative Agent: Bordetella Pertussis Mode

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