What is a pertussus
Cocky is a dangerous infectious
respiratory disease that is called
Specific bacteria Bordetella Pertussis
(Copllow Wand, Bordean Geng State Wand)., Pathogen
Small, Ovoid, gram-negative wand,
Low-resistant in external environment. Entrance doors
- Upper respiratory tract, where a pertussic vegetables
wand. Characterized by sharp casic respiratory
paths and attacks of spasmodic cough. Congenital
immunity due to maternal antibodies
develops. Probability of infection upon contact
is 90%. Very dangerous for children under 2 years.
Since before the appearance of a characteristic cough to distinguish
Cocal from other infections is hard, for one
infected manage to infect their surroundings.
Children's preschool children
The incubation period lasts from 7 to 14 days. Infection
happening airborne droplets. The patient is infected with S
up to 25 boutication. Duration of a contagious period
can be reduced by timely
COALUSHEN ENDEMICH WORLD. In each
specific terrain disease acquires
Epidemic character with periodicity in 2-4 years.
About half of the cases fall on children up to 2 years.
The first disease usually does not leave natural
Immunity for life, but re-infection (if
takes place) proceeds easily and often not
The disease lasts about 6 weeks and
It is divided into 3 stages: Promotional (catarler),
Paroxysmal and recovery stage.
Symptoms of Cockles
After infection begins the longitudinal
(Catarial) period: within 1-2 weeks noted
Rubber, sneezing, occasionally moderate increase
Temperatures (38-38.5) and cough that does not decrease
from antitussive tools. Gradually cough
enhanced, acquires an approached form,
especially at night.
Starting from the third week begins
Paroxysmal period during which is observed
Typical spastic cough: a series of 5-15 rapid
cough jesters accompanied by short whistling
inhale. After several normal breaths can
New paroxysm begin. During paroxysms
A abundant amount of viscous mucous
vitreous sputum (usually breast and small children
swallow, but sometimes its separation is noted in the form
Big bubbles through nostrils). Characteristic vomit,
arising at the end of the attack or with vomit movements,
caused by the discharge of thick sputum. During an attack
cough face patient blushes or even blue; language
It turns out to failure, it is possible to trauma
bridles about the edge of the bottom of the cutters; Sometimes arise
Hemorrhage under the mucous membrane conjunction
After an attack, the child is tired. In heavy
Cases worsen general condition.
The number of attacks increases on
Diseases. Some children have no attacks
frequent, others have up to 50 per day.
In infants is not typical
Attacks of Cockles. Instead, they have after several
cough jerks may come short-term
Stop breathing, which can be dangerous for
Depending on the frequency of cough
attacks and severity of other symptoms distinguish
Light, medigative and heavy focus.
There are also broken flutter forms under which
The spastic nature of cough is not expressed. This form
observed in children who received vaccine-philactics, and
The recovery stage begins with
fourth week; paroxysms become not so
Frequent and heavy, less often end with vomiting, patient
It feels better and better looks. Average
Duration of the disease - about 7 weeks (from 3
weeks up to 3 months). Paroxysmal cough can
appear again for a few months; how
Rule, it provokes ORVI.
Complications of Cockles
Especially hard, with significant
mortality, cough flows in children of the first months
life; Infections often observe attacks
Pneumonia, Atelectases (25%), Causes (3%),
From other complications there is a sharp
Larygit (larynx inflammation) with laryngeal stenosis
(false croup), bronchiolites, nasal bleeding,
Stop breathing, umbilical, grocery hernia.
Dangerous is the defeat of the lungs
(bronchopneumonia), especially at heart age
(probability of 15%).
Also a serious complication is
Encephalopathy, non-inflammatory change of the head
brain, which due to the occurrence of convulsion can
lead to death or leave behind persistent
Damage, deafness or epileptic attacks.
In adult complications are rare.
Mortality is high in developing
In developed countries, the death rate from the cough and it
Complications reaches 0.04%.
Diagnosis of pertussis
Main method - excretion of the pathogen
(bacteriological method). For 1 week
Positive results manage to get 95%
on 4 - only 50%.
Difficulties in recognition are found
mainly with erased form. Necessary
Differentiate from ORZ, bronchitis. Confirmation
The diagnosis is the release of a cough stick from
tracheobronchial secret; For retrospective
Diagnosis in later periods use
serological methods (agglutination reaction, RSK,
Treatment of Cockles
Treatment of young children is carried out only
in hospital. Patients provide special conditions -
The Chamber must be well ventilated, the air should
moistened with special humidifiers, air conditioning or
wet towels. Heavy sick infants
It is recommended to place in a darkened, quiet room and
As possible to bother, because the impact
stimuli can cause a heavy cough attack. For
Senior Children with Light Disease Forms Bed
No mode is required. Recommended patient stay
Fresh air, outdoor children are practically not
Serious attention should be paid
nutrition, food is recommended to give often, but small
portions. With a frequent strong vomit it is necessary to introduce
Fluids intravenously. For infants is vital
Salmon Sumps. Great importance for
Cocky, especially in young children, with
pronounced hypoxia phenomena has widespread use
Oxygen therapy (oxygen tent content).
Children of early age with severe and moderate
forms of illness or in the presence of complications are prescribed
Antibiotics: erythromycin of 5-10 mg / kg to receive 3-4
per day; ampicillin oral and in / m25-50 mg / (kg-day) in 4
reception, treatment course 8-10 days. Assign also
Tetracycline for 30-40 mg for 10-12
In severe cases, a combination of two
Antibiotics. In the early stages of the disease effective
Anticular Gamma Globulin (3-6 ml daily 3
day in a row).
With severe and complicated female powders
Apply prednisolone. In order to weaken spastic
phenomena and cough attacks prescribe neuroleptic
Fundamental products, susecution. In hypoxia shown
Oxigenic therapy, with apnea - long-term artificial
Lighting lungs. With the protracted reparation prescribe
Stimulating therapy (plasma transfusion, injection
Immunoglobulin, physiotherapeutic procedures,
Antitussive and sedatives
should be used carefully or not at all,
T.To. Efficiency of expectorant mixtures and drugs,
overwhelming cough, as well as light sedatives
Doubtful. Impacts should be avoided,
Cough (mustard pieces, banks).
While stopping the breath
Clear respiratory tract from mucus by sucking it
and carry out artificial ventilation of the lungs.
Prevention of Cockle
The only reliable means
Specific prophylaxis is vaccination. Vaccines
ACCORDING COALSHUM: COPMUSH-DIFTERERINE-TUB VACKINE ADSORPED LIQUID; Tetracock;
(Vaccine for prophylaxis of cough, diphtheria, tetanus
hepatitis B); Infanrix (AAKDS) (caseless vaccine
Preventing cough, diphtheria and tetanus).
All children from 3 months have been held
Vaccination against cough, consisting of 3 injections
DCA vaccines with intervals of 1.5 months. Revaccination
1.5-2 years after the course of vaccination. Vaccination B
70-80% warns the disease or it proceeds into
The patient's isolation lasts 30 days from
The beginning of the disease. On children up to 7 years of age, former
contact with patients previously not pertered and
Unmumbed, quarantine is superimposed with a period of 14 days from
The moment of isolation of the patient. If insulation has not been carried out,
This period is lengthened to 25 days from the day.
Final disinfection is not produced. All children,
in contact with patients are subject to
Contact children under the age of 1 and
grafted administered to normal prevention
Immunoglobulin (anticorrosive) 3 ml 2 days in a row.