Whooping cough

Description:

Whooping cough - an acute antroponozny airborne bacterial infection most of which characteristic symptom is pristupoobrazny spasmodic cough.

Whooping cough symptoms:

The disease begins with an indisposition, deterioration in appetite, cold, small temperature increase and weak cough which remains within 1-2 weeks then its frequency and intensity begin to amplify. At the end of fits of coughing it is noted, especially at children of early age, long, often painful difficulty of a breath, there is an allocation of a viscous vitreous phlegm, sometimes there is vomiting. During a fit of coughing the child is excited, the person is cyanotic, veins of a neck are expanded, is put out from a mouth tongue, the pneumorrhagia and nasal bleeding, an apnoea is possible. Cough which attacks repeat from 5 to 50 in days lasts for 2-4 weeks. Then the frequency and intensity of cough decrease though cough proceeds within 2-3 weeks. At adults and children of advanced age the disease proceeds less hard and is followed by symptoms of the expressed, persistent bronchitis.

Whooping cough reasons:

Is caused by Borde-Zhangu's bacteria  (by name for the first time the Belgian scientist Zh. Borde and French who described it in 1906 — O. Zhangu) - Bordetella pertussis. The congenital immunity caused by maternal antibodies does not develop. Contageousness (probability of infection at contact) makes 90%. In 1937 the microorganism similar to a whooping cough stick is allocated — a parapertussoid stick. The disease caused by this microorganism proceeds as an easy form of whooping cough, but does not leave immunity to whooping cough.

Treatment of Whooping cough:

Hospitalization are subject: patients with severe forms; with life-threatening complications (disturbance of cerebral circulation and respiratory rhythm); with medium-weight forms with the rough course, an adverse premorbidal background, an exacerbation of chronic diseases; children of early age. According to epidemiological indications hospitalize children from the closed child care facilities (irrespective of weight of diseases) and the family centers.
The mode — sparing (reduction of negative psychoemotional loadings) with obligatory individual walks. A diet — enriched with vitamins, corresponding to age. Patients with severe forms of a disease are recommended to be fed more often and smaller portions; after vomiting of children finish feeding. Causal treatment — prescription of antibiotics (macroleads, semi-synthetic penicillin, cephalosporins 3 generations). If cough remains — that further use of antibiotics is inexpedient. Pathogenetic therapy — anticonvulsant drugs, calmatives. Symptomatic therapy — suction of slime from upper respiratory tracts, an aerosoltherapy, physical therapy, massage, respiratory gymnastics. In the reconvalescence period — drugs which promote increase in level of nonspecific reactivity of an organism (purple cone-flower drugs, tincture of an eleuterokokk), a course from 1 to 8 weeks, vitamin and mineral complexes.