Whooping cough in infants (Paediatrics)

Medium urgency
-Moderately severe

Whooping cough is an acute respiratory infection caused by a bacterium called Bordetella pertussis.

This infection is highly contagious (especially in unvaccinated people). It is spread from person to person by droplets of respiratory fluid containing the bacteria, which the person expels when coughing and which move through the air, helping the bacteria to spread. Pertussis is an illness that usually lasts several weeks.

The symptoms occur in 3 different phases: The catarrhal phase, which lasts 1-2 weeks; the paroxysmal phase, which lasts 2-4 weeks; and the convalescent or remission phase, which lasts 1-3 weeks.

The diagnosis is made on the basis of the symptoms and is confirmed by a laboratory test called PCR on an aspirate or smear of nasopharyngeal mucus.

Treatment is with oral antibiotics. Vaccination is the main preventive measure for this disease.

Bibliographic references
  1. Kilgore PE, Salim AM, Zervos MJ, Schmitt HJ. Pertussis: Microbiology, Disease, Treatment and Prevention.Clin Microbiol Rev. 2016 Jul;29(3):449-86.
  2. Heininger U. Pertussis:what the pediatric infectious disease specialist should know. Pediatr Infect Dis J.2012 Jan;31:78-9.
  3. Munoz FM.Pertussis in infants, children and adolescents: diagnosis, treatment and prevention. Semin Pediatr Infect Dis. 2006 Jan;17(1):14-9. Review.
  4. Schellekens J, von König CH, Gardner P. Pertussis sources of infections and routes of transmissin in the vaccination era, Pediatr Infect Dis J. 2005 May;24(5 Suppl):S19-24.
  5. American Academy of Pediatrics. Pertussis (whooping cough). In: Red Book: 2015 Report of the Committee on Infectious Diseases, 30th ed, Kimberlin DW, Brady MT, Jackson MA, Long SS (Eds), American Academy of Pediatrics, Elk Grove Village, IL 2015. p.609.
Author
Dr. Maria Trabazo
Copyright
© TeckelMedical 2026

Symptoms

    Fever / Feel very hot


    Red face with coughing fits


    Vomiting caused by coughing


    Dry cough


    Intermittent breathing pauses

Pre-hospital care recommendations

Consume over-the-counter pain relievers or anti-inflammatories.
Check with your general practitioner about the prescription for syrups or antitussives.
Check with your general practitioner about the prescription for antibiotics.