Whooping cough (Paediatrics)

Low urgency
--

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 are expelled when the person coughs and spread through the air. Pertussis usually lasts several weeks.

Symptoms occur in 3 distinct phases: a catarrhal phase lasting 1 to 2 weeks, a paroxysmal phase lasting 2 to 4 weeks, and a convalescent or remission phase lasting 1 to 3 weeks.

The diagnosis is made by clinical history and confirmed by a laboratory test called PCR of nasal or nasopharyngeal swabs.

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

    Cough


    Dry cough


    Fever / Feel very hot


    Red face with coughing fits


    Coughing at night

Symptoms to watch out for

Vomiting
Cough alongside blood or pus
Difficulty breathing
A feeling of shortness of breath

Self-care

Maintain a balanced diet: increase fruit, vegetable, and white meat consumption and reduce the intake of fatty meals and fritters.
Maintain hydration of 2 litres per day.
Relative rest, rest until symptoms subside.