title: [Epidemiological evaluation of the effectiveness of the obligatory isolation of whooping cough patients in schools].
abstract: Analysis of observations carried out under practical conditions (165 patients with pertussis from 48 foci) and the results of controlled epidemiological trial on the discontinuance of compulsory isolation of pertussis patients at schools (12 classes, 402 children) showed that isolation of the patients failed to stop the spread of infection in the focus. This was attributed to incomplete detection of the patients and their late isolation in conditions of wide incidence of mild forms and formes frustes of pertussis. When patients suffering from pertussis were left at school, there occurred no increase in the spread of the infection in the focus, in duration or severity of the disease and no increase of the period of discharge of the causative agent. However, the number of days of the patient's absence from school was greatly reduced. Taking into consideration the absence of an attack-like cough in patients with formes frustes, short duration and preponderance of the attacks at night in patients with a mild form of pertussis, no disturbances in the general condition of the child, and also no indications to the treatment, schoolchildren should be isolated by clinical indications only (pyrexia, marked catarrhal phenomena, frequent attack-like cough, complications, concomitant diseases); they can be admitted to school as soon as the mentioned signs subsided irrespective of the time lapse from the onset of the disease.
mesh_terms: D002648:Child; D002675:Child, Preschool; D004812:Epidemiologic Methods; D006801:Humans; D009031:Moscow; D010567:Pertussis Vaccine / Q000008:administration & dosage; D011790:Quarantine; D012572:School Health Services; D014917:Whooping Cough / Q000453:epidemiology / Q000635:transmission*
chemical_list: D010567:Pertussis Vaccine
vernacular_title: Epidemiologicheskaia otsenka éffektivnosti obiazatel'noĭ izoliatsii bol'nykh kokliushem v shkolakh