[Pertussis in practice in 2007].
Universal vaccination of infants against pertussis has transformed the epidemiology of the disease. Pertussis has however become frequent, although not often diagnosed, in adolescents and adults and thus contributes to permanent transmission of Bordetella pertussis in France and contamination of young infants at risk of severe disease. Control of transmission of pertussis in France necessitates reinforcement of vaccination with late boosters in adolescents and adults and, in addition, education of physicians to recognize and treat early cases of pertussis, especially in adolescents and adults with a persistent or chronic cough, and to take appropriate prophylactic measures (antibiotics and recall vaccination) of those in contact with confirmed cases. Effective treatment does little to reduce symptoms but it does reduce transmission. Macrolides are the recommended treatment for pertussis.
Grimprel
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Consultation, urgences pédiatriques, pathologie infectieuse et tropicale, hôpital d'enfants Armand-Trousseau, 26, avenue du Docteur-Arnold-Netter, 75571 Paris cedex 12, France. emmanuel.grimprel@trs.aphp.fr
D002648:Child; D006801:Humans; D010567:Pertussis Vaccine; D014917:Whooping Cough / Q000150:complications / Q000175:diagnosis / Q000628:therapy
D010567:Pertussis Vaccine