Abstract
A case of whooping cough in a moderate form in a child of the first month of life is described in the presented clinical observation. The moderate form was manifested by the duration of the preconvulsive period up to 5 days, the appearance of cyanosis of the face when coughing in the early stages of the disease (1 week), an increase in the number of coughing attacks. The difficulties of treating pertussis in young children are demonstrated by our observation of the course of the disease. There is no vaccination against pertussis in children in the family due to the refusal of parents and children with prolonged coughing were not examined at the outpatient stage. As a result, chemoprophylaxis was not performed on time and the newborn was discharged from the hospital to the center of pertussis infection. The solution to the problem of reducing the incidence in children in the first months of life should be vaccination of pregnant women in the last stages, and vaccination of the environment, including agerelated revaccinations.
Highlights
A case of whooping cough in a moderate form in a child of the first month of life is described in the presented clinical observation
Такая тенденция наблюдается во всех возрастных группах
Association between third-trimester Tdap immunization and neonatal pertussis antibody concentration .JAMA. 2018;320(14): 1464–1470
Summary
Резюме В представленном клиническом наблюдении описан случай коклюша у ребенка первого месяца жизни, протекавшего в среднетяжелой форме. Среднетяжелая форма проявлялась длительностью предсудорожного периода до 5 дней, появлением цианоза лица при кашле в ранние сроки болезни (1 неделя), нарастанием числа приступов кашля до 19 в сутки. Наше наблюдение за течением заболевания демонстрирует сложности терапии коклюша у детей раннего возраста. Обращает на себя внимание отсутствие вакцинации против коклюша у детей в семье в связи с отказом родителей и несвоевременное обследование детей с длительным кашлем на амбулаторном этапе. Решением проблемы снижения заболеваемости коклюшем у детей первых месяцев жизни должна быть вакцинация беременных на последних сроках, а также вакцинация окружения, в том числе и возрастные ревакцинации. Ключевые слова: коклюш у детей раннего возраста, вакцинация окружения, среднетяжелая форма, репризы
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
