What you need to know about whooping cough

By MAYO CLINIC NEWS NETWORK (TNS)

Whooping cough (pertussis) is caused by Bordetella pertussis bacteria.

Cases of pertussis, commonly known as whooping cough, continue to rise in the U.S. New numbers from the Centers for Disease Control and Prevention show nearly 18,000 cases through Oct. 5. While that is somewhat in line with pre-pandemic numbers, it’s a large increase from the same period last year when there were just under 4,000 cases.

Whooping cough is an infectious respiratory illness caused by Bordetella pertussis bacteria. It spreads through the air when an infected person coughs or sneezes.

“This is an infection that causes quite a significant cough,” says Dr. Nipunie Rajapakse, a pediatric infectious diseases expert with the Mayo Clinic Children’s Center. “It can start like a cold with some runny nose, which then turns into a cough.”

The infection is characterized by a severe hacking cough followed by a highpitched intake of breath that sounds like “whoop.”

“Generally, the kids who have it can have bouts of coughing where they can’t catch their breath. And then after the coughing is finished, they take a big, deep breath to catch their breath from it, and that’s where that whooping sound comes from,” Dr. Rajapakse says.

Early symptoms

■ Runny nose.

■ Nasal congestion.

■ Red, watery eyes.

■ Fever.

■ Cough.

Later symptoms

■ Vomiting during or after coughing fits.

■ Struggling to breathe.

■ Extreme fatigue or exhaustion.

■ Ending with a highpitched “whoop” sound during the next breath of air. Not everyone with the infection will develop a whoop-sounding cough, and infants may not cough at all. Instead, they may struggle to breathe, or they may even stop breathing temporarily.

Pertussis bacteria produce toxins that inflame the airway.

When to seek medical attention

■ Struggling to breathe.

■ Turning blue or purpose.

■ Coughing violently or rapidly.

■ Not drinking enough fluids.

People of all ages can become infected. However, whooping cough is especially dangerous for babies, particularly those under 6 months. It can lead to severe breathing issues, which may require hospitalization.

Prevention

Whooping cough is a vaccine preventable disease. “Thankfully, this is an infection we have a vaccination for,” says Dr. Rajapakse.

There are two types of vaccine available:

■ Diphtheria, tetanus, Pertussis ( DTaP)This vaccine is for children younger than 7 years old.

■ Tetanus, Diphtheria, Pertussis ( Tdap)This vaccine is for older children and adults, including pregnant women.

Tdap is recommended for pregnant women in each pregnancy to provide babies with early protection against pertussis. This is crucial because the first few months of life pose the highest risk for serious illness, and babies don’t receive their first pertussis vaccine dose until they’re 2 months old.

Dr. Rajapakse says it’s important for anyone in close contact with newborns and young infants, such as parents, grandparents or child care providers, to ensure they are up to date on their pertussis vaccination.

Practicing good hand hygiene also can help reduce the spread of respiratory infections.