2010, Number 1
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Pediatr Mex 2010; 12 (1)
Clinical-epidemiological perspectives of pertussis disease at a referral hospital
Meza PA, Rodarte ER, Vázquez CJL
Language: Spanish
References: 15
Page: 6-10
PDF size: 186.01 Kb.
ABSTRACT
In spite of the noticeable decrease of the disease caused by
Bordetella pertussis since the introduction of the vaccination against it in 1940, pertussis disease keeps on being an endemic disease all over the world and represents an important cause of morbidity and death in both developing and developed countries.
In this retrospective review, it could be confirmed that pertussis remains as a health problem at our hospital, with an average of 9.3 cases a year and a prevalence of 0.72% in the three follow-up years. The age of presentation of the disease was inversely proportional to the risk magnitude; this means to say that the younger the child is, the higher is the risk of dying.
The increase of leucocytes due to lymphocytosis was associated to a greater diagnostic probability of pertussis disease.
The nutritional status or the feeding habit history when breast-feeding was not a determinant factor in the presentation of the disease.
Mortality was observed in three (10%) patients and it was related to complications such as septicemia or cardiac-respiratory insufficiency.
It can be concluded that a complete vaccination schedule is a decisive factor in order to obtain optimal immunity. Pertussis disease should not be considered a benign disease, since its complications may bring people close to death.
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