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Pertussis - ati community health practice a
Pertussis - ati community health practice a
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Significance of Pertussis Pertussis is an important communicable disease in which we must be aware of, it is exceedingly contagious. The main sign that one portrays when this disease is present is uncontained aggressive coughing, which can lead to difficulty in breathing to some individuals. Whooping cough is also another name for pertussis mainly because a whooping sound is heard when the patient tries to breath. Pertussis, is an upper respiratory infection caused by the Bordetella pertussis bacteria. Common cold like symptoms occur about a week after exposure to the bacteria. The whoop noise is rare in patients under 6 months of age. A major concern with pertussis is when a patient has coughing spells leading to vomiting or a short loss …show more content…
The method of transmission is airborne, by way of an infected person sneezing or coughing. The droplets from the sneeze or cough contains the Bordetella pertussis bacteria moving through the air within the atmosphere making it easy to transmit to an uninfected person. The disease typically lasts 6 weeks, but can last as long as 10 weeks. It is important to understand pertussis so that if anything remotely relating to the symptoms of pertussis occur such as: common cold, severe coughing, whoop noise, runny nose, slight fever and or diarrhea the patient understanding will lead him or her to contact their health provider. In older children, the prognosis is usually very good, infants are the highest at risk (Kaneshiro & Zieve, …show more content…
Treatement provided are antibiotic such to diminish the disease from getting worst. If too late the aantibiotic will not be effective, but it can reduce the patient or individual ability to spread the disease to others. Babies most vulnerable are at high risk, pregnant women should take the vaccine to prevent premature babies and other possible complication. Teen, adults and elders are also recommended to take the pertussis vaccine. No person infected should return to daycare, school or work until they have completed the antibiotic treatment. Because pertussis is an airborne respiratory disease , it is considered to be a droplet precaution , where surgical mask is required when entering a patient with the disease if close contact is
R.S. has chronic bronchitis. According to the UC San Francisco Medical Center “Chronic bronchitis is a common type of chronic obstructive pulmonary disease (COPD) in which the air passages in the lungs — the bronchi — are repeatedly inflamed, leading to scarring of the bronchi walls. As a result, excessive amounts of sticky mucus are produced and fill the bronchial tubes, which become thickened, impeding normal airflow through the lungs.” (Chronic Bronchitis 2015) There are many things that can be observed as clinical findings. R.S. will have a chronic cough that has lasted from 3 months to two years or more, and a lot of sputum. The sputum is due to
Bordetella pertussis is a highly communicable agent and is transmitted person-to-person via airborne droplets or direct contact with discharges from the respiratory mucous membranes of an infected person. This small, gram-negative coccobacillus is non-motile, aerobic and fastidious. B. pertussis colonizes the respiratory tract including the mouth, nose, throat and beginning of the lungs of young children worldwide. The bacteria bind to ciliated cells in the respiratory mucosa by producing adhesions. Filamentous hemagglutinin on the cell surface and pertussis toxin (Ptx) both help the bacteria in binding. Filamentous hemagglutinin binds to the galactose residues on the glycolipid of the ciliated cells. Ptx, in its cell-bound form, binds to the glycolipid lactosylceramide, which is also found on the ciliated cells. Ptx binds to the surface of phagocytes as well, causing phagocytosis of the bacteria. This mechanism may lead to enhanced survival as an intracellular parasite. Adding to its many purposes, Ptx deregulates the host cell adenylate cyclase activity. The A subunit of this AB toxin, affects the G protein responsible for inhibiting adenylate cyclase. This leads to an increase in cyclic adenosine monophosphate (cAMP) creating detrimental metabolic changes in the host cells.
Mielcarek N, Debrie AS, Raze D et al (2006) Attenuated Bordetella pertussis: new live vaccines for intranasal immunisation. Vac- cine 24 (Suppl 2):54–55
Pertussis: Pertussis also known as whopping cough is a highly contagious bacterial disease that causes an uncontrollable, severe coughing. It is a serious disease that can affect individual of all ages with severe complication resulting in permanent disability in infants and lastly death. The fact that this 7-months old baby stay up night, inability to sleep can make it hard to breathe. Burns, Cotter, Harvill, Hewlett, Merkel, Stibitz & Quinn explained that pertussis is an upper respiratory infection caused by the Bordetella pertussis bacteria in addition to the systemic manifestations such as “lympocytosis, dysregulated secr...
My disease is Streptococcal pneumonia or pneumonia is caused by the pathogen Streptococcus pneumoniae. Streptococcus pneumoniae is present in human’s normal flora, which normally doesn’t cause any problems or diseases. Sometimes though when the numbers get too low it can cause diseases or upper respiratory tract problems or infections (Todar, 2008-2012). Pneumonia caused by this pathogen has four stages. The first one is where the lungs fill with fluid. The second stage causes neutrophils and red blood cells to come to the area which are attracted by the pathogen. The third stage has the neutrophils stuffed into the alveoli in the lungs causing little bacteria to be left over. The fourth stage of this disease the remaining residue in the lungs are take out by the macrophages. Aside from these steps pneumonia follows, if the disease should persist further, it can get into the blood causing a systemic reaction resulting in the whole body being affected (Ballough). Some signs and symptoms of this disease are, “fever, malaise, cough, pleuritic chest pain, purulent or blood-tinged sputum” (Henry, 2013). Streptococcal pneumonia is spread through person-to-person contact through aerosol droplets affecting the respiratory tract causing it to get into the human body (Henry, 2013).
Vaccine safety is one of the most controversial topics in today’s public discourse. Everyone has heard of them, but few know why they are so encouraged. A vaccine contains a weak or dead version of a microbe. This creates a small scale invasion of the immune system, which activates cells to destroy the microbe. Once these cells have been made they are always there to provide protection. This protection is immunity, for those cells are then able to recognize any live version of the same microbe and attack it immediately. This can save lives but also be dangerous, vaccines carry many other components which can cause side effects. These could be simple adverse effects such as a small cold or, in the rare case,
A breakthrough came about when Madsen developed an inactivated whole cell vaccine against pertussis also known as whooping cough (“Medindia”). Nearly all children developed this illness before the immunizations were available. It’s estimated that between 150,000 and 260,000 cases were reported each year and up to 9,000 pertussis-related deaths (“CDC”).
Liam is a previously healthy boy who has experienced rhinorrhoea, intermittent cough, and poor feeding for the past four days. His positive result of nasopharyngeal aspirate for Respiratory Syncytial Virus (RSV) indicates that Liam has acute bronchiolitis which is a viral infection (Glasper & Richardson, 2010). “Bronchiolitis is the commonest reason for admission to hospital in the first 6 months of life. It describes a clinical syndrome of cough tachypnoea, feeding difficulties and inspiratory crackles on chest auscultation” (Fitzgerald, 2011, p.160). Bronchiolitis can cause respiratory distress and desaturation (91% in the room air) to Liam due to airway blockage; therefore the infant appears to have nasal flaring, intercostal and subcostal retractions, and tachypnoea (54 breathes/min) during breathing (Glasper & Richardson, 2010). Tachycardia (152 beats/min) could occur due to hypoxemia and compensatory mechanism for low blood pressure (74/46mmHg) (Fitzgerald, 2011; Glasper & Richardson, 2010). Moreover, Liam has fever and conjunctiva injection which could be a result of infection, as evidenced by high temperature (38.6°C) and bilateral tympanic membra...
Polio: An American Story describes a struggle to find a vaccine on polio through several researchers’ lives, and over the course of many years. The second thesis is the struggle between Salk and Sabin, two bitter rivals who had their own vaccine that they believed would cure polio. The author David M. Oshinsky, is describing how difficult it was to find the cure to a horrifying disease, which lasted from the Great Depression until the 1960’s. Oshinsky then writes about how foundations formed as fundraisers, to support polio research. Lastly, the author demonstrates how researchers were forced to back track on multiple occasions, to learn more about polio.
If a child is sick, then it’s best to wait until the child feels better before giving them a vaccine.... ... middle of paper ... ... The 'Standard' of the 'Standard'.
Pertussis, until 5 days of appropriate antibiotic treatment (currently; erythromycin) to prevent an infection have been completed and a licensed physician states in writing the child may return;
The discovery of the polio vaccine was an important medical and scientific breakthrough because it saved many lives since the 1950s. In the summer of 1916 the great polio epidemic struck the United states. By the 1950s hundreds of thousands of people had been struck by the poliomyelitis. The highest number of cases occurred in 1953 with over 50,000 people infected with the virus.
The pneumonic plague is transmitted through any form of infection. There is one to three days inc...
Among cases reported in the United States, what was the incidence rate of pertussis in infants (6-11 months) compared to adolescents (11-19 years) in 2015?
Pertussis or whooping cough, is an acute contagious respiratory tract infection caused by an aerobic gram negative rod, called Bordetella Pertussis. Pertussis was one of the most common childhood disease in the United States. The outbreak of this disease was first noticed in the 16th century. It took another 300 years to isolate the organism and the vaccine for pertussis was developed in the 1940s. There were more than 200,000 cases reported annually, and this was one of the major case of childhood morbidity and mortality, before the availability of vaccination. This disease is still a major problem in different parts of the world, especially in developing and underdeveloped countries.