> Vaccination against pertussis (whooping cough)

Definizione

The pertussis is a very contagious condition caused by a bacterium that is transmitted with the secretions of the nose and throat. Whooping cough starts with symptoms of a common cold: cough, runny nose, fever, mild.

In the following days, the cough worsens and is characterized by coughing in succession, during which the child is not breathing, followed by a loud resumption of the flato (coughing with “scream”).

This cough lasts about 2 weeks, then progressively improves. Overall, the disease lasts for 1-2 months.

The major complications are pneumonia, seizures, encephalitis.

The antibiotic therapy is poorly effective, and può to reduce the severity of symptoms only if started very early, during the first week of the illness, when è, however, diffìchile and pertussis (whooping cough) to be recognized.

For about a year, after the healing, you can resubmit the typical accesses of cough, triggered for example by episodes of raffeddore. the

As is frequently the whooping cough in the uk?

pertussis (whooping cough) is still present even if the high coverage vaccinalie has dramatically reduced the incidence of the disease: while the ’60s were notified of an average of 21,000 cases of whooping cough each year, between 2000 and 2004 have been notified to 1,900 cases per year (-91%).

What the vaccine is used against whooping cough?

Currently, the vaccine used in Italy is the vaccine is “acellular”, which contains only certain components of the bacterium, are important for inducing protection against the disease. The calendar of vaccination consists of three doses of the vaccine ” in the first year of life (in the 3°, 5° 11°-13° month of age), followed by a booster at 5-6 years of age.

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From 1999 to present have been introduced in the market combined products of four or more components, where the vaccine antipertussis acellular is associated with the vaccines against tetanus, diphtheria, Hib, Polio and HBV.

The most frequently used products in Italy are currently the esavalenti, combining all the vaccines mentioned above. Also available are vaccines for use in booster doses, which contain a reduced amount of the component”, in combination with the vaccine against tetanus and the vaccine antidifterite formulation as an adult.

What are the risks of the vaccination?

The vaccination può to cause reactions at the point of injection (redness, swelling, or fever. These reactions to heal from the sun in 2 or 3 days. Reactions più important, such as high fever (above 40°C) or febrile convulsions are extremely rare. These events are resolved, however, spontaneously, and without leaving any damage.

In these cases, the opportunityà to continue the vaccination cycle should be evaluated by your doctor.

In such cases, the vaccination could notò be done?

As for the other vaccinations, the vaccination against pertussis is contraindicated for children who have had a severe allergic reaction (anaphylaxis) after a previous administration, or who have had a severe allergic reaction to a component of the vaccine.

The vaccination should be postponed in case of acute illness is important.

in Addition, for children with disorders progressive neurological (including infantile spasms, uncontrolled epilepsy, and progressive encephalopathy) or with encephalopathy within seven days from the previous administration, the opportunityà to make the vaccination should be evaluated on a case-by-case basis. the

the Municipality of Rome – Department for Policies for the Promotion of the Child and the Family – Department XVI

Page updated on 31/5/2006

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