Pertussis
Uganda2023
Diagnosis and treatment protocols for Pertussis in Uganda
Uganda Clinical Guidelines 2023 · all from source →
General Pediatric
Diagnosis
1.
Clinical Features
Stage 1 (1-2 weeks): Coryzal. Stage 2 (1-6 weeks): Paroxysmal cough ending in a whoop, vomiting. In infants <6mo: apnoea, cyanosis. Stage 3: Convalescent.
Treatment
1.
General Management
Maintain nutrition/fluids. Give oxygen/suction if cyanotic. Isolate until 5 days of antibiotics. Cough mixtures, sedatives, mucolytics, and antihistamines are USELESS.
2.
Antibiotic Therapy
Initiate within 3 weeks of cough: Erythromycin 500 mg every 6 hours for 7 days (Child: 10-15 mg/kg every 6 hours).
Clinical Tools