Pertussis

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1. symptoms

    1. barking cough

    2. Lacrimation

    3. rhinorrhea

    4. cyanosis and vomiting post cough

2. Admit

    1. infant <3m/o

    2. severe symptoms

3. Treatment

    1. Syrup azithromycin 10mg/kg/day then 5 mg/kg/day for 4 days

        1. or syrup erythromycin 12mg/kg/day qid for 14 days

4. isolation till 5 days after start of azithromycin

5. Vaccination

    1. <7y/o with uncompleted vaccination ⇒ TDP

    2. >9y/o ⇒ Tdap