Pertussis: The Daily PANCE Blueprint
A 4-year-old boy is brought to the pediatrician by his mother due to severe coughing spells that have been ongoing for the past two weeks. The coughing is often followed by a high-pitched "whoop" sound, and he occasionally vomits after coughing. The child has not had any fever. PCR testing of a nasopharyngeal swab confirms a diagnosis of pertussis. The child has received all his scheduled vaccinations, including the DTaP vaccine. The boy attends daycare regularly, and the mother is concerned about the potential spread of the infection to other children and staff members. What is the recommended management for the other children and staff members at the daycare?
A. No treatment is necessary for the children and staff
B. Only unvaccinated children should receive antibiotics
C. All close contacts should start azithromycin prophylaxis
D. The daycare should be closed for 2 weeks
E. Only symptomatic contacts should receive treatment
Smarty PANCE Content Blueprint Review:
Covered under ⇒ PANCE Blueprint Pulmonary ⇒ Infectious Pulmonary Disorders ⇒ Pertussis
Also covered as part of the Internal Medicine EOR and Emergency Medicine EOR topic lists