Adult pertussis is hazardous for the newborn

Ellen Bamberger1, Orna Starets-Haham, David Greenberg

  • 1Pediatric Department, Bnai Zion Medical Center, Haifa, Israel. ellen.bamberger@b-zion.org.il

Insights

Parental pertussis (whooping cough) transmission to newborns occurred in four hospital cases. Implementing infection control and parent screening can help prevent infant pertussis spread.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Public Health

Background:

  • Pertussis, also known as whooping cough, is a highly contagious respiratory infection.
  • Neonatal pertussis poses a significant risk of severe illness and mortality.
  • Hospital-acquired infections are a concern in neonatal care settings.

Purpose of the Study:

  • To report cases of likely pertussis transmission from parents to newborns within a hospital.
  • To highlight the importance of infection control in preventing neonatal pertussis.
  • To suggest strategies for reducing pertussis transmission in healthcare environments.

Main Methods:

  • Retrospective case review of four instances of suspected parent-to-newborn pertussis transmission.
  • Analysis of hospital infection control protocols in place during the reported cases.
  • Review of screening practices for parental pertussis exposure.

Main Results:

  • Four cases of likely pertussis transmission from parents to their newborns were identified.
  • Transmission occurred within the hospital setting despite existing protocols.
  • The findings suggest a potential gap in preventing parental-to-newborn pertussis spread.

Conclusions:

  • Parental pertussis poses a risk to newborns even in a hospital setting.
  • Enhanced infection control measures and targeted parental screening are crucial.
  • Proactive strategies are necessary to protect neonates from pertussis.

Related Concept Videos

Transmission-based Precautions II: Airborne and Protective Environment01:25

Transmission-based Precautions II: Airborne and Protective Environment

Transmission-based precautions are for patients infected or suspected to be infected (or colonized) with organisms posing a significant risk to others. The transmission precautions include airborne and protective environment precautions.
Airborne precautions:
Use airborne precautions when treating patients known or suspected to have diseases that spread through the air—for example, tuberculosis or measles. These organisms are present in smaller droplets expelled by an infected person and...
Upper Respiratory Drugs: Antitussives, Expectorants, and Mucolytics01:23

Upper Respiratory Drugs: Antitussives, Expectorants, and Mucolytics

Respiratory symptoms, such as congestion and cough, commonly accompany respiratory tract conditions. Various medications, such as antitussives, expectorants, and mucolytics, play crucial roles in providing relief.
Antitussives include codeine, dextromethorphan (Robitussin), and benzonatate (Tessalon). Codeine and dextromethorphan exert their effects centrally by suppressing the cough reflex center in the medulla.  Benzonatate operates peripherally within the respiratory tract by anesthetizing...
Pneumonia I: Introduction01:30

Pneumonia I: Introduction

Pneumonia is an acute respiratory infection that targets the lungs, specifically the alveoli. These tiny air sacs, essential for oxygen exchange, become engorged with pus and fluid, severely hindering breathing, decreasing oxygen absorption, and causing significant pain and discomfort during respiration.
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
Pneumonia I: Introduction01:29

Pneumonia I: Introduction

Pneumonia is an infection of the lower respiratory tract that leads to inflammation of the lung parenchyma, often resulting in the accumulation of inflammatory exudate in the alveoli and airways. Unlike the watery, low-protein fluid exudate in pulmonary edema, the exudate in this case is a thick fluid rich in immune cells, proteins, and debris produced during infection and inflammation.This impairs gas exchange and can lead to consolidation of lung tissue. The infection may be caused by a...
Diphtheria01:28

Diphtheria

Diphtheria is an acute, toxin-mediated infectious disease that primarily affects the upper respiratory tract. It is caused by Corynebacterium diphtheriae, a Gram-positive, pleomorphic rod that lacks spore-forming capability and exhibits a characteristic club-shaped morphology under microscopic examination. While C. diphtheriae can asymptomatically colonize mucosal surfaces, clinical disease manifests only when the bacterial strain is lysogenized by a specific β-corynephage. This phage...
Pulmonary Tuberculosis I01:29

Pulmonary Tuberculosis I

Tuberculosis, often called TB, is a contagious illness primarily caused by Mycobacterium tuberculosis. It mainly affects the lung parenchyma but can also impact other body parts.
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...