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The Collaborative Pediatric Critical Care Research Network Critical Pertussis Study: collaborative research in
Jeri S Burr1, Tammara L Jenkins, Rick Harrison
1University of Utah (JSB), Salt Lake City, UT, USA. jeri.burr@hsc.utah.edu
Insights
Despite high childhood vaccination rates, pertussis (whooping cough) remains a serious threat to US children, causing critical illness and death. Research is urgently needed to improve management strategies for this severe disease.
Area of Science:
- Pediatric Critical Care Medicine
- Infectious Diseases
- Epidemiology
Background:
- Pertussis (whooping cough) continues to cause significant morbidity and mortality in US children, particularly infants, despite widespread childhood vaccination.
- Bordetella pertussis is a recognized community-acquired pathogen leading to critical illness and death in pediatric intensive care units (PICUs).
- Knowledge gaps exist regarding the long-term medical and developmental sequelae in survivors of critical pertussis and optimal treatment strategies.
Purpose of the Study:
- To present an updated overview of critical pertussis for the pediatric critical care community.
- To describe the ongoing Collaborative Pediatric Critical Care Research Network (CPCCRN) Critical Pertussis Study.
Main Methods:
- A prospective cohort study is being conducted.
- Data collection involves multiple sites, including the CPCCRN network and academic medical centers with PICUs.
Main Results:
- Pertussis remains a significant cause of critical illness and death in US children, even with high vaccination coverage.
- The study aims to address the unknown incidence of sequelae and unclear management strategies for critical pertussis.
Conclusions:
- Urgent research is required to establish an evidence base for optimizing the management of critical pertussis.
- Critical pertussis is a severe, disabling, and often fatal illness affecting children in the US and globally.
Objective:
To provide an updated overview of critical pertussis to the pediatric critical care community and describe a study of critical pertussis recently undertaken.
Setting:
The six sites, seven hospitals of the Collaborative Pediatric Critical Care Research Network, and 17 outside sites at academic medical centers with pediatric intensive care units.
Results:
Despite high coverage for childhood vaccination, pertussis causes substantial morbidity and mortality in US children, especially among infants. In pediatric intensive care units, Bordetella pertussis is a community-acquired pathogen associated with critical illness and death. The incidence of medical and developmental sequelae in critical pertussis survivors remains unknown, and the appropriate strategies for treatment and support remain unclear. The Collaborative Pediatric Critical Care Research Network Critical Pertussis Study has begun to evaluate critical pertussis in a prospective cohort.
Conclusion:
Research is urgently needed to provide an evidence base that might optimize management for critical pertussis, a serious, disabling, and too often fatal illness for U.S. children and those in the developing world.
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