Nosocomial pertussis infection of infants: still a risk in 2009

Jennifer M Paterson1, Vicky Sheppeard

  • 1Sydney West Centre for Population Health, Parramatta, New South Wales. Jen_M_Paterson@wsahs.nsw.gov.au

Insights

A pertussis (whooping cough) infection in a vaccinated healthcare worker led to infections in four neonates. This highlights the need for vigilance against pertussis in neonatal settings, even with vaccination.

Area of Science:

  • Public Health
  • Infectious Disease Epidemiology
  • Neonatal Care

Background:

  • Pertussis (whooping cough) poses a significant risk to vulnerable populations, including neonates.
  • Healthcare settings, particularly maternity wards, are critical environments for preventing infectious disease transmission.

Purpose of the Study:

  • To describe a pertussis outbreak in a neonatal unit originating from a healthcare worker.
  • To outline the public health interventions implemented to control the spread.
  • To emphasize the importance of maintaining awareness of pertussis in healthcare settings.

Main Methods:

  • Investigation of a confirmed pertussis case in a healthcare worker.
  • Identification and confirmation of pertussis in neonates under their care.
  • Public health response including contact tracing and prophylaxis.

Main Results:

  • Four neonates acquired pertussis infection from the infected healthcare worker.
  • Three neonates had laboratory-confirmed pertussis; one was diagnosed clinically.
  • The outbreak necessitated hospitalisation of infants and prophylactic treatment for 73 individuals.

Conclusions:

  • Pertussis can occur in vaccinated individuals, necessitating ongoing clinical suspicion.
  • Healthcare workers with respiratory symptoms should be evaluated for pertussis, especially when working with neonates.
  • Prompt public health interventions are crucial to prevent further transmission in high-risk settings.

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