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Suffer the Infants: A Severe Case of Pertussis in Oregon, 2012
Juventila Liko1, William J Koenig2, Paul R Cieslak1
1Oregon Health Authority, Public Health Division, Portland, OR.
Insights
Pertussis poses a significant risk to young infants, leading to severe illness and high healthcare costs. Vaccination during pregnancy and early infant immunization are crucial to prevent severe pertussis cases.
Area of Science:
- Public Health
- Pediatrics
- Infectious Diseases
Background:
- Pertussis (whooping cough) is a serious concern for infants.
- Severe cases in infants lead to prolonged hospitalization and substantial costs.
Observation:
- A case study of an Oregon infant hospitalized for 90 days with pertussis.
- The infant required 43 days of extracorporeal oxygenation and experienced complications, including stroke.
Findings:
- The infant's extensive treatment resulted in hospital charges of $1.5 million.
- This case highlights the severe morbidity and economic burden of pertussis in young infants.
Implications:
- The findings underscore the critical need for maternal pertussis vaccination during each pregnancy.
- Prompt infant vaccination, starting at two months of age, is essential for preventing severe pertussis outcomes.
Abstract:
Pertussis remains a public health concern in Oregon, especially among young infants. The disease can be severe in this age group and is associated with a high inpatient cost. This report describes an Oregon infant who was hospitalized with pertussis for 90 days, required extracorporeal oxygenation for 43 days, suffered complications including stroke, and had hospital charges totaling $1.5 million. Pertussis morbidity among young infants argues for vaccination of women during each pregnancy and of infants beginning promptly at two months of age.
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