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.

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