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Monday, June 4, 2007

Whooping

International code for classification Pertussis ICD-10 A37

ICD-9 033

Whooping Disease or also recognized as " pertusis" or in English Whooping Cough is one contagions. In world happened around 30 to 50 million cases per year, and causes death by 300000 cases ( data from WHO). This disease usually happened at child of having age below(under 1 year. 90 % case is happened in developing countries, this disease usually is resulted from bacterium Bordetella but not rarely is resulted from B. parapertussis

Incubation period

Time ex until seems to be disease sign 3 to 12 days.

Symptom


Usually is started with light ISPA symptom like coughing, sneeze and dilution of continuous exit nose ( at stadium catarrhal) later after 1 week until 2 week is continued by coughing continuous but is followed a period of where there are interval coughs ( stadium paroxysmal). Coughs this possibly can be followed with existence of puking, this thing is caused [by] nausea taste is suffered, and at moppet where physiological reflect of has not been formed in perfected hence will generate puking, this thing is not rarely brings towards malnutrition. Coughs this earns in trigger by evaporating, laughs or screams, and will decrease after 1 until 2 month. Complicacy can follow this situation is pneumonia, encephalitis, hypertension at lung, and infection bacterial follows.


Infection


Catching pertusis passed droplet to cough from patient is hit [by] this disease and then breathed in by healthy people of doesn't have body impenetrability, antibiotic can be given to lessen the happening of infection bacterial follows and lessens possibility that its(the weight this disease ( comes up with stadium catarrhal) after stadium catarrhal antibiotic remain to given to lessen spreading of this disease, antibiotic also is passed to people contact with patient, expected with gift of like this will lessen the happening of infection at the healthy people.

Therapy


If its(the disease weight, patient usually is taken care of in hospital. They is placed in calm chamber and not too light. Hubbub can be stimulate attack to cough. Can be done suction of mucus from red lane. At case that is weight, oxen is given [by] direct to lung through tubing put into by trachea. To replace dilution losing because puking and because baby usually cannot eat as result of coughing, hence given [by] dilution through infusion. Gizi good of vital importance, and is better if food given in small portion but often. To eradicate bacterium, usually is given antibiotic eritromycin.

Prognosis

Most of patient experiences total recovery, though takes place slow. Around 1-2% child having age under 1 year to die. Death happened because the lessen of oxen to brain ( anoxia encephalopathie) and bronkopneumonia.

Prevention

Immunization at the age of 2, 4, 6, and 18 months and 4-6 years. Expected to hit of pertusis would more and more low with giving of immunization, and disease symptom also will not as heavy if without gives of immunization.

1 comment:

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