Questions about Whooping Cough PLEASE!!!

  1. I work in Head start and Early Head Start and found out today that 2 of my EHS children have been diagnosed with pertussis. It has gone to the State Department of Health.

    The boy is 6 months old and has had 3 immunizations against this disease. His sister is 4 and she also has been immunized against it. They started on antibiotics on November 30. I had about 60 people in and out of my office on November 6. We were doing health screenings on the newborn-3 y/o's. I did ht, wt, head circ., vision, hearing and Hgb and lead screenings on the children.

    In July of this year, I was exposed to a respiratory illness. I had a slight fever and had to take tylenol w/ codiene to tame the cough. It was the absolute worst cough I have ever had. You know how you cough when you get choked? Well that is the kind of cough I had. it was awful!!

    I had a slight fever, but no cough when I did the screenings on November 6th. About 2 weeks later the awful cough showed up again.

    My question is how does the dr. diagnose pertussis? I know I need to be tested to see if I am a carrier. I was immunized in the early 60's and wasn't required to retake the shots as a nursing student. please Advice ASAP!!

    My job involves children from newborn up to and including 5 year olds. It also includes Prenatal Moms.


    Thanks!!


    ________________________________________

    In His Grace,

    Karen

    Failure is NOT an option!!
    Last edit by kwagner_51 on Dec 8, '06 : Reason: Needed to add info
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  2. 6 Comments

  3. by   SCRN1
  4. by   BSNtobe2009
    Are there other children whose immunization records were not furnished or verfied?
  5. by   kwagner_51
    Quote from BSNtobe2009
    Are there other children whose immunization records were not furnished or verfied?
    No. Each child is REQUIRED to be up to date on their immunizations. I spent days verifying each one of the children's vaccines. I have access to the State immunization web site that lists each shot, if it was a combo, where it was given, the date, who gave it which company made it and the control number.

    I talked to the nurse in the immunization clinic several times to verify the records.

    All Head Start and Early Head Start children are required by Federal Mandate to be completely vaccinated before they are allowed into the program.

    Thanks!


    _____________________________

    In His Grace,

    Karen

    Failure is NOT an option!!
  6. by   augigi
    Quote from kwagner_51
    My question is how does the dr. diagnose pertussis? I know I need to be tested to see if I am a carrier. I was immunized in the early 60's and wasn't required to retake the shots as a nursing student. please Advice ASAP!!
    There is plenty of information available online with regard to diagnosis of pertussis (check www.cdc.gov). With regard to your question about yourself, I'd have to say go check with your doctor.
  7. by   kukukajoo
    my daughter got pertussis after her first dtp shot. not sure if the vaccine is what they used 15 yrs ago but just letting you know.

    also i think cdc recommends all heathcare workers the new dpt combo- it's called tdap:

    on october 26, 2005, the advisory committee on immunization practices (acip) recommended routine use of a single dose of tdap for adults 19-64 years of age to replace the next booster dose of tetanus and diphtheria toxoids vaccine (td). the acip also recommended tdap for adults who have close contact with infants <12 months of age. on february 22, acip recommended tdap for health-care personnel as soon as feasible. provisional acip recommendations are summarized below. these recommendations are under review by the director of the cdc and the department of hhs, and will become official when published in cdc’s
    morbidity and mortality weekly report (mmwr) (www/cdc.gov/mmwr/). acip recommendations for tdap (adaceltm and boostrix) among adolescents 11-18 years of age are available at

    .

  8. by   EricJRN
    Karen,

    Your best bet is to consult your physician for this type of information. Dispensing medical advice is outside of our scope and violates our Terms of Service at Allnurses.

    We wish you the best of health!

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