Whooping cough associated with morbimortality and immunoprevention

Abstract

Background: In Honduras there have been multiple outbreaks of whooping cough, but few are published and reported as a diagnosis the polymerase chain reaction (pcr) in real time. Should be taken into account underreporting and underdiagnosis due to the low index of suspicion as a important factors to consider in the re emergence of the desease.

Objective: to describe the COQUELUCHOIDE syndrome and pertussis infection in Hospital Mario Catarino Rivas (HMCR) in the period between January to may 2017.

Patients and methods: descriptive, cross sectional study in children whose clinical picture meets the criteria to be a probable case of whooping cough. The sample consist of 23 patients.

Results: pertussis affects male children, younger breastfeeding, during the months of January and march. The evolution of the disease has an average of 12 days of illness at the time of diagnosis, the incomplete vaccination scheme for the age according to PAI is an important risk factor. Paroxysmal cough, fever and apnea were the predomiant clinical picture accompanied by hyperleukocytosis with positive CPR. 37% of the cases passed away because of associated complicatins.

Conclusion: Despite the epidemiological changes that have taken place during the course of time with the introduction of the bordetella pertussis vaccine, it still remains a prevalent disease, fatal, specially in infants and neonates, the cocoon strategy is considered to be included in the immunization program of our country, remembering that the whooping cough is a preventable disease.