What should you know about early signs of pertussis?

Pertussis is an infection of the airways. At first, the illness may look like an ordinary cold, with nasal symptoms, tiredness and a mild fever. The cough can then become more frequent and occur in forceful bursts. A person may gasp after a bout, vomit after coughing or make a whooping sound, although not everyone does. Babies may have pauses in breathing rather than a loud cough, so unusual breathing deserves prompt attention.

Arrange medical advice for a persistent or worsening cough, especially after close contact with someone who has pertussis. Keep the person away from infants and people who are pregnant until a clinician advises on infectiousness. Cover coughs, wash hands and avoid sharing cups or utensils. A clinician may consider testing and Antibiotic Treatment; antibiotics can be more useful when started early and may help reduce spread. Check whether household vaccinations are current through Childhood Immunisation services.

Seek emergency help for blue or grey lips, struggling to breathe, pauses in breathing, marked drowsiness, dehydration or coughing that prevents recovery between bouts. Babies with repeated coughing, poor feeding or breathing pauses should be assessed urgently. Contact a clinician promptly if cough-related vomiting, exhaustion or chest pain is developing.

Does this cough fit the early pattern of pertussis? Should close contacts be assessed or receive treatment? How long should the person stay away from infants or school? Are routine vaccinations up to date?