Red Whale Primary Care Pod Spotting pertussis and antibiotic prophylaxis for STIs
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Jan 17, 2025 Explore the challenges of spotting pertussis in adults with a cough and the critical role of vaccinations. Delve into the controversial topic of antibiotic prophylaxis for STIs, highlighting guidelines and concerns about antimicrobial resistance. Enjoy a mix of personal anecdotes and critical insights on equitable healthcare access and the importance of tailored prevention strategies. Plus, celebrate the unsung heroes of primary care and engage in community interaction with some fun discounts!
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Pertussis Prevalence and Importance
- 3% of adults with an acute cough have pertussis, which is likely underdiagnosed.
- Pertussis has cyclical peaks, impacted by factors like COVID-19, and it's a preventable cause of infant hospitalization and death.
Pertussis Presentation
- Be aware of pertussis's classic signs: coughing paroxysms followed by an inspiratory whoop and vomiting.
- Vaccinated individuals may not whoop but may present with cough, cough, cough, cough, vomit.
100-Day Cough
- Pertussis can last for three months or more, hence the colloquial name "100-day cough".
- Media coverage of this term increased public awareness and patient inquiries about the illness.