Case 11 - Michael, 6 Months Old | PIAC Series

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ANSWERS
Case 11 - Michael, 6 months old

Michael is a 6 month old admitted with severe cough and vomiting. Pertussis is in the differential

Questions:

1) What isolation precautions are indicated?

2) What other measures are in place to prevent spread of pertussis?

Answers

Isolation precautions indicated are: DROPLET.  This involves use of surgical mask when within 3 feet of the patient.

Other measures utilized are
  • Tdap for all HCW with patient contact
  • Post-exposure follow-up for all exposed HCW. Incubation is prolonged (ave = 10 d; up to 21 d). Antibiotic prophylaxis (generally azithromycin x 7 days) is offered to all exposed, and specifically recommended for those HCW with exposure at home or work to non-immune children.
Prompt use of DROPLET precautions and an immune staff are critically important. Multiple infected staff members can result from a single exposure if these are not in place.

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