Prevention and Control of Communicable Diseases - Missouri ...

TREATMENT
PREVENTION/CONTROL
July 2011
Antibiotics shorten the time a person with pertussis can give it to others, but may do
little to lessen their symptoms. Treatment is most effective if started soon after
cough begins. Antibiotics are usually not given to people who have had a cough for
more than 21 days because they will no longer be helpful.
� Studies have shown that protection from the pertussis vaccine (DTP/DTaP)
decreases from 3 to 5 years after the last vaccination.
Adolescents ages 11 through 18: Adolescents aged 11 or 12 should receive a
single dose of tetanus, diphtheria, and pertussis (Tdap) in place of tetanus and
diphtheria (Td). Adolescents aged 13 through 18 who have not received Tdap
should receive a single dose of Tdap instead of Td for booster immunization
Adults Ages 19 through 64: One dose of Tdap vaccine is recommended in
place of the next booster of Td. Tdap is recommended for adults having close
contact with infants less than 12 months of age, providing the interval of the
most recent Td was two years or more.
� People who develop the symptoms of pertussis within 21 days of exposure
should stay home and call their healthcare provider.
� Cover your nose and mouth with a tissue when coughing or sneezing, or
cough/sneeze into your sleeve. Dispose of used tissues.
� Regular and thorough handwashing is the best way to prevent spread of
communicable diseases. Wash hands thoroughly with soap and warm running
water after contact with secretions from the nose or mouth.
� Clean and sanitize mouthed objects and surfaces at least daily and when soiled.
(See pgs 35-41)
� People who are exposed to pertussis and who are not up to date on pertussis
vaccinations should contact their healthcare provider or public health clinic to be
vaccinated.
� Public health will determine if preventive antibiotics are needed if someone in
your childcare or school develops pertussis.
For more information, call Missouri Department of Health and Senior Services (MDHSS) at 573-751-6113
or 866-628-9891 (8-5 Monday thru Friday) or call your local health department.
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