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Link to original content: https://pubmed.ncbi.nlm.nih.gov/22431797/
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. 2012 Jun;54(12):1756-64.
doi: 10.1093/cid/cis302. Epub 2012 Mar 19.

Clinical definitions of pertussis: Summary of a Global Pertussis Initiative roundtable meeting, February 2011

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Clinical definitions of pertussis: Summary of a Global Pertussis Initiative roundtable meeting, February 2011

James D Cherry et al. Clin Infect Dis. 2012 Jun.

Abstract

Existing clinical case definitions of pertussis are decades old and based largely on clinical presentation in infants and children, yet an increasing burden is borne by adolescents and adults who may manifest distinct signs/symptoms. Therefore, a "one-size-fits-all" clinical case definition is no longer appropriate. Seeking to improve pertussis diagnosis, the Global Pertussis Initiative (GPI) developed an algorithm that delineates the signs/symptoms of pertussis most common to 3 age groups: 0-3 months, 4 months to 9 years, and ≥10 years. These case definitions are based on clinical presentation alone, but do include recommendations on laboratory diagnostics. Until pertussis can be accurately diagnosed, its burden will remain underestimated, making the introduction of epidemiologically appropriate preventive strategies difficult. The proposed definitions are intended to be widely applicable and to encourage the expanded use of laboratory diagnostics. Determination of their utility and their sensitivity and/or specificity versus existing case definitions is required.

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Figures

Figure 1.
Figure 1.
Algorithm for the diagnosis of pertussis. Abbreviations: IgG, immunoglobin G; PCR, polymerase chain reaction; PT, pertussis toxin; RSV, respiratory syncytial virus; WBC, white blood cell. aIn resource-limited areas where PCR is not available, samples may be sent to a reference laboratory for culture confirmation. bFalse-negatives possible. cSerology not useful in this age cohort.
Figure 2.
Figure 2.
Clinical case definition of pertussis for surveillance purposes.

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References

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