Bordetella pertussis isolation in general practice: 1977-79 whooping cough epidemic in West Glamorgan. Kwantes, W, Joynson, D H, & Williams, W O The Journal of Hygiene, 90(2):149–58, April, 1983. Paper doi abstract bibtex Some of the factors influencing the isolation rate of Bordetella pertussis during a whooping cough epidemic in West Glamorgan, Wales, are reported. The organism was isolated from 39% of patients with clinical whooping cough, pernasal swabbing being much more successful than cough plates. Isolation rates were increased in the non-immunized, particularly in the first year of life. Erythromycin and co-trimoxazole significantly reduced the isolation rate of B. pertussis but this did not occur with penicillin. In this study 20% of patients were culture positive 6 weeks after the onset of their infection. It is suggested that the Department of Health and Social Security recommendation of a minimum period of three weeks exclusion of children from school is inadequate. During the epidemic, the proportion of strains of B. pertussis containing antigen 2 more than doubled.
@article{kwantes_bordetella_1983,
title = {Bordetella pertussis isolation in general practice: 1977-79 whooping cough epidemic in {West} {Glamorgan}},
volume = {90},
issn = {0022-1724},
shorttitle = {Bordetella pertussis isolation in general practice},
url = {http://www.ncbi.nlm.nih.gov/pubmed/6300227},
doi = {6300227},
abstract = {Some of the factors influencing the isolation rate of Bordetella pertussis during a whooping cough epidemic in West Glamorgan, Wales, are reported. The organism was isolated from 39\% of patients with clinical whooping cough, pernasal swabbing being much more successful than cough plates. Isolation rates were increased in the non-immunized, particularly in the first year of life. Erythromycin and co-trimoxazole significantly reduced the isolation rate of B. pertussis but this did not occur with penicillin. In this study 20\% of patients were culture positive 6 weeks after the onset of their infection. It is suggested that the Department of Health and Social Security recommendation of a minimum period of three weeks exclusion of children from school is inadequate. During the epidemic, the proportion of strains of B. pertussis containing antigen 2 more than doubled.},
number = {2},
urldate = {2008-10-01},
journal = {The Journal of Hygiene},
author = {Kwantes, W and Joynson, D H and Williams, W O},
month = apr,
year = {1983},
pmid = {6300227},
keywords = {Adult, Anti-Bacterial Agents, Bordetella pertussis, Child, Child, Preschool, Disease Outbreaks, Female, Humans, Infant, Male, Orthomyxoviridae, Paramyxoviridae, Pertussis Vaccine, Serotyping, Time Factors, Vaccination, Wales, Whooping Cough},
pages = {149--58},
}
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Erythromycin and co-trimoxazole significantly reduced the isolation rate of B. pertussis but this did not occur with penicillin. In this study 20% of patients were culture positive 6 weeks after the onset of their infection. It is suggested that the Department of Health and Social Security recommendation of a minimum period of three weeks exclusion of children from school is inadequate. 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The organism was isolated from 39\\% of patients with clinical whooping cough, pernasal swabbing being much more successful than cough plates. Isolation rates were increased in the non-immunized, particularly in the first year of life. Erythromycin and co-trimoxazole significantly reduced the isolation rate of B. pertussis but this did not occur with penicillin. In this study 20\\% of patients were culture positive 6 weeks after the onset of their infection. It is suggested that the Department of Health and Social Security recommendation of a minimum period of three weeks exclusion of children from school is inadequate. 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