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Tos ferina - Treatment

Nombres alternativos

Tos convulsiva

Tratamiento:

Los antibióticos, como eritromicina, pueden hacer desaparecer los síntomas más rápidamente si se inician bien temprano. Infortunadamente, la mayoría de los pacientes reciben el diagnóstico demasiado tarde cuando los antibióticos no son muy efectivos. Sin embargo, los medicamentos pueden ayudar a reducir la capacidad del paciente para diseminar la enfermedad a otros.

Los bebés menores de 18 meses requieren constante supervisión, ya que la respiración puede detenerse temporalmente durante los ataques de tos. Los bebés con casos graves se deben hospitalizar.

Se puede utilizar una tienda de oxígeno con bastante humedad.

De igual manera, se pueden administrar líquidos por vía intravenosa si los ataques de tos son tan severos que impiden que el paciente beba lo suficiente.

A los niños pequeños se les pueden recetar sedantes (medicamentos que le provocan a uno sueño).

Los jarabes para la tos, los expectorantes y los antitusígenos por lo general no sirven y NO se deben utilizar.

Pronóstico:

En los niños mayores, el pronóstico generalmente es muy bueno. Los bebés tienen el mayor riesgo de muerte y requieren un control cuidadoso.

Posibles complicaciones:

Cuándo contactar a un profesional médico:

Consulte con el médico si usted o su hijo presenta síntomas de tos ferina.

Llame al número local de emergencias (como el 911 en los Estados Unidos) o acuda a la sala de urgencias si presenta cualquiera de los siguientes síntomas:

  • Reviewed last on: 11/2/2009
  • Neil K. Kaneshiro, MD, MHA, Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Braman SS. Postinfectious cough: ACCP evidence-based clinical practice guidelines. Chest. 2006;129(1):138S-146S.

US Food and Drug Administration. First Combination Vaccine Approved to Help Protect Adolescents Against Whooping Cough. Rockville, MD: National Press Office; May 3, 2005. Talk Paper T05-17.

Cohn AC, et al. Immunizations in the United States: a rite of passage.Pediatr Clin North Am. 2005;52(3):669-693.

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