Pertussis Vaccination for Adults: An Updated Guide for Clinicians

Pertussis, or whooping cough, is a highly contagious respiratory infection caused by the Gram-negative bacterium <i>Bordetella pertussis</i>. Although traditionally associated with children, pertussis is increasingly prevalent among adults, particularly those with comorbidities or weaken...

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Main Author: Kay Choong See
Format: Article
Language:English
Published: MDPI AG 2025-01-01
Series:Vaccines
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Online Access:https://www.mdpi.com/2076-393X/13/1/60
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author Kay Choong See
author_facet Kay Choong See
author_sort Kay Choong See
collection DOAJ
description Pertussis, or whooping cough, is a highly contagious respiratory infection caused by the Gram-negative bacterium <i>Bordetella pertussis</i>. Although traditionally associated with children, pertussis is increasingly prevalent among adults, particularly those with comorbidities or weakened immune systems, where it can lead to severe complications. Diagnosing pertussis in adults can be challenging due to its nonspecific symptoms, underreporting, and the limited sensitivity of available diagnostic tests. While treatment with macrolides is generally effective, it may not significantly alter the clinical course of the disease, and growing concerns about macrolide resistance are emerging. Vaccination remains the cornerstone of prevention, offering proven immunogenicity, efficacy, and safety. However, vaccination uptake remains low, partly due to limited patient awareness and insufficient prioritization by healthcare professionals. This review aims to provide clinicians with critical insights into pertussis epidemiology, vaccination strategies, and the latest guideline recommendations, empowering them to engage in meaningful discussions with adult patients and advocate for increased vaccination to combat this often-overlooked infection.
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spelling doaj-art-d7d737e1f8d64977b9b6b86a2db48c682025-01-24T13:51:48ZengMDPI AGVaccines2076-393X2025-01-011316010.3390/vaccines13010060Pertussis Vaccination for Adults: An Updated Guide for CliniciansKay Choong See0Division of Respiratory and Critical Care Medicine, Department of Medicine, National University Hospital, Singapore 119074, SingaporePertussis, or whooping cough, is a highly contagious respiratory infection caused by the Gram-negative bacterium <i>Bordetella pertussis</i>. Although traditionally associated with children, pertussis is increasingly prevalent among adults, particularly those with comorbidities or weakened immune systems, where it can lead to severe complications. Diagnosing pertussis in adults can be challenging due to its nonspecific symptoms, underreporting, and the limited sensitivity of available diagnostic tests. While treatment with macrolides is generally effective, it may not significantly alter the clinical course of the disease, and growing concerns about macrolide resistance are emerging. Vaccination remains the cornerstone of prevention, offering proven immunogenicity, efficacy, and safety. However, vaccination uptake remains low, partly due to limited patient awareness and insufficient prioritization by healthcare professionals. This review aims to provide clinicians with critical insights into pertussis epidemiology, vaccination strategies, and the latest guideline recommendations, empowering them to engage in meaningful discussions with adult patients and advocate for increased vaccination to combat this often-overlooked infection.https://www.mdpi.com/2076-393X/13/1/60<i>Bordetella pertussis</i>diphtheria–tetanus–pertussis vaccineimmunization programsvaccination hesitancywhooping cough
spellingShingle Kay Choong See
Pertussis Vaccination for Adults: An Updated Guide for Clinicians
Vaccines
<i>Bordetella pertussis</i>
diphtheria–tetanus–pertussis vaccine
immunization programs
vaccination hesitancy
whooping cough
title Pertussis Vaccination for Adults: An Updated Guide for Clinicians
title_full Pertussis Vaccination for Adults: An Updated Guide for Clinicians
title_fullStr Pertussis Vaccination for Adults: An Updated Guide for Clinicians
title_full_unstemmed Pertussis Vaccination for Adults: An Updated Guide for Clinicians
title_short Pertussis Vaccination for Adults: An Updated Guide for Clinicians
title_sort pertussis vaccination for adults an updated guide for clinicians
topic <i>Bordetella pertussis</i>
diphtheria–tetanus–pertussis vaccine
immunization programs
vaccination hesitancy
whooping cough
url https://www.mdpi.com/2076-393X/13/1/60
work_keys_str_mv AT kaychoongsee pertussisvaccinationforadultsanupdatedguideforclinicians