事件记录
面试官: What is pertussis, what can you do about and can adults get it? 这就是下一期《大发娱乐》.
播音员: Access to our experts with in-depth information about the biggest health issues facing you today. 专家与博士. 汤姆米勒 is on 范围.
面试官: If you get a nasty cough that will not just go away it might be pertussis. The odds are slim but it could be. To find out more about pertussis in adults we're with Doctor 汤姆米勒 here at University of Utah Health Care.
Pertussis; tell me a little bit about it and then tell me how an adult can get it.
Dr. 米勒: Pertussis was commonly known as whooping cough and occurred most commonly in children prior to the development of an effective vaccine, 这是致命的. A lot of kids died of whooping cough in the old days.
面试官: Another one of these things that the vaccines have made a huge difference, 大发娱乐忘记了它, 正确的?
Dr. 米勒: We forget about it and actually what's happened is that kids all in the United States generally get this vaccination for pertussis and it effectively prevents it, but as we get older our immune system forgets about exposure to the vaccine and immunity wanes. 你知道吗？? People coming into the country who are not vaccinated can bring pertussis in.
It's a very highly infective bacteria so you don't need much in the way of bacteria to become infected. 当你被感染时, if you are older you could end up with not whooping cough but something called the 100 Day Cough.
For a few days you just feel real crappy. You feel very poorly, you have a sore throat and you develop a cough. 这是可怕的. It's what we call paroxysmal cough. It's deep, it's rapid, it's unending and it's so bad sometimes that it will make you vomit, throw up. 这是可怕的.
So that's why the recommendation now is that as an adult you should receive a pertussis vaccine with your tetanus and diphtheria vaccine. You only need that once in adulthood but if you don't have that you then are at risk to pick up pertussis should you run into a child or even an adult who might be carrying pertussis. And again, it doesn't take much in the way of contact to develop pertussis.
面试官: 那么它是如何传播的呢?
Dr. 米勒: It's transmitted through vapor droplets. Somebody coughing, they can pick up the bacteria in that way. And again, it's highly infective. Many times patients don't know they have pertussis when they are adults because they don't have this barking whooping cough that the kids used to get. They just start with a cold, but the severity of the cough is the thing that makes physicians think about it.
现在, you can treat the patient once they develop the cough and it can get rid of the pertussis bacteria but it doesn't get rid of the cough, and that cough goes on and on and on, and it's a devil to treat if you can even treat it.
面试官: So I guess the message here is if you haven't had that pertussis booster, you should get that.
Dr. 米勒: 获得助推器. 绝对.
面试官: It is something you see on occasion.
Dr. 米勒: 我确实偶尔会看到. In Utah, we have an increase in the rate of pertussis in adults because of our immigrant population. They're not always vaccinated when they come into the country.
面试官: 国际机场.
Dr. 米勒: The simple way to protect yourself is to make sure you get that booster.
播音员: Have a question about a medical procedure? Want to learn more about a health condition? 大于2,000 interviews with our physicians and specialists, there's a pretty good chance you'll find what you want to know. Check it out at the scoperadio.com.
更新日期：2019年1月2日
originally published: June 28, 2016