Evidence map›Paper›PMID 39537933›Full record

ReviewWorld journal of pediatrics : WJP2024

Expert consensus for pertussis in children: new concepts in diagnosis and treatment.

Yu-Mei Mi, Ji-Kui Deng, Ting Zhang, Qing Cao, Chuan-Qing Wang, Sheng Ye, Ying-Hu Chen, Han-Qing He, Bei-Bei Wu, Yan Liu and 15 more

Abstract readReviewConsensus Statement
In one paragraph

Review in World journal of pediatrics : WJP, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Therapeutic Role of Hydroxyurea in Paediatric Hydroxyurea Pertussis:Sultan Qaboos University medical journal · 2025
    Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

25 authors.

Yu-Mei MiDepartment of Infectious Diseases, Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, 310052, China.
Ji-Kui DengDepartment of Infectious Diseases, Shenzhen Children's Hospital, Shenzhen, 518038, China.
Ting ZhangDepartment of Infectious Diseases, School of Medicine, Shanghai Children's Hospital, Shanghai Jiao Tong University, Shanghai, 200262, China.
Qing CaoDepartment of Infectious Diseases, Shanghai Children's Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai, 200127, China.
Chuan-Qing WangDepartment of Nosocomial Infection Control, Department of Clinical Laboratory, Children's Hospital of Fudan University, Shanghai, 201102, China.
Sheng YeDepartment of General Intensive Care Medicine, Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, 310052, China.
Ying-Hu ChenDepartment of Infectious Diseases, Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, 310052, China.
Han-Qing HeDepartment of Immunization Program, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, 310052, China.
Bei-Bei WuDepartment of Microbiology, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, 310052, China.
Yan LiuDepartment of Immunization Program, Hangzhou Center for Disease Control and Prevention, Hangzhou, China.
Mei ZengDepartment of Infectious Diseases, Children's Hospital of Fudan University, Shanghai, 201102, China.
Wei LiDepartment of Clinical Laboratory, Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, 310052, Zhejiang, China.
Fang WuDepartment of Chinese Medicine, Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, 310052, China.
Hong-Mei XuDepartment of Infectious Diseases, Chongqing Children's Hospital, Chongqing, 400015, China.
Shi-Yong ZhaoDepartment of Infectious Diseases, Hangzhou Children's Hospital, Hangzhou, 310014, China.
Gang LiuDepartment of Infectious Diseases, Beijing Pediatric Research Institute, National Center for Children's Health, Beijing Children's Hospital, Capital Medical University, Beijing, 100045, China.
Wang HuaDepartment of Infectious Diseases, Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, 310052, China.
Dan XuDepartment of General Intensive Care Medicine, Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, 310052, China.
Guan-Nan BaiDepartment of Infectious Diseases, Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, 310052, China.
Ying YangDepartment of Infectious Diseases, Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, 310052, China.
Li-Su HuangDepartment of Infectious Diseases, Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, 310052, China.
Yi-Ping ChenDepartment of Infectious Diseases, Yuying Children's Hospital of Wenzhou Medical College, Wenzhou, 325003, China.
Kai-Hu YaoKey Laboratory of Major Diseases in Children, Ministry of Education, National Clinical Research Center for Respiratory Diseases, National Key Discipline of Pediatrics, Laboratory of Infection and Microbiology, Beijing Pediatric Research Institute, National Center for Children's Health, Beijing Children's Hospital, Capital Medical University, NO.56 Nanlishi Road, Xicheng District, Beijing, 100045, China. yaokaihu@bch.com.cn.
Zhu-Jun ShaoNational Key Laboratory of Intelligent Tracking and Forecasting for Infectious Diseases, Chinese Center for Disease Control and Prevention, National Institute for Communicable Disease Control and Prevention, Changping, P.O.Box 5, Beijing, 102206, China. shaozhujun@icdc.cn.
Chun-Zhen HuaDepartment of Infectious Diseases, Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, 310052, China. huachunzhen@zju.edu.cn.

Funding

Natural Science Foundation of Zhejiang Province LGF18H010001
6 · The paper itself

Abstract

backgroundPertussis resurgence has been reported worldwide in the past two decades. Pertussis is still endemic and difficult to control though with universal vaccination in children. The resurgence may be related to multiple variables, such as increased disease awareness and laboratory tests, waning of immunity following vaccination, and/or genetic mutations of Bordetella pertussis. For better pertussis prevention, diagnosis, and management, we called up an expert panel to develop this expert consensus to provide new concepts in diagnosis and treatment for clinical practice. DATA SOURCES: The expert groups collected clinical evidence, summarized their clinical experiences, evaluated preliminary recommendations or guidelines, and then organized open-ended discussions to form the recommendations. This consensus was developed by reviewing the literature and studies in databases, including PubMed, Cochrane, EMBASE, the China Biomedical Database, and the Chinese Journal Full-text Database up to May 2024. The search terms included "pertussis" or "whooping cough", "children", "diagnosis", and "treatment".

resultsThe burden of pertussis has also changed from infants to  school children and adults, and these age groups have consequently become the main source of infection for vulnerable population including infants and newborns. In China, a high prevalence of erythromycin-resistant Bordetella pertussis (ERBP) has been reported in the past decade. ERBP may lead to failed clinical empirical treatment with macrolides, which poses a great challenge for pertussis management and control. For better management of pertussis, a flow diagram for diagnosis and treatment of pertussis was presented in this consensus. This consensus also described the diagnostic criteria for pertussis, high-risk cases, and severe pertussis. Macrolides can still be used to treat confirmed erythromycin-sensitive B. pertussis (ESBP) infections, whereas oral trimethoprim-sulfamethoxazole therapy is the initial treatment option for children older than two months. For infants younger than two months, severe patients, or those exhibiting a high degree of sulfonamide allergy, intravenous administration of piperacillin or cefoperazone-sulbactam is advised.

conclusionsThis expert consensus provides a comprehensive guidance and a reference for the diagnosis and treatment of pertussis in children.

Indexed as

Anti-Bacterial AgentsConsensusWhooping CoughBordetella pertussisChildHumansInfantPertussis VaccineAnti-Bacterial AgentsPertussis VaccineChildrenDiagnosisExpert consensusPertussisTreatment

Identifiers

PMID39537933
PMCPMC11634942

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.