UNSW Banner

UNSW Embryology

Abnormal Development - Bacterial Infection - Pertussis

© Dr Mark Hill (2009)

Acknowledgements

Introduction

The variety of bacterial infections that can occur during pregnancy is as variable as the potential developmental effects, from virtually insignificant to major developmental, abortive or fatal in outcome.

The bacterium Bordetella pertussis is a Gram-negative beta-proteobacteriacan which cause the disease Pertussis (Whooping Cough) can lead to infant mortality.

Pertussis vaccine was introduced in the United States in the mid-1940s, decreasing overall rate though pertussis remains endemic with epidemic peaks recurring every 3 to 5 years.

Note that some infections may have historic or alternative common names, for example Pertussis ai also "whooping cough".

Page Links: Introduction | Some Recent Findings | Links | Gram Stain | Australian NHMRC Recommendations | WWW Links | References | Glossary

Some Recent Findings

Harnden A, Grant C, Harrison T, Perera R, Brueggemann AB, Mayon-White R, Mant D. Whooping cough in school age children with persistent cough: prospective cohort study in primary care. BMJ. 2006 Jul 22;333(7560):174-7. Epub 2006 Jul 7.

First Combination Vaccine Approved to Help Protect Adolescents Against Whooping Cough USA Food and Drug Administration has approved booster immunization against pertussis (whooping cough) in combination with tetanus and diphtheria for adolescents. Pertussis is a highly contagious bacterial disease. (FDA 03 May 2005)

Links

CDC (USA) - Pertussis | Medline Plus - Pertussis | Pertussis Vaccination: Use of Acellular Pertussis Vaccines Among Infants and Young Children Recommendations of the Advisory Committee on Immunization Practices (ACIP) | WHO vaccines- Pertussis |

Gram Stain

Bacterial staining procedure named after Hans Christian Gram (1853–1938). Generally divides bacteria into either:

Gram-positive bacteria purple crystal violet stain is trapped by layer of peptidoglycan (forms outer layer of the cell).

Gram-negative bacteria outer membrane prevents stain from reaching peptidoglycan layer in the periplasm, outer membrane then permeabilized and pink safranin counterstain is trapped by peptidoglycan layer.

Links: Medical Microbiology | American Society for Microbiology

Australian NHMRC Recommendations

The Australian NHMRC (1988) recommends neonates be assessed for follow-up care under the following conditions.

(see the NHMRC WWW Page)

WWW Links

CDC (USA)

Public Health Training Network Epidemiology and Prevention of Vaccine-Preventable Diseases (viewable Webcasts requires Media Player) |

Advisory Committee on Immunization Practices (ACIP) Recommendations

Royal College of Obstetricians and Gynaecologists (UK)

Infection and Pregnancy - study group recommendations (Jun 2001)

Commercial Site Diagnostic Kit Bordetella Pertussis

References

Links: Reviews | Articles | Online Textbooks | Search Textbooks | Search PubMed | Glossary

Reviews

Wendelboe AM, Van Rie A, Salmaso S, Englund JA. Duration of immunity against pertussis after natural infection or vaccination. Pediatr Infect Dis J. 2005 May;24(5 Suppl):S58-61.

Taranger J, Trollfors B, Bergfors E, Knutsson N, Lagergard T, Schneerson R, Robbins JB. Immunologic and epidemiologic experience of vaccination with a monocomponent pertussis toxoid vaccine. Pediatrics. 2001 Dec;108(6):E115.

Articles

Harnden A, Grant C, Harrison T, Perera R, Brueggemann AB, Mayon-White R, Mant D. Whooping cough in school age children with persistent cough: prospective cohort study in primary care. BMJ. 2006 Jul 22;333(7560):174-7. Epub 2006 Jul 7.

Cherry JD. The science and fiction of the "resurgence" of pertussis. Pediatrics. 2003 Aug;112(2):405-6.

Bass JW, Wittler RR. Return of epidemic pertussis in the United States. Pediatr Infect Dis J. 1994 May;13(5):343-5.

Search PubMed

Search Oct2006 "Pertussis" 23,171 reference articles of which 1,150 were reviews.

Search PubMed: term = Pertussis | whooping cough

Glossary of Terms

A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z

Other Maternal Factors Prenatal

Alcohol "Fetal Alcohol Syndrome"

Smoking

Chemical

Drug Use

Legal Drugs

Folic Acid

Nutrition

Viral Infection

Rubella

Polio

Sexually Transmitted Diseases

Syphilis

cytomegalovirus

Iodine Deficiency

Trauma

These links require online access to Merck Manuals on Women's Health Issues. http://www.merck.com/mrkshared/mmanual_home2/sec22/sec22.jsp

Risk Factors Present Before Pregnancy

Risk Factors That Develop During Pregnancy

Diseases that complicate Pregnancy

Problems Affecting the Fetus or Newborn

Heart Disease

Heart Failure

Rheumatic Heart Disease

Birth Defects of Heart

Mitral Valve Prolapse

High Blood Pressure

Anemias

Kidney Disease

Infectious Disease

Diabetes

Thyroid

Liver

Asthma

Systemic Lupus Erythematosus

Rheumatoid Arthritis

Myasthenia Gravis

Idiopathic Thrombocytopenic Purpura

>Surgery During Pregnancy

Non-Maternal Postnatal Factors

Sudden Infant Death Syndrome (SIDS)

Malnutrition

Infection

Trauma

Iodine Deficiency

chemical

see also Normal Childhood Development

Where to Next?

You should look at normal development of the effected systems in the embryo. Development Notes

Alternatively, go on to look at Systematic Development of organs and tissues.

Quick Links

Finally

For those wanting to see dynamic processes of development (and have a reasonably quick connection) then the Movies pages are good for watching changes occur.

Other Embryos

The study of human development has relied extensively on studying the process in other model animals. For those wanting to see the process of development in other species then the other embryos pages are a good start.

UNSW Embryology ISBN: 978 0 7334 2609 4

UNSW CRICOS Provider Code No. 00098G