Pertussis Information for Health Professionals
- Pertussis Information for Health Professionals Home
- Managing Pertussis: Think, Test, Treat & Stop Transmission
- Pertussis Clinical Information
- Pertussis - Laboratory Testing
- Pertussis Treatment and Prophylaxis
- Follow-up Recommendations for Pertussis Exposures in the Health Care Setting
- Reporting Pertussis
Contact Info
Infectious Disease Epidemiology, Prevention and Control Division
651-201-5414
Follow-up Recommendations for Pertussis Exposures in the Health Care Setting
Health care workers exposed to a patient infected with pertussis
For health care workers (HCW) caring for a patient with pertussis, identify the type of exposure:
Type of HCW exposure (patient's cough was less than 21 days at time of exposure) | Recommended follow-up |
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Face-to-face contact with coughing or sneezing patient while HCW not masked*, or
Performing or assisting with procedures that induce coughing or produce aerosols while HCW not masked*, or Presence in same room with coughing or sneezing patient while HCW not masked* and performing a close-contact activity (e.g., bathing, feeding). |
Antibiotic prophylaxis or 21-day symptom watch from time of exposure:
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Presence in same room with coughing or sneezing patient while HCW not masked* and without close contact. | Recommend 21-day symptom watch from time of exposure. |
Patients/staff exposed to a health care worker infected with pertussis
For patients or staff in close contact with an infected HCW, identify the type of exposure:
Type of patient exposure (HCW's cough was less than 21 days at time of exposure) | Recommended follow-up |
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If a HCW has pertussis, please contact the Minnesota Department of Health (MDH) for guidance.
|
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HCW was masked* while infectious and working with patients. | No notification of patients is needed. |
HCW was not masked* while infectious and had contact with patients less than 12 months of age or pregnant women. | Call MDH and notify of exposure. MDH will work with you to recommend post-exposure prophylaxis letters** and/or phone calls. |
HCW was not masked* while infectious and had contact with patients who had a pre-existing lung condition that would make them susceptible to a more severe case of pertussis. | Mail notification letter** and recommend post-exposure prophylaxis. |
HCW was not masked* while infectious and patient was not less than 12 months old, pregnant, or otherwise compromised with a lung condition. | Mail notification letter** recommending testing if symptoms develop. |
Staff who worked with an infected HCW and had prolonged, close proximity, and unprotected contact. | Recommend antibiotic prophylaxis or 21-day symptom watch from time of exposure:
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* Surgical or procedure mask is sufficient.
** Letter templates are available through MDH.
- Pertussis Treatment and Prophylaxis
This site provides treatment guidance with information about appropriate antimicrobials and dosage amounts. - Repeat exposures
For questions on whether or not to repeat prophylaxis, please call
651-201-5414 or 1-877-676-5414.
References
- Shefer, A. et al. (November 2011). Immunization of Health-Care Personnel: Recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR 60(RR07);1-45.
- Goins, William P. et al. (January 2012). A Comparison of two Strategies to Prevent Infection Following Pertussis in Vaccinated Health Care Personnel. Clinical Infectious Disease.
Last Updated: 11/18/2022