Epidemiological investigation of a pertussis outbreak in a kindergarten in Guangzhou
10.16835/j.cnki.1000-9817.2026053
- VernacularTitle:广州市一起幼儿园百日咳暴发疫情调查
- Author:
WANG Min, WU Jueyu, ZHU Zhijie, CAI Wenfeng, HE Peng, XIAO Jiali
1
Author Information
1. Department of Immunization,Tianhe Center for Disease Control and Prevention〖JZ〗(Tianhe Center Health Supervision Institute), Guangzhou 510000, Guangdong Province, China
- Publication Type:Journal Article
- Keywords:
Whooping cough;
Disease outbreaks;
Incidence;
Child,preschool
- From:
Chinese Journal of School Health
2026;47(2):283-286
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To understand the epidemiological characteristics of a pertussis outbreak in Guangzhou, so as to provide references for outbreak response and prevention strategies.
Methods:From April 5 to June 9, 2024, case screening was conducted among 246 preschool children, 35 staff members, and one full time school nurse in a kindergarten in Guangzhou based on case definition. Field epidemiological investigation methods were employed to collect relevant information, and screening samples were collected from individuals involved in the outbreak. The clinical manifestations, epidemiological characteristics, and risk factors for transmission of the outbreak were analyzed, with rate comparisons performed using the χ 2 test.
Results:There were a total of 15 confirmed cases of pertussis in the kindergarten. The main clinical manifestations included intermittent cough in 14 cases ( 93.33 %), sputum production in 5 cases (33.33%), fever in 2 cases (13.33%), paroxysmal spasmodic cough in 1 case (6.67%), and vomiting in 1 case (6.67%). There was no statistically significant difference in the reporting rates of interrupted cough symptoms between pertussis cases (93.33%) and non pertussis cases (92.86%)( χ 2=3.74, P >0.05). The cases were aged 4-5 years, including 5 males and 10 females. The interval between symptom onset and diagnosis ranged from 2 to 25 days, with a median of 10 days. The outbreak involved two classes, with attack rates of 48.28% and 3.45%, respectively. Laboratory testing confirmed 14 close contacts positive for Bordetella pertussisnucleic acid. Among close contacts, only one received prophylactic medication as required.
Conclusion:The outbreak is a pertussis outbreak in a kindergarten caused by Bordetella pertussis infection, demonstrating distinct temporal and spatial clustering characteristics.
