What is the main treatment approach for a patient diagnosed with Bordetella pertussis?

The primary treatment approach for a patient diagnosed with Bordetella pertussis, commonly known as whooping cough, involves a combination of antibiotics and supportive care. This strategy is effective because antibiotics can help to decrease the severity and duration of the illness, particularly when administered in the early stages of the infection. Macrolide antibiotics, such as azithromycin or erythromycin, are typically used for this purpose.

Supportive care is also crucial for managing symptoms, which may include cough, difficulty breathing, and hydration needs. Providing supportive care can involve ensuring the patient stays well-hydrated, monitoring for complications, and employing measures to manage the intense coughing, which is a hallmark of the disease.

While antibiotics are essential for treatment, relying solely on them—without the addition of supportive measures—does not adequately address the holistic needs of the patient suffering from this respiratory illness. This is why antibiotics, combined with supportive care, form the most comprehensive and effective treatment approach for Bordetella pertussis.