CDC/CSTE Pertussis Case Definition

Classifies a case as confirmed, probable, or not meeting the CDC and CSTE pertussis surveillance case definition of 2020.

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Age group
One year and older
Duration of the cough illness, in weeks
3
Paroxysms of coughing
Yes
Laboratory result
No positive test

Result: probable pertussis after a 3 week cough with paroxysms and no positive test

The tool opens with these values already filled in. Replace them with your own.

What the result means

Clinical criteria
Absent a more likely diagnosis, a cough illness of at least two weeks with paroxysms, an inspiratory whoop, post-tussive vomiting, or apnea in an infant under one year.
Confirmed
An acute cough illness of any duration with a positive culture; or the clinical criteria with a positive PCR; or the clinical criteria with an epidemiologic link to a laboratory-confirmed case.
Probable
The clinical criteria met, with neither laboratory confirmation nor an epidemiologic link.
Not a treatment threshold
This is a surveillance definition. Treatment and post-exposure prophylaxis are decided on clinical suspicion and do not wait for a classification.
A negative test
Does not move a case out of probable. Culture and PCR yield falls after three to four weeks of cough or once antibiotics have started.
Serology
Appears in no branch of this definition.

What you enter

  • Age group
  • Duration of the cough illness, in weeks
  • Paroxysms of coughing
  • Inspiratory whoop
  • Post-tussive vomiting
  • Apnea, with or without cyanosis (counts only in an infant under one year)
  • A more likely diagnosis has been made
  • Laboratory result
  • Epidemiologic link to a laboratory-confirmed case
How this is calculated

Council of State and Territorial Epidemiologists / CDC. Pertussis (Whooping Cough) (Bordetella pertussis) 2020 Case Definition. National Notifiable Diseases Surveillance System. Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.