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A person in close contact with an individual with pertussis should take antibiotics to prevent the disease. This is true even for persons who have been vaccinated, because the vaccine is not 100% effective.
For months afterward, even a mild upper respiratory infection, such as a cold, can cause prolonged coughing spells.
Pertussis can be spread to those who have not been immunized, through respiratory secretions of an infected person. Erythromycin may be prescribed for family members, particularly those under 2 years old. The pertussis vaccine is the best method of preventing risks to others.