Which invasive procedures may be performed in the workup of Haemophilus influenzae infections?

Updated: Jul 02, 2019
  • Author: Joseph Adrian L Buensalido, MD; Chief Editor: Pranatharthi Haran Chandrasekar, MBBS, MD  more...
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Answer

Perform a lumbar puncture when meningitis is suspected. CT scanning should be performed prior to lumbar puncture in certain cases (see Imaging Studies).

The following invasive procedures can be used to obtain appropriate fluid and to establish an etiologic diagnosis:

  • Bronchoscopy
  • Joint, lung, sinus, and soft-tissue aspiration
  • Transtracheal aspiration
  • Tympanocentesis
  • Pericardiocentesis

In women, obtain tubal cultures via laparoscopy and peritoneal fluid cultures by culdocentesis for NTHi.

In patients with epiglottitis, use endotracheal intubation or tracheostomy to secure an airway.


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