What is included in inpatient care 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

Index patients younger than 2 years who will be in contact with unvaccinated or incompletely immunized children younger than 4 years and who were treated with a regimen other than cefotaxime of ceftriaxone should be treated with rifampin before or at discharge from the hospital because other antibiotics used for the treatment of H influenzae type b (Hib) meningitis do not reliably eradicate Hib from the nasopharynx. Treatment with cefotaxime and ceftriaxone eradicates Hib colonization and therefore eliminates the need for chemoprophylaxis of the index patient.

Search for secondary foci of infection, such as septic arthritis, if patients have prolonged fever during treatment of meningitis.

Droplet precautions should be followed for the first 24 hours following the initiation of appropriate therapy in patients with invasive Hib disease. [94]


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