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Occurrence of Haemophilus Epiglottitis

Occurrence of Haemophilus Epiglottitis Abstract During the spring of 1977, there were nine admissions for Haemophilus epiglottitis at the Children's Hospital of Pittsburgh. A review of bacteriologic and medical records was therefore undertaken to see if there had been similar "outbreaks" of epiglottitis in the past. Eighty-eight cases of influenzae type b bacteremia with inflammation of the epiglottis were found for the last 22 years. A comparison group of 1,120 children who had meningitis due to H influenzae, Neisseria meningitidis, and Streptococcus pneumoniae from the same period was obtained from a registry that includes all spinal fluid culture-documented cases at the Children's Hospital of Pittsburgh since 1940.1 Bacteremic Haemophilus epiglottitis was uncommon at this hospital until the late 1960s (zero to two cases per year), but there has been an average of seven cases per year from 1968 through 1975 and an increase to 17 cases in the last 12 months (Table). The Table References 1. Michaels RH: Increase in influenzal meningitis . N Engl J Med 285:666-667, 1971.Crossref 2. Baxter JD: Acute epiglottitis in children . Laryngoscope 77:1358-1367, 1967.Crossref 3. Addy MG, Ellis PDM, Turk DC: Haemophilus epiglottitis: Nine recent cases in Oxford . Br Med J 1:40-42, 1972.Crossref 4. Molteni RA: Epiglottitis: Incidence of extraepiglottic infection: Report of 72 cases and review of the literature . Pediatrics 58:526-531, 1976. 5. Michaels RH, Norden CW: Pharyngeal colonization with Haemophilus influenzae type b: A longitudinal study of families with a child with meningitis or epiglottitis due to Haemophilus influenzae type b . J Infect Dis 136:222-228, 1977.Crossref 6. Battaglia JD, Lockhart CH: Management of acute epiglottitis by nasotracheal intubation . Am J Dis Child 129:334-336, 1975. 7. Oh TH, Motoyama EK: Comparison of nasotracheal intubation and tracheostomy in manage- ment of acute epiglottitis . Anesthesiology 46:214-216, 1977.Crossref 8. Turk DC, May JR: Haemophilus influenzae: Its clinical importance . London, English Universities Press, 1967, pp 27-32. 9. Smith EWP Jr, Haynes RE: Changing incidence of Hemophilus influenzae meningitis . Pediatrics 50:723-727, 1972. 10. Fraser DW, Henke CE, Feldman RA: Changing patterns of bacterial meningitis in Olmsted County, Minnesota, 1934-1970 . J Infect Dis 128:300-307, 1973.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

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Publisher
American Medical Association
Copyright
Copyright © 1978 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1978.02120290096022
Publisher site
See Article on Publisher Site

Abstract

Abstract During the spring of 1977, there were nine admissions for Haemophilus epiglottitis at the Children's Hospital of Pittsburgh. A review of bacteriologic and medical records was therefore undertaken to see if there had been similar "outbreaks" of epiglottitis in the past. Eighty-eight cases of influenzae type b bacteremia with inflammation of the epiglottis were found for the last 22 years. A comparison group of 1,120 children who had meningitis due to H influenzae, Neisseria meningitidis, and Streptococcus pneumoniae from the same period was obtained from a registry that includes all spinal fluid culture-documented cases at the Children's Hospital of Pittsburgh since 1940.1 Bacteremic Haemophilus epiglottitis was uncommon at this hospital until the late 1960s (zero to two cases per year), but there has been an average of seven cases per year from 1968 through 1975 and an increase to 17 cases in the last 12 months (Table). The Table References 1. Michaels RH: Increase in influenzal meningitis . N Engl J Med 285:666-667, 1971.Crossref 2. Baxter JD: Acute epiglottitis in children . Laryngoscope 77:1358-1367, 1967.Crossref 3. Addy MG, Ellis PDM, Turk DC: Haemophilus epiglottitis: Nine recent cases in Oxford . Br Med J 1:40-42, 1972.Crossref 4. Molteni RA: Epiglottitis: Incidence of extraepiglottic infection: Report of 72 cases and review of the literature . Pediatrics 58:526-531, 1976. 5. Michaels RH, Norden CW: Pharyngeal colonization with Haemophilus influenzae type b: A longitudinal study of families with a child with meningitis or epiglottitis due to Haemophilus influenzae type b . J Infect Dis 136:222-228, 1977.Crossref 6. Battaglia JD, Lockhart CH: Management of acute epiglottitis by nasotracheal intubation . Am J Dis Child 129:334-336, 1975. 7. Oh TH, Motoyama EK: Comparison of nasotracheal intubation and tracheostomy in manage- ment of acute epiglottitis . Anesthesiology 46:214-216, 1977.Crossref 8. Turk DC, May JR: Haemophilus influenzae: Its clinical importance . London, English Universities Press, 1967, pp 27-32. 9. Smith EWP Jr, Haynes RE: Changing incidence of Hemophilus influenzae meningitis . Pediatrics 50:723-727, 1972. 10. Fraser DW, Henke CE, Feldman RA: Changing patterns of bacterial meningitis in Olmsted County, Minnesota, 1934-1970 . J Infect Dis 128:300-307, 1973.Crossref

Journal

American Journal of Diseases of ChildrenAmerican Medical Association

Published: Apr 1, 1978

References