Zapalenie nagłośni
Zapobieganie i profilaktyka

Zapalenie nagłośni (epiglottitis) jest stanem zagrożenia życia, wywołanym najczęściej przez Haemophilus influenzae typu b (Hib), prowadzącym do obrzęku i niedrożności dróg oddechowych. Podstawową metodą profilaktyki jest szczepienie przeciwko Hib, które wykazuje skuteczność powyżej 95% i jest włączone do rutynowych programów szczepień. Zalecany schemat CDC obejmuje dawki w 2, 4, 6 miesiącu życia oraz dawkę przypominającą w 12-15 miesiącu. W niektórych krajach, np. Wielkiej Brytanii, stosuje się szczepionki skojarzone podawane w 8., 12. i 16. tygodniu życia z dawką przypominającą w 1 roku. Szczepienia nie są rutynowo zalecane u dzieci powyżej 5. roku życia i dorosłych, z wyjątkiem osób z immunosupresją (np. HIV/AIDS, splenektomia, chemioterapia), które powinny być zaszczepione. W przypadku kontaktu z chorym na zapalenie nagłośni wywołane przez Hib, wskazana jest chemoprofilaktyka rifampicyną: 600 mg/dobę u dorosłych lub 20 mg/kg/dobę (max 600 mg) u dzieci przez 4 dni, najlepiej rozpoczęta do 14 dni od ekspozycji.

Zapalenie nagłośni – Profilaktyka, Profilaksja

Zapalenie nagłośni (epiglottitis) to potencjalnie zagrażająca życiu choroba, charakteryzująca się zapaleniem i obrzękiem nagłośni, mogąca prowadzić do niedrożności dróg oddechowych. Profilaktyka tej choroby ma kluczowe znaczenie, szczególnie że dostępne są skuteczne metody zapobiegania zakażeniom wywołanym przez Haemophilus influenzae typu b (Hib), który jest najczęstszym czynnikiem etiologicznym zapalenia nagłośni.12

Szczepienia ochronne

Podstawową i najskuteczniejszą metodą zapobiegania zapaleniu nagłośni jest szczepienie przeciwko Haemophilus influenzae typu b (Hib). Wprowadzenie rutynowych szczepień przeciwko Hib spowodowało znaczące zmniejszenie częstości występowania tej choroby – w niektórych krajach zaobserwowano spadek zachorowalności nawet o 95-99% od czasu wprowadzenia szczepionki w latach 80. XX wieku.345

Szczepionka przeciwko Hib jest wysoko skuteczna (ponad 95%) i została włączona do obowiązkowego programu szczepień ochronnych w wielu krajach.6 CDC (Centers for Disease Control and Prevention) zaleca następujący schemat szczepień dla niemowląt i małych dzieci:

  • Pierwsza dawka w wieku 2 miesięcy78
  • Druga dawka w wieku 4 miesięcy910
  • Trzecia dawka w wieku 6 miesięcy (zależnie od rodzaju szczepionki, niektóre schematy przewidują tylko 2 dawki podstawowe)1112
  • Dawka uzupełniająca (booster) w wieku 12-15 miesięcy1314

W niektórych krajach stosowane są różne schematy szczepień. Na przykład w Wielkiej Brytanii szczepionka przeciwko Hib jest podawana jako część szczepionki 6-składnikowej w 8., 12. i 16. tygodniu życia, z dodatkową dawką przypominającą szczepionki Hib/Men C w wieku 1 roku.1516

Szczepienia u osób starszych i dorosłych

Chociaż szczepienie przeciwko Hib nie jest rutynowo zalecane dla dzieci powyżej 5. roku życia i dorosłych (ze względu na mniejsze ryzyko zakażenia Hib w tych grupach wiekowych), CDC rekomenduje szczepienie u starszych dzieci i dorosłych z osłabionym układem immunologicznym z powodu:1718

Osoby dorosłe, które nie zostały zaszczepione w dzieciństwie, a należą do grup ryzyka, powinny skonsultować się z lekarzem odnośnie możliwości szczepienia.2930

Profilaktyka poekspozycyjna

W przypadku kontaktu z osobą chorą na zapalenie nagłośni wywołane przez Haemophilus influenzae typu b, zalecana jest chemoprofilaktyka dla osób z bliskiego otoczenia pacjenta.3132 Ma to na celu zapobieganie rozwojowi choroby u osób, które mogły zostać narażone na kontakt z bakteriami.

Lekiem z wyboru w profilaktyce poekspozycyjnej jest rifampicyna (ryfampicyna). Zalecany schemat dawkowania to:333435

  • Dla dorosłych: 600 mg doustnie raz dziennie przez 4 dni36
  • Dla niemowląt, dzieci i młodzieży: 20 mg/kg masy ciała/dobę (maksymalnie 600 mg na dobę) doustnie raz dziennie przez 4 dni3738

Profilaktykę poekspozycyjną należy rozpocząć jak najszybciej. Jeśli od ostatniego kontaktu z osobą chorą upłynęło więcej niż 14 dni, korzyść z chemoprofilaktyki może być zmniejszona.3940

Wskazania do profilaktyki poekspozycyjnej

Wskazania do zastosowania profilaktyki poekspozycyjnej obejmują:4142

  • Wszystkich domowników pacjenta, szczególnie jeśli w gospodarstwie domowym znajdują się nieszczepione dzieci poniżej 4. roku życia lub osoby z obniżoną odpornością4344
  • Bliskie kontakty pacjenta, w tym osoby przebywające w żłobkach i przedszkolach, jeśli wystąpiły co najmniej 2 przypadki inwazyjnej choroby wywołanej przez Hib w ciągu 60 dni w tym środowisku i uczęszczają tam nieszczepione dzieci4546
  • Pacjenta wyjściowego (indeksowanego), jeśli nie otrzymał ceftriaksonu lub cefotaksymu w leczeniu zakażenia Hib47

Warto podkreślić, że nawet osoby, które otrzymały szczepionkę przeciwko Hib, a miały kontakt z osobą chorą, powinny otrzymać rifampicynę w ramach profilaktyki, ponieważ szczepionka prawdopodobnie nie wpływa na nosicielstwo drobnoustroju, a nosiciele mogą przekazywać bakterie osobom podatnym.4849

Ogólne zasady profilaktyki zakażeń

Oprócz szczepień i chemoprofilaktyki, istnieją ogólne zasady profilaktyki, które mogą zmniejszyć ryzyko zachorowania na zapalenie nagłośni:5051

  • Przestrzeganie zasad higieny – regularne mycie rąk wodą z mydłem lub stosowanie środków dezynfekujących na bazie alkoholu, gdy mydło i woda nie są dostępne5253
  • Unikanie dzielenia się osobistymi przedmiotami, takimi jak sztućce, naczynia, szklanki5455
  • Unikanie bliskiego kontaktu z osobami kaszlącymi i kichającymi lub stosowanie maseczek ochronnych w ich obecności5657
  • Unikanie urazów gardła – unikanie picia gorących płynów i palenia tytoniu5859
  • Utrzymywanie prawidłowej odporności poprzez zdrową dietę, odpowiedni odpoczynek i właściwe leczenie chorób przewlekłych6061
  • Regularne szczepienia przeciwko innym chorobom zakaźnym, które mogą zwiększać ryzyko zakażeń wtórnych, takim jak grypa i pneumokoki6263

Ograniczenia profilaktyki

Należy pamiętać, że szczepionka przeciwko Hib, choć wysoce skuteczna, nie daje 100% ochrony. Zdarzały się przypadki zapalenia nagłośni u dzieci zaszczepionych przeciwko Hib.6465 Ponadto zapalenie nagłośni może być wywołane przez inne drobnoustroje niż Haemophilus influenzae typu b, na które szczepionka nie zapewnia ochrony.6667

W ostatnich latach zaobserwowano również przypadki zapalenia nagłośni związane z zakażeniem SARS-CoV-2 (COVID-19), co wskazuje na potrzebę uwzględnienia nowych czynników etiologicznych w diagnostyce różnicowej tej choroby.68

Znaczenie wczesnego rozpoznania

Pomimo dostępnych metod profilaktyki, kluczowe znaczenie ma wczesne rozpoznanie objawów zapalenia nagłośni i natychmiastowe wdrożenie odpowiedniego leczenia. Każde dziecko, które wykazuje objawy sugerujące zapalenie nagłośni, powinno być niezwłocznie poddane ocenie lekarskiej, nawet jeśli zostało zaszczepione przeciwko Hib.6970

Zapalenie nagłośni pozostaje stanem zagrażającym życiu, który wymaga szybkiej interwencji medycznej. Jednak dzięki powszechnemu stosowaniu szczepień przeciwko Hib i przestrzeganiu zasad profilaktyki, częstość występowania tej choroby została znacząco zredukowana, co stanowi jeden z największych sukcesów współczesnej medycyny prewencyjnej.7172

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  1. 13.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Epiglottitis
    https://www.nhs.uk/conditions/epiglottitis/
    The most common cause of epiglottitis is Haemophilus influenzae type b (Hib). […] Vaccines that protect against Hib are offered to babies as part of the NHS vaccination schedule. […] There are 2 vaccines that protect against Hib: 6-in-1 vaccine given in 3 doses at 8, 12 and 16 weeks old […] Hib/Men C vaccine a booster vaccine given at 1 year old. […] If you or your child were not vaccinated as a baby, you can ask a GP about how to get vaccinated. […] Not smoking can also reduce your chance of getting epiglottitis.
  • #2 Epiglottitis – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/epiglottitis/symptoms-causes/syc-20372227
    Getting the Haemophilus influenzae type b (Hib) vaccine prevents epiglottitis caused by Hib. In the United States, children usually receive the vaccine in three or four doses: At 2 months. At 4 months. At 6 months if the child is getting the four-dose vaccine. At 12 to 15 months. […] Because children older than 5 and adults are less likely to develop Hib infection, they’re not usually given the vaccine. But the Centers for Disease Control and Prevention recommends the vaccine for older children and adults whose immune systems are weak because of: Sickle cell disease. HIV/AIDS. Spleen removal. Chemotherapy. Medicine to prevent rejection of organ or bone marrow transplants. […] The Hib vaccine isn’t foolproof. Some vaccinated children have had epiglottitis and other germs can cause epiglottitis too. That’s where using common sense comes in: Don’t share personal items. Wash hands frequently. Use an alcohol-based hand sanitizer if soap and water aren’t available.
  • #3 Epiglottitis – Wikipedia
    https://en.wikipedia.org/wiki/Epiglottitis
    An effective vaccine, the Hib vaccine, has been available since the 1980s. […] The antibiotic rifampicin may also be used to prevent the disease among those who have been exposed to the disease and are at high risk. […] Routine vaccination in these nations has led to a dramatic decrease in the incidence of invasive diseases caused by H. influenzae type b such as epiglottitis, meningitis and pneumonia. […] It has been reported that epiglottitis cases have decreased by 95% since the 1980s following the introduction of the first Hib vaccine.
  • #4 Epiglottitis | 5-Minute Pediatric Consult
    https://peds.unboundmedicine.com/pedscentral/view/5-Minute-Pediatric-Consult/617227/4/Epiglottitis
    Epiglottitis caused by Haemophilus influenzae type B occurs most often between the ages of 1 and 7 years (overall range: infancy to adulthood). […] Epiglottitis and other invasive disease secondary to H. influenzae type B have been reduced by 99% since the introduction of the conjugate vaccines in 1987 (approved for use at 15 months) and 1990 (approved for use at 2, 4, and 6 months). […] Universal immunization with H. influenzae type B capsular polysaccharide conjugate vaccines at 2 and 4 months (potential dose at 6 months, depending on the vaccine), with booster at 12 to 15 months. […] Prophylaxis for H. influenzae type B index case and susceptible children in household and child care setting and intimate contacts with the assistance of infection control. […] Rifampin: 20 mg/kg/24 h in single dose for 4 days.
  • #5 Epiglottitis: Symptoms, causes, and diagnosis
    https://www.medicalnewstoday.com/articles/169521
    Since children started having the Hib vaccine as a routine measure, the number of cases of epiglottitis has fallen dramatically. […] Hib is a significant risk factor for epiglottitis. According to the Immunization Action Coalition, 5065 percent of infections lead to meningitis, and 17 percent lead to epiglottitis. […] According to the CDC, the number of cases of invasive Hib disease in the U.S. started to fall dramatically in the late 1980s, around the time Hib vaccines became routine for children. […] Since a vaccination has been readily available, the incidence of epiglottitis has fallen by more than 99 percent. […] This improvement shows the effectiveness of the Hib vaccination. […] The best way to prevent epiglottitis due to Hib is by vaccinating a child against Hib. The vaccination will protect the child and others in the community.
  • #6 Epiglottitis: Causes, Symptoms, and Treatment
    https://patient.info/ears-nose-throat-mouth/epiglottitis-leaflet
    The Hib vaccine is advised for all babies at 2 months, 3 months, 4 months and 12 months. It is part of the routine vaccination programme in the UK. This has led to a dramatic reduction in cases of epiglottitis in children. The Hib vaccine is over 95% effective. […] Close contacts of someone who has been diagnosed with epiglottitis (for example, people who live in the same household) may be given antibiotics to help reduce the chance of them developing the infection.
  • #7 Epiglottitis – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/epiglottitis/symptoms-causes/syc-20372227
    Getting the Haemophilus influenzae type b (Hib) vaccine prevents epiglottitis caused by Hib. In the United States, children usually receive the vaccine in three or four doses: At 2 months. At 4 months. At 6 months if the child is getting the four-dose vaccine. At 12 to 15 months. […] Because children older than 5 and adults are less likely to develop Hib infection, they’re not usually given the vaccine. But the Centers for Disease Control and Prevention recommends the vaccine for older children and adults whose immune systems are weak because of: Sickle cell disease. HIV/AIDS. Spleen removal. Chemotherapy. Medicine to prevent rejection of organ or bone marrow transplants. […] The Hib vaccine isn’t foolproof. Some vaccinated children have had epiglottitis and other germs can cause epiglottitis too. That’s where using common sense comes in: Don’t share personal items. Wash hands frequently. Use an alcohol-based hand sanitizer if soap and water aren’t available.
  • #8 Epiglottitis: Causes, Symptoms, and Diagnosis
    https://www.healthline.com/health/epiglottitis
    You can help reduce the risk of getting epiglottitis by doing several things. […] Children should receive two to three doses of the Hib vaccine starting at 2 months of age. Typically, children receive a dose when they are 2 months, 4 months, and 6 months old. Your child will likely also receive a booster between 12 and 15 months old. […] Wash your hands frequently or use alcohol sanitizer to prevent the spread of germs. Avoid drinking from the same cup as other people and sharing food or utensils. […] Maintain good immune health by eating a healthy array of foods, avoiding smoking, getting adequate rest, and properly managing all chronic medical conditions.
  • #9 Epiglottitis – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/epiglottitis/symptoms-causes/syc-20372227
    Getting the Haemophilus influenzae type b (Hib) vaccine prevents epiglottitis caused by Hib. In the United States, children usually receive the vaccine in three or four doses: At 2 months. At 4 months. At 6 months if the child is getting the four-dose vaccine. At 12 to 15 months. […] Because children older than 5 and adults are less likely to develop Hib infection, they’re not usually given the vaccine. But the Centers for Disease Control and Prevention recommends the vaccine for older children and adults whose immune systems are weak because of: Sickle cell disease. HIV/AIDS. Spleen removal. Chemotherapy. Medicine to prevent rejection of organ or bone marrow transplants. […] The Hib vaccine isn’t foolproof. Some vaccinated children have had epiglottitis and other germs can cause epiglottitis too. That’s where using common sense comes in: Don’t share personal items. Wash hands frequently. Use an alcohol-based hand sanitizer if soap and water aren’t available.
  • #10 Epiglottitis in Children
    https://healthlibrary.rumcsi.org/Library/DiseasesConditions/Adult/Women/90,P02944
    Epiglottitis that is caused by the bacteria Hib can be prevented with a vaccine. Once vaccinated, your child will have a lower chance of getting the condition. […] Experts recommend infants get 3 to 4 doses of the Hib vaccine. The main doses are given at ages 2 and 4 months or at ages 2, 4, and 6 months, based on the vaccine brand used by your healthcare provider. Your child will need a booster dose at age 12 to 15 months. […] If your child has epiglottitis, family members or other close contacts may be treated with rifampin. This medicine helps prevent the condition in people who may have been exposed to it. […] The Hib vaccine can prevent most cases of epiglottitis.
  • #11 Epiglottitis – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/epiglottitis/symptoms-causes/syc-20372227
    Getting the Haemophilus influenzae type b (Hib) vaccine prevents epiglottitis caused by Hib. In the United States, children usually receive the vaccine in three or four doses: At 2 months. At 4 months. At 6 months if the child is getting the four-dose vaccine. At 12 to 15 months. […] Because children older than 5 and adults are less likely to develop Hib infection, they’re not usually given the vaccine. But the Centers for Disease Control and Prevention recommends the vaccine for older children and adults whose immune systems are weak because of: Sickle cell disease. HIV/AIDS. Spleen removal. Chemotherapy. Medicine to prevent rejection of organ or bone marrow transplants. […] The Hib vaccine isn’t foolproof. Some vaccinated children have had epiglottitis and other germs can cause epiglottitis too. That’s where using common sense comes in: Don’t share personal items. Wash hands frequently. Use an alcohol-based hand sanitizer if soap and water aren’t available.
  • #12 Epiglottitis in Children
    https://healthlibrary.rumcsi.org/Library/DiseasesConditions/Adult/Women/90,P02944
    Epiglottitis that is caused by the bacteria Hib can be prevented with a vaccine. Once vaccinated, your child will have a lower chance of getting the condition. […] Experts recommend infants get 3 to 4 doses of the Hib vaccine. The main doses are given at ages 2 and 4 months or at ages 2, 4, and 6 months, based on the vaccine brand used by your healthcare provider. Your child will need a booster dose at age 12 to 15 months. […] If your child has epiglottitis, family members or other close contacts may be treated with rifampin. This medicine helps prevent the condition in people who may have been exposed to it. […] The Hib vaccine can prevent most cases of epiglottitis.
  • #13 Epiglottitis – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/epiglottitis/symptoms-causes/syc-20372227
    Getting the Haemophilus influenzae type b (Hib) vaccine prevents epiglottitis caused by Hib. In the United States, children usually receive the vaccine in three or four doses: At 2 months. At 4 months. At 6 months if the child is getting the four-dose vaccine. At 12 to 15 months. […] Because children older than 5 and adults are less likely to develop Hib infection, they’re not usually given the vaccine. But the Centers for Disease Control and Prevention recommends the vaccine for older children and adults whose immune systems are weak because of: Sickle cell disease. HIV/AIDS. Spleen removal. Chemotherapy. Medicine to prevent rejection of organ or bone marrow transplants. […] The Hib vaccine isn’t foolproof. Some vaccinated children have had epiglottitis and other germs can cause epiglottitis too. That’s where using common sense comes in: Don’t share personal items. Wash hands frequently. Use an alcohol-based hand sanitizer if soap and water aren’t available.
  • #14 Epiglottitis in Children
    https://healthlibrary.rumcsi.org/Library/DiseasesConditions/Adult/Women/90,P02944
    Epiglottitis that is caused by the bacteria Hib can be prevented with a vaccine. Once vaccinated, your child will have a lower chance of getting the condition. […] Experts recommend infants get 3 to 4 doses of the Hib vaccine. The main doses are given at ages 2 and 4 months or at ages 2, 4, and 6 months, based on the vaccine brand used by your healthcare provider. Your child will need a booster dose at age 12 to 15 months. […] If your child has epiglottitis, family members or other close contacts may be treated with rifampin. This medicine helps prevent the condition in people who may have been exposed to it. […] The Hib vaccine can prevent most cases of epiglottitis.
  • #15 Epiglottitis
    https://www.nhs.uk/conditions/epiglottitis/
    The most common cause of epiglottitis is Haemophilus influenzae type b (Hib). […] Vaccines that protect against Hib are offered to babies as part of the NHS vaccination schedule. […] There are 2 vaccines that protect against Hib: 6-in-1 vaccine given in 3 doses at 8, 12 and 16 weeks old […] Hib/Men C vaccine a booster vaccine given at 1 year old. […] If you or your child were not vaccinated as a baby, you can ask a GP about how to get vaccinated. […] Not smoking can also reduce your chance of getting epiglottitis.
  • #16 Epiglottitis | Signs Causes Prevention | Optimists Wellness
    https://optimists.in/health-hub/epiglottitis/
    Getting the Haemophilus influenza type b (Hib) vaccine prevents epiglottitis caused by Hib. […] Infants should get a vaccination against Hib as part of the six-in-1 DTaP/IPV/Hib vaccine, which shields against hepatitis B, tetanus, whooping cough, diphtheria, and polio. They should receive three doses of the vaccine: at eight weeks, twelve weeks, and sixteen weeks of age, following an additional Hib C “booster” vaccine at one year of age.
  • #17 Epiglottitis – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/epiglottitis/symptoms-causes/syc-20372227
    Getting the Haemophilus influenzae type b (Hib) vaccine prevents epiglottitis caused by Hib. In the United States, children usually receive the vaccine in three or four doses: At 2 months. At 4 months. At 6 months if the child is getting the four-dose vaccine. At 12 to 15 months. […] Because children older than 5 and adults are less likely to develop Hib infection, they’re not usually given the vaccine. But the Centers for Disease Control and Prevention recommends the vaccine for older children and adults whose immune systems are weak because of: Sickle cell disease. HIV/AIDS. Spleen removal. Chemotherapy. Medicine to prevent rejection of organ or bone marrow transplants. […] The Hib vaccine isn’t foolproof. Some vaccinated children have had epiglottitis and other germs can cause epiglottitis too. That’s where using common sense comes in: Don’t share personal items. Wash hands frequently. Use an alcohol-based hand sanitizer if soap and water aren’t available.
  • #18
    https://www.kuh.ku.edu.tr/mayo-clinic-care-network/mayo-clinic-health-information-library/diseases-conditions/epiglottitis
    Routine Hib vaccination for infants has made epiglottitis rare in children. […] The Hib vaccine isn’t foolproof. Some vaccinated children have had epiglottitis and other germs can cause epiglottitis too. That’s where using common sense comes in: Don’t share personal items. Wash hands frequently. Use an alcohol-based hand sanitizer if soap and water aren’t available. […] Because children older than 5 and adults are less likely to develop Hib infection, they’re not usually given the vaccine. But the Centers for Disease Control and Prevention recommends the vaccine for older children and adults whose immune systems are weak because of: Sickle cell disease, HIV/AIDS, Spleen removal, Chemotherapy, Medicine to prevent rejection of organ or bone marrow transplants.
  • #19 Epiglottitis – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/epiglottitis/symptoms-causes/syc-20372227
    Getting the Haemophilus influenzae type b (Hib) vaccine prevents epiglottitis caused by Hib. In the United States, children usually receive the vaccine in three or four doses: At 2 months. At 4 months. At 6 months if the child is getting the four-dose vaccine. At 12 to 15 months. […] Because children older than 5 and adults are less likely to develop Hib infection, they’re not usually given the vaccine. But the Centers for Disease Control and Prevention recommends the vaccine for older children and adults whose immune systems are weak because of: Sickle cell disease. HIV/AIDS. Spleen removal. Chemotherapy. Medicine to prevent rejection of organ or bone marrow transplants. […] The Hib vaccine isn’t foolproof. Some vaccinated children have had epiglottitis and other germs can cause epiglottitis too. That’s where using common sense comes in: Don’t share personal items. Wash hands frequently. Use an alcohol-based hand sanitizer if soap and water aren’t available.
  • #20 Epiglottitis – What You Need to Know
    https://www.drugs.com/cg/epiglottitis.html
    Ask your healthcare provider if you need the Hib vaccine. This vaccine helps prevent Hib infection and problems such as epiglottitis. The Hib vaccine may be given to an adult who did not get the vaccine during childhood. It may also be given to an adult who has risk factors for infection. Risk factors include sickle cell disease, HIV infection, chemotherapy treatment, or a bone marrow transplant. […] Cover your mouth when you sneeze or cough. Wash your hands after you cough, sneeze, or use the bathroom. Ask your healthcare provider if other family or household members need antibiotic medicine to prevent infection.
  • #21 Epiglottitis – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/epiglottitis/symptoms-causes/syc-20372227
    Getting the Haemophilus influenzae type b (Hib) vaccine prevents epiglottitis caused by Hib. In the United States, children usually receive the vaccine in three or four doses: At 2 months. At 4 months. At 6 months if the child is getting the four-dose vaccine. At 12 to 15 months. […] Because children older than 5 and adults are less likely to develop Hib infection, they’re not usually given the vaccine. But the Centers for Disease Control and Prevention recommends the vaccine for older children and adults whose immune systems are weak because of: Sickle cell disease. HIV/AIDS. Spleen removal. Chemotherapy. Medicine to prevent rejection of organ or bone marrow transplants. […] The Hib vaccine isn’t foolproof. Some vaccinated children have had epiglottitis and other germs can cause epiglottitis too. That’s where using common sense comes in: Don’t share personal items. Wash hands frequently. Use an alcohol-based hand sanitizer if soap and water aren’t available.
  • #22 Epiglottitis: Causes, Treatment, Symptoms, vs. Croup & Diagnosis
    https://www.emedicinehealth.com/epiglottitis/article_em.htm
    Epiglottitis may be prevented with childhood vaccination against H. influenza type b (Hib). For people who live with an unvaccinated child under age 4 years of age who is exposed to a person with H. influenza epiglottitis, preventive medication such as rifampin (Rifadin) is given to all household contacts to prevent the spread of the bacteria. […] Prevention of epiglottitis can be achieved with proper vaccination against H. influenza type b (Hib). It is important that children are vaccinated against Hib. Adult vaccination is not routinely recommended, except for people with immune-related medical conditions such as sickle cell anemia, splenectomy, cancers, or other diseases affecting the immune system. […] When there is a member of a family with an unvaccinated child under age 4 years of age who is exposed to a person with H influenza epiglottitis, preventive medication such as rifampin (Rifadin) should be given to all household contacts to make sure that both the person with the illness and the rest of the household have the bacteria completely eradicated from their bodies. This prevents formation of a „carrier state” in which a person has the bacteria in the body but is not actively sick. Carriers can still spread the infection to other family members even though they are not ill.
  • #23 Epiglottitis – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/epiglottitis/symptoms-causes/syc-20372227
    Getting the Haemophilus influenzae type b (Hib) vaccine prevents epiglottitis caused by Hib. In the United States, children usually receive the vaccine in three or four doses: At 2 months. At 4 months. At 6 months if the child is getting the four-dose vaccine. At 12 to 15 months. […] Because children older than 5 and adults are less likely to develop Hib infection, they’re not usually given the vaccine. But the Centers for Disease Control and Prevention recommends the vaccine for older children and adults whose immune systems are weak because of: Sickle cell disease. HIV/AIDS. Spleen removal. Chemotherapy. Medicine to prevent rejection of organ or bone marrow transplants. […] The Hib vaccine isn’t foolproof. Some vaccinated children have had epiglottitis and other germs can cause epiglottitis too. That’s where using common sense comes in: Don’t share personal items. Wash hands frequently. Use an alcohol-based hand sanitizer if soap and water aren’t available.
  • #24 Epiglottitis: Causes, Treatment, Symptoms, vs. Croup & Diagnosis
    https://www.emedicinehealth.com/epiglottitis/article_em.htm
    Epiglottitis may be prevented with childhood vaccination against H. influenza type b (Hib). For people who live with an unvaccinated child under age 4 years of age who is exposed to a person with H. influenza epiglottitis, preventive medication such as rifampin (Rifadin) is given to all household contacts to prevent the spread of the bacteria. […] Prevention of epiglottitis can be achieved with proper vaccination against H. influenza type b (Hib). It is important that children are vaccinated against Hib. Adult vaccination is not routinely recommended, except for people with immune-related medical conditions such as sickle cell anemia, splenectomy, cancers, or other diseases affecting the immune system. […] When there is a member of a family with an unvaccinated child under age 4 years of age who is exposed to a person with H influenza epiglottitis, preventive medication such as rifampin (Rifadin) should be given to all household contacts to make sure that both the person with the illness and the rest of the household have the bacteria completely eradicated from their bodies. This prevents formation of a „carrier state” in which a person has the bacteria in the body but is not actively sick. Carriers can still spread the infection to other family members even though they are not ill.
  • #25 Epiglottitis – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/epiglottitis/symptoms-causes/syc-20372227
    Getting the Haemophilus influenzae type b (Hib) vaccine prevents epiglottitis caused by Hib. In the United States, children usually receive the vaccine in three or four doses: At 2 months. At 4 months. At 6 months if the child is getting the four-dose vaccine. At 12 to 15 months. […] Because children older than 5 and adults are less likely to develop Hib infection, they’re not usually given the vaccine. But the Centers for Disease Control and Prevention recommends the vaccine for older children and adults whose immune systems are weak because of: Sickle cell disease. HIV/AIDS. Spleen removal. Chemotherapy. Medicine to prevent rejection of organ or bone marrow transplants. […] The Hib vaccine isn’t foolproof. Some vaccinated children have had epiglottitis and other germs can cause epiglottitis too. That’s where using common sense comes in: Don’t share personal items. Wash hands frequently. Use an alcohol-based hand sanitizer if soap and water aren’t available.
  • #26 Epiglottitis: Causes, Treatment, Symptoms, vs. Croup & Diagnosis
    https://www.emedicinehealth.com/epiglottitis/article_em.htm
    Epiglottitis may be prevented with childhood vaccination against H. influenza type b (Hib). For people who live with an unvaccinated child under age 4 years of age who is exposed to a person with H. influenza epiglottitis, preventive medication such as rifampin (Rifadin) is given to all household contacts to prevent the spread of the bacteria. […] Prevention of epiglottitis can be achieved with proper vaccination against H. influenza type b (Hib). It is important that children are vaccinated against Hib. Adult vaccination is not routinely recommended, except for people with immune-related medical conditions such as sickle cell anemia, splenectomy, cancers, or other diseases affecting the immune system. […] When there is a member of a family with an unvaccinated child under age 4 years of age who is exposed to a person with H influenza epiglottitis, preventive medication such as rifampin (Rifadin) should be given to all household contacts to make sure that both the person with the illness and the rest of the household have the bacteria completely eradicated from their bodies. This prevents formation of a „carrier state” in which a person has the bacteria in the body but is not actively sick. Carriers can still spread the infection to other family members even though they are not ill.
  • #27 Epiglottitis – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/epiglottitis/symptoms-causes/syc-20372227
    Getting the Haemophilus influenzae type b (Hib) vaccine prevents epiglottitis caused by Hib. In the United States, children usually receive the vaccine in three or four doses: At 2 months. At 4 months. At 6 months if the child is getting the four-dose vaccine. At 12 to 15 months. […] Because children older than 5 and adults are less likely to develop Hib infection, they’re not usually given the vaccine. But the Centers for Disease Control and Prevention recommends the vaccine for older children and adults whose immune systems are weak because of: Sickle cell disease. HIV/AIDS. Spleen removal. Chemotherapy. Medicine to prevent rejection of organ or bone marrow transplants. […] The Hib vaccine isn’t foolproof. Some vaccinated children have had epiglottitis and other germs can cause epiglottitis too. That’s where using common sense comes in: Don’t share personal items. Wash hands frequently. Use an alcohol-based hand sanitizer if soap and water aren’t available.
  • #28 Epiglottitis | UM Health-Sparrow
    https://www.uofmhealthsparrow.org/departments-conditions/conditions/epiglottitis
    Routine Hib vaccination for infants has made epiglottitis rare in children. It’s now more common in adults. The condition needs quick care to prevent deadly complications. […] Getting the Haemophilus influenzae type b (Hib) vaccine prevents epiglottitis caused by Hib. In the United States, children usually receive the vaccine in three or four doses: At 2 months. At 4 months. At 6 months if the child is getting the four-dose vaccine. At 12 to 15 months. […] Because children older than 5 and adults are less likely to develop Hib infection, they’re not usually given the vaccine. But the Centers for Disease Control and Prevention recommends the vaccine for older children and adults whose immune systems are weak because of: Sickle cell disease. HIV/AIDS. Spleen removal. Chemotherapy. Medicine to prevent rejection of organ or bone marrow transplants. […] The Hib vaccine isn’t foolproof. Some vaccinated children have had epiglottitis and other germs can cause epiglottitis too. That’s where using common sense comes in: Don’t share personal items. Wash hands frequently. Use an alcohol-based hand sanitizer if soap and water aren’t available.
  • #29 Epiglottitis
    https://www.nhs.uk/conditions/epiglottitis/
    The most common cause of epiglottitis is Haemophilus influenzae type b (Hib). […] Vaccines that protect against Hib are offered to babies as part of the NHS vaccination schedule. […] There are 2 vaccines that protect against Hib: 6-in-1 vaccine given in 3 doses at 8, 12 and 16 weeks old […] Hib/Men C vaccine a booster vaccine given at 1 year old. […] If you or your child were not vaccinated as a baby, you can ask a GP about how to get vaccinated. […] Not smoking can also reduce your chance of getting epiglottitis.
  • #30 Epiglottitis – What You Need to Know
    https://www.drugs.com/cg/epiglottitis.html
    Ask your healthcare provider if you need the Hib vaccine. This vaccine helps prevent Hib infection and problems such as epiglottitis. The Hib vaccine may be given to an adult who did not get the vaccine during childhood. It may also be given to an adult who has risk factors for infection. Risk factors include sickle cell disease, HIV infection, chemotherapy treatment, or a bone marrow transplant. […] Cover your mouth when you sneeze or cough. Wash your hands after you cough, sneeze, or use the bathroom. Ask your healthcare provider if other family or household members need antibiotic medicine to prevent infection.
  • #31 Epiglottitis | Children’s Hospital of Philadelphia
    https://www.chop.edu/conditions-diseases/epiglottitis
    The CDC recommends three to four doses of the HIB vaccine. The HIB vaccine protects against this bacteria, therefore decreasing the chance of developing epiglottitis. […] The use of the HIB vaccine has significantly decreased the risk of developing the disease. […] As mentioned above, epiglottitis caused by the bacteria HIB can be prevented with vaccines that start at the age of 2 months. Epiglottitis caused by other organisms cannot be prevented at this time, but are much less common. […] If a child is diagnosed with epiglottitis, the child’s family or other close contacts are usually treated with a medication called rifampin, to prevent the disease in those people who might have been exposed.
  • #32 Epiglottitis Treatment & Management: Approach Considerations, Prehospital Care, Airway Management
    https://emedicine.medscape.com/article/763612-treatment
    Close contacts of patients in whom Haemophilus influenzae type b is isolated should receive rifampin prophylaxis (20 mg/kg; not to exceed 600 mg/d for 4 d). […] Although H influenzae vaccine is available, it is not 100% effective. […] During their October 2024 session, the Advisory Committee on Immunization Practices (ACIP) endorsed the Recommended Immunization Schedule for Children and Adolescents up to 18 Years Old in the United States for the year 2025.
  • #33 Epiglottitis Treatment & Management: Approach Considerations, Prehospital Care, Airway Management
    https://emedicine.medscape.com/article/763612-treatment
    Close contacts of patients in whom Haemophilus influenzae type b is isolated should receive rifampin prophylaxis (20 mg/kg; not to exceed 600 mg/d for 4 d). […] Although H influenzae vaccine is available, it is not 100% effective. […] During their October 2024 session, the Advisory Committee on Immunization Practices (ACIP) endorsed the Recommended Immunization Schedule for Children and Adolescents up to 18 Years Old in the United States for the year 2025.
  • #34 Epiglottitis | 5-Minute Pediatric Consult
    https://peds.unboundmedicine.com/pedscentral/view/5-Minute-Pediatric-Consult/617227/all/Epiglottitis?q=Ampicillin
    Epiglottitis and other invasive disease secondary to H. influenzae type B have been reduced by 99% since the introduction of the conjugate vaccines in 1987 (approved for use at 15 months) and 1990 (approved for use at 2, 4, and 6 months). […] Universal immunization with H. influenzae type B capsular polysaccharide conjugate vaccines at 2 and 4 months (potential dose at 6 months, depending on the vaccine), with booster at 12 to 15 months. […] Prophylaxis for H. influenzae type B index case and susceptible children in household and child care setting and intimate contacts with the assistance of infection control. […] Rifampin: 20 mg/kg/24 h in single dose for 4 days.
  • #35 Epiglottitis – Management : Emergency Care BC
    https://emergencycarebc.ca/clinical_resource/clinical-summary/epiglottis-management/
    Consider rifampin prophylaxis for close contacts. […] Adults: 600 mg PO once daily for 4 days. […] Infants, Children, and Adolescents: 20 mg/kg/day PO once daily for 4 days, (max 600 mg/day).
  • #36 Epiglottitis – Management : Emergency Care BC
    https://emergencycarebc.ca/clinical_resource/clinical-summary/epiglottis-management/
    Consider rifampin prophylaxis for close contacts. […] Adults: 600 mg PO once daily for 4 days. […] Infants, Children, and Adolescents: 20 mg/kg/day PO once daily for 4 days, (max 600 mg/day).
  • #37 Epiglottitis | 5-Minute Pediatric Consult
    https://peds.unboundmedicine.com/pedscentral/view/5-Minute-Pediatric-Consult/617227/all/Epiglottitis?q=Ampicillin
    Epiglottitis and other invasive disease secondary to H. influenzae type B have been reduced by 99% since the introduction of the conjugate vaccines in 1987 (approved for use at 15 months) and 1990 (approved for use at 2, 4, and 6 months). […] Universal immunization with H. influenzae type B capsular polysaccharide conjugate vaccines at 2 and 4 months (potential dose at 6 months, depending on the vaccine), with booster at 12 to 15 months. […] Prophylaxis for H. influenzae type B index case and susceptible children in household and child care setting and intimate contacts with the assistance of infection control. […] Rifampin: 20 mg/kg/24 h in single dose for 4 days.
  • #38 Epiglottitis – Management : Emergency Care BC
    https://emergencycarebc.ca/clinical_resource/clinical-summary/epiglottis-management/
    Consider rifampin prophylaxis for close contacts. […] Adults: 600 mg PO once daily for 4 days. […] Infants, Children, and Adolescents: 20 mg/kg/day PO once daily for 4 days, (max 600 mg/day).
  • #39
    https://www.cdc.gov/mmwr/preview/mmwrhtml/00022926.htm
    Contacts of all ages who develop symptoms suggestive of invasive Hib disease, such as fever or headache, be evaluated promptly by a physician. […] In day-care classrooms in which a case of Hib disease has occurred and in which another child under 2 years of age has been exposed, all parents should be notified (preferably in writing) regarding the occurrence of the case and the possibility of increased risk to their children. […] Chemoprophylaxis should be instituted as rapidly as possible. If more than 14 days have passed since the last contact with the index patient, the benefit of chemoprophylaxis is likely to be decreased. […] In day-care classrooms in which children are to receive chemoprophylaxis, children who have received the Haemophilus b polysaccharide vaccine should also receive rifampin. Although these children are felt to be at decreased risk for disease, the vaccine probably does not affect carriage of the organism, which they may pass on to susceptible classmates.
  • #40
    https://www.cdc.gov/Mmwr/preview/mmwrhtml/00022926.htm
    Chemoprophylaxis should be instituted as rapidly as possible. If more than 14 days have passed since the last contact with the index patient, the benefit of chemoprophylaxis is likely to be decreased. […] In day-care classrooms in which children are to receive chemoprophylaxis, children who have received the Haemophilus b polysaccharide vaccine should also receive rifampin. Although these children are felt to be at decreased risk for disease, the vaccine probably does not affect carriage of the organism, which they may pass on to susceptible classmates. […] The primary strategy for preventing Hib disease is immunization. Children should be vaccinated at 24 months of age. Those at high risk for Hib disease, including children attending day-care, may be given the vaccine at 18 months of age. […] Since rifampin prophylaxis is effective in preventing subsequent cases in this high-risk group, the ACIP recommends that: Contacts of all ages who develop symptoms suggestive of invasive Hib disease, such as fever or headache, be evaluated promptly by a physician.
  • #41 Epiglottitis – Knowledge @ AMBOSS
    https://www.amboss.com/us/knowledge/epiglottitis/
    Hib vaccine (see Immunization schedule) […] Postexposure prophylaxis with rifampin […] All index patients that are of age and did not receive ceftriaxone or cefotaxime to treat Hib infections should receive postexposure prophylaxis. […] All household contacts: if any member of the household is of age and unimmunized and/or of age and immunocompromised […] All daycare attendees: if 2 cases of invasive Hib disease occurred within 60 days in this setting and unimmunized children attend the daycare facility.
  • #42
    https://www.cdc.gov/Mmwr/preview/mmwrhtml/00022926.htm
    Haemophilus influenzae type b (Hib) is the most common cause of bacterial meningitis in the United States. It also causes other serious invasive illnesses, including epiglottitis, sepsis, cellulitis, septic arthritis, osteomyelitis, pericarditis, and pneumonia. […] The purpose of this statement is to update these recommendations and to provide guidelines for the prevention of secondary cases of Hib disease. […] Efficacy of Rifampin Prophylaxis. Most children at risk of secondary disease are too young to respond to the Hib polysaccharide vaccine. Therefore, the main preventive measure presently available is rifampin administration. […] In a randomized placebo controlled trial, rifampin in the currently recommended dosage administered to all household and day-care classroom contacts, including adults, significantly decreased secondary Hib disease among household and day-care contacts.
  • #43 Epiglottitis – Knowledge @ AMBOSS
    https://www.amboss.com/us/knowledge/epiglottitis/
    Hib vaccine (see Immunization schedule) […] Postexposure prophylaxis with rifampin […] All index patients that are of age and did not receive ceftriaxone or cefotaxime to treat Hib infections should receive postexposure prophylaxis. […] All household contacts: if any member of the household is of age and unimmunized and/or of age and immunocompromised […] All daycare attendees: if 2 cases of invasive Hib disease occurred within 60 days in this setting and unimmunized children attend the daycare facility.
  • #44 Epiglottitis: Causes, Treatment, Symptoms, vs. Croup & Diagnosis
    https://www.emedicinehealth.com/epiglottitis/article_em.htm
    Epiglottitis may be prevented with childhood vaccination against H. influenza type b (Hib). For people who live with an unvaccinated child under age 4 years of age who is exposed to a person with H. influenza epiglottitis, preventive medication such as rifampin (Rifadin) is given to all household contacts to prevent the spread of the bacteria. […] Prevention of epiglottitis can be achieved with proper vaccination against H. influenza type b (Hib). It is important that children are vaccinated against Hib. Adult vaccination is not routinely recommended, except for people with immune-related medical conditions such as sickle cell anemia, splenectomy, cancers, or other diseases affecting the immune system. […] When there is a member of a family with an unvaccinated child under age 4 years of age who is exposed to a person with H influenza epiglottitis, preventive medication such as rifampin (Rifadin) should be given to all household contacts to make sure that both the person with the illness and the rest of the household have the bacteria completely eradicated from their bodies. This prevents formation of a „carrier state” in which a person has the bacteria in the body but is not actively sick. Carriers can still spread the infection to other family members even though they are not ill.
  • #45 Epiglottitis – Knowledge @ AMBOSS
    https://www.amboss.com/us/knowledge/epiglottitis/
    Hib vaccine (see Immunization schedule) […] Postexposure prophylaxis with rifampin […] All index patients that are of age and did not receive ceftriaxone or cefotaxime to treat Hib infections should receive postexposure prophylaxis. […] All household contacts: if any member of the household is of age and unimmunized and/or of age and immunocompromised […] All daycare attendees: if 2 cases of invasive Hib disease occurred within 60 days in this setting and unimmunized children attend the daycare facility.
  • #46
    https://www.cdc.gov/Mmwr/preview/mmwrhtml/00022926.htm
    Chemoprophylaxis should be instituted as rapidly as possible. If more than 14 days have passed since the last contact with the index patient, the benefit of chemoprophylaxis is likely to be decreased. […] In day-care classrooms in which children are to receive chemoprophylaxis, children who have received the Haemophilus b polysaccharide vaccine should also receive rifampin. Although these children are felt to be at decreased risk for disease, the vaccine probably does not affect carriage of the organism, which they may pass on to susceptible classmates. […] The primary strategy for preventing Hib disease is immunization. Children should be vaccinated at 24 months of age. Those at high risk for Hib disease, including children attending day-care, may be given the vaccine at 18 months of age. […] Since rifampin prophylaxis is effective in preventing subsequent cases in this high-risk group, the ACIP recommends that: Contacts of all ages who develop symptoms suggestive of invasive Hib disease, such as fever or headache, be evaluated promptly by a physician.
  • #47 Epiglottitis – Knowledge @ AMBOSS
    https://www.amboss.com/us/knowledge/epiglottitis/
    Hib vaccine (see Immunization schedule) […] Postexposure prophylaxis with rifampin […] All index patients that are of age and did not receive ceftriaxone or cefotaxime to treat Hib infections should receive postexposure prophylaxis. […] All household contacts: if any member of the household is of age and unimmunized and/or of age and immunocompromised […] All daycare attendees: if 2 cases of invasive Hib disease occurred within 60 days in this setting and unimmunized children attend the daycare facility.
  • #48
    https://www.cdc.gov/mmwr/preview/mmwrhtml/00022926.htm
    Contacts of all ages who develop symptoms suggestive of invasive Hib disease, such as fever or headache, be evaluated promptly by a physician. […] In day-care classrooms in which a case of Hib disease has occurred and in which another child under 2 years of age has been exposed, all parents should be notified (preferably in writing) regarding the occurrence of the case and the possibility of increased risk to their children. […] Chemoprophylaxis should be instituted as rapidly as possible. If more than 14 days have passed since the last contact with the index patient, the benefit of chemoprophylaxis is likely to be decreased. […] In day-care classrooms in which children are to receive chemoprophylaxis, children who have received the Haemophilus b polysaccharide vaccine should also receive rifampin. Although these children are felt to be at decreased risk for disease, the vaccine probably does not affect carriage of the organism, which they may pass on to susceptible classmates.
  • #49
    https://www.cdc.gov/Mmwr/preview/mmwrhtml/00022926.htm
    Chemoprophylaxis should be instituted as rapidly as possible. If more than 14 days have passed since the last contact with the index patient, the benefit of chemoprophylaxis is likely to be decreased. […] In day-care classrooms in which children are to receive chemoprophylaxis, children who have received the Haemophilus b polysaccharide vaccine should also receive rifampin. Although these children are felt to be at decreased risk for disease, the vaccine probably does not affect carriage of the organism, which they may pass on to susceptible classmates. […] The primary strategy for preventing Hib disease is immunization. Children should be vaccinated at 24 months of age. Those at high risk for Hib disease, including children attending day-care, may be given the vaccine at 18 months of age. […] Since rifampin prophylaxis is effective in preventing subsequent cases in this high-risk group, the ACIP recommends that: Contacts of all ages who develop symptoms suggestive of invasive Hib disease, such as fever or headache, be evaluated promptly by a physician.
  • #50 Epiglottitis: Symptoms, Causes & Treatment
    https://my.clevelandclinic.org/health/diseases/17844-epiglottitis
    You cant prevent an inflamed epiglottis altogether, but there are things you can do to reduce the risk: […] Get your child vaccinated. In children, the best prevention is to ensure all their childhood immunizations are up to date. Children are especially vulnerable to Hib infections because their immune systems havent fully developed yet. […] Practice good hygiene. Wash your hands frequently, and avoid placing fingers in your eyes, nose and mouth. […] Protect yourself from infection. Take precautions around people who are coughing and sneezing, like avoiding close contact or masking up. […] Avoid injury to your throat. Steer clear of activities that can damage your throat, like drinking hot liquids or smoking.
  • #51 Azthena logo with the word Azthena
    https://www.news-medical.net/health/Treatment-of-epiglottitis.aspx
    As a preventive measure all babies need to be vaccinated against Haemophilus influenza type b at age two, three, four and 12 months. […] Close contacts of someone who has been diagnosed with epiglottitis are also usually given antibiotics to prevent spread and development of the infection. […] Good hygiene measures like hand washing, covering the nose and mouth while coughing and sneezing and isolation of infected persons are important in prevention of epiglottitis.
  • #52 Epiglottitis: Symptoms, Causes & Treatment
    https://my.clevelandclinic.org/health/diseases/17844-epiglottitis
    You cant prevent an inflamed epiglottis altogether, but there are things you can do to reduce the risk: […] Get your child vaccinated. In children, the best prevention is to ensure all their childhood immunizations are up to date. Children are especially vulnerable to Hib infections because their immune systems havent fully developed yet. […] Practice good hygiene. Wash your hands frequently, and avoid placing fingers in your eyes, nose and mouth. […] Protect yourself from infection. Take precautions around people who are coughing and sneezing, like avoiding close contact or masking up. […] Avoid injury to your throat. Steer clear of activities that can damage your throat, like drinking hot liquids or smoking.
  • #53 Epiglottitis – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/epiglottitis/symptoms-causes/syc-20372227
    Getting the Haemophilus influenzae type b (Hib) vaccine prevents epiglottitis caused by Hib. In the United States, children usually receive the vaccine in three or four doses: At 2 months. At 4 months. At 6 months if the child is getting the four-dose vaccine. At 12 to 15 months. […] Because children older than 5 and adults are less likely to develop Hib infection, they’re not usually given the vaccine. But the Centers for Disease Control and Prevention recommends the vaccine for older children and adults whose immune systems are weak because of: Sickle cell disease. HIV/AIDS. Spleen removal. Chemotherapy. Medicine to prevent rejection of organ or bone marrow transplants. […] The Hib vaccine isn’t foolproof. Some vaccinated children have had epiglottitis and other germs can cause epiglottitis too. That’s where using common sense comes in: Don’t share personal items. Wash hands frequently. Use an alcohol-based hand sanitizer if soap and water aren’t available.
  • #54 Epiglottitis: Causes, Symptoms, and Diagnosis
    https://www.healthline.com/health/epiglottitis
    You can help reduce the risk of getting epiglottitis by doing several things. […] Children should receive two to three doses of the Hib vaccine starting at 2 months of age. Typically, children receive a dose when they are 2 months, 4 months, and 6 months old. Your child will likely also receive a booster between 12 and 15 months old. […] Wash your hands frequently or use alcohol sanitizer to prevent the spread of germs. Avoid drinking from the same cup as other people and sharing food or utensils. […] Maintain good immune health by eating a healthy array of foods, avoiding smoking, getting adequate rest, and properly managing all chronic medical conditions.
  • #55 Epiglottitis
    https://www.mymlc.com/health-information/diseases-and-conditions/e/epiglottitis2/
    Immunization with the Hib vaccine is an effective way to prevent epiglottitis caused by Hib. In the United States, children usually receive the vaccine in three or four doses: […] The Hib vaccine is generally not given to children older than age 5 or to adults because they’re less likely to develop Hib infection. But the Centers for Disease Control and Prevention recommends the vaccine for older children and adults whose immune systems have been weakened by: […] Of course, the Hib vaccine doesn’t offer guarantees. Vaccinated children have been known to develop epiglottitis — and other germs can cause epiglottitis, too. That’s where commonsense precautions come in: […] Don’t share personal items. […] Wash your hands frequently. […] Use an alcohol-based hand sanitizer if soap and water aren’t available.
  • #56 Epiglottitis: Symptoms, Causes & Treatment
    https://my.clevelandclinic.org/health/diseases/17844-epiglottitis
    You cant prevent an inflamed epiglottis altogether, but there are things you can do to reduce the risk: […] Get your child vaccinated. In children, the best prevention is to ensure all their childhood immunizations are up to date. Children are especially vulnerable to Hib infections because their immune systems havent fully developed yet. […] Practice good hygiene. Wash your hands frequently, and avoid placing fingers in your eyes, nose and mouth. […] Protect yourself from infection. Take precautions around people who are coughing and sneezing, like avoiding close contact or masking up. […] Avoid injury to your throat. Steer clear of activities that can damage your throat, like drinking hot liquids or smoking.
  • #57 Azthena logo with the word Azthena
    https://www.news-medical.net/health/Treatment-of-epiglottitis.aspx
    As a preventive measure all babies need to be vaccinated against Haemophilus influenza type b at age two, three, four and 12 months. […] Close contacts of someone who has been diagnosed with epiglottitis are also usually given antibiotics to prevent spread and development of the infection. […] Good hygiene measures like hand washing, covering the nose and mouth while coughing and sneezing and isolation of infected persons are important in prevention of epiglottitis.
  • #58 Epiglottitis: Symptoms, Causes & Treatment
    https://my.clevelandclinic.org/health/diseases/17844-epiglottitis
    You cant prevent an inflamed epiglottis altogether, but there are things you can do to reduce the risk: […] Get your child vaccinated. In children, the best prevention is to ensure all their childhood immunizations are up to date. Children are especially vulnerable to Hib infections because their immune systems havent fully developed yet. […] Practice good hygiene. Wash your hands frequently, and avoid placing fingers in your eyes, nose and mouth. […] Protect yourself from infection. Take precautions around people who are coughing and sneezing, like avoiding close contact or masking up. […] Avoid injury to your throat. Steer clear of activities that can damage your throat, like drinking hot liquids or smoking.
  • #59 Epiglottitis
    https://www.nhs.uk/conditions/epiglottitis/
    The most common cause of epiglottitis is Haemophilus influenzae type b (Hib). […] Vaccines that protect against Hib are offered to babies as part of the NHS vaccination schedule. […] There are 2 vaccines that protect against Hib: 6-in-1 vaccine given in 3 doses at 8, 12 and 16 weeks old […] Hib/Men C vaccine a booster vaccine given at 1 year old. […] If you or your child were not vaccinated as a baby, you can ask a GP about how to get vaccinated. […] Not smoking can also reduce your chance of getting epiglottitis.
  • #60 Epiglottitis: Causes, Symptoms, and Diagnosis
    https://www.healthline.com/health/epiglottitis
    You can help reduce the risk of getting epiglottitis by doing several things. […] Children should receive two to three doses of the Hib vaccine starting at 2 months of age. Typically, children receive a dose when they are 2 months, 4 months, and 6 months old. Your child will likely also receive a booster between 12 and 15 months old. […] Wash your hands frequently or use alcohol sanitizer to prevent the spread of germs. Avoid drinking from the same cup as other people and sharing food or utensils. […] Maintain good immune health by eating a healthy array of foods, avoiding smoking, getting adequate rest, and properly managing all chronic medical conditions.
  • #61 Epiglottitis: Symptoms, Causes, Treatment
    https://resources.healthgrades.com/right-care/ear-nose-and-throat/epiglottitis
    The best way to prevent epiglottitis from Hib disease is to follow the recommended vaccine schedule for children, according to the Centers for Disease Control and Prevention (CDC). The Hib schedule is a shot at: 2 months old, 4 months old, 6 months old, although this may not be necessary if the child receives a 2-dose series vaccine, booster dose at 12–15 months. […] If your child did not receive the Hib vaccine as a baby, talk with a pediatrician or your family doctor about when to receive a catch-up vaccine. […] Because infections are the most common cause of epiglottitis, the following infection-prevention strategies may help reduce the chance of epiglottitis: Wash your hands regularly. Avoid people who are sick. Get regular recommended vaccinations for your age group, including pneumonia, flu, and COVID-19 vaccines. Do not smoke or spend time in environments where smoking is present.
  • #62 Epiglottitis: Symptoms, Causes, Treatment
    https://resources.healthgrades.com/right-care/ear-nose-and-throat/epiglottitis
    The best way to prevent epiglottitis from Hib disease is to follow the recommended vaccine schedule for children, according to the Centers for Disease Control and Prevention (CDC). The Hib schedule is a shot at: 2 months old, 4 months old, 6 months old, although this may not be necessary if the child receives a 2-dose series vaccine, booster dose at 12–15 months. […] If your child did not receive the Hib vaccine as a baby, talk with a pediatrician or your family doctor about when to receive a catch-up vaccine. […] Because infections are the most common cause of epiglottitis, the following infection-prevention strategies may help reduce the chance of epiglottitis: Wash your hands regularly. Avoid people who are sick. Get regular recommended vaccinations for your age group, including pneumonia, flu, and COVID-19 vaccines. Do not smoke or spend time in environments where smoking is present.
  • #63 Epiglottitis Guide: Causes, Symptoms and Treatment Options
    https://www.drugs.com/health-guide/epiglottitis.html
    Most cases of epiglottitis in children can be prevented by having children vaccinated against Hib and pneumococcal infections.
  • #64 Epiglottitis Treatment & Management: Approach Considerations, Prehospital Care, Airway Management
    https://emedicine.medscape.com/article/763612-treatment
    Close contacts of patients in whom Haemophilus influenzae type b is isolated should receive rifampin prophylaxis (20 mg/kg; not to exceed 600 mg/d for 4 d). […] Although H influenzae vaccine is available, it is not 100% effective. […] During their October 2024 session, the Advisory Committee on Immunization Practices (ACIP) endorsed the Recommended Immunization Schedule for Children and Adolescents up to 18 Years Old in the United States for the year 2025.
  • #65 Epiglottitis – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/epiglottitis/symptoms-causes/syc-20372227
    Getting the Haemophilus influenzae type b (Hib) vaccine prevents epiglottitis caused by Hib. In the United States, children usually receive the vaccine in three or four doses: At 2 months. At 4 months. At 6 months if the child is getting the four-dose vaccine. At 12 to 15 months. […] Because children older than 5 and adults are less likely to develop Hib infection, they’re not usually given the vaccine. But the Centers for Disease Control and Prevention recommends the vaccine for older children and adults whose immune systems are weak because of: Sickle cell disease. HIV/AIDS. Spleen removal. Chemotherapy. Medicine to prevent rejection of organ or bone marrow transplants. […] The Hib vaccine isn’t foolproof. Some vaccinated children have had epiglottitis and other germs can cause epiglottitis too. That’s where using common sense comes in: Don’t share personal items. Wash hands frequently. Use an alcohol-based hand sanitizer if soap and water aren’t available.
  • #66 Epiglottitis | Children’s Hospital of Philadelphia
    https://www.chop.edu/conditions-diseases/epiglottitis
    The CDC recommends three to four doses of the HIB vaccine. The HIB vaccine protects against this bacteria, therefore decreasing the chance of developing epiglottitis. […] The use of the HIB vaccine has significantly decreased the risk of developing the disease. […] As mentioned above, epiglottitis caused by the bacteria HIB can be prevented with vaccines that start at the age of 2 months. Epiglottitis caused by other organisms cannot be prevented at this time, but are much less common. […] If a child is diagnosed with epiglottitis, the child’s family or other close contacts are usually treated with a medication called rifampin, to prevent the disease in those people who might have been exposed.
  • #67 Epiglottitis – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/epiglottitis/symptoms-causes/syc-20372227
    Getting the Haemophilus influenzae type b (Hib) vaccine prevents epiglottitis caused by Hib. In the United States, children usually receive the vaccine in three or four doses: At 2 months. At 4 months. At 6 months if the child is getting the four-dose vaccine. At 12 to 15 months. […] Because children older than 5 and adults are less likely to develop Hib infection, they’re not usually given the vaccine. But the Centers for Disease Control and Prevention recommends the vaccine for older children and adults whose immune systems are weak because of: Sickle cell disease. HIV/AIDS. Spleen removal. Chemotherapy. Medicine to prevent rejection of organ or bone marrow transplants. […] The Hib vaccine isn’t foolproof. Some vaccinated children have had epiglottitis and other germs can cause epiglottitis too. That’s where using common sense comes in: Don’t share personal items. Wash hands frequently. Use an alcohol-based hand sanitizer if soap and water aren’t available.
  • #68 ABSTRACT
    https://www.ejcrim.com/index.php/EJCRIM/article/download/2280/2582?inline=1
    COVID-19 infection is a novel disease with multiple presentations; it should be considered as a possible causative organism in patients presenting with acute epiglottitis. […] Due to the time delay in taking samples for microbiology and results being available, treatment should be commenced with antibiotics, nebulised adrenaline and steroids to cover bacterial infection. […] Supportive treatment with humidified oxygen, nebulised adrenaline, empiric antibiotic therapy to cover suspected organisms, and intravenous steroid should be given when the airway is secure. […] In the absence of other positive microbiology, it is highly likely that COVID-19 was the aetiological cause of acute epiglottitis in this instance.
  • #69
    https://www.healthychildren.org/English/health-issues/conditions/ear-nose-throat/Pages/Epiglottitis.aspx
    The Hib vaccine is available to combat the bacteria that cause epiglottitis. Your child should receive the full series of the Hib vaccine, according to your pediatricians recommendations. […] However, even if she has had the vaccine, consult your doctor if you know there has been an exposure to another child who has the infection. Your physician might want to take added precautions.
  • #70 Epiglottitis – Mesbah OB-GYN
    https://mesbahobgyn.com/womens-health/health-library?DOCHWID=ste122072
    Epiglottitis can be life-threatening because the inflamed and swollen epiglottis can rapidly block the trachea and make breathing difficult. […] In the past, most cases of bacterial epiglottitis in children were caused by Haemophilus influenzae. This infection can be prevented with the Haemophilus influenzae type b (Hib) vaccine. Epiglottitis in children caused by Haemophilus influenzae is now very uncommon because of the vaccine. […] A child with epiglottitis appears very sick and in distress. If a child has symptoms of epiglottitis, seek emergency care.
  • #71 Epiglottitis: Causes, Symptoms, and Treatment | Doctor
    https://patient.info/doctor/epiglottitis-pro
    Hib vaccination has dramatically reduced the incidence of acute epiglottitis in children in those countries in which the vaccination is included in the routine vaccination protocol for children.
  • #72 Epiglottitis – TeachMePaediatrics
    https://teachmepaediatrics.com/ent/throat/epiglottitis/
    Epiglottitis is rare, only affecting approximately 1-4/100,000 people (4,7). The number of children presenting with acute epiglottitis has reduced significantly since the introduction of the Haemophilus influenza B (Hib) vaccine in 1985 (not introduced into routine screening programme in the UK until 1992 (9)) […] Children not receiving the HiB vaccine (10). Vaccinations must be delivered on time at 8, 12, 16 weeks and 1 year in order to receive the full protection (2) […] Epiglottitis is a serious condition and early recognition is essential to prevent airway compromise. Maintain a high index of suspicion and do not try to confirm the diagnosis on your own. Groups with highest morbidity include infants 1y and adults 85y(4). However, with reduced cases and improved awareness, deaths are rare (1 in 100 cases)(2).