2005
DOI: 10.1111/j.1445-5994.2005.00909.x
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Epiglottitis in Sydney before and after the introduction of vaccination against Haemophilus influenzae type b disease

Abstract: Acute epiglottitis hospitalizations in the current Hib vaccine era are predominantly in adults, and rarely are Hib or other causative organisms identified, although microbiological data are often incomplete. The discrepancy between hospitalization and notification data appears to be due to misclassification of hospitalization records.

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Cited by 42 publications
(24 citation statements)
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“…Par ailleurs, l'hypothèse d'une saisonnalité est discutable au vu des données de la littérature (pic en saison hivernale [4,6] ; pic sur la période printemps/été [10]). Enfin, une observation réalisée entre 2000 et 2006 aux Pays-Bas [11] montre une incidence constante des épiglottites non obstructives chez l'adulte mais une augmentation plus importante du nombre d'épiglottite obstructive, telle que nous l'avons constaté dans notre série.…”
Section: Discussionunclassified
“…Par ailleurs, l'hypothèse d'une saisonnalité est discutable au vu des données de la littérature (pic en saison hivernale [4,6] ; pic sur la période printemps/été [10]). Enfin, une observation réalisée entre 2000 et 2006 aux Pays-Bas [11] montre une incidence constante des épiglottites non obstructives chez l'adulte mais une augmentation plus importante du nombre d'épiglottite obstructive, telle que nous l'avons constaté dans notre série.…”
Section: Discussionunclassified
“…Most common in childhood from age 2 to 7 and often under 4, the disease may occur in adults and can be due to Hib but may be related to other pathogens. As with other invasive Hib infections it has diminished in areas where Hib vaccination is widespread [29,30], but with less of an effect on individuals over the age of 15 years. The disease usually, but not always, is quite abrupt with sore throat, fever, and shortness of breath.…”
Section: Respiratory Disease In Childrenmentioning
confidence: 95%
“…13 For personal use only: See rights and reprints http://www.bmj.com/permissions Subscribe: http://www.bmj.com/subscribe Supraglottitis and epiglottitis-Owing to the rapid progression of airway compromise, especially in children, much of the literature on acute bacterial laryngitis concerns supraglottitis and epiglottitis, particularly in the context of H influenzae. 14 Patients present with rapidly progressing odynophagia, dysphagia, hoarseness, drooling, and stridor. This constellation of symptoms indicates a high risk of impending airway compromise and requires emergency assessment and airway management.…”
Section: Bacterial Laryngitismentioning
confidence: 99%