By Bennett, Dolin, Blaser
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Influenzae, and meningococci. In areas with a high proportion of drug-resistant pneumococci, empirical therapy should be broadened. • Therapy directed against Staphylococcus aureus should be considered if bacterial tracheitis cannot be excluded. PREVENTION • Chemoprophylaxis for household contacts of children with H. influenzae type b epiglottitis should be given for those households containing underimmunized or nonimmunized children younger than 4 years of age or immunocompromised children. • Contacts of adults with epiglottitis are unlikely to require any prophylaxis, except in the rare instance of proven H.
Bleck 101 Marburg and Ebola Hemorrhagic Fevers (Marburg and Ebola Viral Diseases) (Filoviruses) 227 Thomas W. Geisbert 102 Influenza (Including Avian Influenza and Swine Influenza) 228 John J. Treanor 103 California Encephalitis, Hantavirus Pulmonary Syndrome, and Bunyavirus Hemorrhagic Fevers 231 Dennis A. Bente 104 Lymphocytic Choriomeningitis, Lassa Fever, and the South American Hemorrhagic Fevers (Arenaviruses) 232 Alexey Seregin, Nadezhda Yun, and Slobodan Paessler 105 Human T-Lymphotropic Virus (HTLV) 234 Edward L.
Wald DEFINITION • Sinusitis is defined as an inflammatory disorder of the paranasal sinuses. 5% to 2% of cases of viral upper respiratory infection (URI) in adults and 6% to 13% of children. MICROBIOLOGY • Classic studies of the bacteriology of sinusitis have obtained a specimen of sinus secretions by puncture of the maxillary antrum to reduce the risk of nasal contamination. • Streptococcus pneumoniae is the most frequently isolated organism, followed by nontypeable Haemophilus influenzae and Moraxella catarrhalis.