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December 1990

Haemophilus influenzae Meningitis in Older Children

Author Affiliations

University of Texas Health Science Center at San Antonio 7703 Floyd Curl Dr San Antonio, TX 78284-7808; University of Virginia Health Sciences Center Box 386 Charlottesville, VA 22908

Am J Dis Child. 1990;144(12):1287. doi:10.1001/archpedi.1990.02150360009004

Sir.—We were pleased to see the recent study by Bonadio and associates1 confirming our previous report that Haemophilus influenzae is a common cause of bacterial meningitis in older children.2 In our study, six (21%) of 29 school-aged children with bacterial meningitis had H influenzae meningitis.

Meningitis caused by H influenzae was not limited to younger children. Haemophilus influenzae was isolated in one of three 9-year-old children with bacterial meningitis, one of two 11-year-olds, and one of three 12-year-olds with bacterial disease.2 Our findings and those of Bonadio and colleagues emphasize that empiric treatment ofpresumed bacterial meningitis in older children should include adequate coverage for H influenzae.

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