Zapalenie nagłośni w erze szczepień przeciw Haemophilus influenzae typu b

Krzysztof Ślączka, *Lidia Zawadzka-Głos

Summary
Vaccination, progressively introduced in 80’s and 90’s of the last century led to an unprecedented shift in previous epidemiology of Haemophilus influenzae type b related diseases. Widespread use of vaccination made it possible to nearly eradicate some of these diseases. Poland, as a one of WHO members began with its national vaccination program in 2007, with a 20 year delay. All available research papers on the subject stressed the important efficacy of vaccination against such medical conditions as meningitis, pneumonia and epiglottitis. Epiglottitis was, before the vaccination era, a disease with a serious risk of developing life-threatening complications, that led to necessity of intensive care treatment in most cases. Reduction of epiglottitis incidence in Poland was confirmed since our country had introduced obligatory and free vaccinations. Nowadays supraglottitis cases are extremely rare but may have streptococcal origin in adults or occur in non vaccinated children and among pediatric patients with immunological deficiency. Therefore, clinicians should still remember about epiglottitis when dealing with a child with a sudden infectious upper airway obstruction.

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