PEDIATRICS Vol. 78 No. 3 September 1986, pp. 548
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Persistent Colonization During Therapy for MHaemophilus influenzae Type b Disease

JANET R. GILSDORF MD1

1 Department of Pediatrics, Pediatric Infectious Diseases, C. S. Mott Children's Hospital, University of Michigan Medical Center, Ann Arbor, MI 48109-0010

In Reply.—

I agree with Dr Barton's warning to avoid "complacency regarding the lack of communicability of H influenzae type b in acute care settings" and to continue to be alert to the remote possibility that intrahospital transmission of H influenzae type b disease may occur. However, in the meantime, policy decisions on the duration of isolation precautions for patients with H influenzae type b infections need to be made. Based on my data1 and on the fact that only one possible case of nosocomial transmission has been reported in an acute care hospital, 2 I think the current recommendation of the American Academy of Pediatrics remains appropriate.