Standard Precautions
Small gram negative bacillus, encapsulated or not (non=non-typeable)
Normal respiratory flora
Invasive disease sharply declined after Hib conjugate vaccine widely used, especially in children <5yrs old
Most invasive disease is now caused by non-typeable strains
Droplet precautions if presentation is epiglottitis.
Invasive disease is notifiable - call Public Health.
Ampicillin and amoxicillin are alternative treatment choices if the organism is susceptible; 40% of nontypeable strains are ampicillin-resistant beta-lactamase producing strains.