Haemophilus influenzae type b (Hib) in babies

Haemophilus influenzae type b (Hib) is a bacterium that causes severe, life-threatening infections in babies.

These infections include:

• meningitis — infection of the membrane around the brain
• pneumonia — infection of the lungs
• epiglottitis — infection of the windpipe
• osteomyelitis — a type of bone infection
• cellulitis — an infection of the skin and the tissue underneath
• septicaemia — blood poisoning
• septic arthritis — joint infection

If your baby gets a Hib infection, they will need urgent medical care. Babies and children can die from the diseases caused by Hib.

In Australia, the rates of Hib infections have been low in Australia since 1993. This is when the vaccine was added to the National Immunisation Program schedule.

The symptoms of Hib will depend on which part of your baby's body is affected. It can take 2 to 4 days for the symptoms of an infection to appear.

Meningitis can cause your baby to:

• be tired
• not want to feed

• vomit (be sick)
• have a fever — a temperature of 38°C or higher
• have a bulging fontanelle — the soft spot on the top of their head

Pneumonia can cause your baby to:

• be short of breath
• have a fever
• be tired
• not want to eat
• have an ongoing cough

Epiglottitis can cause your baby to:

• have breathing problems
• have a fever
• look pale
• have problems swallowing
• dribble

Osteomyelitis can cause your baby to have:

• swelling, redness and warmth in the area
• pain over their bone
• have a fever

Cellulitis can cause your baby's skin to become:

• red
• hot
• swollen
• tender

Find out more about the symptoms of Hib infections in older children and adults.

A bacterium causes Hib. It's often found in the upper respiratory tract of healthy people.

Hib spreads through contact with droplets from the nose or throat of an infected person. You do not have to have symptoms to spread the bacterium.

Call your doctor straight away if you think your child has been in contact with someone with a Hib infection.

Do not go to the clinic since you don't want to infect people in the waiting room. Phone your doctor and they will let you know the safest way to see them. Ask your doctor about the possibility of a telehealth appointment.

Learn more about signs your baby is sick.

When to seek urgent care

The doctor will examine your baby and ask you about their symptoms. They may also arrange for your baby to have:

• blood tests
• a lumbar puncture — to test the fluid around their spinal cord

Hib is a notifiable disease in Australia. This means that if your baby has Hib, your doctor will tell your local public health unit. They will try to trace people your baby may have had contact with. This helps prevent large outbreaks from happening.

Hib is treated with antibiotics. Your baby may be given these at home or in hospital, depending on how sick they are.

They may also be given:

• pain relief medicine such as paracetamol
• fluids to prevent dehydration

If your baby has Hib, you may also need to take antibiotics to stop you from getting sick.

Both meningitis and epiglottitis are very likely to cause death without proper treatment. Even with treatment, up to 5 in 100 people with Hib meningitis die.

About 1 in 4 people who survive Hib-meningitis have ongoing brain or nerve damage. This can cause:

• hearing loss
• cerebral palsy
• seizures

It's recommended that your baby get a Hib vaccine at:

• 2 months of age
• 4 months of age
• 6 months of age
• 18 months of age

Your baby will get a hexavalent (combined) vaccine. This helps to protect them against 6 infectious diseases:

• Hib
• diphtheria
• tetanus
• pertussis (whooping cough)
• polio
• hepatitis B

After vaccination, about 1 in 4 babies get swelling and redness at the injection site and nearly 1 in 3 will get a fever. However, these symptoms will get better within 24 hours.

It's important that your baby gets their vaccinations on time. This makes sure that they have the best protection against Hib and other infectious diseases.

Find out more about who should get the Hib vaccine.

Find out more about the free vaccinations that are available to your baby in Australia.

Preventing the transmission (spread) of Hib

Keep your baby at home and away from other people until they have finished their antibiotics. Your doctor will tell you when they are no longer infectious.

Find out more about childcare exclusion periods.

For more information about vaccinations for babies in Australia, look at the National Immunisation Program Schedule.

The Sharing Knowledge About Immunisation website has tools to help you make decisions about vaccination and your family.

Learn more about vaccine preventable diseases in Australia.