Surveillance of Haemophilus influenzae among respiratory tract samples of Turkish children

Int J Antimicrob Agents. 2003 Nov;22(5):548-50. doi: 10.1016/s0924-8579(03)00242-5.

Abstract

We conducted three prospective studies of Haemophilus influenzae in different groups of children. Pharyngeal swab samples were taken (i). from 1382 healthy infants and children between 0 and 10 years of age (group 1), attending well child clinics (n=438), day care centres (n=440) and elementary schools (n=504), and (ii). from 322 children aged 2-10 years (group 2), clinically diagnosed as having upper respiratory tract infection. Pharyngeal swab samples and sinus aspirates were obtained from 49 children between 2 and 9 years of age (group 3), clinically diagnosed as having sinusitis. H. influenzae was isolated in similar rates from 315 (22.7%) of children in group 1, 72 (22.3%) of children in group 2 and 12 (24.4%) of children in group 3. Serotype b comprised 7, 5.2 and 2% of all H. influenzae isolates for group 1, 2 and 3, respectively. Production of beta-lactamase was detected in 1.0% of H. influenzae type b isolates in group 1, 1.2 and 6.1% of all isolates in group 2 and 3, respectively. There were no beta-lactamase negative ampicillin-resistant strains.

MeSH terms

  • Child
  • Child, Preschool
  • Drug Resistance, Bacterial
  • Haemophilus Infections / epidemiology
  • Haemophilus Infections / microbiology*
  • Haemophilus influenzae / drug effects*
  • Haemophilus influenzae / enzymology
  • Humans
  • Pharynx / microbiology
  • Respiratory Tract Infections / microbiology*
  • Turkey / epidemiology
  • beta-Lactam Resistance / physiology*
  • beta-Lactamases / metabolism*

Substances

  • beta-Lactamases