Progressive increase in antimicrobial resistance among invasive isolates of Haemophilus influenzae obtained from children admitted to a hospital in Kilifi, Kenya, from 1994 to 2002

Antimicrob Agents Chemother. 2005 Jul;49(7):3021-4. doi: 10.1128/AAC.49.7.3021-3024.2005.

Abstract

Etest susceptibilities to amoxicillin, chloramphenicol, and trimethoprim-sulfamethoxazole of 240 invasive isolates of Haemophilus influenzae cultured from children in rural Kenya were 66%, 66%, and 38%, respectively. Resistance increased markedly over 9 years and was concentrated among serotype b isolates. In Africa, the increasing cost of treating resistant infections supports economic arguments for prevention through conjugate H. influenzae type b immunization.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anti-Bacterial Agents / pharmacology*
  • Child
  • Child, Preschool
  • Drug Resistance, Bacterial*
  • Female
  • Haemophilus Infections / epidemiology*
  • Haemophilus Infections / microbiology
  • Haemophilus influenzae / classification
  • Haemophilus influenzae / drug effects*
  • Haemophilus influenzae / isolation & purification
  • Haemophilus influenzae type b / drug effects
  • Haemophilus influenzae type b / isolation & purification
  • Hospitalization*
  • Humans
  • Infant
  • Kenya
  • Male
  • Meningitis, Haemophilus / epidemiology
  • Meningitis, Haemophilus / microbiology
  • Microbial Sensitivity Tests
  • Pneumonia, Bacterial / epidemiology
  • Pneumonia, Bacterial / microbiology

Substances

  • Anti-Bacterial Agents