Epidemic Trends and Biofilm Formation Mechanisms of Haemophilus influenzae: Insights into Clinical Implications and Prevention Strategies

Jiying Xiao,1 Lin Su,2,3 Shumin Huang,2,3 Lingyue Liu,1 Kamran Ali,4 Zhimin Chen2,3 1Department of Pulmonology, Hangzhou Children’s Hospital, Hangzhou, Zhejiang, 310015, People’s Republic of China; 2Department of Pulmonology, Children’s Hospital, Zhejiang University School of Medicine, Hangzhou, Zhe...

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Main Authors: Xiao J, Su L, Huang S, Liu L, Ali K, Chen Z
Format: Article
Language:English
Published: Dove Medical Press 2023-08-01
Series:Infection and Drug Resistance
Subjects:
Online Access:https://www.dovepress.com/epidemic-trends-and-biofilm-formation-mechanisms-of-haemophilus-influe-peer-reviewed-fulltext-article-IDR
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author Xiao J
Su L
Huang S
Liu L
Ali K
Chen Z
author_facet Xiao J
Su L
Huang S
Liu L
Ali K
Chen Z
author_sort Xiao J
collection DOAJ
description Jiying Xiao,1 Lin Su,2,3 Shumin Huang,2,3 Lingyue Liu,1 Kamran Ali,4 Zhimin Chen2,3 1Department of Pulmonology, Hangzhou Children’s Hospital, Hangzhou, Zhejiang, 310015, People’s Republic of China; 2Department of Pulmonology, Children’s Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, 310052, People’s Republic of China; 3National Clinical Research Center for Child Health, National Children’s Regional Medical Center, Hangzhou, Zhejiang, 310052, People’s Republic of China; 4Department of Oncology, The Fourth Affiliated Hospital, International Institutes of Medicine, Zhejiang University School of Medicine, Yiwu, Zhejiang, 322000, People’s Republic of ChinaCorrespondence: Zhimin Chen, Department of Pulmonology, Children’s Hospital, Zhejiang University School of Medicine, 3333 Bingsheng Road, Hangzhou, Zhejiang, 310052, People’s Republic of China, Email zmchen@zju.edu.cnAbstract: Haemophilus influenzae (H. influenzae) is a significant pathogen responsible for causing respiratory tract infections and invasive diseases, leading to a considerable disease burden. The Haemophilus influenzae type b (Hib) conjugate vaccine has notably decreased the incidence of severe infections caused by Hib strains, and other non-typable H. influenzae (NTHi) serotypes have emerged as epidemic strains worldwide. As a result, the global epidemic trends and antibiotic resistance characteristics of H. influenzae have been altered. Researches on the virulence factors of H. influenzae, particularly the mechanisms underlying biofilm formation, and the development of anti-biofilm strategies hold significant clinical value. This article provides a summary of the epidemic trends, typing methods, virulence factors, biofilm formation mechanisms, and prevention strategies of H. influenzae. The increasing prevalence of NTHi strains and antibiotic resistance among H. influenzae, especially the high β-lactamase positivity and the emergence of BLNAR strains have increased clinical difficulties. Understanding its virulence factors, especially the formation mechanism of biofilm, and formulating effective anti-biofilm strategies may help to reduce the clinical impact. Therefore, future research efforts should focus on developing new approaches to prevent and control H. influenzae infections.Keywords: Haemophilus influenzae, epidemiology, virulence factors, biofilms, prevention strategies
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spelling doaj.art-8453ff0663774b93bbf7a107332cd6e82023-08-20T18:53:13ZengDove Medical PressInfection and Drug Resistance1178-69732023-08-01Volume 165359537385977Epidemic Trends and Biofilm Formation Mechanisms of Haemophilus influenzae: Insights into Clinical Implications and Prevention StrategiesXiao JSu LHuang SLiu LAli KChen ZJiying Xiao,1 Lin Su,2,3 Shumin Huang,2,3 Lingyue Liu,1 Kamran Ali,4 Zhimin Chen2,3 1Department of Pulmonology, Hangzhou Children’s Hospital, Hangzhou, Zhejiang, 310015, People’s Republic of China; 2Department of Pulmonology, Children’s Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, 310052, People’s Republic of China; 3National Clinical Research Center for Child Health, National Children’s Regional Medical Center, Hangzhou, Zhejiang, 310052, People’s Republic of China; 4Department of Oncology, The Fourth Affiliated Hospital, International Institutes of Medicine, Zhejiang University School of Medicine, Yiwu, Zhejiang, 322000, People’s Republic of ChinaCorrespondence: Zhimin Chen, Department of Pulmonology, Children’s Hospital, Zhejiang University School of Medicine, 3333 Bingsheng Road, Hangzhou, Zhejiang, 310052, People’s Republic of China, Email zmchen@zju.edu.cnAbstract: Haemophilus influenzae (H. influenzae) is a significant pathogen responsible for causing respiratory tract infections and invasive diseases, leading to a considerable disease burden. The Haemophilus influenzae type b (Hib) conjugate vaccine has notably decreased the incidence of severe infections caused by Hib strains, and other non-typable H. influenzae (NTHi) serotypes have emerged as epidemic strains worldwide. As a result, the global epidemic trends and antibiotic resistance characteristics of H. influenzae have been altered. Researches on the virulence factors of H. influenzae, particularly the mechanisms underlying biofilm formation, and the development of anti-biofilm strategies hold significant clinical value. This article provides a summary of the epidemic trends, typing methods, virulence factors, biofilm formation mechanisms, and prevention strategies of H. influenzae. The increasing prevalence of NTHi strains and antibiotic resistance among H. influenzae, especially the high β-lactamase positivity and the emergence of BLNAR strains have increased clinical difficulties. Understanding its virulence factors, especially the formation mechanism of biofilm, and formulating effective anti-biofilm strategies may help to reduce the clinical impact. Therefore, future research efforts should focus on developing new approaches to prevent and control H. influenzae infections.Keywords: Haemophilus influenzae, epidemiology, virulence factors, biofilms, prevention strategieshttps://www.dovepress.com/epidemic-trends-and-biofilm-formation-mechanisms-of-haemophilus-influe-peer-reviewed-fulltext-article-IDRhaemophilus influenzaeepidemiologyvirulence factorsbiofilmsprevention strategies
spellingShingle Xiao J
Su L
Huang S
Liu L
Ali K
Chen Z
Epidemic Trends and Biofilm Formation Mechanisms of Haemophilus influenzae: Insights into Clinical Implications and Prevention Strategies
Infection and Drug Resistance
haemophilus influenzae
epidemiology
virulence factors
biofilms
prevention strategies
title Epidemic Trends and Biofilm Formation Mechanisms of Haemophilus influenzae: Insights into Clinical Implications and Prevention Strategies
title_full Epidemic Trends and Biofilm Formation Mechanisms of Haemophilus influenzae: Insights into Clinical Implications and Prevention Strategies
title_fullStr Epidemic Trends and Biofilm Formation Mechanisms of Haemophilus influenzae: Insights into Clinical Implications and Prevention Strategies
title_full_unstemmed Epidemic Trends and Biofilm Formation Mechanisms of Haemophilus influenzae: Insights into Clinical Implications and Prevention Strategies
title_short Epidemic Trends and Biofilm Formation Mechanisms of Haemophilus influenzae: Insights into Clinical Implications and Prevention Strategies
title_sort epidemic trends and biofilm formation mechanisms of haemophilus influenzae insights into clinical implications and prevention strategies
topic haemophilus influenzae
epidemiology
virulence factors
biofilms
prevention strategies
url https://www.dovepress.com/epidemic-trends-and-biofilm-formation-mechanisms-of-haemophilus-influe-peer-reviewed-fulltext-article-IDR
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