Characterization of Serotypes and Molecular Drug Resistance Patterns of Haemophilus influenzae in Kunming Children

The present study aimed to determine the capsular serotype distribution and antimicrobial drug resistance patterns of Haemophilus influenzae from children in the Kunming region of China. This information could guide policymakers in clinical treatment. In the present study, H. influenzae isolates wer...

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Main Authors: Yuan Mei, Ma Mingbiao, Jiang Hongchao, Fan Mao, Sun Ying, Zhou Bailing, Feng Xingxing, Yang Junyi, Su Min, He Xiaoli
Format: Article
Language:English
Published: Sciendo 2023-06-01
Series:Polish Journal of Microbiology
Subjects:
Online Access:https://doi.org/10.33073/pjm-2023-006
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author Yuan Mei
Ma Mingbiao
Jiang Hongchao
Fan Mao
Sun Ying
Zhou Bailing
Feng Xingxing
Yang Junyi
Su Min
He Xiaoli
author_facet Yuan Mei
Ma Mingbiao
Jiang Hongchao
Fan Mao
Sun Ying
Zhou Bailing
Feng Xingxing
Yang Junyi
Su Min
He Xiaoli
author_sort Yuan Mei
collection DOAJ
description The present study aimed to determine the capsular serotype distribution and antimicrobial drug resistance patterns of Haemophilus influenzae from children in the Kunming region of China. This information could guide policymakers in clinical treatment. In the present study, H. influenzae isolates were tested for their serotypes, antimicrobial susceptibility pattern, and presence of β-lactamases. One-hundred forty-eight H. influenzae strains isolated from children 0–2 years old were investigated for capsular types by glass slide agglutination and molecular methods, and biotyped by the biochemical reactions. The drug resistance-encoding genes TEM-1, ROB-1, and the ftsI gene mutations PBP3-3, and PBP3-BLN were detected with real-time quantitative polymerase chain reaction (qPCR). The prevalence of β-lactamase-producing strains (60.3%) was significantly higher (p < 0.05) than non-enzyme-producing strains. β-Lactamase-producing strains were multidrug resistant to various antibiotics such as ampicillin, tetracycline, sulfamethoxazole/trimethoprim, chloramphenicol, cefuroxime, and cefaclor. Among β-lactamase-producing strains, the detection rates of the TEM-1, PBP3-BLN, PBP3-s, and ROB-1 were 54.1%, 18.9%, 11.8%, and 6.9%, respectively. The biotyping results show that most H. influenzae strains were of type II and III. Non-typeable H. influenzae (NTHi) accounted for 89.3% of the strains. NTHi strains were the most prevalent in this region; most belonged to biological types II and III. β-Lactamase-positive ampi-cillin-resistant (BLPAR) strains were prevalent among H. influenzae isolates in this region.
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spelling doaj.art-bb8d370c496942c5a081be5de313f35a2023-06-19T05:55:35ZengSciendoPolish Journal of Microbiology2544-46462023-06-0172212513110.33073/pjm-2023-006Characterization of Serotypes and Molecular Drug Resistance Patterns of Haemophilus influenzae in Kunming ChildrenYuan Mei0Ma Mingbiao1Jiang Hongchao2Fan Mao3Sun Ying4Zhou Bailing5Feng Xingxing6Yang Junyi7Su Min8He Xiaoli91Department of Laboratory, Children’s Hospital affiliated with Kunming Medical University, Kunming, China1Department of Laboratory, Children’s Hospital affiliated with Kunming Medical University, Kunming, China2Science and Education Section, Children’s Hospital affiliated with Kunming Medical University, Kunming, China1Department of Laboratory, Children’s Hospital affiliated with Kunming Medical University, Kunming, China3Epilepsy Center of Children, Children’s Hospital affiliated with Kunming Medical University, Kunming, China1Department of Laboratory, Children’s Hospital affiliated with Kunming Medical University, Kunming, China1Department of Laboratory, Children’s Hospital affiliated with Kunming Medical University, Kunming, China1Department of Laboratory, Children’s Hospital affiliated with Kunming Medical University, Kunming, China1Department of Laboratory, Children’s Hospital affiliated with Kunming Medical University, Kunming, China4Institute of Pediatrics, Children’s Hospital affiliated with Kunming Medical University, Kunming, ChinaThe present study aimed to determine the capsular serotype distribution and antimicrobial drug resistance patterns of Haemophilus influenzae from children in the Kunming region of China. This information could guide policymakers in clinical treatment. In the present study, H. influenzae isolates were tested for their serotypes, antimicrobial susceptibility pattern, and presence of β-lactamases. One-hundred forty-eight H. influenzae strains isolated from children 0–2 years old were investigated for capsular types by glass slide agglutination and molecular methods, and biotyped by the biochemical reactions. The drug resistance-encoding genes TEM-1, ROB-1, and the ftsI gene mutations PBP3-3, and PBP3-BLN were detected with real-time quantitative polymerase chain reaction (qPCR). The prevalence of β-lactamase-producing strains (60.3%) was significantly higher (p < 0.05) than non-enzyme-producing strains. β-Lactamase-producing strains were multidrug resistant to various antibiotics such as ampicillin, tetracycline, sulfamethoxazole/trimethoprim, chloramphenicol, cefuroxime, and cefaclor. Among β-lactamase-producing strains, the detection rates of the TEM-1, PBP3-BLN, PBP3-s, and ROB-1 were 54.1%, 18.9%, 11.8%, and 6.9%, respectively. The biotyping results show that most H. influenzae strains were of type II and III. Non-typeable H. influenzae (NTHi) accounted for 89.3% of the strains. NTHi strains were the most prevalent in this region; most belonged to biological types II and III. β-Lactamase-positive ampi-cillin-resistant (BLPAR) strains were prevalent among H. influenzae isolates in this region.https://doi.org/10.33073/pjm-2023-006emophilus influenzaebiotyping and capsule typingresistant phenotype
spellingShingle Yuan Mei
Ma Mingbiao
Jiang Hongchao
Fan Mao
Sun Ying
Zhou Bailing
Feng Xingxing
Yang Junyi
Su Min
He Xiaoli
Characterization of Serotypes and Molecular Drug Resistance Patterns of Haemophilus influenzae in Kunming Children
Polish Journal of Microbiology
emophilus influenzae
biotyping and capsule typing
resistant phenotype
title Characterization of Serotypes and Molecular Drug Resistance Patterns of Haemophilus influenzae in Kunming Children
title_full Characterization of Serotypes and Molecular Drug Resistance Patterns of Haemophilus influenzae in Kunming Children
title_fullStr Characterization of Serotypes and Molecular Drug Resistance Patterns of Haemophilus influenzae in Kunming Children
title_full_unstemmed Characterization of Serotypes and Molecular Drug Resistance Patterns of Haemophilus influenzae in Kunming Children
title_short Characterization of Serotypes and Molecular Drug Resistance Patterns of Haemophilus influenzae in Kunming Children
title_sort characterization of serotypes and molecular drug resistance patterns of haemophilus influenzae in kunming children
topic emophilus influenzae
biotyping and capsule typing
resistant phenotype
url https://doi.org/10.33073/pjm-2023-006
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