Carriage of Haemophilus influenzae in the oropharynx of young children and molecular epidemiology of the isolates after fifteen years of H. influenzae type b vaccination in Italy
| Autor: | Marta Ciofi Degli Atti, Marisa Accogli, Marina Cerquetti, Lucilla Ravà, Maria Giufrè, Massimiliano Raponi, Maria Laura Garlaschi, Paola Bernaschi, Laura Daprai, Rita Cardines |
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| Rok vydání: | 2015 |
| Předmět: |
Male
Haemophilus Infections Genotype Oropharynx Microbial Sensitivity Tests Biology medicine.disease_cause Polymerase Chain Reaction Microbiology Haemophilus influenzae Antibiotic resistance Drug Resistance Bacterial medicine Humans Colonization Risk factor Cities Haemophilus Vaccines Molecular Epidemiology General Veterinary General Immunology and Microbiology Molecular epidemiology Public Health Environmental and Occupational Health Infant Newborn virus diseases Infant Sequence Analysis DNA Virology Vaccination Infectious Diseases Carriage Cross-Sectional Studies Italy Child Preschool Carrier State Molecular Medicine Multilocus sequence typing Female Multilocus Sequence Typing |
| Zdroj: | Vaccine. 33(46) |
| ISSN: | 1873-2518 |
| Popis: | Haemophilus influenzae is an important pathogen able to cause a wide spectrum of diseases in children. Colonization of the upper respiratory tract is a risk factor for developing disease. This study aimed to investigate the oropharyngeal carriage rate of H. influenzae in young children in two Italian cities, 15 years after H. influenzae type b (Hib) vaccination was introduced. Antibiotic resistant traits and genotypes of the colonizing H. influenzae isolates were investigated.Oropharyngeal swabs were obtained from 717 healthy children aged6 years (June 2012-July 2013). Potential risk factors for H. influenzae colonization were investigated. H. influenzae isolates from carriage were characterized by PCR capsular typing, ampicillin susceptibility testing, resistance-associated gene sequencing and multilocus sequence typing (MLST). For comparison purposes, 38 non-typeable H. influenzae (NTHi) isolates from invasive disease were genotyped by MLST.The overall H. influenzae carriage rate was 14.1% (101/717). Age, study site, presence of young siblings, and complete Hib vaccination status were independently associated with colonization. Of 101 isolates, 98 were NTHi, 2 were type e and 1 was type f. The overall ampicillin resistance rate was 15.8% (16/101). Resistance was mediated by TEM-1 β-lactamase production in half of isolates (n=8) or modifications in penicillin-binding protein (PBP) 3 in the other half (n=8). Several substitutions were discovered in PBP3 including the Asn526Lys change. Seventy-six different STs were identified among 98 NTHi isolates from carriage, with only 4 STs (ST12, ST57, ST238, ST1238) encompassing ≥ 3 isolates. Comparison of carriage and disease isolates found that several STs were shared between the two sources, although none of the major disease-associated STs were observed in carriage isolates.NTHi is the predominant serotype in carriage. The importance of monitoring both NTHi colonization rate and circulating genotypes should be emphasized in the era of the Hib conjugate vaccines. |
| Databáze: | OpenAIRE |
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