1887

Abstract

The phylogenetic relationships of non-typable (NTHi) strains prospectively isolated from healthy children and children with acute otitis media (AOM) were analysed using multilocus sequence typing (MLST). A total of 165 NTHi isolates were collected over a 3.5 year time frame during 2006 through 2009. The strains were tested for β-lactamase production; 28.5 % were positive. Seventy different NTHi sequence types (STs) were identified of which 29 (41.4 %) were novel. NTHi strains did not show any phylogenetic grouping or clustering among asymptomatic colonizing strains or strains that caused AOM, or based on β-lactamase enzyme production. Evaluation of triplets and other siblings over time demonstrated relatively frequent genetic exchanges in NTHi isolates in a short time frame and subsequent transfer among children in a family. Comparison of the MLST STs isolated at different time points showed that in ~85 % of the nasopharynx (NP) colonizations, NTHi strains cleared from the host within 3 months, that sequential colonization in the same child involved different strains in all cases except one, and that NP and middle ear isolates were identical STs in 84 % of cases. In this first study of its type to our knowledge, we could not identify predominant MLST types among strains colonizing the NP versus those causing AOM or expressing a β-lactamase enzyme conferring penicillin resistance in children.

Loading

Article metrics loading...

/content/journal/jmm/10.1099/jmm.0.034041-0
2011-12-01
2024-04-19
Loading full text...

Full text loading...

/deliver/fulltext/jmm/60/12/1841.html?itemId=/content/journal/jmm/10.1099/jmm.0.034041-0&mimeType=html&fmt=ahah

References

  1. Bandi V., Apicella M. A., Mason E., Murphy T. F., Siddiqi A., Atmar R. L., Greenberg S. B. 2001; Nontypeable Haemophilus influenzae in the lower respiratory tract of patients with chronic bronchitis. Am J Respir Crit Care Med 164:2114–2119[PubMed] [CrossRef]
    [Google Scholar]
  2. Barenkamp S. J., Shurin P. A., Marchant C. D., Karasic R. B., Pelton S. I., Howie V. M., Granoff D. M. 1984; Do children with recurrent Haemophilus influenzae otitis media become infected with a new organism or reacquire the original strain?. J Pediatr 105:533–537 [View Article][PubMed]
    [Google Scholar]
  3. Beall B., McEllistrem M. C., Gertz R. E. Jr, Wedel S., Boxrud D. J., Gonzalez A. L., Medina M. J., Pai R., Thompson T. A. et al. other authors 2006; Pre- and postvaccination clonal compositions of invasive pneumococcal serotypes for isolates collected in the United States in 1999, 2001, and 2002. J Clin Microbiol 44:999–1017 [View Article][PubMed]
    [Google Scholar]
  4. Cohen R., Navel M., Grunberg J., Boucherat M., Geslin P., Derriennic M., Pichon F., Goehrs J. M. 1999; One dose ceftriaxone vs. ten days of amoxicillin/clavulanate therapy for acute otitis media: clinical efficacy and change in nasopharyngeal flora. Pediatr Infect Dis J 18:403–409 [View Article][PubMed]
    [Google Scholar]
  5. Dabernat H., Geslin P., Megraud F., Bégué P., Boulesteix J., Dubreuil C., de La Roque F., Trinh A., Scheimberg A. 1998; Effects of cefixime or co-amoxiclav treatment on nasopharyngeal carriage of Streptococcus pneumoniae and Haemophilus influenzae in children with acute otitis media. J Antimicrob Chemother 41:253–258 [View Article][PubMed]
    [Google Scholar]
  6. Enright M. C., Day N. P., Davies C. E., Peacock S. J., Spratt B. G. 2000; Multilocus sequence typing for characterization of methicillin-resistant and methicillin-susceptible clones of Staphylococcus aureus . J Clin Microbiol 38:1008–1015[PubMed]
    [Google Scholar]
  7. Erwin A. L., Sandstedt S. A., Bonthuis P. J., Geelhood J. L., Nelson K. L., Unrath W. C., Diggle M. A., Theodore M. J., Pleatman C. R. et al. other authors 2008; Analysis of genetic relatedness of Haemophilus influenzae isolates by multilocus sequence typing. J Bacteriol 190:1473–1483 [View Article][PubMed]
    [Google Scholar]
  8. Faden H., Duffy L., Williams A., Krystofik D. A., Wolf J. 1995; Epidemiology of nasopharyngeal colonization with nontypeable Haemophilus influenzae in the first 2 years of life. J Infect Dis 172:132–135 [View Article][PubMed]
    [Google Scholar]
  9. Faden H., Duffy L., Wasielewski R., Wolf J., Krystofik D., Tung Y. 1997; Relationship between nasopharyngeal colonization and the development of otitis media in children. Tonawanda/Williamsville Pediatrics. J Infect Dis 175:1440–1445 [View Article][PubMed]
    [Google Scholar]
  10. Feil E. J., Smith J. M., Enright M. C., Spratt B. G. 2000; Estimating recombinational parameters in Streptococcus pneumoniae from multilocus sequence typing data. Genetics 154:1439–1450[PubMed]
    [Google Scholar]
  11. Hanage W. P., Fraser C., Tang J., Connor T. R., Corander J. 2009; Hyper-recombination, diversity, and antibiotic resistance in pneumococcus. Science 324:1454–1457 [View Article][PubMed]
    [Google Scholar]
  12. Harabuchi Y., Faden H., Yamanaka N., Duffy L., Wolf J., Krystofik D. 1994; Nasopharyngeal colonization with nontypeable Haemophilus influenzae and recurrent otitis media. Tonawanda/Williamsville Pediatrics. J Infect Dis 170:862–866 [View Article][PubMed]
    [Google Scholar]
  13. Hotomi M., Fujihara K., Billal D. S., Suzuki K., Nishimura T., Baba S., Yamanaka N. 2007; Genetic characteristics and clonal dissemination of beta-lactamase-negative ampicillin-resistant Haemophilus influenzae strains isolated from the upper respiratory tract of patients in Japan. Antimicrob Agents Chemother 51:3969–3976 [View Article][PubMed]
    [Google Scholar]
  14. Kyd J., Cripps A. 1999; Nontypeable Haemophilus influenzae: challenges in developing a vaccine. J Biotechnol 73:103–108 [View Article][PubMed]
    [Google Scholar]
  15. Loos B. G., Bernstein J. M., Dryja D. M., Murphy T. F., Dickinson D. P. 1989; Determination of the epidemiology and transmission of nontypable Haemophilus influenzae in children with otitis media by comparison of total genomic DNA restriction fingerprints. Infect Immun 57:2751–2757[PubMed]
    [Google Scholar]
  16. Meats E., Feil E. J., Stringer S., Cody A. J., Goldstein R., Kroll J. S., Popovic T., Spratt B. G. 2003; Characterization of encapsulated and noncapsulated Haemophilus influenzae and determination of phylogenetic relationships by multilocus sequence typing. J Clin Microbiol 41:1623–1636 [View Article][PubMed]
    [Google Scholar]
  17. Murphy T. F. 2003; Respiratory infections caused by non-typeable Haemophilus influenzae . Curr Opin Infect Dis 16:129–134 [View Article][PubMed]
    [Google Scholar]
  18. Murphy T. F., Bernstein J. M., Dryja D. M., Campagnari A. A., Apicella M. A. 1987; Outer membrane protein and lipooligosaccharide analysis of paired nasopharyngeal and middle ear isolates in otitis media due to nontypable Haemophilus influenzae: pathogenetic and epidemiological observations. J Infect Dis 156:723–731 [View Article][PubMed]
    [Google Scholar]
  19. Murphy T. F., Sethi S., Klingman K. L., Brueggemann A. B., Doern G. V. 1999; Simultaneous respiratory tract colonization by multiple strains of nontypeable Haemophilus influenzae in chronic obstructive pulmonary disease: implications for antibiotic therapy. J Infect Dis 180:404–409 [View Article][PubMed]
    [Google Scholar]
  20. Murphy T. F., Brauer A. L., Sethi S., Kilian M., Cai X., Lesse A. J. 2007; Haemophilus haemolyticus: a human respiratory tract commensal to be distinguished from Haemophilus influenzae . J Infect Dis 195:81–89 [View Article][PubMed]
    [Google Scholar]
  21. Murphy T. F., Faden H., Bakaletz L. O., Kyd J. M., Forsgren A., Campos J., Virji M., Pelton S. I. 2009; Nontypeable Haemophilus influenzae as a pathogen in children. Pediatr Infect Dis J 28:43–48 [View Article][PubMed]
    [Google Scholar]
  22. Pichichero M. E., Reed M. D. 2009; Variations in amoxicillin pharmacokinetic/pharmacodynamic parameters may explain treatment failures in acute otitis media. Paediatr Drugs 11:243–249 [View Article][PubMed]
    [Google Scholar]
  23. Pichichero M. E., Doern G. V., Kuti J. L., Nicolau D. P. 2008; Probability of achieving requisite pharmacodynamic exposure for oral beta-lactam regimens against Haemophilus influenzae in children. Paediatr Drugs 10:391–397 [View Article][PubMed]
    [Google Scholar]
  24. Porat N., Arguedas A., Spratt B. G., Trefler R., Brilla E., Loaiza C., Godoy D., Bilek N., Dagan R. 2004; Emergence of penicillin-nonsusceptible Streptococcus pneumoniae clones expressing serotypes not present in the antipneumococcal conjugate vaccine. J Infect Dis 190:2154–2161 [View Article][PubMed]
    [Google Scholar]
  25. Smith-Vaughan H. C., Leach A. J., Shelby-James T. M., Kemp K., Kemp D. J., Mathews J. D. 1996; Carriage of multiple ribotypes of non-encapsulated Haemophilus influenzae in aboriginal infants with otitis media. Epidemiol Infect 116:177–183 [View Article][PubMed]
    [Google Scholar]
  26. Spinola S. M., Peacock J., Denny F. W., Smith D. L., Cannon J. G. 1986; Epidemiology of colonization by nontypable Haemophilus influenzae in children: a longitudinal study. J Infect Dis 154:100–109 [View Article][PubMed]
    [Google Scholar]
  27. Stackebrandt E., Frederiksen W., Garrity G. M., Grimont P. A., Kämpfer P., Maiden M. C., Nesme X., Rosselló-Mora R., Swings J. et al. other authors 2002; Report of the ad hoc committee for the re-evaluation of the species definition in bacteriology. Int J Syst Evol Microbiol 52:1043–1047 [View Article][PubMed]
    [Google Scholar]
  28. St Sauver J., Marrs C. F., Foxman B., Somsel P., Madera R., Gilsdorf J. R. 2000; Risk factors for otitis media and carriage of multiple strains of Haemophilus influenzae and Streptococcus pneumoniae . Emerg Infect Dis 6:622–630 [View Article][PubMed]
    [Google Scholar]
  29. Tamura K., Dudley J., Nei M., Kumar S. 2007; mega4: Molecular Evolutionary Genetics Analysis (mega) software version 4.0. Mol Biol Evol 24:1596–1599 [View Article][PubMed]
    [Google Scholar]
  30. van Schilfgaarde M., Eijk P., Regelink A., van Ulsen P., Everts V., Dankert J., van Alphen L. 1999; Haemophilus influenzae localized in epithelial cell layers is shielded from antibiotics and antibody-mediated bactericidal activity. Microb Pathog 26:249–262 [CrossRef]
    [Google Scholar]
  31. Xu Q., Pichichero M. E., Casey J. R., Zeng M. 2009; Novel type of Streptococcus pneumoniae causing multidrug-resistant acute otitis media in children. Emerg Infect Dis 15:547–551 [View Article][PubMed]
    [Google Scholar]
http://instance.metastore.ingenta.com/content/journal/jmm/10.1099/jmm.0.034041-0
Loading
/content/journal/jmm/10.1099/jmm.0.034041-0
Loading

Data & Media loading...

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error