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Updated: Aug 26, 2026

Assessing Respiratory Immune Responses to Haemophilus Influenzae
Published on: June 29, 2021
[Haemophilus influenzae type b in meningitis: antibiotic resistance in pediatric patients]
Insights
This study analyzed acute meningitis in 357 children over 10 years. Haemophilus influenzae type b (Hib) was common, with some antibiotic resistance, but III generation cephalosporins remained effective.
Area of Science:
- Pediatric Infectious Diseases
- Microbiology
- Epidemiology
Context:
- Acute meningitis poses a significant threat to children's health.
- Haemophilus influenzae type b (Hib) has historically been a major cause of bacterial meningitis in children.
- Understanding antibiotic resistance patterns is crucial for effective treatment.
Purpose:
- To retrospectively analyze cases of acute meningitis in children over a 10-year period.
- To identify the causative agents, particularly Haemophilus influenzae type b.
- To evaluate the in vitro antibiotic susceptibility of isolated strains.
Summary:
- A 10-year retrospective study of 357 children with acute meningitis in Rome identified Haemophilus influenzae type b (Hib) in 110 cases, predominantly in children under two years old.
- Diagnostic methods included Gram stain, Latex test, and cultures.
- In vitro sensitivity testing revealed resistance to Ampicillin (15.3%) and Erythromycin/Cotrimoxazole, but high susceptibility to III generation cephalosporins.
Impact:
- Highlights the continued importance of Hib as a pathogen in pediatric meningitis.
- Provides data on antibiotic resistance trends, informing treatment guidelines.
- Reinforces the efficacy of III generation cephalosporins as a first-line treatment for Hib meningitis.
Abstract:
A retrospective study on 357 children admitted to four Pediatric Infectious Disease Centers in Rome, affected by acute meningitis, during 10 years period, between January, 1, 1985 and December, 31, 1994 was carried out. Haemophilus influenzae type b was detected in 110 patients; all children aged between 1 month and 5 years; the maximum incidence (74.5%) was observed in patients under two years. The following diagnostic criteria were utilized: Gram stain of CSF; Latex test on CSF, blood, urine; CSF and blood cultures. The in vitro sensitivity of 65 isolates was tested by using the Kirby-Bauer method. We detected 15.3% of strains resistant to Ampicillin and 1.5% resistant to CAF. We also observed a high number of Hib strains resistant to Erythromycin and Cotrimoxazole. Only one strain Ceftriaxone resistant was isolated, confirming the high in vitro sensibility Hib to III generation cephalosporins that still remain the first choice drugs in Hib meningitis.
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