Haemophilus influenzae type b carriage among 3- to 24-month-old Turkish children

S Poyrazoglu1, S Kömeç, G Gökçay

  • 1Istanbul University, Istanbul Faculty of Medicine, Department of Paediatrics, Istanbul, Turkey. sukranpoyrazoglu@yahoo.com

Insights

Oropharyngeal Haemophilus influenzae (Hib) colonization was studied in Turkish children under two. Breastfeeding and passive smoking influenced Hib carriage, with significant antimicrobial resistance observed.

Area of Science:

  • Pediatric infectious diseases
  • Microbiology
  • Epidemiology

Background:

  • Limited data exists on Haemophilus influenzae (Hib) epidemiology in developing countries.
  • Understanding Hib colonization and resistance is crucial for public health interventions.

Purpose of the Study:

  • To determine the prevalence of oropharyngeal Hib colonization in Turkish children under two years old.
  • To identify antimicrobial resistance patterns of Hib isolates in this population.

Main Methods:

  • A cross-sectional study involving 818 healthy children.
  • Oropharyngeal secretions were collected for Hib carriage analysis.
  • Antimicrobial susceptibility testing was performed on isolated H. influenzae strains.

Main Results:

  • The overall Hib carriage rate was 7.2%, increasing with age.
  • Hib carriage was higher than expected in 3- to 6-month-olds and associated with passive smoking.
  • Breastfeeding status was a significant factor for colonization (OR 2.2).
  • High resistance rates were found for trimethoprim-sulphamethoxazole (51.8%) and ampicillin (21.4%).
  • No resistance to ceftriaxone was observed.

Conclusions:

  • Breastfeeding and passive smoking are key factors influencing Hib colonization in young Turkish children.
  • Significant antimicrobial resistance necessitates careful antibiotic selection for Hib infections.
  • Ceftriaxone remains a reliable treatment option against H. influenzae in this region.

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