Related Experiment Video
Updated: Aug 15, 2026

Experimental Human Pneumococcal Carriage
Published on: February 15, 2013
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.
Abstract:
There are few studies from developing countries on the epidemiology of Haemophilus influenzae (Hib) infections among infants and children. We set out to determine the prevalence of oropharyngeal Hib colonization among Turkish children younger than two years of age and to identify antimicrobial resistance among the isolates. A cross-sectional study was conducted on 818 healthy children and oropharyngeal secretions were sampled. The carriage rate of Hib was found to be 7.2% and this increased significantly with age. Carriage of Hib among 3- to 6-month-old children (3.5%) was higher than expected and was significantly higher among children who were passive smokers (P=0.04). Logistic regression analysis showed that breastfeeding status was the sole significant factor for colonization (OR 2.2, 95% CI 1.26-3.82). Antimicrobial susceptibility tests on 56 isolates of H. influenzae showed that 51.8% and 21.4% were resistant to trimethoprim-sulphamethoxazole and ampicillin respectively. Other notable resistances were to cefalexin (10.7%) and chloramphenicol (3.6%); no isolates were resistant to ceftriaxone.
Related Concept Videos
Poliomyelitis
Diphtheria
Influenza
Bacterial Meningitis I: Introduction
Respiratory Syncytial Virus Disease
Hepatitis

