A prospective study of intrafamilial transmission and antimicrobial susceptibility of Moraxella catarrhalis

Hironori Masaki1, Liang Qin, Zhaoyan Zhou

  • 1Department of Internal Medicine, Tagami Hospital, Nagasaki, Japan.

Insights

Moraxella catarrhalis spreads among children within families, but not typically to parents. This study identified dominant strains and transmission patterns using pulsed-field gel electrophoresis (PFGE).

Area of Science:

  • Microbiology
  • Epidemiology
  • Genetics

Background:

  • Moraxella catarrhalis is a significant human respiratory pathogen.
  • Understanding its transmission dynamics within families is crucial for public health.

Purpose of the Study:

  • To investigate intrafamilial transmission patterns of Moraxella catarrhalis strains.
  • To analyze antimicrobial susceptibility of isolated strains.

Main Methods:

  • Prospective study involving strain isolation from family participants over 20 months.
  • Antimicrobial susceptibility testing against six antibiotic classes.
  • Pulsed-field gel electrophoresis (PFGE) for strain typing and genetic relatedness analysis.

Main Results:

  • Seventy-five Moraxella catarrhalis strains were isolated, with 73 being beta-lactamase-producing.
  • Twenty-five distinct PFGE patterns were identified.
  • Dominant pattern L was found in 28% of strains, primarily circulating among children in the same family over an 8-month period.
  • Evidence of spread among children was observed, but not child-to-parent transmission.

Conclusions:

  • PFGE is effective in revealing intrafamilial transmission and colonization patterns of Moraxella catarrhalis.
  • Transmission predominantly occurs among children within a household.
  • No significant treatment issues were identified based on the tested antibiotics.