Serotype Distribution and Antimicrobial Resistance Profile of Haemophilus influenzae Isolated from School Children with Acute Otitis Media

Haemophilus influenzae is a Gram-negative opportunistic bacterial pathogen of the human respiratory tract. This study describes the prevalence, serotype distribution, and susceptibility profiles of H. influenzae strains isolated from the nasopharynx of school children with acute otitis media (AOM) i...

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Main Authors: Dodi Safari, Daniel Joko Wahyono, Wisnu Tafroji, Anton Budhi Darmawan, Yayah Winarti, Wahyu Dwi Kusdaryanto, Wisiva Tofriska Paramaiswari, Hendro Pramono, Meyta Pratiwi, Muhamad Riza Chamadi
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:International Journal of Microbiology
Online Access:http://dx.doi.org/10.1155/2022/5391291
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author Dodi Safari
Daniel Joko Wahyono
Wisnu Tafroji
Anton Budhi Darmawan
Yayah Winarti
Wahyu Dwi Kusdaryanto
Wisiva Tofriska Paramaiswari
Hendro Pramono
Meyta Pratiwi
Muhamad Riza Chamadi
author_facet Dodi Safari
Daniel Joko Wahyono
Wisnu Tafroji
Anton Budhi Darmawan
Yayah Winarti
Wahyu Dwi Kusdaryanto
Wisiva Tofriska Paramaiswari
Hendro Pramono
Meyta Pratiwi
Muhamad Riza Chamadi
author_sort Dodi Safari
collection DOAJ
description Haemophilus influenzae is a Gram-negative opportunistic bacterial pathogen of the human respiratory tract. This study describes the prevalence, serotype distribution, and susceptibility profiles of H. influenzae strains isolated from the nasopharynx of school children with acute otitis media (AOM) in Banyumas Regency, Central Java, Indonesia. H. influenzae was isolated from nasopharyngeal swab specimens using chocolate agar plates supplemented with IsoVitaleX and bacitracin. Serotyping was performed using quantitative polymerase chain reaction. Antimicrobial susceptibility profiles were determined using a microdilution broth assay. H. influenzae was present in 69.7% of samples (85/122). Nontypeable H. influenzae (NHTi) was the most common serotype (95.3%), followed by H. influenzae type b (3.5%) and H. influenzae type f (1.2%). All the H. influenzae isolates were susceptible to levofloxacin, ceftriaxone, imipenem, meropenem, cefuroxime, and cefixime. Most isolates were susceptible to sparfloxacin (99%), cefepime (99%), amoxicillin/clavulanic acid 2 : 1 (99%), ampicillin/sulbactam 2 : 1 (96%), chloramphenicol (94%), tetracycline (93%), ampicillin (87%), and clarithromycin (82%). Nineteen percent of the isolates were resistant to cotrimoxazole, and 11% of the isolates were resistant to ampicillin. This study showed that H. influenzae carriage among samples was dominated by NTHi and less susceptible to cotrimoxazole.
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issn 1687-9198
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publisher Wiley
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series International Journal of Microbiology
spelling doaj-art-379bc0f9f0ed43dd889ecb9fdb8ee6762025-02-03T05:53:35ZengWileyInternational Journal of Microbiology1687-91982022-01-01202210.1155/2022/5391291Serotype Distribution and Antimicrobial Resistance Profile of Haemophilus influenzae Isolated from School Children with Acute Otitis MediaDodi Safari0Daniel Joko Wahyono1Wisnu Tafroji2Anton Budhi Darmawan3Yayah Winarti4Wahyu Dwi Kusdaryanto5Wisiva Tofriska Paramaiswari6Hendro Pramono7Meyta Pratiwi8Muhamad Riza Chamadi9Eijkman Institute for Molecular Biology/Pusat Riset Biologi Molekuler EijkmanJenderal Soedirman UniversityEijkman Institute for Molecular Biology/Pusat Riset Biologi Molekuler EijkmanDepartment of OtorhinolaryngologyEijkman Institute for Molecular Biology/Pusat Riset Biologi Molekuler EijkmanDepartment of OtorhinolaryngologyEijkman Institute for Molecular Biology/Pusat Riset Biologi Molekuler EijkmanJenderal Soedirman UniversityJenderal Soedirman UniversityJenderal Soedirman UniversityHaemophilus influenzae is a Gram-negative opportunistic bacterial pathogen of the human respiratory tract. This study describes the prevalence, serotype distribution, and susceptibility profiles of H. influenzae strains isolated from the nasopharynx of school children with acute otitis media (AOM) in Banyumas Regency, Central Java, Indonesia. H. influenzae was isolated from nasopharyngeal swab specimens using chocolate agar plates supplemented with IsoVitaleX and bacitracin. Serotyping was performed using quantitative polymerase chain reaction. Antimicrobial susceptibility profiles were determined using a microdilution broth assay. H. influenzae was present in 69.7% of samples (85/122). Nontypeable H. influenzae (NHTi) was the most common serotype (95.3%), followed by H. influenzae type b (3.5%) and H. influenzae type f (1.2%). All the H. influenzae isolates were susceptible to levofloxacin, ceftriaxone, imipenem, meropenem, cefuroxime, and cefixime. Most isolates were susceptible to sparfloxacin (99%), cefepime (99%), amoxicillin/clavulanic acid 2 : 1 (99%), ampicillin/sulbactam 2 : 1 (96%), chloramphenicol (94%), tetracycline (93%), ampicillin (87%), and clarithromycin (82%). Nineteen percent of the isolates were resistant to cotrimoxazole, and 11% of the isolates were resistant to ampicillin. This study showed that H. influenzae carriage among samples was dominated by NTHi and less susceptible to cotrimoxazole.http://dx.doi.org/10.1155/2022/5391291
spellingShingle Dodi Safari
Daniel Joko Wahyono
Wisnu Tafroji
Anton Budhi Darmawan
Yayah Winarti
Wahyu Dwi Kusdaryanto
Wisiva Tofriska Paramaiswari
Hendro Pramono
Meyta Pratiwi
Muhamad Riza Chamadi
Serotype Distribution and Antimicrobial Resistance Profile of Haemophilus influenzae Isolated from School Children with Acute Otitis Media
International Journal of Microbiology
title Serotype Distribution and Antimicrobial Resistance Profile of Haemophilus influenzae Isolated from School Children with Acute Otitis Media
title_full Serotype Distribution and Antimicrobial Resistance Profile of Haemophilus influenzae Isolated from School Children with Acute Otitis Media
title_fullStr Serotype Distribution and Antimicrobial Resistance Profile of Haemophilus influenzae Isolated from School Children with Acute Otitis Media
title_full_unstemmed Serotype Distribution and Antimicrobial Resistance Profile of Haemophilus influenzae Isolated from School Children with Acute Otitis Media
title_short Serotype Distribution and Antimicrobial Resistance Profile of Haemophilus influenzae Isolated from School Children with Acute Otitis Media
title_sort serotype distribution and antimicrobial resistance profile of haemophilus influenzae isolated from school children with acute otitis media
url http://dx.doi.org/10.1155/2022/5391291
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