Volume 4, Number 3, 112-115, DOI: 10.1007/BF02491511

Characteristics of β-lactamase-producing and amoxicillin-clavulanate-resistant strains ofHaemophilus influenzae isolated from pediatric patients

Naruhiko Ishiwada, Haruo Kuroki, Nobuyasu Ishikawa, Kazuo Sugimoto, Yoshio Koori, Yousuke Suruga, Suzuko Uehara and Hiroo Niimi

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Abstract

A total of 1246 clinical isolates ofHaemophilus influenzae from pediatric patients were recovered in Chiba Municipal Hospital. We studied the characteristics of these strains with regard to β-lactamase production and in vitro activities of antimicrobial agents between January 1995 and June 1997. Two hundred and ten strains (16.8%) of these isolates produced β-lactamase. Eight β-lactamase-positive isolates were resistant to amoxicillin-clavulanate (MICs, ≥12 μg/mL). Most of these were isolated from respiratory tracts. These strains were mainly cultured from boys less than 3 years old with chronic respiratory disease. Two strains were serotype b and 6 strains were not typeable. Some of these strains were eradicated without antibiotic treatment. Although the clinical impact of β-lactamase-producing and amoxicillin-clavulanate-resistantHaemophilus influenzae remains low, the number of infections caused by these strains may increase in the near future. We must monitor this tendency.

Key words  β-lactamase - resistance - amoxicillin-clavulanate -  Haemophilus influenzae

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