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Haemophilus influenzae Carriage among Healthy Children in Portugal, 2015-2019

dc.contributor.authorBajanca-Lavado, Maria Paula
dc.contributor.authorCavaco, Luís
dc.contributor.authorFernandes, Mariana
dc.contributor.authorTouret, Tiago
dc.contributor.authorCandeias, Catarina
dc.contributor.authorSimões, Alexandra S.
dc.contributor.authorSá-Leão, Raquel
dc.date.accessioned2022-12-02T15:47:32Z
dc.date.available2022-12-02T15:47:32Z
dc.date.issued2022-10-04
dc.descriptionThis article belongs to the Special Issue Haemophilus influenzae: New Insights in Epidemiology of Disease.pt_PT
dc.description.abstractHaemophilus influenzae is an important cause of mucosal and invasive infections and a common colonizer of the upper respiratory tract. As there are no recent data on H. influenzae carriage in Portugal, we aimed to characterize carriage samples and investigate possible parallelisms with disease isolates. Between 2016–2019, 1524 nasopharyngeal samples were obtained from children (0–6 years) attending day-care. H. influenzae were serotyped and screened for β-lactamase production. Strains producing β-lactamase and/or those that were encapsulated were further characterized by antibiotype; encapsulated strains were also investigated for MLST and the presence of antimicrobial resistance and virulence genes (extracted from whole genome sequencing). The overall carriage rate was 84.1%. Most isolates (96.7%) were nonencapsulated. Encapsulated strains were of serotypes f (1.8%), e (1.1%), a (0.3%), and b (0.1%). MLST showed clonality within serotypes. Although the lineages were the same as those that were described among disease isolates, colonization isolates had fewer virulence determinants. Overall, 7.5% of the isolates were β-lactamase positive; one isolate had blaTEM-82, which has not been previously described in H. influenzae. A single isolate, which was identified as H. parainfluenzae, had an incomplete f-like cap locus. In conclusion, circulation of serotype b is residual. The few encapsulated strains are genetically related to disease-causing isolates. Thus, surveillance of H. influenzae carriage should be maintained.pt_PT
dc.description.sponsorshipThis work was partially supported by projects LISBOA-01-0145-FEDER (Microbiologia Molecular, Estrutural e Celular, funded by FEDER through COMPETE2020—Programa Operacional Competitividade e Internacionalização), LISBOA-01-0145-FEDER-016417 (ONEIDA co-funded by Fundos Europeus Estruturais e de Investimento, Programa Operacional Regional Lisboa 2020 and Fundação para a Ciência e a Tecnologia (FCT)), WI230921 from Pfizer Portugal (to RSL), and National Institute of Health, Lisbon, Portugal. CC was supported by grant from Fundação para a Ciência e a Tecnologia, Portugal.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationMicroorganisms. 2022 Oct 4;10(10):1964. doi: 10.3390/microorganisms10101964pt_PT
dc.identifier.doi10.3390/microorganisms10101964pt_PT
dc.identifier.issn2076-2607
dc.identifier.urihttp://hdl.handle.net/10400.18/8375
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherMDPIpt_PT
dc.relation.publisherversionhttps://www.mdpi.com/2076-2607/10/10/1964pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectHaemophilus influenzaept_PT
dc.subjectSerotypept_PT
dc.subjectMLSTpt_PT
dc.subjectCarriagept_PT
dc.subjectSurveillancept_PT
dc.subjectAntimicrobial Resistancept_PT
dc.subjectCapsulept_PT
dc.subjectWhole Genome Sequencingpt_PT
dc.subjectDay-care Centerpt_PT
dc.subjectPortugalpt_PT
dc.subjectInfecções Respiratóriaspt_PT
dc.titleHaemophilus influenzae Carriage among Healthy Children in Portugal, 2015-2019pt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue10pt_PT
oaire.citation.startPage1964pt_PT
oaire.citation.titleMicroorganismspt_PT
oaire.citation.volume10pt_PT
rcaap.embargofctAcesso de acordo com política editorial da revista.pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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