Evidence map›Paper›PMID 41505019›Full record

ArticleInfectious diseases and therapy2026

Characteristics of Haemophilus influenzae Isolates Responsible for Invasive Infections in Poland in 2018-2023.

Marlena Kiedrowska, Kinga Błaszczyk, Agnieszka Gołębiewska, Waleria Hryniewicz, Alicja Kuch, Patrycja Ronkiewicz, Izabela Wróbel-Pawelczyk, Anna Skoczyńska

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Article in Infectious diseases and therapy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Marlena KiedrowskaNational Reference Centre for Bacterial Meningitis, Department of Epidemiology and Clinical Microbiology, National Medicines Institute, Chełmska 30/34 Str., 00-725, Warsaw, Poland. m.kiedrowska@nil.gov.pl.ORCID http://orcid.org/0000-0003-2318-3375
Kinga BłaszczykNational Reference Centre for Bacterial Meningitis, Department of Epidemiology and Clinical Microbiology, National Medicines Institute, Chełmska 30/34 Str., 00-725, Warsaw, Poland.ORCID http://orcid.org/0000-0002-1279-160X
Agnieszka GołębiewskaNational Reference Centre for Bacterial Meningitis, Department of Epidemiology and Clinical Microbiology, National Medicines Institute, Chełmska 30/34 Str., 00-725, Warsaw, Poland.ORCID http://orcid.org/0000-0002-9662-8243
Waleria HryniewiczNational Reference Centre for Bacterial Meningitis, Department of Epidemiology and Clinical Microbiology, National Medicines Institute, Chełmska 30/34 Str., 00-725, Warsaw, Poland.ORCID http://orcid.org/0000-0002-3651-9790
Alicja KuchNational Reference Centre for Bacterial Meningitis, Department of Epidemiology and Clinical Microbiology, National Medicines Institute, Chełmska 30/34 Str., 00-725, Warsaw, Poland.ORCID http://orcid.org/0000-0001-5416-1422
Patrycja RonkiewiczNational Reference Centre for Bacterial Meningitis, Department of Epidemiology and Clinical Microbiology, National Medicines Institute, Chełmska 30/34 Str., 00-725, Warsaw, Poland.ORCID http://orcid.org/0000-0003-4427-5076
Izabela Wróbel-PawelczykNational Reference Centre for Bacterial Meningitis, Department of Epidemiology and Clinical Microbiology, National Medicines Institute, Chełmska 30/34 Str., 00-725, Warsaw, Poland.ORCID http://orcid.org/0000-0002-4726-5984
Anna SkoczyńskaNational Reference Centre for Bacterial Meningitis, Department of Epidemiology and Clinical Microbiology, National Medicines Institute, Chełmska 30/34 Str., 00-725, Warsaw, Poland.ORCID http://orcid.org/0000-0002-2247-830X

Funding

National Medicines Institute DS-6/2024Pfizer (PL) 54223561Pfizer (PL) 57006665Pfizer (PL) 61600669Polish Ministry of Education and Science MIKROBANK 2
6 · The paper itself

Abstract

introductionHaemophilus influenzae is a human-specific Gram-negative bacterium responsible for respiratory tract infection, sepsis, and meningitis. The study aimed to investigate the epidemiology, serotype distribution, and mechanisms of beta-lactam resistance among invasive H. influenzae strains isolated in Poland from 2018 to 2023.

methodsInvasive H. influenzae isolates were received from patients with positive culture results from blood, cerebrospinal fluid (CSF), and pleural fluid. Sample data were obtained from the Polish laboratory surveillance system. For all isolates screening test for beta-lactam resistance was performed and the minimum inhibitory concentrations (MICs) of clinically relevant antibiotics were determined using antibiotic gradient strips. For isolates with inhibition zone P 1U < 12 mm (n = 133), whole genome sequencing (WGS) analysis was performed.

resultsMost strains of H. influenzae were isolated from blood (90.7%). Non-typeable Hinf (NTHi) strains were responsible for most invasive disease in all age groups and accounted for 85.7% (342/399) of all cases. Capsulated isolates constituted 14.3%; among them the most common serotype was type f (Hif; 64.9%), followed by serotypes: e (Hie; 19.3%), b (Hib; 14.0%), and d (Hid; 1.8%). Of the 399 isolates collected between 2018 and 2023, 15.8% and 1.0% were resistant to ampicillin and cefotaxime, respectively. Resistance to meropenem and ciprofloxacin using the meningitis breakpoint was detected in 4.3% and 1.8% strains, respectively. All isolates showed susceptibility to chloramphenicol. Resistance to rifampicin characterized 3.8% of isolates tested. The Cefinase test revealed beta-lactamase production in 8.8% of isolates.

conclusionsIn our study NTHi predominated among invasive cases across all age groups, especially among elderly patients, similarly to other countries. β-Lactam resistance among studies strains has remained stable over the years. Recently, however, resistance to third-generation cephalosporins has emerged. Continuous surveillance and a rational antibiotic policy are essential to address H. influenzae resistance.

Indexed as

EpidemiologyftsIHaemophilus influenzaeResistanceSerotype

Identifiers

PMID41505019
PMCPMC12924810

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