Abstract
In order to determine the recovery rate of species of the genera Haemophilus and Moraxella (including subgenus Branhamella) from the upper respiratory tract and the incidence of β-lactamase production within these genera, cultures were made of nose and throat swab specimens and adenoid tissue in 50 children undergoing adenoidectomy.Haemophilus influenzae was isolated from 92% of the children. All children harboured strains of Haemophilus spp. and in 46%, at least one strain produced the TEM-1 β-lactamase.Branhamella catarrhalis and/or Moraxella nonliquefaciens were isolated from 82% of the children and strains producing the BRO-1 β-lactamase from 34%. Overall, TEM-1 and/or BRO-1 producing strains were recovered from 60% of the investigated patients. The β-lactamase production was found to be transferable by conjugation within the respective genera. It is suggested that the apathogenic species may be a source of transferable determinants mediating β-lactamase production in the upper respiratory tract.
Similar content being viewed by others
References
Lim, D., Lewis, D., Schram, J., Birck, H.: Antibiotic resistant bacteria in otitis media with effusion. Annals of Otology, Rhinology and Laryngology 1980, Supplement 68: 278–280.
Kovatch, A. L., Wald, E. R., Michaels, R. H.: Betalactamase-producingBranhamella catarrhalis causing otitis media in children. Journal of Pediatrics 1983, 102: 261–264.
Shurin, P., Marchant, C., Hwan Kim, C., Van Hare, G., Johnsson, C., Tutihasi, M., Knapp, L.: Emergence of beta-lactamase producing strains ofBranhamella catarrhalis as important agents of acute otitis media. Pediatric Infectious Diseases 1983, 2: 34–38.
Eliasson, I., Kamme, C.: Characterization of the plasmid mediated betalactamase inBranhamella catarrhalis with special reference to substrate affinity. Journal of Antimicrobial Chemotherapy 1985, 15: 139–149.
Thomas, W. J., McReynolds, J. W., Mock, C. R., Baily, D. W.: Ampicillin resistantHaemophilus influenzae meningitis. Lancet 1974, i: 313.
Schwartz, R. H., Rodriguez, W.: The increasing incidence of ampicillin resistantHaemophilus influenzae. Journal of the American Medical Association 1978, 239: 320–323.
Syripoulou, V., Scheifele, D., Smith, A. L., Perry, P., Howie, V.: Increasing incidence of ampicillin resistance inHaemophilus influenzae. Journal of Pediatrics 1978, 92: 889–892.
Philpott-Howard, J., Williams, J.: Increase in antibiotic resistance inHaemophilus influenzae in the United Kingdom since 1977: report of study group. British Medical Journal 1982, 284: 1597–1599.
Elwell, L. P., De Graaff, J., Seibert, D., Falkow, S.: Plasmid-linked ampicillin resistance inHaemophilus influenzae type b. Infection and Immunity 1975, 12: 404–410.
Scheifele, D. W., Fussell, S. J., Roberts, M. C.: Characterization of ampicillin-resistantHaemophilus parainfluenzae. Antimicrobial Agents and Chemotherapy 1982, 21: 734–739.
Rubin, L. G., Medeiros, A. A., Yolken, R. H., Moxon, E. R.: Ampicillin treatment failure of apparently betalactamase negativeHaemophilus influenzae type b meningitis due to novel beta-lactamase. Lancet 1981, ii: 1008–1010.
Malmvall, B. E., Brorson, J. E., Johnsson, J.: In vitro sensitivity to penicillin V and beta-lactamase production ofBranhamella catarrhalis. Journal of Antimicrobial Chemotherapy 1977, 3: 374–375.
Percival, A., Corkill, J. E., Rowlands, J., Sykes, R. B.: Pathogenicity and beta-lactamase production byBranhamella (Neisseria) catarrhalis. Lancet 1977, ii: 1175.
Rosenthal, S. L., Freundlich, L. F., Gilardi, G. L., Clodomar, Y.: In vitro antibiotic sensitivity ofMoraxella species. Chemotherapy 1978, 24: 360–363.
Kamme, C., Vang, M., Ståhl, S.: Intrageneric and intergeneric transfer ofBranhamella catarrhalis beta-lactamase production. Scandinavian Journal of Infectious Diseases 1984, 16: 153–155.
Hovig, B., Aandahl, E. H.: A selective method for the isolation ofHaemophilus in material from the respiratory tract. Acta Patologica et Microbiologica Scandinavica 1969, 77: 676–684.
Kamme, C.: Evaluation of the in vitro sensitivity ofNeisseria catarrhalis to antibiotics with respect to acute otitis media. Scandinavian Journal of Infectious Diseases 1970, 2: 117–120.
Kilian, M.: A rapid method for the differentiation ofHaemophilus strains. The porphyrin test. Acta Pathologica et Microbiologica Scandinavica Section B 1974, 82: 835–842.
Kilian, M.: A taxonomic study of genusHaemophilus. Journal of General Microbiology 1976, 93: 9–62.
O'Callaghan, C. H., Morris, A., Kirkby, S. M., Shingler, A. H.: Novel method for detection of beta-lactamases by using a chromogenic cephalosporin substrate. Antimicrobial Agents and Chemotherapy 1972, 1: 283–288.
Thorne, G. M., Farrar, W. E.: Transfer of ampicillin resistance between strains ofHaemophilus influenzae type B. Journal of Infectious Diseases 1975, 132: 276–281.
Lundberg, C., Lönnroth, J.: Bacterial adherence to epithelial cells in the nasopharynx in children. Acta Otolaryngologica 1979, 88: 438–442.
Lundgren, K., Rundcrantz, H.: Microbiology in serous otitis media. Annals of Otology, Rhinology and Laryngology 1976, Supplement 25, 85: 152–155.
Sundberg, L., Cederberg, Å., Edén, T., Ernstson, S.: Bacteriology in secretory otitis media. Acta Otolaryngologica 1981, Supplement 384: 18–25.
Kamme, C., Nilsson, N. I.: Secretory otitis media: microbiology of the middle ear and the nasopharynx. Scandinavian Journal of Infectious Diseases 1984, 16: 291–296.
Kuklinska, D., Kilian, M.: Relative proportions ofHaemophilus species in the throat of healthy children and adults. European Journal of Clinical Microbiology 1984, 3: 249–252.
Kundsin, R. B., Miller, J. M.: Significance of theStaphylococcus aureus carrier state in the treatment of disease due to group A streptococci. New England Journal of Medicine 1964, 271: 1395–1397.
Tunér, K., Nord, C. E.: Beta-lactamase producing microorganisms in recurrent tonsillitis. Scandinavian Journal of Infectious Diseases 1983, 39, Supplement: 83–85.
Brook, I., Yocum, P.: Bacteriology of chronic tonsillitis in young adults. Archives of Otolaryngology 1984, 110: 803–805.
Kamme, C.: Susceptibility in vitro ofHaemophilus influenzae to penicillin G, penicillin V and ampicillin. Acta Pathologica et Microbiologica Scandinavica 1969, 75: 611–621.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Eliasson, I., Kamme, C. & Prellner, K. Beta-lactamase production in the upper respiratory tract flora. Eur. J, Clin. Microbiol. 5, 507–512 (1986). https://doi.org/10.1007/BF02017692
Issue Date:
DOI: https://doi.org/10.1007/BF02017692