PMID- 9632612 OWN - NLM STAT- MEDLINE DCOM- 19980709 LR - 20200724 IS - 0019-9567 (Print) IS - 1098-5522 (Electronic) IS - 0019-9567 (Linking) VI - 66 IP - 7 DP - 1998 Jul TI - Low genetic diversity of Haemophilus influenzae type b compared to nonencapsulated H. influenzae in a population in which H. influenzae is highly endemic. PG - 3403-9 AB - Immunization with Haemophilus influenzae type b (Hib) conjugate polysaccharide vaccines has dramatically reduced Hib disease worldwide. As in other populations, nasopharyngeal carriage of Hib declined markedly in Aboriginal infants following vaccination, although carriage has not been entirely eliminated. In this study, we describe the genetic characteristics and the carriage dynamics of longitudinal isolates of Hib, characterized by using several typing methods. In addition, carriage rates of nonencapsulated H. influenzae (NCHi) are high, and concurrent colonization with Hib and NCHi is common; we also observed NCHi isolates which were genetically similar to Hib. There is a continuing need to promote Hib immunization and monitor H. influenzae carriage in populations in which the organism is highly endemic, not least because of the possibility of genetic exchange between Hib and NCHi strains in such populations. FAU - Smith-Vaughan, H C AU - Smith-Vaughan HC AD - Menzies School of Health Research, Darwin, Northern Territory, Australia. heidi@menzies.su.edu.au FAU - Sriprakash, K S AU - Sriprakash KS FAU - Leach, A J AU - Leach AJ FAU - Mathews, J D AU - Mathews JD FAU - Kemp, D J AU - Kemp DJ LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Infect Immun JT - Infection and immunity JID - 0246127 RN - 804826J2HU (Amoxicillin) RN - EC 3.5.2.6 (beta-Lactamases) SB - IM MH - Amoxicillin/pharmacology MH - Bacterial Capsules/physiology MH - Genetic Variation MH - Haemophilus influenzae/drug effects/*genetics/physiology MH - Humans MH - Polymerase Chain Reaction MH - Vaccination MH - beta-Lactamases/biosynthesis PMC - PMC108359 EDAT- 1998/06/25 00:00 MHDA- 1998/06/25 00:01 PMCR- 1998/07/01 CRDT- 1998/06/25 00:00 PHST- 1998/06/25 00:00 [pubmed] PHST- 1998/06/25 00:01 [medline] PHST- 1998/06/25 00:00 [entrez] PHST- 1998/07/01 00:00 [pmc-release] AID - 0626 [pii] AID - 10.1128/IAI.66.7.3403-3409.1998 [doi] PST - ppublish SO - Infect Immun. 1998 Jul;66(7):3403-9. doi: 10.1128/IAI.66.7.3403-3409.1998.