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Genetic characteristics and antimicrobial resistance profile of non-typeable Haemophilus influenzae from the respiratory tract in a tertiary hospital in southwest China

Xiong L, Yao J, Wang Z, Xie Y

2026

Abstract

Abstract Background Non-typeable Haemophilus influenzae (NTHi) has emerged as the predominant cause of invasive Haemophilus influenzae (H. influenzae) disease. This microorganism exhibits extensive genomic heterogeneity, which complicates vaccine development and contributes to the evolution of antimicrobial resistance. Methods A total of 57 H. influenzae isolates collected from respiratory tract specimens at a tertiary hospital in southwest China between January and April 2025 were subjected to whole-genome sequencing on the Illumina platform. Clinical data from the corresponding patients and the antimicrobial susceptibility profiles of the isolates were collected for analysis. Results All 57 clinical isolates were identified as NTHi. Most isolates were recovered from male patients (75.4%) and adults aged ≥ 60 years (43.9%). Multilocus sequence typing (MLST) identified 41 distinct sequence types (STs), with ST422 being the most prevalent (7.0%, 4/57). A total of 54 virulence genes were conserved across all isolates and were predominantly associated with immune modulation. The highest resistance rate was observed for ampicillin (70.2%), followed by trimethoprim-sulfamethoxazole (54.4%) and ampicillin-sulbactam (47.4%). Resistance rates to amoxicillin-clavulanate and cefuroxime were 17.5% and 24.6%, respectively. All isolates remained susceptible to ceftazidime, ceftriaxone, cefepime, meropenem, and levofloxacin. β-Lactamase genes were detected in 49.1% of the isolates, and…

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