Mäkelä P H
National Public Health Institute, Helsinki, Finland.
Eur J Clin Microbiol Infect Dis. 1988 Oct;7(5):606-9. doi: 10.1007/BF01964236.
Haemophilus influenzae are small, gram-negative, rod-shaped bacteria. Because of their special growth requirements, they do not grow on usual blood agar media, but flourish on the mucosal membranes of the human respiratory tract where they adhere to the epithelial cells by fimbriae (a potential vaccine component). Nasopharyngeal carriage of Haemophilus influenzae is very common, and in healthy carriers the bacteria are usually unencapsulated. The outer membrane of Haemophilus influenzae contains lipopolysaccharide (of so called R form, without O antigen) and major outer membrane proteins. The lipopolysaccharide is a virulence determinant. An extracellular enzyme, IgA protease, is another potential virulence determinant. The outer membrane of Haemophilus influenzae is a rather ineffective barrier towards antibiotics, and thus the major determinants of antibacterial resistance in Haemophilus influenzae are plasmid-coded enzymes that inactivate the antibiotic, and changes in the target molecules.
流感嗜血杆菌是一种小型的革兰氏阴性杆状细菌。由于其特殊的生长需求,它们无法在普通血琼脂培养基上生长,但在人类呼吸道黏膜上能够大量繁殖,它们通过菌毛(一种潜在的疫苗成分)附着于上皮细胞。流感嗜血杆菌在鼻咽部的携带情况非常普遍,在健康携带者中,这些细菌通常是无荚膜的。流感嗜血杆菌的外膜含有脂多糖(所谓的R型,不含O抗原)和主要外膜蛋白。脂多糖是一种毒力决定因素。一种细胞外酶,即IgA蛋白酶,是另一种潜在的毒力决定因素。流感嗜血杆菌的外膜对抗生素来说是一道相当无效的屏障,因此流感嗜血杆菌中抗菌耐药性的主要决定因素是使抗生素失活的质粒编码酶以及靶分子的变化。