Emergence of a clone of invasive fuck-negative serotype e haemophilus influenzae in British Columbia

Abstract

BACKGROUND: Introduction of the Haemophilus influenzae serotype b (Hib) conjugate vaccine has changed the epidemiology of invasive H. influenzae disease, with most infections now caused by non-typeable (non-encapsulated) and non-Hib encapsulated strains. METHODS: We describe nine invasive serotype e H. influenzae (Hie) from British Columbia that were determined to have complete deletion of their fucose operon genes. These nine isolates were recovered from blood cultures of three female and six male patients during 2011–2018, with eight recovered in the past 4 years. RESULTS: All nine isolates were biotype IV, with eight showing identical pulsed field gel electrophoresis (PFGE) profiles, whereas the ninth showed 95% similarity. PFGE analysis also showed these fucose operon–negative Hie to be most (94%) similar to the multi-locus sequence type (ST)-18, the most common ST among Hie in British Columbia. These nine fucose operon–negative Hie represented 27.3% of the 33 invasive Hie isolated in British Columbia from 2010 to 2018. CONCLUSION: Deletion of the fucose operon did not appear to impact the transmission ability of these strains or their ability to cause invasive disease.