The prevalence and antimicrobial resistance of Haemophilus inuenzae in prepubertal girls with vulvovaginitis Mingming Zhou The Children's Hospital, Zhejiang University School of Medicine Liying Sun The Children's Hospital, Zhejiang University School of Medicine Xuejun Chen (
[email protected] ) Chao Fang The Children's Hospital, Zhejiang University School of Medicine Jianping Li The Children's Hospital, Zhejiang University School of Medicine Chunzhen Hua The Children's Hospital, Zhejiang University School of Medicne Research article Keywords: Haemophilus inuenzae, Vulvovaginitis, Prepubertal, Antimicrobial resistance, Vulval Posted Date: July 16th, 2020 DOI: https://doi.org/10.21203/rs.3.rs-41705/v1 License: This work is licensed under a Creative Commons Attribution 4.0 International License. Read Full License Page 1/16 Abstract Background: To determine the prevalence of Haemophilus inuenzae vulvovaginitis in prepubertal girls and the antimicrobial resistance of H.inuenzae strains isolated from vulval specimens. Methods: Isolates of H.inuenzae from vulval swabs of prepubertal girls with vulvovaginitis received at The Children's Hospital, Zhejiang University School of Medicine during 2016-2019 were studied. Vulval specimens were inoculated on Haemophilus selective chocolate agar. Antimicrobial susceptibility tests were performed using the disk diffusion method. A cenase disk was used to detect β-lactamase. Results: A total of 4142 vulval specimens were received during the 4 years, 649 isolates of H. inuenzae were isolated from 642 girls aged 6 months to 13 years, with a median of 5y. There were peaks of isolates from April to July seen in the vulval isolates. In total, the ampicillin resistance rate was 39.1% (250/640); 33.2% strains (211/636) were for β-lactamase-positive isolates, 6.6% strains (42/635) were β- lactamase-negative and ampicillin-resistant (BLNAR) isolates.