Haemophilus Influenza - The Major Cause of Bacterial Meningitis

Haemophilus influenza (formerly called Pfeiffer'sthe encapsulated group.
bacillus or Bacillus influenza) type b (Hib) bacteriumAlthough the unencapsulated strains are less invasive,
was the major cause of bacterial meningitis beforethey produce an inflammatory response in humans
the 1990s. But with the new Hib vaccines that arewhich can lead to many symptoms, such as mucosal
made available as part of the routine childhoodinfections while those invasive encapsulated strains
immunization schedule, the number of cases of thiscan affect many organs and cause diseases such as
type of meningitis have been greatly reduced.meningitis, septic arthritis and cellulitis.
However, when it occurs, it tends to be accompaniedAccording to Sherris Medical Microbiology (4th
by an upper respiratory infection, sinusitis or earedition), Hib infection can be effectively prevented
infection (otitis media).with the Hib conjugate vaccine. There are several
In 1930, two major types of Haemophilus influenzavaccines available for routine use against Hib.
were defined, which are the un-encapsulated strainsHowever, vaccines against un-encapsulated strains
and the encapsulated strains. Encapsulated strains(also termed as nontypable NTHi) are not yet
were identified based on their distinct capsularavailable.
antigens. There are six generally recognized types ofDepending on the cause of the infection, it can either
encapsulated Haemophilus influenzae, which are, a, b,resolve by itself within a few weeks, or it can turn
c, d, e, and f. Genetic diversity amonginto a life-threatening situation, such as a potentially
unencapsulated strains is much greater than withindeadly brain infection in young children.