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The first bacterium sequenced

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Haemophilus influenzae, formerly called Pfeiffer's bacillus or Bacillus influenzae, is a non-motile <a class="mw-redirect" title="Gram-negative" href="/wiki/Gram-negative">Gram-negative</a> <a title="Bacillus (shape)" href="/wiki/Bacillus_(shape)">rod-shaped</a> <a class="mw-redirect" title="Bacterium" href="/wiki/Bacterium">bacterium</a> first described in 1892 by <a title="Richard Friedrich Johannes Pfeiffer" href="/wiki/Richard_Friedrich_Johannes_Pfeiffer">Richard Pfeiffer</a> during an <a title="Influenza" href="/wiki/Influenza">influenza</a> <a title="Pandemic" href="/wiki/Pandemic">pandemic</a>. A member of the <a title="Pasteurellaceae" href="/wiki/Pasteurellaceae">Pasteurellaceae</a> family, it is generally <a title="Aerobic organism" href="/wiki/Aerobic_organism">aerobic</a>, but can grow as a <a class="mw-redirect" title="Facultative anaerobe" href="/wiki/Facultative_anaerobe">facultative anaerobe</a>.<a href="#cite_note-KuhnertChristensen-0">[1]</a> H. influenzae was mistakenly considered to be the cause of <a title="Influenza" href="/wiki/Influenza">influenza</a> until 1933, when the viral <a title="Etiology" href="/wiki/Etiology">etiology</a> of the flu became apparent. Still, H. influenzae is responsible for a wide range of clinical diseases.
H. influenzae was the first free-living organism to have its entire genome sequenced. The sequencing project was completed and published in 1995.

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<h2>Contents</h2>
[<a id="togglelink" class="internal" href="#">hide</a>]</div>
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<li class="toclevel-1 tocsection-1"><a href="#Serotypes">1 Serotypes</a></li>
<li class="toclevel-1 tocsection-2"><a href="#Diseases">2 Diseases</a></li>
<li class="toclevel-1 tocsection-3"><a href="#Diagnosis">3 Diagnosis</a>
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<li class="toclevel-2 tocsection-4"><a href="#Culture">3.1 Culture</a></li>
<li class="toclevel-2 tocsection-5"><a href="#Latex_particle_agglutination">3.2 Latex particle agglutination</a></li>
<li class="toclevel-2 tocsection-6"><a href="#Molecular_Methods">3.3 Molecular Methods</a></li>
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<li class="toclevel-1 tocsection-7"><a href="#Interaction_with_Streptococcus_pneumoniae">4 Interaction with Streptococcus pneumoniae</a></li>
<li class="toclevel-1 tocsection-8"><a href="#Treatment">5 Treatment</a></li>
<li class="toclevel-1 tocsection-9"><a href="#Sequencing">6 Sequencing</a></li>
<li class="toclevel-1 tocsection-10"><a href="#See_also">7 See also</a></li>
<li class="toclevel-1 tocsection-11"><a href="#References">8 References</a></li>
<li class="toclevel-1 tocsection-12"><a href="#External_links">9 External links</a></li>
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<h2>Serotypes</h2>
In 1930, 2 major categories of H. influenzae were defined: the unencapsulated strains and the encapsulated strains. Encapsulated strains were classified on the basis of their distinct capsular antigens. There are six generally recognized types of encapsulated H. influenzae: a, b, c, d, e, and f.<a href="#cite_note-Sherris-1">[2]</a> Genetic diversity among unencapsulated strains is greater than within the encapsulated group. Unencapsulated strains are termed nontypable (NTHi) because they lack capsular serotypes, however they can be classified by multi-locus sequence typing. The <a title="Pathogenesis" href="/wiki/Pathogenesis">pathogenesis</a> of H. influenzae infections is not completely understood, although the presence of the capsule in encapsulated type b (Hib), a serotype causing conditions such as <a title="Epiglottitis" href="/wiki/Epiglottitis">epiglottitis</a>, is known to be a major factor in virulence. Their capsule allows them to resist <a title="Phagocytosis" href="/wiki/Phagocytosis">phagocytosis</a> and complement-mediated <a title="Lysis" href="/wiki/Lysis">lysis</a> in the non-immune host. The unencapsulated strains are almost always less invasive, however they can produce an inflammatory response in humans which can lead to many symptoms. Vaccination with <a title="Hib vaccine" href="/wiki/Hib_vaccine">Hib conjugate vaccine</a> is effective in preventing Hib infection. Several vaccines are now available for routine use against Hib, however vaccines are not yet available against NTHi.
<h2>Diseases</h2>

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<th style="text-align: center; background-color: lightgrey; font-size: 125%; font-weight: bold" colspan="2">Haemophilus influenzae infection</th>
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<td style="text-align: center" colspan="2">Classification and external resources</td>
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<th style="text-align: left" scope="row"><a class="mw-redirect" title="ICD" href="/wiki/ICD">ICD</a>-<a class="mw-redirect" title="List of ICD-10 codes" href="/wiki/List_of_ICD-10_codes">10</a></th>
<td><a class="mw-redirect" title="ICD-10 Chapter A" href="/wiki/ICD-10_Chapter_A">A</a><a class="external text" href="http://apps.who.int/classifications/apps/icd/icd10online/?ga40.htm+a492" rel="nofollow">49.2</a></td>
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<th style="text-align: left" scope="row"><a class="mw-redirect" title="ICD" href="/wiki/ICD">ICD</a>-<a title="List of ICD-9 codes" href="/wiki/List_of_ICD-9_codes">9</a></th>
<td><a class="external text" href="http://www.icd9data.com/getICD9Code.ashx?icd9=041.5" rel="nofollow">041.5</a></td>
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<th style="text-align: left" scope="row"><a title="Diseases Database" href="/wiki/Diseases_Database">DiseasesDB</a></th>
<td><a class="external text" href="http://www.diseasesdatabase.com/ddb5570.htm" rel="nofollow">5570</a></td>
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<th style="text-align: left" scope="row"><a title="MedlinePlus" href="/wiki/MedlinePlus">MedlinePlus</a></th>
<td><a class="external text" href="http://www.nlm.nih.gov/medlineplus/ency/article/000612.htm" rel="nofollow">000612</a> (Meningitis)</td>
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<th style="text-align: left" scope="row"><a title="EMedicine" href="/wiki/EMedicine">eMedicine</a></th>
<td><a class="external text" href="http://search.medscape.com/emedicine-search?queryText=Haemophilus%20influenzae" rel="nofollow">topic list</a></td>
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Most strains of H. influenzae are opportunistic pathogens - that is, they usually live in their host without causing disease, but cause problems only when other factors (such as a viral infection or reduced immune function) create an opportunity.
Naturally-acquired disease caused by H. influenzae seems to occur in humans only. In infants and young children, H. influenzae type b (Hib) causes <a title="Bacteremia" href="/wiki/Bacteremia">bacteremia</a>, <a title="Pneumonia" href="/wiki/Pneumonia">pneumonia</a>, and acute bacterial <a title="Meningitis" href="/wiki/Meningitis">meningitis</a>. Occasionally, it causes <a title="Cellulitis" href="/wiki/Cellulitis">cellulitis</a>, <a title="Osteomyelitis" href="/wiki/Osteomyelitis">osteomyelitis</a>, <a title="Epiglottitis" href="/wiki/Epiglottitis">epiglottitis</a>, and <a class="mw-redirect" title="Infectious arthritis" href="/wiki/Infectious_arthritis">infectious arthritis</a>. Due to routine use of the Hib conjugate vaccine in the U.S. since 1990, the incidence of invasive Hib disease has decreased to 1.3/100,000 in children. However, Hib remains a major cause of lower respiratory tract infections in infants and children in developing countries where vaccine is not widely used. Unencapsulated H. influenzae causes ear infections (<a title="Otitis media" href="/wiki/Otitis_media">otitis media</a>), eye infections (<a title="Conjunctivitis" href="/wiki/Conjunctivitis">conjunctivitis</a>), and <a title="Sinusitis" href="/wiki/Sinusitis">sinusitis</a> in children and is associated with <a title="Pneumonia" href="/wiki/Pneumonia">pneumonia</a>.
<h2>Diagnosis</h2>
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H. influenzae Gram stain of a sputum sample, appear as Gram negative cocco-bacilli.<a href="#cite_note-2">[3]</a></div>
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Clinical diagnosis of H. influenzae is typically performed by <a class="mw-redirect" title="Bacterial culture" href="/wiki/Bacterial_culture">bacterial culture</a> or <a class="mw-redirect" title="Latex particle agglutination" href="/wiki/Latex_particle_agglutination">latex particle agglutination</a>. Diagnosis is considered confirmed when the organism is isolated from a sterile body site. In this respect, H. influenzae cultured from the nasopharyngeal cavity or sputum would not indicate H. influenzae disease because these sites are colonized in disease free individuals.<a href="#cite_note-Puri_1999-3">[4]</a> However H. influenzae isolated from cerebrospinal fluid or blood would indicate a H. influenzae infection.
<h3>Culture</h3>
Bacterial culture of H. influenzae is performed on agar plates, preferably <a title="Chocolate agar" href="/wiki/Chocolate_agar">Chocolate agar</a>, plate with added <a title="Hemin" href="/wiki/Hemin">X</a>(Hemin) & <a title="Nicotinamide adenine dinucleotide" href="/wiki/Nicotinamide_adenine_dinucleotide">V</a>(NAD) factors at 37°C in an enriched CO2 incubator.<a href="#cite_note-4">[5]</a> Blood agar growth is only achieved as a satellite phenomenon around other bacteria. Colonies of H. influenzae appear as convex, smooth, pale, grey or transparent colonies. <a class="mw-redirect" title="Gram stain" href="/wiki/Gram_stain">Gram-stained</a> and microscopic observation of a specimen of H. influenzae will show Gram-negative, coccobacilli, with no specific arrangement. The cultured organism can be further characterized using <a title="Catalase" href="/wiki/Catalase">catalase</a> and <a title="Oxidase" href="/wiki/Oxidase">oxidase</a> tests, both of which should be positive. Further serological is necessary to distinguish the capsular polysaccharide and differentiate between H. influenzae b and non-encapsulated species.
Although highly specific, bacterial culture of H. influenzae lacks in sensitivity. Use of antibiotics prior to sample collection greatly reduces the isolation rate by killing the bacteria before identification is possible.<a href="#cite_note-John_1991-5">[6]</a> Beyond this, H. influenzae is a finicky bacterium to culture, and any modification of culture procedures can greatly reduce isolation rates. Poor quality of laboratories in developing countries has resulted in poor isolation rates of H. influenzae.
H. influenzae will grow in the hemolytic zone of Staphylococcus aureus on Blood Agar plates. The hemolysis of cells by Staph. aureus releases nutrients vital to the growth of H. influenzae. H. influenzae will not grow outside the hemolytic zone of Staph. aureus due to the lack of nutrients in these areas.
<h3>Latex particle agglutination</h3>
<a class="mw-redirect" title="Latex particle agglutination test" href="/wiki/Latex_particle_agglutination_test">Latex particle agglutination test</a> (LAT) is a more sensitive method to detect H. influenzae than culture.<a href="#cite_note-Kennedy_2007-6">[7]</a> Because the method relies on antigen rather than viable bacteria, the results are not disrupted by prior antibiotic use. It also has the added benefit of being much quicker than culture methods. However, antibiotic sensitivity is not possible with LAT, so a parallel culture is necessary.
<h3>Molecular Methods</h3>
<a title="Polymerase chain reaction" href="/wiki/Polymerase_chain_reaction">Polymerase chain reaction</a> (PCR) assays have been proven to be more sensitive than either LAT or culture tests and highly specific.<a href="#cite_note-Kennedy_2007-6">[7]</a> However, PCR assays have not yet become routine in clinical settings. Counter-current immunoelectrophoresis has been shown to be an effective research diagnostic method, but has been largely supplanted by PCR.
<h2>Interaction with Streptococcus pneumoniae</h2>
Both H. influenzae and <a title="Streptococcus pneumoniae" href="/wiki/Streptococcus_pneumoniae">S. pneumoniae</a> can be found in the upper respiratory system of humans. A study of competition in a laboratory revealed that, in a petri dish, S. pneumoniae always overpowered H. influenzae by attacking it with <a title="Hydrogen peroxide" href="/wiki/Hydrogen_peroxide">hydrogen peroxide</a> and stripping off the surface molecules that H. influenzae needs for survival.
When both bacteria are placed together into a nasal cavity, within 2 weeks, only H. influenzae survives. When either is placed separately into a nasal cavity, each one survives. Upon examining the upper respiratory tissue from mice exposed to both bacteria species, an extraordinarily large number of <a class="mw-redirect" title="Neutrophils" href="/wiki/Neutrophils">neutrophils</a> (immune cells) was found. In mice exposed to only one bacteria, the cells were not present.
Lab tests showed that neutrophils exposed to dead H. influenzae were more aggressive in attacking S. pneumoniae than unexposed neutrophils. Exposure to dead H. influenzae had no effect on live H. influenzae.
Two scenarios may be responsible for this response:
<ol>
<li>When H. influenzae is attacked by S. pneumoniae, it signals the immune system to attack the S. pneumoniae</li>
<li>The combination of the two species together triggers an immune system response that is not set off by either species individually.</li>
</ol>
It is unclear why H. influenzae is not affected by the immune response.<a href="#cite_note-Lysenko_2005-7">[8]</a>
<h2>Treatment</h2>
Haemophilus influenzae produces beta-lactamases, and it is also able to modify its penicillin binding proteins, so it has gained resistance to the penicillin family of antibiotics. In severe cases <a title="Cefotaxime" href="/wiki/Cefotaxime">cefotaxime</a> and <a title="Ceftriaxone" href="/wiki/Ceftriaxone">ceftriaxone</a> are the elected antibiotics, delivered directly into the bloodstream, and for the less severe cases an association of <a title="Ampicillin" href="/wiki/Ampicillin">ampicillin</a> and <a title="Sulbactam" href="/wiki/Sulbactam">sulbactam</a>, <a class="mw-redirect" title="Cephalosporins" href="/wiki/Cephalosporins">cephalosporins</a> of the second and third generation, or <a class="mw-redirect" title="Fluoroquinolones" href="/wiki/Fluoroquinolones">fluoroquinolones</a>. Macrolide antibiotics (e.g. <a title="Clarithromycin" href="/wiki/Clarithromycin">clarithromycin</a>) may be used in patients with a history of allergy to beta-lactam antibiotics.
<h2>Sequencing</h2>
H. influenzae was the first free-living organism to have its entire genome sequenced. Haemophilus was chosen because one of the project leaders, Nobel laureate <a title="Hamilton Smith" href="/wiki/Hamilton_Smith">Hamilton Smith</a>, had been working on it for decades and was able to provide high-quality DNA libraries. The genome consists of 1,830,140 base pairs of DNA in a single circular chromosome that contains 1740 protein-coding genes, 58 transfer RNA genes <a class="mw-redirect" title="TRNA" href="/wiki/TRNA">tRNA</a>, and 18 other RNA genes. The sequencing method used was <a class="mw-redirect" title="Whole-genome shotgun" href="/wiki/Whole-genome_shotgun">Whole genome shotgun</a>. The sequencing project, completed and published in <a title="Science (journal)" href="/wiki/Science_(journal)">Science</a> in 1995, was conducted at <a title="The Institute for Genomic Research" href="/wiki/The_Institute_for_Genomic_Research">The Institute for Genomic Research</a>.<a href="#cite_note-Fleichmann_1995-8">[9]</a>
<h2>See also</h2>

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<td class="mbox-text">Wikimedia Commons has media related to: <a class="extiw" title="commons:Category:Haemophilus influenzae" href="http://commons.wikimedia.org/wiki/Category:Haemophilus_influenzae">Haemophilus influenzae</a></td>
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<ul>
<li><a title="Pasteurellaceae" href="/wiki/Pasteurellaceae">Pasteurellaceae</a></li>
<li><a title="Maurice Hilleman" href="/wiki/Maurice_Hilleman">Maurice Hilleman</a></li>
<li><a title="Hattie Alexander" href="/wiki/Hattie_Alexander">Hattie Alexander</a></li>
<li><a title="Hib vaccine" href="/wiki/Hib_vaccine">Hib vaccine</a></li>
<li><a title="Haemophilus influenzae cellulitis" href="/wiki/Haemophilus_influenzae_cellulitis">Haemophilus influenzae cellulitis</a></li>
</ul>
<h2>References</h2>
<div class="references-small">
<ol class="references">
<li id="cite_note-KuhnertChristensen-0"><a href="#cite_ref-KuhnertChristensen_0-0">^</a> Kuhnert P; Christensen H (editors). (2008). Pasteurellaceae: Biology, Genomics and Molecular Aspects. Caister Academic Press. <a title="International Standard Book Number" href="/wiki/International_Standard_Book_Number">ISBN</a> <a title="Special:BookSources/978-1-904455-34-9" href="/wiki/Special:BookSources/978-1-904455-34-9">978-1-904455-34-9</a>.<span class="Z3988" title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook&rft.genre=book&rft.btitle=Pasteurellaceae%3A+Biology%2C+Genomics+and+Molecular+Aspects&rft.aulast=Kuhnert+P%3B+Christensen+H+%28editors%29.&rft.au=Kuhnert+P%3B+Christensen+H+%28editors%29.&rft.date=2008&rft.pub=Caister+Academic+Press&rft.isbn=978-1-904455-34-9&rfr_id=info:sid/en.wikipedia.org:Haemophilus_influenzae"> </li>
<li id="cite_note-Sherris-1"><a href="#cite_ref-Sherris_1-0">^</a> Ryan KJ; Ray CG (editors) (2004). Sherris Medical Microbiology (4th ed.). McGraw Hill. pp. 396–401. <a title="International Standard Book Number" href="/wiki/International_Standard_Book_Number">ISBN</a> <a title="Special:BookSources/0838585299" href="/wiki/Special:BookSources/0838585299">0838585299</a>.<span class="Z3988" title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook&rft.genre=book&rft.btitle=Sherris+Medical+Microbiology&rft.aulast=Ryan+KJ%3B+Ray+CG+%28editors%29&rft.au=Ryan+KJ%3B+Ray+CG+%28editors%29&rft.date=2004&rft.pages=pp.%26nbsp%3B396%26ndash%3B401&rft.edition=4th&rft.pub=McGraw+Hill&rft.isbn=0838585299&rfr_id=info:sid/en.wikipedia.org:Haemophilus_influenzae"> </li>
<li id="cite_note-2"><a href="#cite_ref-2">^</a> Behrman, Richard E.; Robert M Kliegman and Hal B. Jenson (2004). <a class="external text" href="http://books.google.com/?id=6a_lLbxRKwkC" rel="nofollow">Nelson Tratado de Pediatría</a>. Elsevier. p. 904. <a title="International Standard Book Number" href="/wiki/International_Standard_Book_Number">ISBN</a> <a title="Special:BookSources/8481747475" href="/wiki/Special:BookSources/8481747475">8481747475</a>. <a class="external free" href="http://books.google.com/?id=6a_lLbxRKwkC" rel="nofollow">http://books.google.com/?id=6a_lLbxRKwkC</a>. Retrieved 2009-09-11.<span class="Z3988" title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook&rft.genre=book&rft.btitle=Nelson+Tratado+de+Pediatr%C3%ADa&rft.aulast=Behrman&rft.aufirst=Richard+E.&rft.au=Behrman%2C%26%2332%3BRichard+E.&rft.date=2004&rft.pages=p.%26nbsp%3B904&rft.pub=Elsevier&rft.isbn=8481747475&rft_id=http%3A%2F%2Fbooks.google.com%2F%3Fid%3D6a_lLbxRKwkC&rfr_id=info:sid/en.wikipedia.org:Haemophilus_influenzae"> </li>
<li id="cite_note-Puri_1999-3"><a href="#cite_ref-Puri_1999_3-0">^</a> Puri J, Talwar V, Juneja M, Agarwal KN, Gupta HC (1999). "Prevalence of anti-microbial resistance among respiratory isolates of Haemophilus influenzae". Indian Pediatr 36 (10): 1029–32. <a class="mw-redirect" title="PubMed Identifier" href="/wiki/PubMed_Identifier">PMID</a> <a class="external text" href="http://www.ncbi.nlm.nih.gov/pubmed/10745313" rel="nofollow">10745313</a>.<span class="Z3988" title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Prevalence+of+anti-microbial+resistance+among+respiratory+isolates+of+Haemophilus+influenzae&rft.jtitle=Indian+Pediatr&rft.aulast=Puri+J%2C+Talwar+V%2C+Juneja+M%2C+Agarwal+KN%2C+Gupta+HC&rft.au=Puri+J%2C+Talwar+V%2C+Juneja+M%2C+Agarwal+KN%2C+Gupta+HC&rft.date=1999&rft.volume=36&rft.issue=10&rft.pages=1029%E2%80%9332&rft_id=info:pmid/10745313&rfr_id=info:sid/en.wikipedia.org:Haemophilus_influenzae"> </li>
<li id="cite_note-4"><a href="#cite_ref-4">^</a> Generic protocol for population-based surveillance of Haemophilus influenzae type B. World Health Organization. 1997. WHO/VRD/GEN/95.05.<span class="Z3988" title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook&rft.genre=book&rft.btitle=Generic+protocol+for+population-based++surveillance+of+Haemophilus+influenzae+type+B&rft.date=1997&rft.pub=World+Health+Organization&rfr_id=info:sid/en.wikipedia.org:Haemophilus_influenzae"> </li>
<li id="cite_note-John_1991-5"><a href="#cite_ref-John_1991_5-0">^</a> John TJ, Cherian T, Steinhoff MC, Simoes EA, John M (1991). "Etiology of acute respiratory infections in children in tropical southern India". Rev Infect Dis 13: Suppl 6:S463–9. <a class="mw-redirect" title="PubMed Identifier" href="/wiki/PubMed_Identifier">PMID</a> <a class="external text" href="http://www.ncbi.nlm.nih.gov/pubmed/1862277" rel="nofollow">1862277</a>.<span class="Z3988" title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Etiology+of+acute+respiratory+infections+in+children+in+tropical+southern+India&rft.jtitle=Rev+Infect+Dis&rft.aulast=John+TJ%2C+Cherian+T%2C+Steinhoff+MC%2C+Simoes+EA%2C+John+M&rft.au=John+TJ%2C+Cherian+T%2C+Steinhoff+MC%2C+Simoes+EA%2C+John+M&rft.date=1991&rft.volume=13&rft.pages=Suppl+6%3AS463%E2%80%939&rft_id=info:pmid/1862277&rfr_id=info:sid/en.wikipedia.org:Haemophilus_influenzae"> </li>
<li id="cite_note-Kennedy_2007-6">^ <a href="#cite_ref-Kennedy_2007_6-0">a</a> <a href="#cite_ref-Kennedy_2007_6-1">b</a> Kennedy WA, Chang SJ, Purdy K, LE T, Kilgore PE, Kim JS et al. (2007). <a class="external text" href="http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=2870670" rel="nofollow">"Incidence of bacterial meningitis in Asia using enhanced CSF testing: polymerase chain reaction, latex agglutination and culture"</a>. Epidemiol Infect 135 (7): 1217–26. <a title="Digital object identifier" href="/wiki/Digital_object_identifier">doi</a>:<a class="external text" href="http://dx.doi.org/10.1017%2FS0950268806007734" rel="nofollow">10.1017/S0950268806007734</a>. <a class="mw-redirect" title="PubMed Identifier" href="/wiki/PubMed_Identifier">PMID</a> <a class="external text" href="http://www.ncbi.nlm.nih.gov/pubmed/17274856" rel="nofollow">17274856</a>.<span class="Z3988" title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Incidence+of+bacterial+meningitis+in+Asia+using+enhanced+CSF+testing%3A+polymerase+chain+reaction%2C+latex+agglutination+and+culture&rft.jtitle=Epidemiol+Infect&rft.aulast=Kennedy+WA%2C+Chang+SJ%2C+Purdy+K%2C+LE+T%2C+Kilgore+PE%2C+Kim+JS+et+al.&rft.au=Kennedy+WA%2C+Chang+SJ%2C+Purdy+K%2C+LE+T%2C+Kilgore+PE%2C+Kim+JS+et+al.&rft.date=2007&rft.volume=135&rft.issue=7&rft.pages=1217%E2%80%9326&rft_id=info:doi/10.1017%2FS0950268806007734&rft_id=info:pmid/17274856&rfr_id=info:sid/en.wikipedia.org:Haemophilus_influenzae"> </li>
<li id="cite_note-Lysenko_2005-7"><a href="#cite_ref-Lysenko_2005_7-0">^</a> Lysenko E, Ratner A, Nelson A, Weiser J (2005). <a class="external text" href="http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=1238736" rel="nofollow">"The role of innate immune responses in the outcome of interspecies competition for colonization of mucosal surfaces"</a>. PLoS Pathog 1 (1): e1. <a title="Digital object identifier" href="/wiki/Digital_object_identifier">doi</a>:<a class="external text" href="http://dx.doi.org/10.1371%2Fjournal.ppat.0010001" rel="nofollow">10.1371/journal.ppat.0010001</a>. <a class="mw-redirect" title="PubMed Identifier" href="/wiki/PubMed_Identifier">PMID</a> <a class="external text" href="http://www.ncbi.nlm.nih.gov/pubmed/16201010" rel="nofollow">16201010</a>.<span class="Z3988" title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=The+role+of+innate+immune+responses+in+the+outcome+of+interspecies+competition+for+colonization+of+mucosal+surfaces&rft.jtitle=PLoS+Pathog&rft.aulast=Lysenko+E%2C+Ratner+A%2C+Nelson+A%2C+Weiser+J&rft.au=Lysenko+E%2C+Ratner+A%2C+Nelson+A%2C+Weiser+J&rft.date=2005&rft.volume=1&rft.issue=1&rft.pages=e1&rft_id=info:doi/10.1371%2Fjournal.ppat.0010001&rft_id=info:pmid/16201010&rfr_id=info:sid/en.wikipedia.org:Haemophilus_influenzae"> </li>
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</ol>
</div>
<h2> External links</h2>
<ul>
<li><a class="external text" href="http://www.who.int/immunization/topics/hib/en/index.html" rel="nofollow">Hib information</a> on the <a title="World Health Organization" href="/wiki/World_Health_Organization">World Health Organization</a> (WHO) site.</li>
<li><a class="external text" href="http://www.cdc.gov/ncidod/dbmd/diseaseinfo/haeminfluserob_t.htm" rel="nofollow">Fact sheet</a> on the <a title="Centers for Disease Control and Prevention" href="/wiki/Centers_for_Disease_Control_and_Prevention">Centers for Disease Control and Prevention</a> (CDC) site.</li>
<li><a class="external text" href="http://www.hibaction.org" rel="nofollow">Hib Initiative</a> - from <a title="Johns Hopkins University" href="/wiki/Johns_Hopkins_University">Johns Hopkins University</a>, <a title="London School of Hygiene & Tropical Medicine" href="/wiki/London_School_of_Hygiene_%26_Tropical_Medicine">London School of Hygiene & Tropical Medicine</a>, <a title="Centers for Disease Control and Prevention" href="/wiki/Centers_for_Disease_Control_and_Prevention">CDC</a> & <a title="World Health Organization" href="/wiki/World_Health_Organization">WHO</a></li>
<li><a class="external text" href="http://www.worldpneumoniaday.org" rel="nofollow">November 2nd: World Pneumonia Day Website</a></li>
</ul>

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