Intergenic dyad sequences (IDS) are short repeated elements that have been described for several Haemophilus genomes and for only two other bacterial genera. We developed a repetitive-element sequence-based PCR using an IDS-specific primer as a typing method (IDS-PCR) for nonencapsulated Haemophilus strains and compared this technique with pulsed-field gel electrophoresis (PFGE) of DNA restricted with SmaI. IDS-PCR was rapid, easy to perform, and reproducible, with a high discriminatory capacity for nontypeable Haemophilus influenzae (NTHI) strains. The 69 NTHI strains tested generated 65 different banding patterns. Epidemiologically related strains gave similar or identical fingerprints, and all of the unrelated strains except two showed different patterns. These results were in agreement with those obtained by PFGE. For 20 genital strains usually identified as being biotype IV NTHI and belonging to a cryptic genospecies of Haemophilus with remarkable genetic homogeneity, four bands were significantly present and six bands were significantly absent from the fingerprints. The 20 strains were gathered in 11 closely related profiles, whereas PFGE provided no band when DNA was treated with SmaI. IDS-PCR improved the differentiation previously obtained within this species by ribotyping and multilocus enzyme electrophoresis. Our findings suggest that IDS-PCR is a rapid, reliable, and discriminatory method for typing NTHI strains and is currently the most efficient method for distinguishing strains within the cryptic genospecies of Haemophilus.Nontypeable Haemophilus influenzae (NTHI) strains are human commensal bacteria that are responsible for a number of respiratory tract infections such as otitis media, bronchitis, and sinusitis. NTHI strains are also responsible for genital, motherinfant, and neonatal infections. A group of genital strains usually identified as biotype IV NTHI constitutes a cryptic genital genospecies that shows remarkable genetic homogeneity and forms a monophyletic unit with H. influenzae and Haemophilus haemolyticus (31,32).NTHI strains are extremely diverse, and many typing methods have been proposed for epidemiological studies and pathogenesis investigations. Biotyping and more-discriminatory phenotypic typing methods such as outer membrane protein analysis (2,25,26,33) and lipooligosaccharide analysis (6, 13, 26) have gradually been replaced by genotypic techniques. Multilocus enzyme electrophoresis (MLEE) (27, 30, 31) is a discriminatory technique but is also very laborious. DNA restriction fragment length polymorphism (RFLP) analysis (4, 20, 42) has a high discriminatory capacity but gives overly complex banding patterns. Analysis of rRNA gene restriction patterns (ribotyping) (4, 16, 32, 46) is a discriminatory but time-consuming method. Analysis of pulsed-field gel electrophoresis (PFGE) patterns in which genomic DNA is digested with a rare cutting restriction enzyme (1, 36) is currently considered to be the "gold standard" for H. influenzae typing but is also a laborious and time-consu...