Initial studies found that Moraxella catarrhalis isolates from adults that grew on modified New York City medium (MNYC þ ) that contained antibiotics selective for pathogenic neisseriae differed from strains that did not grow on this medium (MNYC À ) in their potential virulence properties. It was predicted that higher usage of antibiotics to treat respiratory illness in children might result in higher proportions of MNYC þ isolates if antibiotics were an important selective pressure for this phenotype. Two of 100 adult isolates (2 %) were MNYC þ , compared to 88 of 88 isolates (100 %) from children (P ¼ 0·000). MNYC þ strains were serum-resistant and bound in higher numbers to
HEp-2 cells that were infected with respiratory syncytial virus (RSV). Endotoxin from an MNYCþ isolate induced significantly higher pro-inflammatory response levels than endotoxin from an MNYC À strain. MNYC À adult isolates expressed haemagglutinins and bound in lower numbers to RSV-infected cells, but serum resistance was variable. All isolates from children were MNYC þ , serum-resistant and bound in greater numbers to RSV-infected cells. These results indicate that both RSV infection and antibiotic usage select for the MNYC þ phenotype.