Whole-Genome Sequencing to Differentiate Relapse From Reinfection in Community-Onset Bacteremic Acinetobacter baumannii Pneumonia
Author(s) -
Ella M. Meumann,
Nicholas M. Anstey,
Bart J. Currie,
Kim A. Piera,
Rob Baird,
Derek S. Sarovich,
Joshua S. Davis
Publication year - 2019
Publication title -
open forum infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.546
H-Index - 35
ISSN - 2328-8957
DOI - 10.1093/ofid/ofz263
Subject(s) - acinetobacter baumannii , pneumonia , medicine , whole genome sequencing , acinetobacter , bacteremia , genome , microbiology and biotechnology , antibiotics , pseudomonas aeruginosa , gene , biology , bacteria , genetics
Community-onset bacteremic pneumonia recurred in 3 of 30 (10%) patients followed prospectively, all with ongoing hazardous alcohol intake, 3-56 months after initial pneumonia. Paired isolates underwent whole-genome sequencing. Phylogenetic analysis showed that recurrence strains were all distinct from preceding strains, indicating reinfection in susceptible individuals rather than relapse.
Accelerating Research
Robert Robinson Avenue,
Oxford Science Park, Oxford
OX4 4GP, United Kingdom
Address
John Eccles HouseRobert Robinson Avenue,
Oxford Science Park, Oxford
OX4 4GP, United Kingdom