Enhanced Tracking of Nosocomial Transmission of Endemic Sequence Type 22 Methicillin-Resistant Staphylococcus aureus Type IV Isolates among Patients and Environmental Sites by Use of Whole-Genome Sequencing
Author(s) -
Peter M. Kinnevey,
Anna C. Shore,
Micheál Mac Aogáin,
Eilish Creamer,
Gráinne I. Brennan,
H. Humphreys,
Thomas R. Rogers,
Brian O’Connell,
David C. Coleman
Publication year - 2015
Publication title -
journal of clinical microbiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.349
H-Index - 255
eISSN - 1070-633X
pISSN - 0095-1137
DOI - 10.1128/jcm.02662-15
Subject(s) - methicillin resistant staphylococcus aureus , whole genome sequencing , staphylococcus aureus , biology , typing , staphylococcal infections , molecular epidemiology , transmission (telecommunications) , microbiology and biotechnology , virology , genome , genetics , gene , genotype , bacteria , electrical engineering , engineering
Whole-genome sequencing (WGS) of 41 patient and environmental sequence type 22 methicillin-resistantStaphylococcus aureus staphylococcal cassette chromosomemec type IV (ST22-MRSA-IV) isolates recovered over 6 weeks in one acute hospital ward in Dublin, Ireland, where ST22-MRSA IV is endemic, revealed 228 pairwise combinations differing by <40 single nucleotide variants corresponding to potential cross-transmission events (CTEs). In contrast, 15 pairwise combinations of isolates representing five CTEs were previously identified by conventional molecular epidemiological typing. WGS enhanced ST22-MRSA-IV tracking and highlighted potential transmission of MRSA via the hospital environment.
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