Selected insights from application of whole-genome sequencing for outbreak investigations
- PMID: 23856896
- PMCID: PMC4104273
- DOI: 10.1097/MCC.0b013e3283636b8c
Selected insights from application of whole-genome sequencing for outbreak investigations
Abstract
Purpose of review: The advent of high-throughput whole-genome sequencing has the potential to revolutionize the conduct of outbreak investigation. Because of its ultimate resolution power for differentiating between closely related pathogen strains, whole-genome sequencing could augment the traditional epidemiologic investigations of infectious disease outbreaks.
Recent findings: The combination of whole-genome sequencing and intensive epidemiologic analysis provided new insights on the sources and transmission dynamics of large-scale epidemics caused by Escherichia coli and Vibrio cholerae, nosocomial outbreaks caused by methicillin-resistant Staphylococcus aureus, Klebsiella pneumoniae, Mycobacterium abscessus, community-centered outbreaks caused by Mycobacterium tuberculosis, and natural disaster-associated outbreaks caused by environmentally acquired molds.
Summary: When combined with traditional epidemiologic investigation, whole-genome sequencing has proven useful for elucidating the sources and transmission dynamics of disease outbreaks. Development of a fully automated bioinformatics pipeline for the analysis of whole-genome sequence data is much needed to make this powerful tool more widely accessible.
References
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- Rohde H, Qin J, Cui Y, et al. Open-source genomic analysis of Shiga-toxin-producing E. coli O104:H4. The New England journal of medicine. 2011;365(8):718–24. - PubMed
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- Grad YH, Lipsitch M, Feldgarden M, et al. Genomic epidemiology of the Escherichia coli O104:H4 outbreaks in Europe, 2011. Proceedings of the National Academy of Sciences of the United States of America. 2012;109(8):3065–70. [This article reported a molecular epidemiological analysis using multiplatform whole-genome sequencing and analysis of multiple isolates from the German and French outbreaks.] - PMC - PubMed
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- Underwood AP, Dallman T, Thomson NR, et al. Public health value of next-generation DNA sequencing of enterohemorrhagic Escherichia coli isolates from an outbreak. Journal of clinical microbiology. 2013;51(1):232–7. [Whole genome sequence was used to investigate an outbreak of enterohemorrhagic E. coli in the UK. Based on 16 genoes analysis, 4 SNPs was identified and used to design an assay to type 122 other outbreak isolates. The sequence data indicated that the outbreak strain was expanded and contaminated the environment and animals which led ultimately to human cases.] - PMC - PubMed
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