Distinct Streptococcus pneumoniae cause invasive disease in Papua New Guinea
- Mellor, Kate, Lo, Stephanie, Yoannes, Mition, Michael, Audrey, Orami, Tilda, Greenhill, Andrew, Breiman, Robert, Hawkins, Paulina, McGee, Lesley, Bentley, Stephen, Ford, Rebecca, Lehmann, Deborah
- Authors: Mellor, Kate , Lo, Stephanie , Yoannes, Mition , Michael, Audrey , Orami, Tilda , Greenhill, Andrew , Breiman, Robert , Hawkins, Paulina , McGee, Lesley , Bentley, Stephen , Ford, Rebecca , Lehmann, Deborah
- Date: 2022
- Type: Text , Journal article
- Relation: Microbial Genomics Vol. 8, no. 7 (2022), p.
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- Description: Streptococcus pneumoniae is a key contributor to childhood morbidity and mortality in Papua New Guinea (PNG). For the first time, whole genome sequencing of 174 isolates has enabled detailed characterisation of diverse S. pneumoniae causing invasive disease in young children in PNG, 1989-2014. This study captures the baseline S. pneumoniae population prior to the introduction of 13-valent pneumococcal conjugate vaccine (PCV13) into the national childhood immunisation programme in 2014. Relationships amongst lineages, serotypes and antimicrobial resistance traits were characterised, and the population was viewed in the context of a global collection of isolates. The analyses highlighted adiverse S. pneumoniae population associated with invasive disease in PNG, with 45 unique Global Pneumococcal Sequence Clusters (GPSCs) observed amongst the 174 isolates reflecting multiple lineages observed in PNG that have not been identified in other geographic locations. The majority of isolates were from children with meningitis, of which 52% (n=72) expressed non-PCV13 serotypes. Over a third of isolates were predicted to be resistant to at least one antimicrobial. PCV13 serotype isolates had 10.1 times the odds of being multidrug-resistant (MDR) compared to non-vaccine serotype isolates, and no isolates with GPSCs unique to PNG were MDR. Serotype 2 was the most commonly identified serotype; we identified a highly clonal cluster of serotype 2 isolates unique to PNG, and a distinct second cluster indicative of long-distance transmission. Ongoing surveillance, including whole-genome sequencing, is needed to ascertain the impact of the national PCV13 programme upon the S. pneumoniae population, including serotype replacement and antimicrobial resistance traits. © 2022 The Authors.
- Authors: Mellor, Kate , Lo, Stephanie , Yoannes, Mition , Michael, Audrey , Orami, Tilda , Greenhill, Andrew , Breiman, Robert , Hawkins, Paulina , McGee, Lesley , Bentley, Stephen , Ford, Rebecca , Lehmann, Deborah
- Date: 2022
- Type: Text , Journal article
- Relation: Microbial Genomics Vol. 8, no. 7 (2022), p.
- Full Text:
- Reviewed:
- Description: Streptococcus pneumoniae is a key contributor to childhood morbidity and mortality in Papua New Guinea (PNG). For the first time, whole genome sequencing of 174 isolates has enabled detailed characterisation of diverse S. pneumoniae causing invasive disease in young children in PNG, 1989-2014. This study captures the baseline S. pneumoniae population prior to the introduction of 13-valent pneumococcal conjugate vaccine (PCV13) into the national childhood immunisation programme in 2014. Relationships amongst lineages, serotypes and antimicrobial resistance traits were characterised, and the population was viewed in the context of a global collection of isolates. The analyses highlighted adiverse S. pneumoniae population associated with invasive disease in PNG, with 45 unique Global Pneumococcal Sequence Clusters (GPSCs) observed amongst the 174 isolates reflecting multiple lineages observed in PNG that have not been identified in other geographic locations. The majority of isolates were from children with meningitis, of which 52% (n=72) expressed non-PCV13 serotypes. Over a third of isolates were predicted to be resistant to at least one antimicrobial. PCV13 serotype isolates had 10.1 times the odds of being multidrug-resistant (MDR) compared to non-vaccine serotype isolates, and no isolates with GPSCs unique to PNG were MDR. Serotype 2 was the most commonly identified serotype; we identified a highly clonal cluster of serotype 2 isolates unique to PNG, and a distinct second cluster indicative of long-distance transmission. Ongoing surveillance, including whole-genome sequencing, is needed to ascertain the impact of the national PCV13 programme upon the S. pneumoniae population, including serotype replacement and antimicrobial resistance traits. © 2022 The Authors.
Genomic diversity and antimicrobial resistance among non-typhoidal Salmonella associated with human disease in The Gambia
- Darboe, Saffiatou, Bradbury, Richard, Phelan, Jody, Kanteh, Abdoulie, Muhammad, Abdul-Khalie, Worwui, Archibald, Yang, Shangxin, Nwakanma, Davis, Perez-Sepulveda, Blanca, Kariuki, Samuel, Kwambana-Adams, Brenda, Antonio, Martin
- Authors: Darboe, Saffiatou , Bradbury, Richard , Phelan, Jody , Kanteh, Abdoulie , Muhammad, Abdul-Khalie , Worwui, Archibald , Yang, Shangxin , Nwakanma, Davis , Perez-Sepulveda, Blanca , Kariuki, Samuel , Kwambana-Adams, Brenda , Antonio, Martin
- Date: 2022
- Type: Text , Journal article
- Relation: Microbial Genomics Vol. 8, no. 3 (2022), p.
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- Description: Non-typhoidal Salmonella associated with multidrug resistance cause invasive disease in sub-Saharan Africa. Specific lineages of serovars Typhimurium and Enteritidis have been implicated. Here we characterized the genomic diversity of 100 clinical non-typhoidal Salmonella collected from 93 patients in 2001 from the eastern, and in 2006–2018 from the western regions of The Gambia respectively. A total of 93 isolates (64 invasive, 23 gastroenteritis and six other sites) representing a single infection episode were phenotypically tested for antimicrobial susceptibility using the Kirby–Bauer disc diffusion technique. Whole genome sequencing of 100 isolates was performed using Illumina, and the reads were assembled and analysed using SPAdes. The Salmonella in Silico Typing Resource (SISTR) was used for serotyping. SNP differences among the 93 isolates were determined using Roary, and phylogenetic analysis was performed in the context of 495 African strains from the European Nucleotide Archive. Salmonella serovars Typhimurium (26/64; 30.6%) and Enteritidis (13/64; 20.3%) were associated with invasive disease, whilst other serovars were mainly responsible for gastroenteritis (17/23; 73.9%). The presence of three major serovar Enteritidis clades was confirmed, including the invasive West African clade, which made up more than half (11/16; 68.8%) of the genomes. Multidrug resistance was confined among the serovar Enteritidis West African clade. The presence of this epidemic virulent clade has potential for spread of resistance and thus important implications for systematic patient management. Surveillance and epidemiological investigations to inform control are warranted. © 2022 The Authors.
- Authors: Darboe, Saffiatou , Bradbury, Richard , Phelan, Jody , Kanteh, Abdoulie , Muhammad, Abdul-Khalie , Worwui, Archibald , Yang, Shangxin , Nwakanma, Davis , Perez-Sepulveda, Blanca , Kariuki, Samuel , Kwambana-Adams, Brenda , Antonio, Martin
- Date: 2022
- Type: Text , Journal article
- Relation: Microbial Genomics Vol. 8, no. 3 (2022), p.
- Full Text:
- Reviewed:
- Description: Non-typhoidal Salmonella associated with multidrug resistance cause invasive disease in sub-Saharan Africa. Specific lineages of serovars Typhimurium and Enteritidis have been implicated. Here we characterized the genomic diversity of 100 clinical non-typhoidal Salmonella collected from 93 patients in 2001 from the eastern, and in 2006–2018 from the western regions of The Gambia respectively. A total of 93 isolates (64 invasive, 23 gastroenteritis and six other sites) representing a single infection episode were phenotypically tested for antimicrobial susceptibility using the Kirby–Bauer disc diffusion technique. Whole genome sequencing of 100 isolates was performed using Illumina, and the reads were assembled and analysed using SPAdes. The Salmonella in Silico Typing Resource (SISTR) was used for serotyping. SNP differences among the 93 isolates were determined using Roary, and phylogenetic analysis was performed in the context of 495 African strains from the European Nucleotide Archive. Salmonella serovars Typhimurium (26/64; 30.6%) and Enteritidis (13/64; 20.3%) were associated with invasive disease, whilst other serovars were mainly responsible for gastroenteritis (17/23; 73.9%). The presence of three major serovar Enteritidis clades was confirmed, including the invasive West African clade, which made up more than half (11/16; 68.8%) of the genomes. Multidrug resistance was confined among the serovar Enteritidis West African clade. The presence of this epidemic virulent clade has potential for spread of resistance and thus important implications for systematic patient management. Surveillance and epidemiological investigations to inform control are warranted. © 2022 The Authors.
Wave 2 strains of atypical Vibrio cholerae El Tor caused the 2009-2011 cholera outbreak in Papua New Guinea
- Greenhill, Andrew, Mutreja, Ankur, Bulach, Dieter, Belousoff, Matthew, Jonduo, Marinjho, Collins, Deirdre, Kas, Monalisa, Wapling, Johanna, Seemann, Torsten, Lafana, Alice, Dougan, Gordon, Brown, Mark, Horwood, Paul
- Authors: Greenhill, Andrew , Mutreja, Ankur , Bulach, Dieter , Belousoff, Matthew , Jonduo, Marinjho , Collins, Deirdre , Kas, Monalisa , Wapling, Johanna , Seemann, Torsten , Lafana, Alice , Dougan, Gordon , Brown, Mark , Horwood, Paul
- Date: 2019
- Type: Text , Journal article
- Relation: Microbial genomics Vol. 5, no. 3 (2019), p. 1-5
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- Description: Vibrio cholerae is the causative agent of cholera, a globally important human disease for at least 200 years. In 2009-2011, the first recorded cholera outbreak in Papua New Guinea (PNG) occurred. We conducted genetic and phenotypic characterization of 21 isolates of V. cholerae, with whole-genome sequencing conducted on 2 representative isolates. The PNG outbreak was caused by an atypical El Tor strain harbouring a tandem repeat of the CTX prophage on chromosome II. Whole-genome sequence data, prophage structural analysis and the absence of the SXT integrative conjugative element was indicative that the PNG isolates were most closely related to strains previously isolated in South-East and East Asia with affiliations to global wave 2 strains. This finding suggests that the cholera outbreak in PNG was caused by an exotic (non-endemic) strain of V. cholerae that originated in South-East Asia.
- Authors: Greenhill, Andrew , Mutreja, Ankur , Bulach, Dieter , Belousoff, Matthew , Jonduo, Marinjho , Collins, Deirdre , Kas, Monalisa , Wapling, Johanna , Seemann, Torsten , Lafana, Alice , Dougan, Gordon , Brown, Mark , Horwood, Paul
- Date: 2019
- Type: Text , Journal article
- Relation: Microbial genomics Vol. 5, no. 3 (2019), p. 1-5
- Full Text:
- Reviewed:
- Description: Vibrio cholerae is the causative agent of cholera, a globally important human disease for at least 200 years. In 2009-2011, the first recorded cholera outbreak in Papua New Guinea (PNG) occurred. We conducted genetic and phenotypic characterization of 21 isolates of V. cholerae, with whole-genome sequencing conducted on 2 representative isolates. The PNG outbreak was caused by an atypical El Tor strain harbouring a tandem repeat of the CTX prophage on chromosome II. Whole-genome sequence data, prophage structural analysis and the absence of the SXT integrative conjugative element was indicative that the PNG isolates were most closely related to strains previously isolated in South-East and East Asia with affiliations to global wave 2 strains. This finding suggests that the cholera outbreak in PNG was caused by an exotic (non-endemic) strain of V. cholerae that originated in South-East Asia.
- Abdul Momin, Muhd, Bean, David, Hendriksen, Rene, Haenni, Marisa, Phee, Lynette, Wareham, David
- Authors: Abdul Momin, Muhd , Bean, David , Hendriksen, Rene , Haenni, Marisa , Phee, Lynette , Wareham, David
- Date: 2017
- Type: Text , Journal article
- Relation: Journal of Medical Microbiology Vol. 66, no. 11 (2017), p. 1554-1561
- Full Text: false
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- Description: Purpose. A selective chromogenic culture medium for the laboratory isolation and differentiation of colistin resistant Acinetobacter, Pseudomonas, Stenotrophomonas and Enterobacteriaceae spp. (CHROMagar COL-APSE) was developed, evaluated and compared to an existing selective bacterial culture medium (SuperPolymyxin). Methodology. The medium was challenged with 84 isolates, including polymyxin B (POL B)-susceptible and-resistant type strains and colistin (COL)-resistant organisms recovered from human and animal samples. Susceptibility to COL and POL B was determined by agar dilution and broth microtitre dilution. The lower limit for the detection of COL-resistant organisms was also calculated for both CHROMagar COL-APSE and SuperPolymyxin media. The ability to isolate and correctly differentiate COL-resistant organisms within mixed cultures was also assessed and compared using both media. Results. Using CHROMagar COL-APSE, Gram-negative pathogens (n=71) with intrinsic (n=8) or acquired COL (n=63) resistance were recovered with 100% specificity down to the lower limit of detection of 101 colony-forming units (c.f.u.). The growth on SuperPolymyxin was similar, but notably weaker for COL-resistant non-fermentative bacteria (Acinetobacter, Pseudomonas and Stenotrophomonas). CHROMagar COL-APSE was also more sensitive in supporting the growth of Enterobacteriaceae with COL resistance associated with the carriage of mcr-1. Conclusion. CHROMagar COL-APSE is a sensitive and specific medium for the growth of COL-resistant bacterial pathogens. Due to the low limit of detection (101 c.f.u.), it may be useful as a primary isolation medium in the surveillance and recovery of COL-resistant bacteria from complex human, veterinary and environmental samples, especially those with plasmidmediated MCR-1 or novel mechanisms of polymyxin resistance. © 2017 The Authors.
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