Antimicrobial sensitivity trends and virulence genes in Shigella spp. from the Oceania region
- Malau, Elisheba, Ford, Rebecca, Valcanis, Mary, Jennison, Amy, Mosse, Jenny, Bean, David, Yoannes, Mition, Pomat, William, Horwood, Paul, Greenhill, Andrew
- Authors: Malau, Elisheba , Ford, Rebecca , Valcanis, Mary , Jennison, Amy , Mosse, Jenny , Bean, David , Yoannes, Mition , Pomat, William , Horwood, Paul , Greenhill, Andrew
- Date: 2018
- Type: Text , Journal article
- Relation: Infection, Genetics and Evolution Vol. 64, no. (2018), p. 52-56
- Full Text:
- Reviewed:
- Description: Shigella is a common cause of diarrhoea in Papua New Guinea (PNG) and other Oceania countries. However, little is known about the strains causing infection. Archived Shigella isolates (n = 72) were obtained from research laboratories in PNG and reference laboratories in Australia. Shigella virulence genes were detected by PCR, and antimicrobial susceptibility was determined by disk diffusion. The ipaH virulence gene was present in all 72 isolates. The prevalence of other virulence genes was variable, with ial, invE, ipaBCD, sen/ospD3 and virF present in 60% of isolates and set1A and set1B genes present in 42% of isolates. Most S. flexneri isolates contained genes encoding enterotoxin 1 and/or enterotoxin 2. Resistance to antibiotics was common, with 51/72 isolates resistant to 2–4 antimicrobials. A greater proportion of bacteria isolated since 2010 (relative to pre-2010 isolates) were resistant to commonly used antibiotics such as ampicillin, chloramphenicol, tetracycline, and trimethoprim-sulfamethoxazole; suggesting that antimicrobial resistance (AMR) in Shigella is increasing over time in the Oceania region. There is a need for improved knowledge regarding Shigella circulation in the Oceania region and further monitoring of AMR patterns. © 2018 Elsevier B.V.
- Authors: Malau, Elisheba , Ford, Rebecca , Valcanis, Mary , Jennison, Amy , Mosse, Jenny , Bean, David , Yoannes, Mition , Pomat, William , Horwood, Paul , Greenhill, Andrew
- Date: 2018
- Type: Text , Journal article
- Relation: Infection, Genetics and Evolution Vol. 64, no. (2018), p. 52-56
- Full Text:
- Reviewed:
- Description: Shigella is a common cause of diarrhoea in Papua New Guinea (PNG) and other Oceania countries. However, little is known about the strains causing infection. Archived Shigella isolates (n = 72) were obtained from research laboratories in PNG and reference laboratories in Australia. Shigella virulence genes were detected by PCR, and antimicrobial susceptibility was determined by disk diffusion. The ipaH virulence gene was present in all 72 isolates. The prevalence of other virulence genes was variable, with ial, invE, ipaBCD, sen/ospD3 and virF present in 60% of isolates and set1A and set1B genes present in 42% of isolates. Most S. flexneri isolates contained genes encoding enterotoxin 1 and/or enterotoxin 2. Resistance to antibiotics was common, with 51/72 isolates resistant to 2–4 antimicrobials. A greater proportion of bacteria isolated since 2010 (relative to pre-2010 isolates) were resistant to commonly used antibiotics such as ampicillin, chloramphenicol, tetracycline, and trimethoprim-sulfamethoxazole; suggesting that antimicrobial resistance (AMR) in Shigella is increasing over time in the Oceania region. There is a need for improved knowledge regarding Shigella circulation in the Oceania region and further monitoring of AMR patterns. © 2018 Elsevier B.V.
The molecular characterisation of shigella spp. from Papua New Guinea and Pacific Island Nations
- Authors: Malau, Elisheba
- Date: 2019
- Type: Text , Thesis , PhD
- Full Text:
- Description: In Papua New Guinea (PNG) and other low-middle income countries (LMICs) in Oceania, diarrhoea remains a leading cause of hospitalisation and death in children <5 years old; and is an important cause of illness in older children and adults. Shigella is one of four leading causes of diarrhoea globally and is likely a major cause of diarrhoea in Oceanic LMICs, particularly PNG. A survey was conducted among parents of children with diarrhoea in the PNG highlands, demonstrating limited access to, and application of, sanitation and hygiene; likely contributing to the transmission of Shigella and other pathogens in PNG. To better understand Shigella in Oceanic LMICs, multiple analyses of isolates from within PNG (n=38), far-northeastern Australia, and from travellers returning to Australia from Oceanic LMICs with shigellosis (n=34) were conducted. Antimicrobial susceptibility (by disc diffusion), detection of virulence genes by polymerase chain reaction (PCR) were conducted on all isolates, and whole genome sequencing (WGS) conducted on 63 isolates. Shigella spp. were commonly resistant to two or more classes of first-line antibiotics, with resistance more common in post-2010 relative to pre-2010 isolates. WGS was used to verify PCR detection of virulence genes, determine whether resistance could be predicted genetically, and conduct phylogenetic analysis of Shigella spp. in Oceania. WGS surpassed PCR in the detection of virulence genes, but correlated poorly with phenotypic antimicrobial resistance. Phylogenetic analysis revealed the intra- and inter-country relatedness. Three phylogenetic groups of S. flexneri co-exist in Oceanic LMICs (and far-northeastern Australia), the result of multiple incursions. Two lineages of S. sonnei were detected, one circulating in PNG and New Caledonia, and the other in various other countries including Fiji; with no geographical overlap of the two S. sonnei lineages. Incursions of Shigella into the Oceanic LMICs occur regularly, and are likely to occur again. This study provides evidence of the need for, and potential approach to, expanded surveillance of Shigella in the region.
- Description: Doctor of Philsophy
- Authors: Malau, Elisheba
- Date: 2019
- Type: Text , Thesis , PhD
- Full Text:
- Description: In Papua New Guinea (PNG) and other low-middle income countries (LMICs) in Oceania, diarrhoea remains a leading cause of hospitalisation and death in children <5 years old; and is an important cause of illness in older children and adults. Shigella is one of four leading causes of diarrhoea globally and is likely a major cause of diarrhoea in Oceanic LMICs, particularly PNG. A survey was conducted among parents of children with diarrhoea in the PNG highlands, demonstrating limited access to, and application of, sanitation and hygiene; likely contributing to the transmission of Shigella and other pathogens in PNG. To better understand Shigella in Oceanic LMICs, multiple analyses of isolates from within PNG (n=38), far-northeastern Australia, and from travellers returning to Australia from Oceanic LMICs with shigellosis (n=34) were conducted. Antimicrobial susceptibility (by disc diffusion), detection of virulence genes by polymerase chain reaction (PCR) were conducted on all isolates, and whole genome sequencing (WGS) conducted on 63 isolates. Shigella spp. were commonly resistant to two or more classes of first-line antibiotics, with resistance more common in post-2010 relative to pre-2010 isolates. WGS was used to verify PCR detection of virulence genes, determine whether resistance could be predicted genetically, and conduct phylogenetic analysis of Shigella spp. in Oceania. WGS surpassed PCR in the detection of virulence genes, but correlated poorly with phenotypic antimicrobial resistance. Phylogenetic analysis revealed the intra- and inter-country relatedness. Three phylogenetic groups of S. flexneri co-exist in Oceanic LMICs (and far-northeastern Australia), the result of multiple incursions. Two lineages of S. sonnei were detected, one circulating in PNG and New Caledonia, and the other in various other countries including Fiji; with no geographical overlap of the two S. sonnei lineages. Incursions of Shigella into the Oceanic LMICs occur regularly, and are likely to occur again. This study provides evidence of the need for, and potential approach to, expanded surveillance of Shigella in the region.
- Description: Doctor of Philsophy
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