Metagenomic next-generation sequencing of rectal swabs for the surveillance of antimicrobial-resistant organisms on the Illumina Miseq and Oxford MinION platforms.


Journal

European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology
ISSN: 1435-4373
Titre abrégé: Eur J Clin Microbiol Infect Dis
Pays: Germany
ID NLM: 8804297

Informations de publication

Date de publication:
Jan 2021
Historique:
received: 16 04 2020
accepted: 23 07 2020
pubmed: 13 8 2020
medline: 2 6 2021
entrez: 13 8 2020
Statut: ppublish

Résumé

Antimicrobial resistance (AMR) is a public health threat where efficient surveillance is needed to prevent outbreaks. Existing methods for detection of gastrointestinal colonization of multidrug-resistant organisms (MDRO) are limited to specific organisms or resistance mechanisms. Metagenomic next-generation sequencing (mNGS) is a more rapid and agnostic diagnostic approach for microbiome and resistome investigations. We determined if mNGS can detect MDRO from rectal swabs in concordance with standard microbiology results. We performed and compared mNGS performance on short-read Illumina MiSeq (N = 10) and long-read Nanopore MinION (N = 5) platforms directly from rectal swabs to detect vancomycin-resistant enterococci (VRE) and carbapenem-resistant Gram-negative organisms (CRO). We detected Enterococcus faecium (N = 8) and Enterococcus faecalis (N = 2) with associated van genes (9/10) in concordance with VRE culture-based results. We studied the microbiome and identified CRO, Pseudomonas aeruginosa (N = 1), Enterobacter cloacae (N = 1), and KPC-producing Klebsiella pneumoniae (N = 1). Nanopore real-time analysis detected the bla

Identifiants

pubmed: 32783106
doi: 10.1007/s10096-020-03996-4
pii: 10.1007/s10096-020-03996-4
doi:

Substances chimiques

Carbapenems 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

95-102

Références

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Auteurs

Rebecca Yee (R)

Department of Pathology, Division of Medical Microbiology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

Florian P Breitwieser (FP)

Center for Computational Biology, McKusick-Nathans Institute of Genetic Medicine, Johns Hopkins School of Medicine, Baltimore, MD, USA.

Stephanie Hao (S)

Department of Biomedical Engineering, Johns Hopkins University, Baltimore, MD, USA.

Belita N A Opene (BNA)

Department of Pathology, Division of Medical Microbiology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

Rachael E Workman (RE)

Department of Biomedical Engineering, Johns Hopkins University, Baltimore, MD, USA.

Pranita D Tamma (PD)

Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

Jennifer Dien-Bard (J)

Department of Pathology and Laboratory Medicine, Children's Hospital of Los Angeles and Keck School of Medicine at the University of Southern California, Los Angeles, CA, USA.

Winston Timp (W)

Department of Biomedical Engineering, Johns Hopkins University, Baltimore, MD, USA.

Patricia J Simner (PJ)

Department of Pathology, Division of Medical Microbiology, Johns Hopkins University School of Medicine, Baltimore, MD, USA. psimner1@jhmi.edu.

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