Whole-Genome Sequencing

全基因组测序
  • 文章类型: Journal Article
    我们报告了基因组装配草案,注释,和13个芽孢杆菌属的系统发育位置。在高(佛罗里达)或低(加利福尼亚)黄龙病压力下从柑橘林中分离的分离株。
    We report the draft genome assembly, annotation, and phylogenetic placement of 13 Bacillus spp. isolates isolated from citrus groves under high (Florida) or low (California) Huanglongbing disease pressure.
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  • 文章类型: Journal Article
    背景:女性生殖道先天性畸形(CM-FGT)的特征是输卵管发育异常,子宫,还有阴道,常伴有泌尿系统畸形,骨头和听觉然而,尚未发现明确的致病基因和分子遗传原因。
    方法:我们提出了迄今为止最大的CM-FGT全基因组测序研究,分析590名中国人:95名患者,442个案例控制,和53个家族控制。
    结果:在患者中,5.3%携带已知的CM-FGT相关变体。在编码和非编码调控区的两个维度上的谱系和病例对照分析揭示了七个新的从头拷贝数变异,12个罕见的单核苷酸变异,和10个罕见的3'非翻译区(UTR)突变的基因相关的CM-FGT,特别强调ASH1L作为致病基因。单细胞测序数据显示,大多数CM-FGT相关的风险基因在子宫发育早期是时空特异性表达的。
    结论:结论:这项研究确定了与CM-FGT相关的新变体,特别强调ASH1L作为致病基因。这些发现提供了对CM-FGT潜在遗传变异的见解,单细胞测序数据揭示了子宫发育早期关键风险基因的时空特异性表达模式。这项研究大大推进了对CM-FGT病因和遗传景观的理解,为产前筛查提供新的机会。
    BACKGROUND: Congenital malformations of the female genital tract (CM-FGT) are characterized by abnormal development of the fallopian tubes, uterus, and vagina, often accompanied by malformations in the urinary system, bones and hearing. However, no definitive pathogenic genes and molecular genetic causes have been identified.
    METHODS: We present the largest whole-genome sequencing study of CM-FGT to date, analyzing 590 individuals in China: 95 patients, 442 case-controls, and 53 familial controls.
    RESULTS: Among the patients, 5.3% carried known CM-FGT-related variants. Pedigree and case-control analyses in two dimensions of coding and non-coding regulatory regions revealed seven novel de novo copy number variations, 12 rare single-nucleotide variations, and 10 rare 3\' untranslated region (UTR) mutations in genes related to CM-FGT, particularly highlighting ASH1L as a pathogenic gene. Single-cell sequencing data showed that the majority of CM-FGT-related risk genes are spatiotemporally specifically expressed early in uterus development.
    CONCLUSIONS: In conclusion, this study identified novel variants related to CM-FGT, particularly highlighting ASH1L as a pathogenic gene. The findings provide insights into the genetic variants underlying CM-FGT, with single-cell sequencing data revealing spatiotemporal specific expression patterns of key risk genes early in uterine development. This study significantly advances the understanding of CM-FGT etiology and genetic landscape, offering new opportunities for prenatal screening.
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  • 文章类型: Journal Article
    世界上更多的人依靠水牛谋生,而不是其他驯养的动物,但它的遗传学仍未被广泛探索。1000布法罗基因组计划(1000BGP)为全球水牛种群研究提供了遗传资源,并为培育更可持续和多产的水牛提供了工具。在这里,我们报告了最连续的沼泽水牛基因组组装(PCC_UOA_SB_1v2),具有端粒和着丝粒重复序列的实质性分辨率,比现有的参考河水牛集合体多4倍,超过了最近公布的雄性沼泽水牛基因组。该组件与当前的参考文献一起用于比对140个水牛短阅读序列,并产生公共遗传资源,每个沼泽和河牛基因组平均具有约4100万个单核苷酸多态性。沼泽和河流水牛序列的比较显示〜1.5%的遗传差异,估计的发散时间发生在310万年前(95%CI,2.6-4.9)。1000BGP中采用的开放科学模型为具有全球经济相关性的物种提供了关键的基因组资源和工具。
    More people in the world depend on water buffalo for their livelihoods than on any other domesticated animals, but its genetics is still not extensively explored. The 1000 Buffalo Genomes Project (1000BGP) provides genetic resources for global buffalo population study and tools to breed more sustainable and productive buffaloes. Here we report the most contiguous swamp buffalo genome assembly (PCC_UOA_SB_1v2) with substantial resolution of telomeric and centromeric repeats, ∼4-fold more contiguous than the existing reference river buffalo assembly and exceeding a recently published male swamp buffalo genome. This assembly was used along with the current reference to align 140 water buffalo short-read sequences and produce a public genetic resource with an average of ∼41 million single nucleotide polymorphisms per swamp and river buffalo genome. Comparison of the swamp and river buffalo sequences showed ∼1.5% genetic differences, and estimated divergence time occurred 3.1 million years ago (95% CI, 2.6-4.9). The open science model employed in the 1000BGP provides a key genomic resource and tools for a species with global economic relevance.
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  • 文章类型: Journal Article
    tmexCD-toprJ的出现,一种新的质粒介导的抗性结瘤分裂(RND)型外排泵基因簇,通过降低细菌对最后手段的抗生素的敏感性,对公众健康构成重大威胁,包括替加环素.在2020年至2022年之间,从中国五家医院的30,000多名患者粪便样本中回收了18株携带tmexCD-toprJ基因的肺炎克雷伯菌。对这18个菌株的系统发育分析显示,携带tmexCD-toprJ的肺炎克雷伯菌在患者和医院环境中克隆传播。对18个携带tmexCD-toprJ的质粒的比较分析显示,在tmexCD-toprJ的遗传背景下具有保守性,尽管质粒之间的骨架结构不同。不活跃的抑制器,TNfxB1位于所有tmexCD1-toprJ1的前面,而TNfxB3位于tmexCD3-toprJ3的上游。缀合实验证明了质粒从三个菌株转移到受体大肠杆菌J53。在全球分布的237种携带tmexCD-toprJ的菌株中,大部分(92.83%)来自中国。这些菌株包括50种序列类型,最普遍的是ST11(12.66%),ST37(11.81%),和ST15(11.39%)。样本来自不同来源:47.26%来自人类,38.82%来自牲畜,和13.08%来自环境。最常见的tmexCD-toprJ基因型是tmexCD1-toprJ1(86.92%,n=206),其次是tmexCD2-toprJ2(8.86%,n=21)和tmexCD3-toprJ3(4.22%,n=10)。在家畜中发现了tmexCD1-toprJ1基因(44.66%,n=92),人类(39.81%,n=82),和环境样本(15.05%,n=31)。相比之下,tmexCD2-toprJ2和tmexCD3-toprJ3仅在人类样品中发现。此外,在79株携带碳青霉烯类耐药基因的肺炎克雷伯菌中检测到tmexCD-toprJ。鉴于tmexCD-toprJ在各种主机和环境中的存在,从“一个健康”的角度建立一个全面的监测系统尤为重要。
    The emergence of tmexCD-toprJ, a novel plasmid-mediated resistance-nodulation-division (RND) type efflux pump gene cluster, poses a significant threat to public health by diminishing bacterial susceptibility to the last-resort antibiotics, including tigecycline. Between 2020 and 2022, 18 Klebsiella pneumoniae strains carrying the tmexCD-toprJ gene were recovered from over 30,000 human stool samples collected from patients across five hospitals in China. Phylogenetic analysis of these 18 strains revealed clonal transmission of tmexCD-toprJ-carrying K. pneumoniae among patients and hospital settings. Comparative analysis of the 18 tmexCD-toprJ-carrying plasmids showed conservation in the genetic backgrounds of tmexCD-toprJ, despite the diverse backbone structures among the plasmids. The inactive suppressor, TNfxB1, is located in front of all tmexCD1-toprJ1, while TNfxB3 is located upstream of tmexCD3-toprJ3. Conjugation experiments demonstrated the transferability of plasmids from three strains to the recipient Escherichia coli J53. Among all 237 globally distributed tmexCD-toprJ-carrying strains, the majority (92.83 %) were from China. These strains encompassed 50 sequence types, with the most prevalent being ST11 (12.66 %), ST37 (11.81 %), and ST15 (11.39 %). Samples originated from various sources: 47.26 % from human, 38.82 % from livestock, and 13.08 % from the environment. The most common tmexCD-toprJ genotype was tmexCD1-toprJ1 (86.92 %, n = 206), followed by tmexCD2-toprJ2 (8.86 %, n = 21) and tmexCD3-toprJ3 (4.22 %, n = 10). The tmexCD1-toprJ1 gene was found in livestock (44.66 %, n = 92), humans (39.81 %, n = 82), and environmental samples (15.05 %, n = 31). In contrast, tmexCD2-toprJ2 and tmexCD3-toprJ3 were only found in human samples. Additionally, tmexCD-toprJ has been detected in 79 strains of K. pneumoniae harboring carbapenem-resistance genes. Given the presence of tmexCD-toprJ across various hosts and environments, establishing a comprehensive surveillance system from a One Health perspective is particularly vital.
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  • 文章类型: Journal Article
    背景:耐碳青霉烯类鲍曼不动杆菌(CRAB)经常导致医疗相关感染和烧伤医学/整形外科及其他地区的医院爆发。由于抗生素耐药性高,感染很难治疗,患者的预后经常受到损害。CRAB的环境持久性能力有利于其在医院中的传播。全面分析和了解CRAB流行病学和微生物学对于指导管理至关重要。
    方法:在德国三级烧伤和整形外科中心进行了一项为期三年的回顾性队列研究(2020-2022)。除了流行病学分析,微生物和分子技术,包括全基因组测序,用于对CRAB阳性患者的分离株进行全面检查。
    结果:在研究期间,发现了8个CRAB病例,对应于每100例0.2例CRAB病例的总发生率和每1000例患者-日0.35例CRAB病例的发生率。6例(75%)在烧伤重症监护室接受治疗,4例(50%)在医院获得CRAB。包含74个分离株的分子分析支持流行病学假设,即医院收购发生在两个单独的集群中。在其中一个集群中,麻醉设备的环境CRAB污染可能已启用传输。此外,观察到患者体内CRAB分离株的分子多样性。
    结论:CRAB在感染预防和控制方面可能构成挑战,特别是如果病例在时间和空间上聚集在病房上。我们的研究表明,对单个患者的几种细菌分离株进行高分辨率系统发育分析可以极大地帮助理解传播链,并有助于采取精确的控制措施。
    BACKGROUND: Carbapenem-resistant Acinetobacter baumannii (CRAB) frequently causes both healthcare-associated infections and nosocomial outbreaks in burn medicine/plastic surgery and beyond. Owing to the high antibiotic resistance, infections are difficult to treat, and patient outcomes are often compromised. The environmental persistence capability of CRAB favors its transmission in hospitals. A comprehensive analysis and understanding of CRAB epidemiology and microbiology are essential for guiding management.
    METHODS: A three-year retrospective cohort study (2020-2022) was conducted in a German tertiary burn and plastic surgery center. In addition to epidemiological analyses, microbiological and molecular techniques, including whole-genome sequencing, were applied for the comprehensive examination of isolates from CRAB-positive patients.
    RESULTS: During the study period, eight CRAB cases were found, corresponding to an overall incidence of 0.2 CRAB cases per 100 cases and an incidence density of 0.35 CRAB cases per 1000 patient-days. Six cases (75%) were treated in the burn intensive care unit, and four cases (50%) acquired CRAB in the hospital. Molecular analyses comprising 74 isolates supported the epidemiologic assumption that hospital acquisitions occurred within two separate clusters. In one of these clusters, environmental CRAB contamination of anesthesia equipment may have enabled transmission. Furthermore, molecular diversity of CRAB isolates within patients was observed.
    CONCLUSIONS: CRAB can pose a challenge in terms of infection prevention and control, especially if cases are clustered in time and space on a ward. Our study demonstrates that high-resolution phylogenetic analysis of several bacterial isolates from single patients can greatly aid in understanding transmission chains and helps to take precision control measures.
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  • 文章类型: Journal Article
    2022年向世界卫生组织(WHO)报告的霍乱病例数量是2021年的两倍多。世卫组织欧洲区域的9个国家在2022年报告了51例霍乱病例,而在2021年报告了5例。我们旨在确认2022年世卫组织欧洲区域国家报告的霍乱弧菌O1分离株属于第七次大流行ElTor谱系(7PET)。我们还研究了它们的毒力,抗菌素耐药性(AMR)决定因素和系统发育关系。方法我们使用微生物基因组学研究了从51例欧洲病例中回收的49株霍乱弧菌O1。我们还使用了>1,450个公开可用的7PET基因组来为这49个分离株提供全球系统发生背景。结果获得的46个优质基因组全部属于7PET谱系。除两个分离株外,所有分离株都属于基因组Wave3,并分为三个子谱系,其中之一,前AFR15,占主导地位(34/44)。这个子谱系,对应于来自南亚几个国家的分离株,中东和东部或南部非洲,可能是2022年全球霍乱病例激增的主要原因。从46个基因组的AMR基因含量的分析中没有推断出异常的AMR谱。结论高收入国家的参考实验室应使用全基因组测序将霍乱弧菌O1分离株正式分配到7PET或非流行性谱系。基于旅行者分离株的定期协作基因组研究可以提供有关循环菌株及其进化的有用信息,特别是关于AMR。
    BackgroundThe number of cholera cases reported to the World Health Organization (WHO) in 2022 was more than double that of 2021. Nine countries of the WHO European Region reported 51 cases of cholera in 2022 vs five reported cases in 2021.AimWe aimed to confirm that the Vibrio cholerae O1 isolates reported by WHO European Region countries in 2022 belonged to the seventh pandemic El Tor lineage (7PET). We also studied their virulence, antimicrobial resistance (AMR) determinants and phylogenetic relationships.MethodsWe used microbial genomics to study the 49 V. cholerae O1 isolates recovered from the 51 European cases. We also used > 1,450 publicly available 7PET genomes to provide a global phylogenetic context for these 49 isolates.ResultsAll 46 good-quality genomes obtained belonged to the 7PET lineage. All but two isolates belonged to genomic Wave 3 and were grouped within three sub-lineages, one of which, Pre-AFR15, predominated (34/44). This sub-lineage, corresponding to isolates from several countries in Southern Asia, the Middle East and Eastern or Southern Africa, was probably a major contributor to the global upsurge of cholera cases in 2022. No unusual AMR profiles were inferred from analysis of the AMR gene content of the 46 genomes.ConclusionReference laboratories in high-income countries should use whole genome sequencing to assign V. cholerae O1 isolates formally to the 7PET or non-epidemic lineages. Periodic collaborative genomic studies based on isolates from travellers can provide useful information on the circulating strains and their evolution, particularly as concerns AMR.
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  • 文章类型: Journal Article
    2011年,一个新的耐甲氧西林基因,mecC,在人和牛金黄色葡萄球菌分离株中描述。mecC阳性金黄色葡萄球菌最常见于欧洲的牲畜和野生动物种群,在刺猬中尤为普遍。但只是偶尔引起人类感染。在这项研究中,我们对来自新西兰的两个含有mecC基因的人类金黄色葡萄球菌分离株进行了表征和研究。作为金黄色葡萄球菌菌血症研究的一部分,从患有严重侵袭感染的患者中鉴定出两种分离物。全基因组测序用于表征葡萄球菌盒染色体mec(SCCmec)元件,并与来自mecC相关克隆复合物的公开可用菌株进行系统发育比较,包括来自新西兰和欧洲/英国(UK)的刺猬的分离株,牲畜,来自欧洲/英国的野生动物和人类分离株。来自我们研究的两个分离株具有几乎相同的SCCmecXI型元件,其中包含mecC基因。然而,这个基因含有一个过早的终止密码子,与这些分离株观察到的甲氧西林敏感表型一致。核心基因组SNP分析表明,这两个分离株相距234个SNP,与从新西兰刺猬获得的分离株最密切相关。然而,人类和刺猬分离株之间的mecC移动元素存在相当大的差异,表明在新西兰环境中存在未知的mecC金黄色葡萄球菌。
    In 2011, a novel methicillin resistance gene, mecC, was described in human and bovine Staphylococcus aureus isolates. mecC-positive S. aureus is most commonly associated with livestock and wildlife populations across Europe and is particularly prevalent in hedgehogs, but only occasionally causes human infections. In this study, we characterize and investigate the origin of two human S. aureus isolates containing mecC genes from New Zealand. The two isolates were identified from patients with severe invasion infections as part of an S. aureus bacteraemia study. Whole-genome sequencing was used to characterize staphylococcal cassette chromosome mec (SCCmec) elements and perform phylogenetic comparisons with publicly available strains from mecC-associated clonal complexes, including isolates from hedgehogs from New Zealand and Europe/United Kingdom (UK), and livestock, wildlife and human isolates from Europe/UK. The two isolates from our study have almost identical SCCmec type XI elements containing a mecC gene. However, this gene contains a premature stop codon, consistent with the methicillin-susceptible phenotype observed for these isolates. Core genome SNP analyses showed that the two isolates are 234 SNPs apart and are most closely related to an isolate obtained from a New Zealand hedgehog. However, there are considerable differences in the mecC mobile element between the human and hedgehog isolates, indicating the presence of an as-yet-unknown reservoir of mecC S. aureus in the New Zealand environment.
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  • 文章类型: Journal Article
    背景:编码β-肌球蛋白重链蛋白的MYH7的致病变体,是扩张型和肥厚型心肌病的主要原因。
    方法:在本研究中,我们使用全基因组测序数据,在参与韩国国家生物大数据项目试点研究的397例各种心肌病亚型患者中鉴定了MYH7变异.我们还进行了计算机模拟分析,以预测新变体的致病性,将它们与已知的致病性错义变体进行比较。
    结果:我们在41例非相关心肌病患者中发现了27个MYH7变异,由20种先前已知的致病/可能的致病变体组成,2个不确定意义的变体,5个新的变种。值得注意的是,致病变体主要聚集在MYH7的肌球蛋白运动域内。我们证实了新发现的变异可能是致病的,如计算机模拟分析中的高预测分数所示,包括SIFT,突变评估员,PROVEAN,PolyPhen-2,CADD,REVEL,MetaLR,MetaRNN,和MetaSVM。此外,我们使用DynaMut2和Missense3D工具评估了它们对蛋白质动力学和稳定性的破坏作用。
    结论:总体而言,我们的研究确定了韩国心肌病患者中MYH7变异的分布,通过使用计算机模拟工具丰富新变体的致病性数据,并评估MYH7蛋白的功能和结构稳定性,为改善诊断提供新的见解。
    BACKGROUND: Pathogenic variants of MYH7, which encodes the beta-myosin heavy chain protein, are major causes of dilated and hypertrophic cardiomyopathy.
    METHODS: In this study, we used whole-genome sequencing data to identify MYH7 variants in 397 patients with various cardiomyopathy subtypes who were participating in the National Project of Bio Big Data pilot study in Korea. We also performed in silico analyses to predict the pathogenicity of the novel variants, comparing them to known pathogenic missense variants.
    RESULTS: We identified 27 MYH7 variants in 41 unrelated patients with cardiomyopathy, consisting of 20 previously known pathogenic/likely pathogenic variants, 2 variants of uncertain significance, and 5 novel variants. Notably, the pathogenic variants predominantly clustered within the myosin motor domain of MYH7. We confirmed that the novel identified variants could be pathogenic, as indicated by high prediction scores in the in silico analyses, including SIFT, Mutation Assessor, PROVEAN, PolyPhen-2, CADD, REVEL, MetaLR, MetaRNN, and MetaSVM. Furthermore, we assessed their damaging effects on protein dynamics and stability using DynaMut2 and Missense3D tools.
    CONCLUSIONS: Overall, our study identified the distribution of MYH7 variants among patients with cardiomyopathy in Korea, offering new insights for improved diagnosis by enriching the data on the pathogenicity of novel variants using in silico tools and evaluating the function and structural stability of the MYH7 protein.
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  • 文章类型: Journal Article
    弧菌属。,被称为重要的海洋病原体,由于全球变暖而变得更加普遍。释放到环境中的抗生素驱动弧菌抗性。海产品消费的增加导致弧菌和人类之间更多的相互作用。尽管有这种令人担忧的趋势,仍然缺乏对各类食品中弧菌污染的大规模监测。本研究分离出4027株弧菌,主要包括副溶血性弧菌和溶藻弧菌,从2013年到2022年,在3581个鲜虾和肉类产品中。弧菌菌株对重要抗生素的抗性增强,特别是用于治疗食源性细菌感染的β-内酰胺类。随机选择的591个菌株的全基因组测序显示,弧菌的抗生素抗性与基因型之间存在很强的相关性。值得注意的是,在过去的8年里,各种ESBL基因已经进化,blavebs是最主要的。此外,碳青霉烯酶基因,blaNDM-1等近年来越来越普遍。各种可移动的遗传元素,包括IncQ和IncA/C质粒,在弧菌中可回收,促进关键β-内酰胺酶基因的传播。这些数据提供了十年来食源性弧菌菌株抗微生物耐药性的进化特征的见解。政策制定者在制定适当的策略来对抗细菌抗菌素耐药性和维护人类健康时,应考虑这些发现。
    Vibrio spp., known as significant marine pathogens, have become more prevalent due to global warming. Antibiotics released into the environment drive Vibrio resistance. The increasing consumption of seafood leads to more interactions between Vibrio and humans. Despite this concerning trend, there remains a lack of large-scale surveillance for Vibrio contamination across various types of food. This study isolated 4027 Vibrio strains, primarily comprising V. parahaemolyticus and V. alginolyticus, in 3581 fresh shrimp and meat products from 2013 to 2022. The Vibrio strains showed increased resistance to important antibiotics, especially β-lactams used to treat foodborne bacterial infections. Whole genome sequencing of 591 randomly chosen strains showed a strong correlation between antibiotic resistance and genotypes in Vibrio. Notably, various ESBL genes have evolved over the past 8 years, with blaVEBs being the most dominant. Additionally, carbapenemase genes, such as blaNDM-1, have become increasingly prevalent in recent years. Various mobile genetic elements, including IncQ and IncA/C plasmids, recoverable in Vibrio, facilitate the transmission of crucial β-lactamase genes. These data provide insights into the evolutionary traits of antimicrobial resistance in foodborne Vibrio strains over a decade. Policymakers should consider these findings when devising appropriate strategies to combat bacterial antimicrobial resistance and safeguard human health.
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  • 文章类型: Journal Article
    Introduction.金黄色葡萄球菌是社区获得性菌血症(CAB)的主要病原体,与哥斯达黎加的死亡率和甲氧西林耐药性升高有关。差距声明和目标。为了更新和增强在这个国家获得的以前的数据,我们分析了三级医院54例金黄色葡萄球菌CAB的临床表现,并描述了序列类型(STs),病毒组,和相关分离株的耐药组。方法论。从患者档案中检索临床信息。通过圆盘扩散和自动表型测试获得抗生素敏感性曲线。利用基因组数据对分离株进行分型并检测抗性和毒力基因。结果。原发感染主要表现为骨和关节感染。其次是皮肤和软组织感染。令人震惊的是,70%的患者在治疗改变48小时后继续表现出积极的血液培养,近四分之一需要机械通气或发生感染性休克。30天死亡率达到惊人的40%。超过60%的患者被发现接受了次优或不适当的抗生素治疗,并且过度使用第三代头孢菌素作为经验性治疗的趋势令人担忧。实验室检查显示肌酐水平升高,白细胞增多,和在住院的第一个24小时内的绷带病。然而,大多数在48小时后显示出改善。分离株分为13个STs,以克隆复合物CC72(ST72)的代表为主,CC8(ST8),CC5(ST5,ST6),和CC1(ST188)。24个分离株的mecA检测呈阳性,以ST72菌株占20。此外,我们检测到赋予氨基糖苷类获得性抗性的基因,MLSB抗生素,甲氧苄啶/磺胺甲恶唑,以及分离株中氟喹诺酮耐药性的突变。与生物膜形成相关的基因,胶囊合成,外毒素的产生很普遍,与罕见的肠毒素或剥脱毒素基因检测相反。Conclusions.我们的发现扩大了我们对金黄色葡萄球菌感染的理解,在一个研究不足的地区,可以加强患者管理和治疗策略。
    Introduction. Staphylococcus aureus is a leading agent in community-acquired bacteraemia (CAB) and has been linked to elevated mortality rates and methicillin resistance in Costa Rica.Gap statement and aim. To update and enhance previous data obtained in this country, we analysed the clinical manifestations of 54 S. aureus CAB cases in a tertiary hospital and delineated the sequence types (STs), virulome, and resistome of the implicated isolates.Methodology. Clinical information was retrieved from patient files. Antibiotic susceptibility profiles were obtained with disc diffusion and automated phenotypic tests. Genomic data were exploited to type the isolates and for detection of resistance and virulence genes.Results. Primary infections predominantly manifested as bone and joint infections, followed by skin and soft tissue infections. Alarmingly, 70% of patients continued to exhibit positive haemocultures beyond 48 h of treatment modification, with nearly a quarter requiring mechanical ventilation or developing septic shock. The 30-day mortality rate reached an alarming 40%. More than 60% of the patients were found to have received suboptimal or inappropriate antibiotic treatment, and there was an alarming tendency towards the overuse of third-generation cephalosporins as empirical treatment. Laboratory tests indicated elevated creatinine levels, leukocytosis, and bandaemia within the first 24 h of hospitalization. However, most showed improvement after 48 h. The isolates were categorized into 13 STs, with a predominance of representatives from the clonal complexes CC72 (ST72), CC8 (ST8), CC5 (ST5, ST6), and CC1 (ST188). Twenty-four isolates tested positive for mecA, with ST72 strains accounting for 20. In addition, we detected genes conferring acquired resistance to aminoglycosides, MLSB antibiotics, trimethoprim/sulfamethoxazole, and mutations for fluoroquinolone resistance in the isolate collection. Genes associated with biofilm formation, capsule synthesis, and exotoxin production were prevalent, in contrast to the infrequent detection of enterotoxins or exfoliative toxin genes.Conclusions. Our findings broaden our understanding of S. aureus infections in a largely understudied region and can enhance patient management and treatment strategies.
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