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Mataseje, L.

Publications and source records attributed to Mataseje, L..

5 recordsLinked to original sources

Global genomic epidemiology of multi-carbapenemase Enterobacterales

Enterobacterales pathogens that encode multiple carbapenemase genes are an emerging public health threat. The genomic and plasmid context of the multi-carbapenemase producers has not yet been explored at scale. We analysed 1501 publicly-available global genomes that encoded two or more genes from the five prevalent carbapenemase families (IMP, KPC, NDM, OXA-48-like, and VIM). We observed 241 distinct allelic combinations, with NDM/OXA-48-like (25.6%), multiple KPC (25.3%), KPC/NDM (18.8%), and multiple NDM (10.9%) being the most common groups. We found that many genomes were part of high-risk lineages (48.0%). Most genomes carried carbapenemase genes on two plasmids (59.2%) or one plasmid (23.5%), and most genomes encoded different carbapenemase families (56.2%) rather than copies of the same allele (36.2%). We observed multiple mechanisms of multi-carbapenemase evolution including plasmid co-integration, convergence with virulence, and generation of novel allele diversity through duplication. Multi-carbapenemase plasmids had more AMR genes that conferred resistance to more AMR classes compared to plasmids encoding a single carbapenemase. The proportion of cross-class combinations (KPC/NDM and NDM/OXA-48-like) increased significantly over time, with NDM-5/OXA-181 (3.3-fold) and NDM-4/OXA-181 (8.9-fold) combinations enriched. These findings provide valuable insights into the genomic features of multi-carbapenemase Enterobacterales to support the development of effective surveillance programmes.

microbiology↗

Rapid identification of microbial pathogens and antimicrobial resistance from bloodstream infections using long-read sequencing

The gold standard for bloodstream infection (BSI) diagnostics involves culturing positive blood cultures (BC) using phenotypic methods for organism identification and antimicrobial resistance (AMR) testing, which can take up to five days. However, it is crucial to optimize antimicrobial therapy as soon as possible to reduce morbidity and mortality. We present a novel laboratory and bioinformatic workflow to rapidly identify bacterial and fungal organisms and AMR determinants from positive BCs using Oxford Nanopore Technologies long-read sequencing. Using a robust clinical sample size (n=307), after a BC has flagged positive, our average turnaround time from DNA extraction to determination of species identity was 4.4 h for a multiplex run of 12 BCs, and 3.7 h for a single sample run. We demonstrated that our pipeline taxonomic species identification results agreed with conventional MALDI-TOF identification for almost all positive BCs (97.7%, 300/307). Most species were accurately identified within the first hour of sequencing (93.7 %, 281/300). We explored AMR detection for clinically relevant antimicrobials and observed that assembly-based tools had higher agreement to conventional AST (81.2% after 1 h of sequencing, 89.6% after 5 h of sequencing) than read-based tools. Finally, we developed a publicly available analysis pipeline (venae) that generates a clinician-friendly HTML report, is quick to run, and can dynamically update as more sequencing data is acquired. This study demonstrates how applying rapid, real-time genomics to BSI diagnostics can support clinical decision-making and improve patient outcomes by reducing turnaround times. IMPACT STATMENTEarly pathogen detection and administration of appropriate antimicrobial therapy for BSIs has major impacts on patient survival; early administration of effective antimicrobials reduces mortality, morbidity, length of hospital stay, and development of antimicrobial resistance. Rapid real-time genomics has high potential to improve clinical decision-making and patient outcomes by reducing turnaround times (TATs) while providing high-resolution data for organism identification, AMR determination and pathogen typing. Here, we present a laboratory and bioinformatic workflow that accurately identifies species and AMR determinants in positive blood cultures within several hours, which is quicker than conventional methods which can take days. This workflow is a step forward on the path towards point-of-care diagnostics and applying real-time genomics to characterize microbial infections in clinical settings. DATA SUMMARYIllumina sequencing data for matching pure isolates were deposited in National Centre for Biotechnology Information Sequence Read Archive (NCBI SRA) BioProject PRJNA1380445. Bioinformatic analysis pipeline is available here: https://github.com/phac-nml/venae.

genomics↗

Identification of plasmid-mediated tigecycline resistance tet(x4) and New Delhi Metallo-β-lactamase (NDM) in an Escherichia coli isolate from Canada

SynopsisRapid spread of carbapenemase producing Enterobacterales is a global health threat for which Tigecycline is one of the few remaining therapeutic options. Resistance by tet(x4) is particularly worrisome given its presence on mobile genetic elements. Here we report on a tigecycline-resistant E.coli strain isolated from a patient returning from Pakistan. A tet(x4) gene was found on an IncFII plasmid isolated from an ST410 E.coli co-harbouring NDM-5. The combination of carbapenemase and tet(x4) is concerning.

microbiology↗

Do we still need Illumina sequencing data?: Evaluating Oxford Nanopore Technologies R10.4.1 flow cells and v14 library prep kits for Gram negative bacteria whole genome assemblies

The best whole genome assemblies are currently built from a combination of highly accurate short-read sequencing data and long-read sequencing data that can bridge repetitive and problematic regions. Oxford Nanopore Technologies (ONT) produce long-read sequencing platforms and they are continually improving their technology to obtain higher-quality read data that is approaching the quality obtained from short-read platforms such as Illumina. As these innovations continue, we were interested in evaluating how much ONT read coverage produced by the Rapid Barcoding Kit v14 (SQK-RBK114) is necessary to generate high-quality hybrid and long-read-only genome assemblies for a panel of carbapenemase-producing Enterobacterales bacterial isolates. We found that 30X long-read coverage is sufficient if Illumina data is available, and that 100X long-read coverage is recommended for long-read-only assemblies. We found that Illumina polishing is still improving SNVs and INDELs in long-read-only assemblies. We also examined if antimicrobial resistance genes could be accurately identified in long-read-only data, and found that Flye assemblies regardless of ONT coverage detected > 94 % of resistance genes at 100% identity and length. Overall, the Rapid Barcoding Kit v14 and long-read-only assemblies can be an optimal sequencing strategy depending on the specific use case and resources available.

microbiology↗

Plasmid Profiler: Comparative Analysis Of Plasmid Content In WGS Data

SummaryComparative analysis of bacterial plasmids from whole genome sequence (WGS) data generated from short read sequencing is challenging. This is due to the difficulty in identifying contigs harbouring plasmid sequence data, and further difficulty in assembling such contigs into a full plasmid. As such, few software programs and bioinformatics pipelines exist to perform comprehensive comparative analyses of plasmids within and amongst sequenced isolates. To address this gap, we have developed Plasmid Profiler, a pipeline to perform comparative plasmid content analysis without the need for de novo assembly. The pipeline is designed to rapidly identify plasmid sequences by mapping reads to a plasmid reference sequence database. Predicted plasmid sequences are then annotated with their incompatibility group, if known. The pipeline allows users to query plasmids for genes or regions of interest and visualize results as an interactive heat map.\n\nAvailability and ImplementationPlasmid Profiler is freely available software released under the Apache 2.0 open source software license. A stand-alone version of the entire Plasmid Profiler pipeline is available as a Docker container at https://hub.docker.com/r/phacnml/plasmidprofiler_0_1_6/.\n\nThe conda recipe for the Plasmid R package is available at: https://anaconda.org/bioconda/r-plasmidprofiler\n\nThe custom Plasmid Profiler R package is also available as a CRAN package at https://cran.r-project.org/web/packages/Plasmidprofiler/index.html\n\nGalaxy tools associated with the pipeline are available as a Galaxy tool suite at https://toolshed.g2.bx.psu.edu/repository?repository_id=55e082200d16a504\n\nThe source code is available at: https://github.com/phac-nml/plasmidprofiler\n\nThe Galaxy implementation is available at: https://github.com/phac-nml/plasmidprofiler-galaxy\n\nContactEmail: gary.vandomselaar@canada.ca\n\nAddress: National Microbiology Laboratory, Public Health Agency of Canada, 1015 Arlington Street, Winnipeg, Manitoba, Canada\n\nSupplementary informationDocumentation: http://plasmid-profiler.readthedocs.io/en/latest/

bioinformatics↗