Assessing the discriminability of PCR-based open reading frame typing versus single-nucleotide polymorphism analysis via draft whole-genome sequencing of methicillin-resistant Staphylococcus aureus in nosocomial transmission analysis

Copyright © 2024 Japanese Society of Chemotherapy, Japanese Association for Infectious Diseases, and Japanese Society for Infection Prevention and Control. Published by Elsevier Ltd. All rights reserved..

Phylogenetic analysis based on single-nucleotide polymorphism (SNP)-based through whole-genome sequencing is recognized as the standard method for probing nosocomial transmission. However, the application of WGS is constrained by the high cost of equipment and the need for diverse analysis tools, which limits its widespread use in clinical laboratory settings. In Japan, the prevalent use of PCR-based open reading frame typing (POT) for tracing methicillin-resistant Staphylococcus aureus (MRSA) transmission routes is attributed to its simplicity and ease of use. Although POT's discriminatory power is considered insufficient for nosocomial transmission analysis, conclusive data supporting this notion is lacking. This study assessed the discriminatory capabilities of SNP analysis and POT across 64 clinical MRSA strains. All 21 MRSA strains of ST5/SCCmec IIa, having more than 16 SNPs, demonstrated distinct clones. Conversely, two strains shared the same POT number and were identified as group A. Among the 12 MRSA strains of ST8/SCCmec IVl with over nine SNPs, five fell into POT group B, and five into POT group C. All four MRSA strains of ST8/SCCmec IVa were classified into POT group D, although they included strains with more than 30 SNPs. Among the 27 MRSA strains of ST1/SCCmec IVa, 14 were classified into POT group E. However, except for two clusters (each comprising two or three strains), all had SNP counts >10 (Fig. 1-D). SNP analysis of MRSA in CC1/SCCmec IV showed that several strains had the same number of SNPs in POT number (106-183-37), even among bacteria with >100 SNPs, indicating POT's limited use in detailed nosocomial transmission analysis.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - year:2024

Enthalten in:

Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy - (2024) vom: 02. März

Sprache:

Englisch

Beteiligte Personen:

Ogihara, Shinji [VerfasserIn]
Yamaguchi, Tetsuo [VerfasserIn]
Sato, Takahiro [VerfasserIn]
Aoki, Kotaro [VerfasserIn]
Komori, Kohji [VerfasserIn]
Sasaki, Masakazu [VerfasserIn]
Murakami, Hinako [VerfasserIn]
Ishii, Yoshikazu [VerfasserIn]
Tateda, Kazuhiro [VerfasserIn]

Links:

Volltext

Themen:

Community-associated MRSA (CA-MRSA)
Healthcare-associated MRSA (HA-MRSA)
Journal Article
Methicillin-resistant Staphylococcus aureus (MRSA)
PCR-Based open reading frame typing (POT)
Single-nucleotide polymorphism (SNP) analysis
Whole-genome sequencing (WGS)

Anmerkungen:

Date Revised 13.03.2024

published: Print-Electronic

Citation Status Publisher

doi:

10.1016/j.jiac.2024.02.021

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM369278534