Biology subjects

Cronin, K.

Publications and source records attributed to Cronin, K..

2 recordsLinked to original sources

bioRxiv2017

Real-time genomic and epidemiological investigation of a multi-institution outbreak of KPC-producing Enterobacteriaceae: a translational study

BackgroundUntil recently, KPC-producing Enterobacteriaceae were rarely identified in Australia. Following an increase in the number of incident cases across the state of Victoria, we undertook a real-time combined genomic and epidemiological investigation. The scope of this study included identifying risk factors and routes of transmission, and investigating the utility of genomics to enhance traditional field epidemiology for informing management of established widespread outbreaks.\n\nMethods and FindingsAll KPC-producing Enterobacteriaceae isolates referred to the state reference laboratory from 2012 onwards were included. Whole-genome sequencing (WGS) was performed in parallel with a detailed descriptive epidemiological investigation of each case, using Illumina sequencing on each isolate. This was complemented with PacBio long-read sequencing on selected isolates to establish high-quality reference sequences and interrogate characteristics of KPC-encoding plasmids. Initial investigations indicated the outbreak was widespread, with 86 KPC-producing Enterobacteriaceae isolates (K. pneumoniae 92%) identified from 35 different locations across metropolitan and rural Victoria between 2012-2015. Initial combined analyses of the epidemiological and genomic data resolved the outbreak into distinct nosocomial transmission networks, and identified healthcare facilities at the epicentre of KPC transmission. New cases were assigned to transmission networks in real-time, allowing focussed infection control efforts. PacBio sequencing confirmed a secondary transmission network arising from inter-species plasmid transmission. Insights from Bayesian transmission inference and analyses of within-host diversity informed the development of state-wide public health and infection control guidelines, including interventions such as an intensive approach to screening contacts following new case detection to minimise unrecognised colonisation.\n\nConclusionsA real-time combined epidemiological and genomic investigation proved critical to identifying and defining multiple transmission networks of KPC Enterobacteriaceae, while data from either investigation alone were inconclusive. The investigation was fundamental to informing infection control measures in real-time and the development of state-wide public health guidelines on carbapenemase producing Enterobacteriaceae management.

genomics↗

bioRxiv2017

Antibiotic resistance genes in agriculture and urban influenced watersheds in southwestern British Columbia

BackgroundThe dissemination of antibiotic resistance genes (ARGs) from anthropogenic activities into the environment poses an emerging public health threat. Water constitutes a major vehicle for transport of both biological material and chemical substances. The present study focused on putative antibiotic resistance and integrase genes present in the microbiome of agricultural, urban influenced and protected watersheds in southwestern British Columbia, Canada. A metagenomics approach and high throughput quantitative PCR (HT qPCR) were used to screen for elements of resistance including ARGs and integron-associated integrase genes (intI). Sequencing of bacterial genomic DNA was used to characterize the resistome of microbial communities present in watersheds over a one-year period.\n\nResultsData mining using CARD and Integrall databases enabled the identification of putative antibiotic resistance genes present in watershed samples. Antibiotic resistance genes presence in samples from various watershed locations was low relative to the microbial population (<1 %). Analysis of the metagenomic sequences detected a total of 78 ARGs and intI1 across all watershed locations. The relative abundance and richness of antibiotic resistance genes was found to be highest in agriculture impacted watersheds compared to protected and urban watersheds. Gene copy numbers (GCNs) from a subset of 21 different elements of antibiotic resistance were further estimated using HT qPCR. Most GCNs of ARGs were found to be variable over time. A downstream transport pattern was observed in the impacted watersheds (urban and agricultural) during dry months. Urban and agriculture impacted sites had a higher GCNs of ARGs compared to protected sites. Similar to other reports, this study found a strong association between intI1 and ARGs (e.g., sul1), an association which may be used as a proxy for anthropogenic activities. Chemical analysis of water samples for three major groups of antibiotics was negative. However, the high richness and GCNs of ARGs in impacted sites suggest effects of effluents on microbial communities are occurring even at low concentrations of antimicrobials in the water column.\n\nConclusionAntibiotic resistance and integrase genes in a year-long metagenomic study showed that ARGs were driven mainly by environmental factors from anthropogenized sites in agriculture and urban watersheds. Environmental factors accounted for almost 40% of the variability observed in watershed locations.

microbiology↗