Microbiology & Immunology - Research Publications

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    Drug resistance and genetic profile of bacterial species associated with Buruli ulcer wound infections in two districts of Ghana
    Kpeli, G ; Otchere, I ; Lamelas, A ; Buultjens, A ; Bulach, D ; Baines, S ; Seemann, T ; Giulieri, S ; Nakobu, Z ; Aboagye, S ; Owusu-Mireku, E ; Danso, E ; Hauser, J ; Hinic, V ; Pluschke, G ; Stinear, T ; Yeboah-Manu, D (BMJ, 2017-02)
    Background: We identified secondary infection of Buruli ulcer (BU) wounds as a cause of healing delay. In order to contribute to the improvement of wound management and reduction of healing delay, we initiated a study to gain understanding of the possible routes of infection and also characterised the resistant profiles of Gram negative bacteria isolated from the wounds of patients attending two health facilities in Ghana. Methods: Staphylococcus aureus isolates were characterised by the spa gene, mecA and the Pantone Valentine Leukocidin (PVL) toxin followed by spa sequencing and whole genome sequencing of a subset of isolates. Phenotypic antibiotic susceptibility testing of Gram negative clinical isolates was performed and multidrug-resistant Pseudomonas aeruginosa identified. The Enterobacteriaceae were further investigated for ESBL and carbapenem production, and some resistance conferring genes were analysed by PCR. Results: Twenty-four isolates were identified as methicillin-resistant S. aureus (MRSA), and lukFS genes encoding PVL were identified in 67 isolates. Typing and sequencing of the spa gene from 91 isolates identified 29 different spa types with t355 (ST152), t186 (ST88), and t346 dominating. While many distinct strains were isolated from both health centres, genotype clustering was identified within centres pointing to possible health care-associated transmission. Phylogenomic analysis confirmed these clusters. Among the GNB, phenotype screening showed widespread resistance to ampicillin, chloramphenicol, ticarcillin-clavulanic acid, cefuroxime and sulphamethoxazole-trimethoprim. ESBL production was confirmed in 15 isolates phenotypically while 61.5% of screen-positive isolates harboured at least one ESBL-conferring gene. Carbapenem encoding genes were detected in 41% of the isolates. Conclusions: Our findings indicate that the health-care environment likely contributes to superinfection of BU wounds and calls for training in wound management and infection control techniques. The observed frequency of ESBL and carbapenem resistance indicates the need to set up surveillance networks and strictly enforce policies which guide the rational use of antibiotics.
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    Abstracts of the Eighth EDCTP Forum, 6-9 November 2016.
    Makanga, M ; Beattie, P ; Breugelmans, G ; Nyirenda, T ; Bockarie, M ; Tanner, M ; Volmink, J ; Hankins, C ; Walzl, G ; Chegou, N ; Malherbe, S ; Hatherill, M ; Scriba, TJ ; Zak, DE ; Barry, CE ; Kaufmann, SHE ; Noor, A ; Strub-Wourgaft, N ; Phillips, P ; Munguambe, K ; Ravinetto, R ; Tinto, H ; Diro, E ; Mahendrahata, Y ; Okebe, J ; Rijal, S ; Garcia, C ; Sundar, S ; Ndayisaba, G ; Sopheak, T ; Ngoduc, T ; Van Loen, H ; Jacobs, J ; D'Alessandro, U ; Boelaert, M ; Buvé, A ; Kamalo, P ; Manda-Taylor, L ; Rennie, S ; Mokgatla, B ; Bahati, ; Ijsselmuiden, C ; Afolabi, M ; Mcgrath, N ; D'Alessandro, U ; Kampmann, B ; Imoukhuede, E ; Ravinetto, R ; Alexander, N ; Larson, H ; Chandramohan, D ; Bojang, K ; Kasaro, MP ; Muluka, B ; Kaunda, K ; Morse, J ; Westfall, A ; Kapata, N ; Kruuner, A ; Henostroza, G ; Reid, S ; Alabi, A ; Foguim, F ; Sankarganesh, J ; Bruske, E ; Mfoumbi, A ; Mevyann, C ; Adegnika, A ; Lell, B ; Kranzer, K ; Kremsner, P ; Grobusch, M ; Sabiiti, W ; Ntinginya, N ; Kuchaka, D ; Azam, K ; Kampira, E ; Mtafya, B ; Bowness, R ; Bhatt, N ; Davies, G ; Kibiki, G ; Gillespie, S ; Lejon, V ; Ilboudo, H ; Mumba, D ; Camara, M ; Kaba, D ; Lumbala, C ; Fèvre, E ; Jamonneau, V ; Bucheton, B ; Büscher, P ; Chisenga, C ; Sinkala, E ; Chilengi, R ; Chitundu, H ; Zyambo, Z ; Wandeler, G ; Vinikoor, M ; Emilie, D ; Camara, O ; Mathurin, K ; Guiguigbaza-Kossigan, D ; Philippe, B ; Regassa, F ; Hassane, S ; Bienvenu, SM ; Ilboudo, H ; Fabrice, C ; Ouédraogo, E ; Kouakou, L ; Kaba, D ; Camara, M ; Bucheton, B ; Lejon, V ; Jamonneau, V ; Owusu, M ; Mensah, E ; Enimil, A ; Mutocheluh, M ; Ndongo, FA ; Tejiokem, MC ; Texier, G ; Penda, C ; Ndiang, S ; Ndongo, J-A ; Guemkam, G ; Sofeu, CL ; Afumbom, K ; Faye, A ; Msellati, P ; Warszawski, J ; Vos, A ; Devillé, W ; Barth, R ; Klipstein-Grobusch, K ; Tempelman, H ; Venter, F ; Coutinho, R ; Grobbee, D ; Ssemwanga, D ; Lyagoba, F ; Magambo, B ; Kapaata, A ; Kirangwa, J ; Nannyonjo, M ; Nassolo, F ; Nsubuga, R ; Yebra, G ; Brown, A ; Kaleebu, P ; Nylén, H ; Habtewold, A ; Makonnen, E ; Yimer, G ; Burhenne, J ; Diczfalusy, U ; Aklillu, E ; Steele, D ; Walker, R ; Chilengi, R ; Simuyandi, M ; Beres, L ; Bosomprah, S ; Ansumana, R ; Taitt, C ; Lamin, JM ; Jacobsen, KH ; Mulvaney, SP ; Leski, T ; Bangura, U ; Stenger, D ; Adegnika, A ; De Vries, S ; Zinsou, FJ ; Honkpehedji, J ; Dejon, JC ; Loembe, MM ; Bache, B ; Pakker, N ; Van Leeuwen, R ; Hounkpatin, AB ; Kremsner, P ; Yazdanbakhsh, M ; Lell, B ; Bethony, J ; Hotez, P ; Diemert, D ; Grobusch, M ; Bache, BE ; Fernandes, JF ; Obiang, RM ; Kabwende, AL ; Grobusch, MP ; Krishna, S ; Kremsner, PG ; Todagbe, AS ; Bockarie, M ; Nambozi, M ; Kabuya, J-B ; Hachizovu, S ; Mwakazanga, D ; Kasongo, W ; Buyze, J ; Mulenga, M ; Geertruyden, J-P ; D'Alessandro, U ; Gitaka, J ; Chan, C ; Kongere, J ; Kagaya, W ; Kaneko, A ; Kabore, N ; Barry, N ; Kabre, Z ; Werme, K ; Fofana, A ; Compaore, D ; Nikiema, F ; Some, F ; Djimde, A ; Zongo, I ; Ouedraogo, B ; Kone, A ; Sagara, I ; Björkman, A ; Djimde, A ; Gil, JP ; Nchinda, G ; Bopda, A ; Nji, N ; Ambada, G ; Ngu, L ; Tchadji, J ; Sake, C ; Magagoum, S ; Njambe, GD ; Lisom, A ; Park, CG ; Tait, D ; Sibusiso, H ; Manda, O ; Croucher, K ; Van Der Westhuizen, A ; Mshanga, I ; Kaleebu, P ; Levin, J ; Nanvubya, A ; Kibengo, F ; Jaoko, W ; Pala, P ; Perreau, M ; Namuniina, A ; Kitandwe, P ; Tapia, G ; Serwanga, J ; Yates, N ; Fast, P ; Mayer, B ; Montefiori, D ; Tomaras, G ; Robb, M ; Lee, C ; Wagner, R ; Sanders, E ; Kilembe, W ; Kiwanuka, N ; Gilmour, J ; Kuipers, H ; Vooij, D ; Chinyenze, K ; Priddy, F ; Ding, S ; Hanke, T ; Pantaleo, G ; Ngasala, B ; Jovel, I ; Malmberg, M ; Mmbando, B ; Björkman, A ; Premji, Z ; Mårtensson, A ; Mwaiswelo, R ; Agbor, L ; Apinjoh, T ; Mwanza, S ; Nambozi, M ; Chileshe, J ; Joshi, S ; Malunga, P ; Kabuya, J-B ; Hachizovu, S ; Manyando, C ; Laufer, M ; Mulenga, M ; Kone, A ; Dara, A ; Niangaly, A ; Sinha, I ; Brodin, D ; Fofana, B ; Dama, S ; Dembele, D ; Sidibe, B ; Diallo, N ; Thera, M ; Sagara, I ; Wright, K ; Björkman, A ; Gil, J ; Doumbo, O ; Djimde, A ; Baraka, V ; Nabasumba, C ; Francis, F ; Lutumba, P ; Mavoko, H ; Alifrangis, M ; Van Geertruyden, J-P ; Sissoko, S ; Kone, A ; Fofana, B ; Sangaré, C ; Dembele, D ; Toure, S ; Sanogo, K ; Diakite, H ; Toure, S ; Doumbia, D ; Haidara, K ; Doumbo, O ; Djimde, A ; Julé, A ; Ashurst, H ; Merson, L ; Olliaro, P ; Marsh, V ; Lang, T ; Guérin, P ; Awuondo, K ; Njenga, D ; Nyakarungu, E ; Titus, P ; Sutamihardja, A ; Lowe, B ; Ogutu, B ; Billingsley, P ; Soulama, I ; Kaboré, M ; Coulibaly, A ; Ouattara, M ; Sanon, S ; Diarra, A ; Bougouma, E ; Ouedraogo, A ; Sombie, B ; Ouedraogo, A ; Kargougou, D ; Ouattara, D ; Issa, N ; Tiono, A ; Sirima, S ; Chaponda, M ; Dabira, E ; Dao, F ; Dara, N ; Sidibe, B ; Coulibaly, M ; Tolo, A ; Maiga, H ; Ouologuem, N ; Niangaly, H ; Sagara, I ; Djimde, A ; Botchway, F ; Wilson, N ; Dickinson-Copeland, CM ; Adjei, AA ; Wilson, M ; Stiles, JK ; Hamid, MA ; Awad-Elgeid, M ; Nasr, A ; Netongo, P ; Kamdem, S ; Velavan, T ; Kremsner, P ; Maiga, H ; Lasry, E ; Diarra, M ; Sagara, I ; Bamadio, A ; Traore, A ; Coumare, S ; Soma, B ; Dicko, Y ; Diallo, N ; Sangare, B ; Tembely, A ; Traore, D ; Niangaly, H ; Dao, F ; Haidara, A ; Dicko, A ; Doumbo, O ; Djimde, A ; Diawara, E ; Beavogui, A ; Camara, D ; Sylla, M ; Yattara, M ; Sow, A ; Camara, GC ; Diallo, S ; Doumbo, O ; Djimde, A ; Mombo-Ngoma, G ; Remppis, J ; Sievers, M ; Manego, RZ ; Endamne, L ; Lell, B ; Hutchinson, D ; Kremsner, P ; Held, J ; Supan, C ; Salazar, CLO ; Tinto, H ; Bonkian, LN ; Nahum, A ; Sié, A ; Abdulla, S ; Cantalloube, C ; Djeriou, E ; Bouyou-Akotet, M ; Ogutu, B ; Mordmüller, B ; Siribie, M ; Sirima, SB ; Kremsner, PG ; San Maurice Ouattara, ; Soulama, I ; Coulibaly, S ; Kabore, JM ; Ouedraogo, A ; Bougouma, E ; Sanon, S ; Amidou, D ; Sombie, B ; Ouedraogo, A ; Kargougou, D ; Ouattara, D ; Issa, N ; Tiono, A ; Sirima, S ; Coulibaly, S ; Soulama, I ; Kabore, JM ; San Maurice Ouattara, ; Bougouma, E ; Ouedraogo, A ; Sanon, S ; Amidou, D ; Sombie, B ; Ouedraogo, A ; Kargougou, D ; Ouattara, D ; Issa, N ; Tiono, A ; Sirima, S ; Tekete, M ; Burhenne, J ; Fofana, B ; Toure, S ; Dama, S ; Dara, N ; Traore, O ; Sidibe, B ; Djimde, A ; Haefeli, W ; Borrmann, S ; Barry, N ; Kaboré, N ; Kabré, Z ; Fofana, A ; Nikèma, F ; Compaoré, D ; Somé, F ; Zongo, I ; Djimdé, A ; Ouédraogo, J ; Chalwe, V ; Miller, J ; Fofana, B ; Djimde, A ; Diakité, H ; Sagara, I ; Doumbo, O ; Toure, S ; Sanogo, K ; Greco, B ; Spangenberg, T ; Kourany-Lefoll, E ; Oeuvray, C ; Mulry, J ; Tyagarajan, K ; Magsaam, B ; Barnes, K ; Guérin, P ; Hodel, EM ; Humphreys, G ; Pace, C ; Banda, CG ; Denti, P ; Allen, E ; Lalloo, D ; Mwapasa, V ; Terlouw, A ; Mwesigwa, J ; Achan, J ; Jawara, M ; Ditanna, G ; Worwui, A ; Affara, M ; Geertruyden, J-P ; D'Alessandro, U ; Koukouikila-Koussounda, F ; Kombo, M ; Vouvoungui, C ; Ntoumi, F ; Etoka-Beka, MK ; Ntoumi, F ; Kombo, M ; Deibert, J ; Poulain, P ; Vouvoungui, C ; Kobawila, S ; Koukouikila-Koussounda, F ; Gueye, NG ; Vouvoungui, C ; Koukouikila-Koussounda, F ; Kobawila, S ; Ntoumi, F ; Seda, B ; Kwambai, T ; Jangu, P ; Samuels, A ; Kuile, FT ; Kariuki, S ; Barry, A ; Tiono, A ; Sirima, S ; Bousema, T ; Okech, B ; Egwang, T ; Corran, P ; Riley, E ; Ezennia, I ; Ekwunife, O ; Muleba, M ; Stevenson, J ; Mbata, K ; Mulenga, M ; Coetzee, M ; Norris, D ; Moneke-Anyanwoke, N ; Mwesigwa, J ; Affara, M ; Momodou, J ; Clarke, E ; D'Alessandro, U ; Scott, S ; Tijani, A ; Djimde, M ; Vaillant, M ; Samouda, H ; Sagara, I ; Djimde, A ; Doumbo, O ; Afolabi, M ; Mensah, V ; Roetynck, S ; Kanteh, E ; Bowyer, G ; Ndaw, A ; Oko, F ; Bliss, C ; Jagne, YJ ; Cortese, R ; Nicosia, A ; Roberts, R ; D'Alessio, F ; Leroy, O ; Faye, B ; Kampmann, B ; Cisse, B ; Bojang, K ; Gerry, S ; Viebig, N ; Lawrie, A ; Clarke, E ; Ewer, K ; Imoukhuede, E ; Hill, A ; Diarra, A ; Nebie, I ; Tiono, AB ; Sanou, G ; Ouedraogo, A ; Konate, AT ; Yaro, BJ ; Soulama, I ; Sodiomon, S ; Honkpehedji, Y ; Agobe, JCD ; Zinsou, F ; Mengue, J ; Adegnika, A ; Richie, T ; Mordmüller, B ; Kremsner, P ; Hoffman, S ; Lell, B ; Nouatin, O ; Ngoa, UA ; Dejon, JC ; Edoa, JR ; Homoet, A ; Engelhon, JE ; Massinga-Louembe, M ; Esen, M ; Theisen, M ; Sim, KL ; Richie, T ; Luty, AJ ; Moutairou, K ; Hoffman, S ; Kremsner, P ; Lell, B ; Mordmüller, B ; Adegnika, A ; Dinko, B ; King, E ; Targett, G ; Sutherland, C ; Likhovole, C ; Ouma, C ; Vulule, J ; Musau, S ; Khayumbi, J ; Okumu, A ; Murithi, W ; Otu, J ; Gehre, F ; Zingue, D ; Kudzawu, S ; Forson, A ; Mane, M ; Rabna, P ; Diarra, B ; Kayede, S ; Adebiyi, E ; Kehinde, A ; Onyejepu, N ; Onubogu, C ; Idigbe, E ; Ba, A ; Diallo, A ; Mboup, S ; Disse, K ; Kadanga, G ; Dagnra, Y ; Baldeh, I ; Corrah, T ; De Jong, B ; Antonio, M ; Musanabaganwa, C ; Musabyimana, JP ; Karita, E ; Diop, B ; Nambajimana, A ; Dushimiyimana, V ; Karame, P ; Russell, J ; Ndoli, J ; Bahati, ; Hategekimana, T ; Sendegeya, A ; Condo, J ; Binagwaho, A ; Okonko, I ; Okerentugba, P ; Opaleye, O ; Awujo, E ; Frank-Peterside, N ; Moyo, S ; Kotokwe, K ; Mohammed, T ; Boleo, C ; Mupfumi, L ; Chishala, S ; Gaseitsiwe, S ; Tsalaile, L ; Bussmann, H ; Makhema, J ; Baum, M ; Marlink, R ; Engelbretch, S ; Essex, M ; Novitsky, V ; Saka, E ; Kalipalire, Z ; Bhairavabhotla, R ; Midiani, D ; Sherman, J ; Mgode, G ; Cox, C ; Bwana, D ; Mtui, L ; Magesa, D ; Kahwa, A ; Mfinanga, G ; Mulder, C ; Borain, N ; Petersen, L ; Du Plessis, J ; Theron, G ; Holm-Hansen, C ; Tekwu, EM ; Sidze, LK ; Assam, JPA ; Eyangoh, S ; Niemann, S ; Ntoumi, F ; Beng, VP ; Frank, M ; Kudzawu, S ; Atiadeve, S ; Hilmann, D ; Awoniyi, D ; Baumann, R ; Chegou, N ; Kriel, B ; Jacobs, R ; Kidd, M ; Loxton, A ; Kaempfer, S ; Singh, M ; Walzl, G ; Mwanza, W ; Milimo, D ; Moyo, M ; Kasese, N ; Cheeba-Lengwe, M ; Munkondya, S ; Ayles, H ; De Haas, P ; Muyoyeta, M ; Namuganga, AR ; Kizza, HM ; Jacobs, R ; Chegou, N ; Walzl, G ; Mendy, A ; Tientcheu, L ; Ayorinde, A ; Coker, E ; Egere, U ; Kampmann, B ; Coussens, A ; Naude, C ; Chaplin, G ; Noursadeghi, M ; Martineau, A ; Jablonski, N ; Wilkinson, R ; Ouedraogo, HG ; Matteelli, A ; Regazzi, M ; Tarnagda, G ; Villani, P ; Sulis, G ; Diagbouga, S ; Roggi, A ; Giorgetti, F ; Kouanda, S ; Bidias, A ; Ndjonka, D ; Olemba, C ; Souleymanou, A ; Mukonzo, J ; Kuteesa, R ; Ogwal-Okeng, J ; Gustafsson, LL ; Owen, J ; Aklillu, E ; Bassi, P ; Gashau, W ; Olaf, K ; Dodoo, A ; Okonkwo, P ; Kanki, P ; Maruapula, D ; Seraise, B ; Einkauf, K ; Reilly, A ; Moyo, S ; Mohammed, T ; Rowley, C ; Musonda, R ; Makhema, J ; Gaseitsiwe, S ; Ntinginya, N ; Framhein, A ; Mpagama, S ; Semvua, H ; Kibiki, G ; Maboko, L ; Hoelscher, M ; Heinrich, N ; Vinikoor, M ; Chilengi, R ; Mulenga, L ; Kaayunga, C ; Zyambo, Z ; Davies, M-A ; Egger, M ; Wandeler, G ; Musukuma, K ; Chilengi, R ; Dambe, R ; Usadi, B ; Vinikoor, M ; Ngari, M ; Thitiri, J ; Mwalekwa, L ; Fegan, G ; Berkley, J ; Nsagha, D ; Munamunungu, V ; Bolton, C ; Siyunda, A ; Shilimi, J ; Chilengi, R ; Wandeler, G ; Vinikoor, M ; Bucciardini, R ; Fragola, V ; Abegaz, T ; Lucattini, S ; Halifom, A ; Tadesse, E ; Berhe, M ; Pugliese, K ; De Castro, P ; Terlizzi, R ; Fucili, L ; Di Gregorio, M ; Mirra, M ; Zegeye, T ; Binelli, A ; Vella, S ; Abraham, L ; Godefay, H ; Rakotoarivelo, R ; Raberahona, M ; Randriamampionona, N ; Andriamihaja, R ; Rasamoelina, T ; Cornet, M ; De Dieu Randria, MJ ; Benet, T ; Vanhems, P ; Andrianarivelo, MR ; Chirwa, U ; Michelo, C ; Dambe, R ; Hamoonga, R ; Wandiga, S ; Oduor, P ; Agaya, J ; Okumu, A ; Sharma, A ; Cavanaugh, S ; Cain, K ; Mukisa, J ; Mupere, E ; Worodria, W ; Ngom, JT ; Koro, F ; Godwe, C ; Adande, C ; Ateugieu, R ; Onana, T ; Ngono, A ; Kamdem, Y ; Ngo-Niobe, S ; Etoa, F-X ; Kanengoni, M ; Ruzario, S ; Ndebele, P ; Shana, M ; Tarumbiswa, F ; Musesengwa, R ; Gutsire, R ; Fisher, K ; Bahati, ; Thyagarajan, B ; Opaleye, O ; Akanbi, O ; Binuyo, M ; Ssengooba, W ; Respeito, D ; Mambuque, E ; Blanco, S ; Mandomando, I ; De Jong, B ; Cobelens, F ; Garcia-Basteiro, A ; Tamene, A ; Topp, S ; Mwamba, C ; Beres, L ; Padian, N ; Sikazwe, I ; Geng, E ; Holmes, C ; Sikombe, K ; Hantuba, ; Czaicki, N ; Geng, E ; Holmes, C ; Musukuma, K ; Simbeza, S ; Somwe, P ; Sikazwe, I ; Umulisa, M ; Ilo, J ; Kestelyn, E ; Uwineza, M ; Agaba, S ; Delvaux, T ; Wijgert, J ; Oduor, P ; Gethi, D ; Odeny, L ; Agaya, J ; Wandiga, S ; Tamandjou, C ; Kaindjee-Tjituka, F ; Brandt, L ; Cotton, M ; Nel, E ; Preiser, W ; Andersson, M ; Adepoju, A ; Magana, M ; Etsetowaghan, A ; Chilikwazi, M ; Sutcliffe, C ; Thuma, P ; Sinywimaanzi, K ; Matakala, H ; Munachoonga, P ; Moss, W ; Masenza, IS ; Geisenberger, O ; Agrea, P ; Maboko, L ; Rwegoshora, F ; Mahiga, H ; Olomi, W ; Hoelscher, M ; Kroidl, A ; Kayode, G ; Grobbee, D ; Amoakoh-Coleman, M ; Ansah, E ; Uthman, O ; Klipstein-Grobusch, K ; Fokam, J ; Santoro, M-M ; Musolo, C ; Chimbiri, I ; Chikwenga, G ; Deula, R ; Massari, R ; Lungu, A ; Perno, C-F ; Ndzengue, G ; Loveline, N ; Sake, C ; Lissom, A ; Tchadji, J ; Flaurent, T ; Nji, N ; Sosso, S ; Essomba, C ; Etoa, F-X ; Nchinda, G ; Kpeli, G ; Otchere, I ; Lamelas, A ; Buultjens, A ; Bulach, D ; Baines, S ; Seemann, T ; Giulieri, S ; Nakobu, Z ; Aboagye, S ; Owusu-Mireku, E ; Danso, E ; Hauser, J ; Hinic, V ; Pluschke, G ; Stinear, T ; Yeboah-Manu, D ; Elshayeb, A ; Siddig, ME ; Ahmed, AA ; Hussien, AE ; Kabwe, M ; Tembo, J ; Chilukutu, L ; Chilufya, M ; Ngulube, F ; Lukwesa, C ; Enne, V ; Wexner, H ; Mwananyanda, L ; Hamer, D ; Sinyangwe, S ; Ahmed, Y ; Klein, N ; Maeurer, M ; Zumla, A ; Bates, M ; Beyala, L ; Etienne, G ; Anthony, N ; Benjamin, A ; Ateudjieu, J ; Chibwe, B ; Simuyandi, M ; Ojok, D ; Chilengi, R ; Kruuner, A ; Tarr, CA ; Perez, GM ; Omeonga, S ; Kibungu, F ; Meyer, A ; Lansana, P ; Mayor, A ; Onyango, P ; Van Loggerenberg, F ; Furtado, T ; Boggs, L ; Segrt, A ; Lang, T ; Dochez, C ; Burnett, R ; Mphahlele, MJ ; Miiro, G ; Mbidde, E ; Peshu, N ; Kivaya, E ; Mfinanga, G ; Ngowi, B ; Kavishe, R ; Maowia, M ; Lang, T ; Sandstrom, E ; Ayuo, E ; Nanvubya, A ; Mmbaga, B ; Kaleebu, P ; Allen, E ; Leisegang, C ; Furtado, T ; Van Loggerenberg, F ; Lang, T ; Thorpe, M ; Batchilly, E ; N'Guessan, J-P ; Kanteh, D ; Julé, A ; Furtado, T ; Boggs, L ; Van Loggerenberg, F ; Lang, T ; Søfteland, S ; Sebitloane, M ; Vwalika, B ; Taylor, M ; Galappaththi-Arachchige, H ; Holmen, S ; Gundersen, SG ; Ndhlovu, P ; Kjetland, EF ; Kombe, F ; Toohey, J ; Ijsselmuiden, C ; Pienaar, E ; Kredo, T ; Okebe, J ; Cham, PM ; Abubakar, I ; Dondeh, BL ; D'Alessandro, U ; Vischer, N ; Pfeiffer, C ; Burri, C ; Chisenga, C ; Musukwa, K ; Chilengi, R ; Zürcher, S ; Munamunungu, V ; Siyunda, A ; Mwandu, T ; Bauer, S ; Wandeler, G ; Vinikoor, M ; Adriko, M ; Mwaura, P ; Kongere, J ; Omolloh, K ; Gitaka, J ; Jones, C ; Ngasala, B ; Malecela, M ; Hamidu, BA ; Jenner, TE ; Asiedu, LJ ; Osei-Atweneboana, M ; Afeke, I ; Addo, P ; Newman, M ; Durnez, L ; Eddyani, M ; Ammisah, N ; Abas, M ; Quartey, M ; Ablordey, A ; Akinwale, O ; Adeneye, A ; Ezeugwu, S ; Olukosi, Y ; Adewale, B ; Sulyman, M ; Mafe, M ; Okwuzu, J ; Gyang, P ; Nwafor, T ; Henry, U ; Musa, B ; Ujah, I ; Agobé, JCD ; Zinsou, FJ ; Honkpehedji, J ; Ngoa, UA ; Kremsner, P ; Adegnika, A ; Grau-Pujol, B ; Sacoor, C ; Nhabomba, A ; Casellas, A ; Quintó, L ; Subirà, C ; Giné, R ; Valentín, A ; Muñoz, J ; Nikiema, M ; Ky-Ba, A ; Comapore, KAM ; Traore, A ; Sangare, L ; Oluremi, A ; Opaleye, O ; Michel, M ; Camara, Y ; Sanneh, B ; Cuamba, I ; Grau-Pujol, B ; Nhabomba, A ; Gutiérrez, J ; Lázaro, C ; Mejia, R ; Adewale, B ; Adedeji, A ; Folorunsho, S ; Demehin, P ; Akinsanya, B ; Cowley, G ; Da Silva, ET ; Nabicassa, M ; De Barros, PDP ; Blif, MM ; Bailey, R ; Last, A ; Ravinetto, R ; Tinto, H ; Diro, E ; Okebe, J ; Mahendradhata, Y ; Rijal, S ; Gotuzzo, E ; Lutumba, P ; Nahum, A ; De Nys, K ; Casteels, M ; Boelaert, M ; Nona, SK ; Lumeka, K ; Todagbe, A ; Djima, MM ; Ukpong, M ; Sagay, A ; Khamofu, H ; Torpey, K ; Afiadigwe, E ; Anenih, J ; Ezechi, O ; Nweneka, C ; Idoko, J ; Muhumuza, S ; Katahoire, A ; Nuwaha, F ; Olsen, A ; Okeyo, S ; Omollo, R ; Kimutai, R ; Ochieng, M ; Egondi, T ; Moonga, C ; Chileshe, C ; Magwende, G ; Henostroza, G ; Topp, S ; Anumudu, C ; Onile, O ; Oladele, V ; Adebayo, A ; Awobode, H ; Oyeyemi, O ; Odaibo, A ; Kabuye, E ; Lutalo, T ; Kaleebu, P ; Mbidde, E ; Njua-Yafi, C ; Nkuo-Akenji, T ; Anchang-Kimbi, J ; Apinjoh, T ; Mugri, R ; Chi, H ; Tata, R ; Njumkeng, C ; Dodoo, D ; Theisen, M ; Achidi, E ; Fernandes, J ; Bache, EB ; Obiang, RM ; Kabwende, AL ; Mordmüller, B ; Krishna, S ; Kremsner, PG ; Grobusch, MP ; Todagbe, AS ; Matakala, K ; Sutcliffe, C ; Searle, K ; Greenman, M ; Rainwater-Lovett, K ; Thuma, P ; Moss, W ( 2017)
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    Struktur und Biosynthese der Isatropolone, bioaktiver und Amin‐reaktiver fluoreszierender Naturstoffe aus Streptomyces Gö66
    Cai, X ; Shi, Y ; Pöhlmann, N ; Revermann, O ; Bahner, I ; Pidot, SJ ; Wesche, F ; Lackner, H ; Büchel, C ; Kaiser, M ; Richter, C ; Schwalbe, H ; Stinear, TP ; Zeeck, A ; Bode, HB (Wiley, 2017-04-24)
    Abstract Die Naturstoffe Isatropolon A–C (1–3) wurden aus Streptomyces Gö66 reisoliert, und insbesondere 1 und 3 zeigen sehr gute Aktivität gegen Leishmania donovani. Sie tragen einen ungewöhnlichen Tropolonring, der über einen Typ‐II‐Polyketid‐Biosyntheseweg aufgebaut wird. Ihre Biosynthese wurde mithilfe von Markierungsexperimenten, einer Analyse des Biosynthese‐Genclusters, heterologer Expression des Hauptteils des Genclusters und strukturelle Charakterisierung verschiedener Intermediate aufgeklärt. Aufgrund eines 1,5‐Diketon‐Strukturelementes können die Isatropolone mit Ammoniak und Aminen und insbesondere Lysin sowie Lysin‐tragenden Peptiden und Proteinen reagieren und einen Pyridinring bilden. Dabei ändern sich die Fluoreszenz‐Eigenschaften so deutlich, dass die so markierten Peptide und Proteine sehr einfach sichtbar gemacht werden können.
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    CD8+ T Cell Activation Leads to Constitutive Formation of Liver Tissue-Resident Memory T Cells that Seed a Large and Flexible Niche in the Liver
    Holz, LE ; Prier, JE ; Freestone, D ; Steiner, TM ; English, K ; Johnson, DN ; Mollard, V ; Cozijnsen, A ; Davey, GM ; Godfrey, D ; Yui, K ; Mackay, LK ; Lahoud, MH ; Caminschi, I ; McFadden, G ; Bertolino, P ; Fernandez-Ruiz, D ; Heath, WR (CELL PRESS, 2018-10-02)
    Liver tissue-resident memory T (Trm) cells migrate throughout the sinusoids and are capable of protecting against malaria sporozoite challenge. To gain an understanding of liver Trm cell development, we examined various conditions for their formation. Although liver Trm cells were found in naive mice, their presence was dictated by antigen specificity and required IL-15. Liver Trm cells also formed after adoptive transfer of in vitro-activated but not naive CD8+ T cells, indicating that activation was essential but that antigen presentation within the liver was not obligatory. These Trm cells patrolled the liver sinusoids with a half-life of 36 days and occupied a large niche that could be added to sequentially without effect on subsequent Trm cell cohorts. Together, our findings indicate that liver Trm cells form as a normal consequence of CD8+ T cell activation during essentially any infection but that inflammatory and antigenic signals preferentially tailor their development.
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    The changing landscape of vancomycin-resistant Enterococcus faecium in Australia: a population-level genomic study
    Lee, RS ; da Silva, AG ; Baines, SL ; Strachan, J ; Ballard, S ; Carter, GP ; Kwong, JC ; Schultz, MB ; Bulach, DM ; Seemann, T ; Stinear, TP ; Howden, BP (OXFORD UNIV PRESS, 2018-12)
    BACKGROUND: Vancomycin-resistant Enterococcus faecium (VREfm) represent a major source of nosocomial infection worldwide. In Australia, there has been a recent concerning increase in bacteraemia associated with the vanA genotype, prompting investigation into the genomic epidemiology of VREfm. METHODS: A population-level study of VREfm (10 November-9 December 2015) was conducted. A total of 321 VREfm isolates (from 286 patients) across Victoria State were collected and sequenced with Illumina NextSeq. SNPs were used to assess relatedness. STs and genes associated with resistance and virulence were identified. The vanA-harbouring plasmid from an isolate from each ST was assembled using long-read data. Illumina reads from remaining isolates were then mapped to these assemblies to identify their probable vanA-harbouring plasmid. RESULTS: vanA-VREfm comprised 17.8% of isolates. ST203, ST80 and a pstS(-) clade, ST1421, predominated (30.5%, 30.5% and 37.2%, respectively). Most vanB-VREfm were ST796 (77.7%). vanA-VREfm were more closely related within hospitals versus between them [core SNPs 10 (IQR 1-357) versus 356 (179-416), respectively], suggesting discrete introductions of vanA-VREfm, with subsequent intra-hospital transmission. In contrast, vanB-VREfm had similar core SNP distributions within versus between hospitals, due to widespread dissemination of ST796. Different vanA-harbouring plasmids were found across STs. With the exception of ST78 and ST796, Tn1546 transposons also varied. Phylogenetic analysis revealed Australian strains were often interspersed with those from other countries, suggesting ongoing cross-continental transmission. CONCLUSIONS: Emerging vanA-VREfm in Australia is polyclonal, indicating repeat introductions of vanA-VREfm into hospitals and subsequent dissemination. The close relationship to global strains reinforces the need for ongoing screening and control of VREfm in Australia and abroad.
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    Biosynthesis and Ether-Bridge Formation in Nargenicin Macrolides
    Pidot, SJ ; Herisse, M ; Sharkey, L ; Atkin, L ; Porter, JL ; Seemann, T ; Howden, BP ; Rizzacasa, MA ; Stinear, TP (WILEY-V C H VERLAG GMBH, 2019-03-18)
    The nargenicin family of antibiotics are macrolides containing a rare ether-bridged cis-decalin motif. Several of these compounds are highly active against multi-drug resistant organisms. Despite the identification of the first members of this family almost 40 years ago, the genetic basis for the production of these molecules and the enzyme responsible for formation of the oxa bridge, remain unknown. Here, the 85 kb nargenicin biosynthetic gene cluster was identified from a human pathogenic Nocardia arthritidis isolate and this locus is solely responsible for nargenicin production. Further investigation of this locus revealed a putative iron-α-ketoglutarate-dependent dioxygenase, which was found to be responsible for the formation of the ether bridge from the newly identified deoxygenated precursor, 8,13-deoxynargenicin. Uncovering the nargenicin biosynthetic locus provides a molecular basis for the rational bioengineering of these interesting antibiotic macrolides.
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    Transcriptional and epi-transcriptional dynamics of SARS-CoV-2 during cellular infection.
    Chang, JJ-Y ; Rawlinson, D ; Pitt, M ; Taiaroa, G ; Gleeson, J ; Zhou, C ; Mordant, F ; Paoli-Iseppi, RD ; Caly, L ; Purcell, DFJ ; Stinear, T ; Londrigan, S ; Clark, M ; Williamson, D ; Subbarao, K ; Coin, LJM ( 2020-12-22)
    SARS-CoV-2 uses subgenomic (sg)RNA to produce viral proteins for replication and immune evasion. We applied long-read RNA and cDNA sequencing to in vitro human and primate infection models to study transcriptional dynamics. Transcription-regulating sequence (TRS)-dependent sgRNA was upregulated earlier in infection than TRS-independent sgRNA. An abundant class of TRS-independent sgRNA consisting of a portion of ORF1ab containing nsp1 joined to ORF10 and 3’UTR was upregulated at 48 hours post infection in human cell lines. We identified double-junction sgRNA containing both TRS-dependent and independent junctions. We found multiple sites at which the SARS-CoV-2 genome is consistently more modified than sgRNA, and that sgRNA modifications are stable across transcript clusters, host cells and time since infection. Our work highlights the dynamic nature of the SARS-CoV-2 transcriptome during its replication cycle. Our results are available via an interactive web-app at http://coinlab.mdhs.unimelb.edu.au/ .
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    Systematic analysis of key parameters for genomics-based real-time detection and tracking of multidrug-resistant bacteria
    Gorrie, C ; Da Silva, AG ; Ingle, D ; Higgs, C ; Seemann, T ; Stinear, T ; Williamson, D ; Kwong, J ; Grayson, L ; Sherry, N ; Howden, B ( 2020-09-25)
    Background: Pairwise single nucleotide polymorphisms (SNPs) are a cornerstone for genomic approaches to multidrug-resistant organisms (MDROs) transmission inference in hospitals. However, the impact of key analysis parameters on these inferences has not been systematically analysed. Methods: We conducted a multi-hospital 15-month prospective study, sequencing 1537 MDRO genomes for comparison; methicillin-resistant Staphylococcus aureus , vancomycin-resistant Enterococcus faecium , and extended-spectrum beta-lactamase-producing Escherichia coli and Klebsiella pneumoniae . We systematically assessed the impact of sample and reference genome diversity, masking of prophage and regions of recombination, cumulative genome analysis compared to a three-month sliding-window, and the comparative effects each of these had when applying a SNP threshold for inferring likely transmission (≤15 SNPs for S. aureus , ≤25 for other species). Findings: Across the species, using a reference genome of the same sequence type provided a greater degree of pairwise SNP resolution, compared to species and outgroup-reference alignments that typically resulted in inflated SNP distances and the possibility of missed transmission events. Omitting prophage regions had minimal impacts, however, omitting recombination regions a highly variable effect, often inflating the number of closely related pairs. Estimating pairwise SNP distances was more consistent using a sliding-window than a cumulative approach. Interpretation: The use of a closely-related reference genome, without masking of prophage or recombination regions, and a sliding-window for isolate inclusion is best for accurate and consistent MDRO transmission inference. The increased stability and resolution provided by these approaches means SNP thresholds for putative transmission inference can be more reliably applied among diverse MDROs. Funding: This work was supported by the Melbourne Genomics Health Alliance (funded by the State Government of Victoria, Department of Health and Human Services, and the ten member organizations); an National Health and Medical Research Council (Australia) Partnership grant (GNT1149991) and individual grants from National Health and Medical Research Council (Australia) to NLS (GNT1093468), JCK (GNT1008549) and BPH (GNT1105905).
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    Tracking the COVID-19 pandemic in Australia using genomics
    Seemann, T ; Lane, C ; Sherry, N ; Duchene, S ; Goncalves da Silva, A ; Caly, L ; Sait, M ; Ballard, S ; Horan, K ; Schultz, M ; Hoang, T ; Easton, M ; Dougall, S ; Stinear, T ; Druce, J ; Catton, M ; Sutton, B ; van Diemen, A ; Alpren, C ; Williamson, D ; Howden, B ( 2020)
    BACKGROUND: Whole-genome sequencing of pathogens can improve resolution of outbreak clusters and define possible transmission networks. We applied high-throughput genome sequencing of SARS-CoV-2 to 75% of cases in the State of Victoria (population 6.24 million) in Australia. METHODS: Cases of SARS-CoV-2 infection were detected through active case finding and contact tracing. A dedicated SARS-CoV-2 multidisciplinary genomic response team was formed to enable rapid integration of epidemiological and genomic data. Phylodynamic analysis was performed to assess the putative impact of social restrictions. RESULTS: Between 25 January and 14 April 2020, 1,333 COVID-19 cases were reported in Victoria, with a peak in late March. After applying internal quality control parameters, 903 samples were included in genomic analyses. Sequenced samples from Australia were representative of the global diversity of SARS-CoV-2, consistent with epidemiological findings of multiple importations and limited onward transmission. In total, 76 distinct genomic clusters were identified; these included large clusters associated with social venues, healthcare facilities and cruise ships. Sequencing of sequential samples from 98 patients revealed minimal intra-patient SARS-CoV-2 genomic diversity. Phylodynamic modelling indicated a significant reduction in the effective viral reproductive number (Re) from 1.63 to 0.48 after the implementation of travel restrictions and population-level physical distancing. CONCLUSIONS: Our data provide a comprehensive framework for the use of SARS-CoV-2 genomics in public health responses. The application of genomics to rapidly identify SARS-CoV-2 transmission chains will become critically important as social restrictions ease globally. Public health responses to emergent cases must be swift, highly focused and effective.
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    Complete microbial genomes for public health in Australia and the Southwest Pacific
    Baines, SL ; da Silva, AG ; Carter, GP ; Jennison, A ; Rathnayake, I ; Graham, RM ; Sintchenko, V ; Wang, Q ; Rockett, RJ ; Timms, VJ ; Martinez, E ; Ballard, S ; Tomita, T ; Isles, N ; Horan, KA ; Pitchers, W ; Stinear, TP ; Williamson, DA ; Howden, BP ; Seemann, T (MICROBIOLOGY SOC, 2020-11)
    Complete genomes of microbial pathogens are essential for the phylogenomic analyses that increasingly underpin core public health laboratory activities. Here, we announce a BioProject (PRJNA556438) dedicated to sharing complete genomes chosen to represent a range of pathogenic bacteria with regional importance to Australia and the Southwest Pacific; enriching the catalogue of globally available complete genomes for public health while providing valuable strains to regional public health microbiology laboratories. In this first step, we present 26 complete high-quality bacterial genomes. Additionally, we describe here a framework for reconstructing complete microbial genomes and highlight some of the challenges and considerations for accurate and reproducible genome reconstruction.