Cartography of opportunistic pathogens and antibiotic resistance genes in a tertiary hospital environment
Abstrak
Although disinfection is key to infection control, the colonization patterns and resistomes of hospital-environment microbes remain underexplored. We report the first extensive genomic characterization of microbiomes, pathogens and antibiotic resistance cassettes in a tertiary-care hospital, from repeated sampling (up to 1.5 years apart) of 179 sites associated with 45 beds. Deep shotgun metagenomics unveiled distinct ecological niches of microbes and antibiotic resistance genes characterized by biofilm-forming and human-microbiome-influenced environments with corresponding patterns of spatiotemporal divergence. Quasi-metagenomics with nanopore sequencing provided thousands of high-contiguity genomes, phage and plasmid sequences (>60% novel), enabling characterization of resistome and mobilome diversity and dynamic architectures in hospital environments. Phylogenetics identified multidrug-resistant strains as being widely distributed and stably colonizing across sites. Comparisons with clinical isolates indicated that such microbes can persist in hospitals for extended periods (>8 years), to opportunistically infect patients. These findings highlight the importance of characterizing antibiotic resistance reservoirs in hospitals and establish the feasibility of systematic surveys to target resources for preventing infections. Spatiotemporal characterization of microbial diversity and antibiotic resistance in a tertiary-care hospital reveals broad distribution and persistence of antibiotic-resistant organisms that could cause opportunistic infections in a healthcare setting.
Penulis (111)
Kern Rei Chng
Chenhao Li
D. Bertrand
A. Ng
Junmei Samantha Kwah
Hwee Meng Low
C. Tong
Maanasa Natrajan
M. Zhang
Licheng Xu
K. Ko
E. Ho
T. Av-Shalom
J. Teo
C. Khor
David Daniela Ebrahim Sofia Chandrima Daniel J. Kern Rei Danko Bezdan Afshinnekoo Ahsanuddin Bhattacharya B
D. Danko
D. Bezdan
Ebrahim Afshinnekoo
Sofia Ahsanuddin
Chandrima Bhattacharya
D. Butler
Kern Rei Chng
F. De Filippis
J. Hecht
A. Kahles
Mikhail Karasikov
N. Kyrpides
M. Leung
D. Meleshko
Harun Mustafa
B. Mutai
R. Neches
A. Ng
M. Nieto-Caballero
O. Nikolayeva
T. Nikolayeva
E. Png
Jorge L. Sanchez
H. Shaaban
Maria A. Sierra
X. Tong
B. Young
Josue Alicea
Malay Bhattacharyya
R. Blekhman
E. Castro-Nallar
Ana M. Cañas
A. Chatziefthimiou
Robert W. Crawford
You-Peng Deng
C. Desnues
E. Dias-Neto
Daisy Donnellan
M. Dybwad
E. Elhaik
D. Ercolini
A. Frolova
A. Graf
D. C. Green
I. Hajirasouliha
Mark Hernandez
G. Iraola
Soojin Jang
Angela Jones
F. Kelly
Kaymisha Knights
Paweł P. Łabaj
P. Lee
L. Shawn
P. Ljungdahl
Abigail Lyons
G. Mason-Buck
K. McGrath
E. Mongodin
M. Moraes
Niranjan Nagarajan
H. Noushmehr
Manuela Oliveira
S. Ossowski
O. Osuolale
Orhan Özcan
David Páez-Espino
N. Rascovan
Hugues Richard
G. Rätsch
L. Schriml
T. Semmler
O. U. Sezerman
Leming Shi
L. Song
Haruo Suzuki
D. Court
Dominique Thomas
S. Tighe
K. Udekwu
J. Ugalde
Brandon Valentine
D. Vassilev
Elena M. Vayndorf
T. Velavan
M. Zambrano
Jifeng Zhu
Sibo Zhu
Christopher E. Mason
S. Chen
Christopher E. Mason
O. Ng
K. Marimuthu
B. Ang
Niranjan Nagarajan
Akses Cepat
- Tahun Terbit
- 2019
- Bahasa
- en
- Total Sitasi
- 189×
- Sumber Database
- Semantic Scholar
- DOI
- 10.1038/s41591-020-0894-4
- Akses
- Open Access ✓