Semantic Scholar Open Access 2019 189 sitasi

Cartography of opportunistic pathogens and antibiotic resistance genes in a tertiary hospital environment

Kern Rei Chng Chenhao Li D. Bertrand A. Ng Junmei Samantha Kwah +106 lainnya

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.

Topik & Kata Kunci

Penulis (111)

K

Kern Rei Chng

C

Chenhao Li

D

D. Bertrand

A

A. Ng

J

Junmei Samantha Kwah

H

Hwee Meng Low

C

C. Tong

M

Maanasa Natrajan

M

M. Zhang

L

Licheng Xu

K

K. Ko

E

E. Ho

T

T. Av-Shalom

J

J. Teo

C

C. Khor

D

David Daniela Ebrahim Sofia Chandrima Daniel J. Kern Rei Danko Bezdan Afshinnekoo Ahsanuddin Bhattacharya B

D

D. Danko

D

D. Bezdan

E

Ebrahim Afshinnekoo

S

Sofia Ahsanuddin

C

Chandrima Bhattacharya

D

D. Butler

K

Kern Rei Chng

F

F. De Filippis

J

J. Hecht

A

A. Kahles

M

Mikhail Karasikov

N

N. Kyrpides

M

M. Leung

D

D. Meleshko

H

Harun Mustafa

B

B. Mutai

R

R. Neches

A

A. Ng

M

M. Nieto-Caballero

O

O. Nikolayeva

T

T. Nikolayeva

E

E. Png

J

Jorge L. Sanchez

H

H. Shaaban

M

Maria A. Sierra

X

X. Tong

B

B. Young

J

Josue Alicea

M

Malay Bhattacharyya

R

R. Blekhman

E

E. Castro-Nallar

A

Ana M. Cañas

A

A. Chatziefthimiou

R

Robert W. Crawford

Y

You-Peng Deng

C

C. Desnues

E

E. Dias-Neto

D

Daisy Donnellan

M

M. Dybwad

E

E. Elhaik

D

D. Ercolini

A

A. Frolova

A

A. Graf

D

D. C. Green

I

I. Hajirasouliha

M

Mark Hernandez

G

G. Iraola

S

Soojin Jang

A

Angela Jones

F

F. Kelly

K

Kaymisha Knights

P

Paweł P. Łabaj

P

P. Lee

L

L. Shawn

P

P. Ljungdahl

A

Abigail Lyons

G

G. Mason-Buck

K

K. McGrath

E

E. Mongodin

M

M. Moraes

N

Niranjan Nagarajan

H

H. Noushmehr

M

Manuela Oliveira

S

S. Ossowski

O

O. Osuolale

O

Orhan Özcan

D

David Páez-Espino

N

N. Rascovan

H

Hugues Richard

G

G. Rätsch

L

L. Schriml

T

T. Semmler

O

O. U. Sezerman

L

Leming Shi

L

L. Song

H

Haruo Suzuki

D

D. Court

D

Dominique Thomas

S

S. Tighe

K

K. Udekwu

J

J. Ugalde

B

Brandon Valentine

D

D. Vassilev

E

Elena M. Vayndorf

T

T. Velavan

M

M. Zambrano

J

Jifeng Zhu

S

Sibo Zhu

C

Christopher E. Mason

S

S. Chen

C

Christopher E. Mason

O

O. Ng

K

K. Marimuthu

B

B. Ang

N

Niranjan Nagarajan

Format Sitasi

Chng, K.R., Li, C., Bertrand, D., Ng, A., Kwah, J.S., Low, H.M. et al. (2019). Cartography of opportunistic pathogens and antibiotic resistance genes in a tertiary hospital environment. https://doi.org/10.1038/s41591-020-0894-4

Akses Cepat

Lihat di Sumber doi.org/10.1038/s41591-020-0894-4
Informasi Jurnal
Tahun Terbit
2019
Bahasa
en
Total Sitasi
189×
Sumber Database
Semantic Scholar
DOI
10.1038/s41591-020-0894-4
Akses
Open Access ✓