scholarly journals Rule-Out Outbreak: 24-Hour Metagenomic Next-Generation Sequencing for Characterizing Respiratory Virus Source for Infection Prevention

2017 ◽  
Vol 6 (2) ◽  
pp. 168-172 ◽  
Author(s):  
Alexander L. Greninger ◽  
Alpana Waghmare ◽  
Amanda Adler ◽  
Xuan Qin ◽  
Janet L. Crowley ◽  
...  
2017 ◽  
Vol 243 ◽  
pp. 16-24 ◽  
Author(s):  
Ruud H. Deurenberg ◽  
Erik Bathoorn ◽  
Monika A. Chlebowicz ◽  
Natacha Couto ◽  
Mithila Ferdous ◽  
...  

2016 ◽  
Vol 55 (1) ◽  
pp. 177-182 ◽  
Author(s):  
Alexander L. Greninger ◽  
Danielle M. Zerr ◽  
Xuan Qin ◽  
Amanda L. Adler ◽  
Reigran Sampoleo ◽  
...  

ABSTRACT Metagenomic next-generation sequencing (mNGS) is increasingly used for the unbiased detection of viruses, bacteria, fungi, and eukaryotic parasites in clinical samples. Whole-genome sequencing (WGS) of clinical bacterial isolates has been shown to inform hospital infection prevention practices, but this technology has not been utilized during potential respiratory virus outbreaks. Here, we report on the use of mNGS to inform the real-time infection prevention response to a cluster of hospital-acquired human parainfluenza 3 virus (HPIV3) infections at a children's hospital. Samples from 3 patients with hospital-acquired HPIV3 identified over a 12-day period on a general medical unit and 10 temporally associated samples from patients with community-acquired HPIV3 were analyzed. Our sample-to-sequencer time was <24 h, while our sample-to-answer turnaround time was <60 h with a hands-on time of approximately 6 h. Eight (2 cases and 6 controls) of 13 samples had sufficient sequencing coverage to yield the whole genome for HPIV3, while 10 (2 cases and 8 controls) of 13 samples gave partial genomes and all 13 samples had >1 read for HPIV3. Phylogenetic clustering revealed the presence of identical HPIV3 genomic sequence in the two of the cases with hospital-acquired infection, consistent with the concern for recent transmission within the medical unit. Adequate sequence coverage was not recovered for the third case. This work demonstrates the promise of mNGS for providing rapid information for infection prevention in addition to microbial detection.


2017 ◽  
Vol 250 ◽  
pp. 2-10 ◽  
Author(s):  
Ruud H. Deurenberg ◽  
Erik Bathoorn ◽  
Monika A. Chlebowicz ◽  
Natacha Couto ◽  
Mithila Ferdous ◽  
...  

2020 ◽  
Vol 1 (1) ◽  
Author(s):  
Yun Zhang ◽  
Xiaodan Shi ◽  
Xiaofei Fei ◽  
Guodong Feng ◽  
Gang Zhao*

We found that NGS technology has great significance for the diagnosis of brucellosis in non-epidemic area and can rule out other infections. The number of Brucella gene fragments detected by NGS may be affected by clinical resistance to Brucella treatment and Brucella infection. The sensitivity of SAT to detect Brucella may is limited.


2018 ◽  
Vol 28 (6) ◽  
pp. 869-877 ◽  
Author(s):  
Brigid M. O'Flaherty ◽  
Yan Li ◽  
Ying Tao ◽  
Clinton R. Paden ◽  
Krista Queen ◽  
...  

2016 ◽  
Author(s):  
Alexander L. Greninger ◽  
Danielle M Zerr ◽  
Xuan Qin ◽  
Amanda L. Adler ◽  
Janet A. Englund ◽  
...  

AbstractMetagenomic next-generation sequencing (mNGS) is increasingly used for the unbiased detection of viruses, bacteria, fungi, and eukaryotic parasites in clinical samples. Whole genome sequencing (WGS) of clinical bacterial isolates has been shown to inform hospital infection prevention practices, but the use of this technology during potential respiratory virus outbreaks has not been taken advantage of. Here, we report on the use of mNGS to inform the real-time infection prevention response to a cluster of hospital-acquired human parainfluenza 3 virus (HPIV3) infections at a children’s hospital. Isolates from 3 patients with hospital-acquired HPIV3 identified over a 12-day period on a general medical unit and 10 temporally-associated isolates from patients with community-acquired of HPIV3 were analyzed. Our sample-to-sequencer time was <24 hours while our sample-to-answer turn-around time was <60 hours with a hands-on time of approximately 6 hours. Eight (2 case isolates and 6 control isolates) of 13 samples had sufficient sequencing coverage to yield whole genomes for HPIV3, while 10 (2 cases and 8 controls) of 13 samples gave partial genomes and all 13 samples had >1 read to HPIV3. Phylogenetic clustering revealed the presence of identical HPIV3 genomic sequence in the two of the cases with hospital-acquired infection, consistent with the concern for recent transmission within the medical unit. Adequate sequence coverage was not recovered for the third case. This work demonstrates the promise of mNGS to provide actionable information for infection control in addition to microbial detection.


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