Bacteriocin production facilitates nosocomial emergence of vancomycin-resistant Enterococcus faecium
Nature Microbiology,
Journal Year:
2025,
Volume and Issue:
unknown
Published: March 21, 2025
Gastrointestinal
colonization
by
the
nosocomial
pathogen
vancomycin-resistant
Enterococcus
faecium
(VREfm)
can
lead
to
bloodstream
infections
with
high
mortality
rates.
Shifts
in
VREfm
lineages
found
within
healthcare
settings
occur,
but
reasons
underlying
these
changes
are
not
understood.
Here
we
sequenced
710
clinical
isolates
collected
between
2017
and
2022
from
a
large
tertiary
care
centre.
Genomic
analyses
revealed
polyclonal
population,
although
46%
of
formed
genetically
related
clusters,
suggesting
transmission
rate.
Comparing
data
global
collection
15,631
publicly
available
genomes
2002
identified
replacement
sequence
type
(ST)
17
lineage
emergent
ST80
ST117
at
local
level.
Comparative
genomic
functional
that
encoded
bacteriocin
T8,
which
conferred
competitive
advantage
over
T8-negative
strains
vitro
upon
mouse
gut.
Bacteriocin
T8
carriage
was
also
strongly
associated
strain
emergence
genome
collection.
These
suggest
T8-mediated
competition
may
have
contributed
replacement.
healthcare-associated
reveal
is
enriched
provides
vivo.
Language: Английский
Integrated population clustering and genomic epidemiology with PopPIPE
Microbial Genomics,
Journal Year:
2025,
Volume and Issue:
11(4)
Published: April 28, 2025
Genetic
distances
between
bacterial
DNA
sequences
can
be
used
to
cluster
populations
into
closely
related
subpopulations
and
as
an
additional
source
of
information
when
detecting
possible
transmission
events.
Due
their
variable
gene
content
order,
reference-free
methods
offer
more
sensitive
detection
genetic
differences,
especially
among
samples
found
in
outbreaks.
However,
across
longer
distances,
frequent
recombination
make
calculation
interpretation
these
differences
challenging,
requiring
significant
bioinformatic
expertise
manual
intervention
during
the
analysis
process.
Here,
we
present
a
Pop
ulation
PIPE
line
(PopPIPE)
which
combines
rapid
genome
analyse
genomes
two
scales,
splitting
whole
subclusters
plausible
events
within
clusters.
We
use
k-mer
sketching
split
strains,
followed
by
removal
create
alignments
strains.
first
show
that
this
approach
creates
high-quality
on
population-wide
dataset
Streptococcus
pneumoniae
.
When
applied
nosocomial
vancomycin-resistant
Enterococcus
faecium
samples,
PopPIPE
finds
clusters
are
epidemiologically
than
core
or
multilocus
sequence
typing
(MLST)
approaches.
Our
pipeline
is
reproducible,
interactive
visualizations
easily
reconfigured
re-run
new
datasets.
Therefore,
provides
user-friendly
for
analyses
spanning
species-wide
clustering
outbreak
investigations.
Language: Английский
Genomic Surveillance for Enhanced Healthcare Outbreak Detection and Control
medRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2024,
Volume and Issue:
unknown
Published: Sept. 22, 2024
ABSTRACT
Background
Current
methods
are
insufficient
alone
for
outbreak
detection
in
hospitals.
Real-time
genomic
surveillance
using
offers
the
potential
to
detect
otherwise
unidentified
outbreaks.
We
initiated
and
evaluated
Enhanced
Detection
System
Healthcare-associated
Transmission
(EDS-HAT),
a
real-time
program
mitigation.
Methods
This
study
was
conducted
at
UPMC
Presbyterian
Hospital
from
November
2021
October
2023.
Whole
genome
sequencing
(WGS)
performed
weekly
on
healthcare-associated
clinical
bacterial
isolates
identify
undetected
Interventions
were
implemented
based
identified
transmission.
A
economic
impact
analysis
estimate
infections
averted
net
cost
savings.
Results
There
3,921
patient
that
underwent
WGS,
of
which
476
(12.1%)
clustered
into
172
outbreaks
(size
range
2-16
patients).
Of
isolates,
292
(61.3%)
had
an
epidemiological
link.
Among
with
interventions,
95.6%
showed
no
further
transmission
intervened
route.
The
estimated
that,
over
two-year
period,
62
averted,
gross
savings
$1,011,146,
$695,706,
translates
3.2-fold
return
investment.
Probabilistic
sensitivity
EDS-HAT
cost-saving
more
effective
98%
simulations.
Conclusion
enabled
rapid
control
our
hospital
resulted
benefits
improvement
safety.
demonstrates
feasibility
effectiveness
integrating
routine
infection
prevention
practice,
offering
paradigm
shift
healthcare
control.
Language: Английский
Bacteriocin production facilitates nosocomial emergence of vancomycin-resistantEnterococcus faecium
medRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2024,
Volume and Issue:
unknown
Published: Aug. 3, 2024
ABSTRACT
Vancomycin-resistant
Enterococcus
faecium
(VREfm)
is
a
prevalent
healthcare-acquired
pathogen.
Gastrointestinal
colonization
can
lead
to
difficult-to-treat
bloodstream
infections
with
high
mortality
rates.
Prior
studies
have
investigated
VREfm
population
structure
within
healthcare
centers.
However,
little
known
about
how
and
why
hospital-adapted
populations
change
over
time.
We
sequenced
710
healthcare-associated
clinical
isolates
from
2017-2022
large
tertiary
care
center
as
part
of
the
Enhanced
Detection
System
for
Healthcare-Associated
Transmission
(EDS-HAT)
program.
Although
in
our
was
polyclonal,
46%
formed
genetically
related
clusters,
suggesting
transmission
rate.
compared
collection
15,631
publicly
available
genomes
spanning
20
years.
Our
findings
describe
drastic
shift
lineage
replacement
nosocomial
at
both
local
global
level.
Functional
genomic
analysis
revealed,
antimicrobial
peptide,
bacteriocin
T8
may
be
driving
feature
strain
emergence
persistence
hospital
setting.
Summary
This
study
shows
vancomycin-resistant
.
Bacteriocin
enriched
emergent
lineages
provides
strong
competitive
advantage
vitro
vivo
Language: Английский
Integrated population clustering and genomic epidemiology with PopPIPE
bioRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2024,
Volume and Issue:
unknown
Published: Dec. 9, 2024
Abstract
Genetic
distances
between
bacterial
DNA
sequences
can
be
used
to
cluster
populations
into
closely
related
subpopulations,
and
as
an
additional
source
of
information
when
detecting
possible
transmission
events.
Due
their
variable
gene
content
order,
reference-free
methods
offer
more
sensitive
detection
genetic
differences,
especially
among
samples
found
in
outbreaks.
However,
across
longer
distances,
frequent
recombination
make
calculation
interpretation
these
differences
challenging,
requiring
significant
bioinformatic
expertise
manual
intervention
during
the
analysis
process.
Here
we
present
a
Pop
ulation
PIPE
line
(PopPIPE)
which
combines
rapid
genome
analyse
genomes
two
scales,
splitting
whole
subclusters
plausible
events
within
clusters.
We
use
k-mer
sketching
split
strains,
followed
by
removal
create
alignments
strains.
first
show
that
this
approach
creates
high
quality
on
population-wide
dataset
Streptococcus
pneumoniae
.
When
applied
nosocomial
vancomycin
resistant
Enterococcus
faecium
samples,
PopPIPE
finds
clusters
are
epidemiologically
than
core
or
MLST-based
approaches.
Our
pipeline
is
reproducible,
interactive
visualisations,
easily
reconfigured
re-run
new
datasets.
Therefore
provides
user-friendly
for
analyses
spanning
species-wide
clustering
outbreak
investigations.
Impact
statement
As
time
passes,
accumulate
small
changes
sequence
due
mutations,
larger
horizontal
transfer.
Using
sequences,
it
phylogenetics
work
out
most
likely
order
happened,
how
long
they
took
happen.
Then,
one
estimate
separates
any
–
if
short
then
may
have
been
directly
transmitted
acquired
from
same
source;
but
must
separately.
This
determine
chains,
conjunction
with
dates
locations
infections.
Understanding
chains
enables
targeted
infection
control
measures.
correctly
calculating
evidence
made
difficult
distinguishing
different
types
changes,
dealing
large
amounts
data,
need
multiple
complex
tools.
addressed
gap
creating
computational
workflow,
PopPIPE,
automates
process
transmissions
using
sequences.
applies
state-of-the-art
tools
fast
easy
run
making
technology
will
available
wider
audience
researchers.
Data
summary
The
code
at
https://github.com/bacpop/PopPIPE
docker
image
https://hub.docker.com/r/poppunk/poppipe
Raw
sequencing
reads
isolates
deposited
NCBI
under
BioProject
accession
number
PRJNA997588.
Language: Английский