
Endemic melioidosis is caused by genetically diverse Burkholderia pseudomallei strains. However, clonal outbreaks (multiple cases caused by 1 strain) have occurred, such as from contaminated potable water. B. pseudomallei is designated a group B bioterrorism agent, which necessitates rapidly recognizing point-source outbreaks. Pulsed-field gel electrophoresis (PFGE) and multilocus sequence typing (MLST) can identify genetically related isolates, but results take several days to obtain. We developed a simplified 4-locus multilocus variable number tandem repeat analysis (MLVA-4) for rapid typing and compared results with PFGE and MLST for a large number of well-characterized B. pseudomallei isolates. MLVA-4 compared favorably with MLST and PFGE for the same isolates; it discriminated between 65 multilocus sequence types and showed relatedness between epidemiologically linked isolates from outbreak clusters and between isolates from individual patients. MLVA-4 can establish or refute that a clonal outbreak of melioidosis has occurred within 8 hours of receipt of bacterial strains.
Electrophoresis, AUSTRALIA, Burkholderia pseudomallei, BURKHOLDERIA-PSEUDOMALLEI, VNTR, Immunology, Molecular Sequence Data, DISTINCT, Infectious and parasitic diseases, RC109-216, Minisatellite Repeats, Microbiology, IMMUNOLOGY, Disease Outbreaks, Pulsed-Field, 1108 Medical Microbiology, EPIDEMIOLOGY, Humans, Gel, Science & Technology, outbreak, Base Sequence, MLVA, Research, R, 1103 Clinical Sciences, DNA, INFECTIOUS DISEASES, Sequence Analysis, DNA, Bacterial Typing Techniques, Electrophoresis, Gel, Pulsed-Field, CONTAMINATION, Infectious Diseases, 1117 Public Health And Health Services, Melioidosis, GENETIC DIVERSITY, Medicine, melioidosis, Sequence Analysis, Life Sciences & Biomedicine, MLST
Electrophoresis, AUSTRALIA, Burkholderia pseudomallei, BURKHOLDERIA-PSEUDOMALLEI, VNTR, Immunology, Molecular Sequence Data, DISTINCT, Infectious and parasitic diseases, RC109-216, Minisatellite Repeats, Microbiology, IMMUNOLOGY, Disease Outbreaks, Pulsed-Field, 1108 Medical Microbiology, EPIDEMIOLOGY, Humans, Gel, Science & Technology, outbreak, Base Sequence, MLVA, Research, R, 1103 Clinical Sciences, DNA, INFECTIOUS DISEASES, Sequence Analysis, DNA, Bacterial Typing Techniques, Electrophoresis, Gel, Pulsed-Field, CONTAMINATION, Infectious Diseases, 1117 Public Health And Health Services, Melioidosis, GENETIC DIVERSITY, Medicine, melioidosis, Sequence Analysis, Life Sciences & Biomedicine, MLST
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