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Emerging Infectious Diseases
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Emerging Infectious Diseases
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Identification of Melioidosis Outbreak by Multilocus Variable Number Tandem Repeat Analysis

Authors: Currie, BJ; Haslem, A; Pearson, T; Hornstra, H; Leadem, B; Mayo, M; Gal, D; +4 Authors

Identification of Melioidosis Outbreak by Multilocus Variable Number Tandem Repeat Analysis

Abstract

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.

Country
United Kingdom
Keywords

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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    popularity
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    Top 10%
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    Top 10%
    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
    Top 10%
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
35
Top 10%
Top 10%
Top 10%
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gold