Whole genome sequencing in the prevention and control of Staphylococcus aureus infection

Price, J R, Didelot, X, Crook, D W, Llewelyn, M J and Paul, J (2013) Whole genome sequencing in the prevention and control of Staphylococcus aureus infection. Journal of Hospital Infection, 83 (1). pp. 14-21. ISSN 0195-6701

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Abstract

BACKGROUND

Staphylococcus aureus remains a leading cause of hospital-acquired infection but weaknesses inherent in currently available typing methods impede effective infection prevention and control. The high resolution offered by whole genome sequencing has the potential to revolutionise our understanding and management of S. aureus infection.

AIM

To outline the practicalities of whole genome sequencing and discuss how it might shape future infection control practice.

METHODS

We review conventional typing methods and compare these with the potential offered by whole genome sequencing.

FINDINGS

In contrast with conventional methods, whole genome sequencing discriminates down to single nucleotide differences and allows accurate characterisation of transmission events and outbreaks and additionally provides information about the genetic basis of phenotypic characteristics, including antibiotic susceptibility and virulence. However, translating its potential into routine practice will depend on affordability, acceptable turnaround times and on creating a reliable standardised bioinformatic infrastructure.

CONCLUSION

Whole genome sequencing has the potential to provide a universal test that facilitates outbreak investigation, enables the detection of emerging strains and predicts their clinical importance.

Item Type: Article
Keywords: Outbreak investigation; Staphylococcus aureus; Typing; Whole genome sequencing
Schools and Departments: Brighton and Sussex Medical School > Global Health and Infection
Subjects: Q Science > QR Microbiology
R Medicine
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Depositing User: Patricia Butler
Date Deposited: 14 Feb 2013 08:25
Last Modified: 02 Aug 2017 17:29
URI: http://sro.sussex.ac.uk/id/eprint/43754
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