Genomic analysis of cardiac surgery-associated Mycobacterium chimaera infections in Italy

One hundred and twenty-two Mycobacterium chimaera strains isolated in Italy from cardiac surgery-related patients, cardiac surgery-unrelated patients and from heater-cooler units, were submitted to whole-genome sequencing and to subsequent SNP analysis. All but one strains isolated from cardiac surg...

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Veröffentlicht in:PloS one Jg. 15; H. 9; S. e0239273
Hauptverfasser: Ghodousi, Arash, Borroni, Emanuele, Peracchi, Marta, Palù, Giorgio, Fallico, Loredana, Rassu, Mario, Manfrin, Vinicio, Mantegani, Paola, Monzillo, Vincenzina, Manganelli, Riccardo, Tortoli, Enrico, Cirillo, Daniela Maria
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Sprache:Englisch
Veröffentlicht: San Francisco Public Library of Science 25.09.2020
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ISSN:1932-6203, 1932-6203
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Abstract One hundred and twenty-two Mycobacterium chimaera strains isolated in Italy from cardiac surgery-related patients, cardiac surgery-unrelated patients and from heater-cooler units, were submitted to whole-genome sequencing and to subsequent SNP analysis. All but one strains isolated from cardiac surgery-related patients belonged to Subgroup 1.1 (19/23) or Subgroup 1.8 (3/23). Only 28 out of 79 strains isolated from heater-cooler units belonged to groupings other than 1.1 and 1.8. The strains isolated from cardiac surgery-unrelated patients were instead distributed across the phylogenetic tree. Our data, the first on isolates from Italy, are in agreement with a recent large genomic study suggesting a common source, represented by strains belonging to Subgroups 1.1 and 1.8, of cardiac surgery-related Mycobacterium chimaera infections. The strains belonging to groupings other than 1.1 and 1.8 isolated from heather-cooler units evidently resulted from contaminations at hospital level and had no share in the Mycobacterium chimaera outbreak. One Mycobacterium chimaera strain investigated in this study proved distant from every previously known Mycobacterium chimaera Groups (1, 2, 3 and 4) and we propose to assign to a novel group, named "Group 5".
AbstractList One hundred and twenty-two Mycobacterium chimaera strains isolated in Italy from cardiac surgery-related patients, cardiac surgery-unrelated patients and from heater-cooler units, were submitted to whole-genome sequencing and to subsequent SNP analysis. All but one strains isolated from cardiac surgery-related patients belonged to Subgroup 1.1 (19/23) or Subgroup 1.8 (3/23). Only 28 out of 79 strains isolated from heater-cooler units belonged to groupings other than 1.1 and 1.8. The strains isolated from cardiac surgery-unrelated patients were instead distributed across the phylogenetic tree. Our data, the first on isolates from Italy, are in agreement with a recent large genomic study suggesting a common source, represented by strains belonging to Subgroups 1.1 and 1.8, of cardiac surgery-related Mycobacterium chimaera infections. The strains belonging to groupings other than 1.1 and 1.8 isolated from heather-cooler units evidently resulted from contaminations at hospital level and had no share in the Mycobacterium chimaera outbreak. One Mycobacterium chimaera strain investigated in this study proved distant from every previously known Mycobacterium chimaera Groups (1, 2, 3 and 4) and we propose to assign to a novel group, named “Group 5”.
One hundred and twenty-two Mycobacterium chimaera strains isolated in Italy from cardiac surgery-related patients, cardiac surgery-unrelated patients and from heater-cooler units, were submitted to whole-genome sequencing and to subsequent SNP analysis. All but one strains isolated from cardiac surgery-related patients belonged to Subgroup 1.1 (19/23) or Subgroup 1.8 (3/23). Only 28 out of 79 strains isolated from heater-cooler units belonged to groupings other than 1.1 and 1.8. The strains isolated from cardiac surgery-unrelated patients were instead distributed across the phylogenetic tree. Our data, the first on isolates from Italy, are in agreement with a recent large genomic study suggesting a common source, represented by strains belonging to Subgroups 1.1 and 1.8, of cardiac surgery-related Mycobacterium chimaera infections. The strains belonging to groupings other than 1.1 and 1.8 isolated from heather-cooler units evidently resulted from contaminations at hospital level and had no share in the Mycobacterium chimaera outbreak. One Mycobacterium chimaera strain investigated in this study proved distant from every previously known Mycobacterium chimaera Groups (1, 2, 3 and 4) and we propose to assign to a novel group, named "Group 5".One hundred and twenty-two Mycobacterium chimaera strains isolated in Italy from cardiac surgery-related patients, cardiac surgery-unrelated patients and from heater-cooler units, were submitted to whole-genome sequencing and to subsequent SNP analysis. All but one strains isolated from cardiac surgery-related patients belonged to Subgroup 1.1 (19/23) or Subgroup 1.8 (3/23). Only 28 out of 79 strains isolated from heater-cooler units belonged to groupings other than 1.1 and 1.8. The strains isolated from cardiac surgery-unrelated patients were instead distributed across the phylogenetic tree. Our data, the first on isolates from Italy, are in agreement with a recent large genomic study suggesting a common source, represented by strains belonging to Subgroups 1.1 and 1.8, of cardiac surgery-related Mycobacterium chimaera infections. The strains belonging to groupings other than 1.1 and 1.8 isolated from heather-cooler units evidently resulted from contaminations at hospital level and had no share in the Mycobacterium chimaera outbreak. One Mycobacterium chimaera strain investigated in this study proved distant from every previously known Mycobacterium chimaera Groups (1, 2, 3 and 4) and we propose to assign to a novel group, named "Group 5".
Audience Academic
Author Peracchi, Marta
Fallico, Loredana
Manfrin, Vinicio
Cirillo, Daniela Maria
Rassu, Mario
Monzillo, Vincenzina
Manganelli, Riccardo
Borroni, Emanuele
Palù, Giorgio
Tortoli, Enrico
Ghodousi, Arash
Mantegani, Paola
AuthorAffiliation 2 Azienda Ospedaliera di Padova, Padova, Italy
3 University of Padova, Padova, Italy
1 Emerging Bacterial Pathogens Unit, Division of Immunology, Transplantation and Infectious Diseases, IRCCS San Raffaele Scientific Institute, Milan, Italy
5 U.O.C Microbiologia e Virologia, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
Northwestern University Feinberg School of Medicine, UNITED STATES
4 San Bortolo Hospital, Vicenza, Italy
AuthorAffiliation_xml – name: 2 Azienda Ospedaliera di Padova, Padova, Italy
– name: 4 San Bortolo Hospital, Vicenza, Italy
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– name: 5 U.O.C Microbiologia e Virologia, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
– name: Northwestern University Feinberg School of Medicine, UNITED STATES
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CitedBy_id crossref_primary_10_1038_s41598_023_48974_w
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crossref_primary_10_1128_spectrum_02893_22
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Cites_doi 10.1093/molbev/msj030
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– notice: 2020 Ghodousi et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.
– notice: 2020 Ghodousi et al 2020 Ghodousi et al
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DocumentTitleAlternate Cardiac Surgery-Associated Mycobacterium chimaera Infections in Italy
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Snippet One hundred and twenty-two Mycobacterium chimaera strains isolated in Italy from cardiac surgery-related patients, cardiac surgery-unrelated patients and from...
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SubjectTerms Biology and Life Sciences
Cardiovascular surgery
Care and treatment
Complications and side effects
Computer and Information Sciences
Development and progression
Engineering and Technology
Epidemics
Gene sequencing
Genetic aspects
Genomes
Genomic analysis
Health aspects
Heart
Heart surgery
Immunology
Infections
Infectious diseases
Medicine and Health Sciences
Mycobacterium chimaera
Mycobacterium infections
Pathogens
Patients
Phylogenetics
Phylogeny
Single nucleotide polymorphisms
Strain analysis
Subgroups
Surgery
Water shortages
Water supply
Whole genome sequencing
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Title Genomic analysis of cardiac surgery-associated Mycobacterium chimaera infections in Italy
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Volume 15
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