Comparison of phenotypic and WGS-derived antimicrobial resistance profiles of Salmonella enterica serovars Typhi and Paratyphi. 2018

Martin R Day, and Michel Doumith, and Vivienne Do Nascimento, and Satheesh Nair, and Philip M Ashton, and Claire Jenkins, and Timothy J Dallman, and Flora J Stevens, and Joanne Freedman, and Katie L Hopkins, and Neil Woodford, and Elizabeth M De Pinna, and Gauri Godbole
Bacteriology Reference Department, National Infection Service, Public Health England, 61 Colindale Avenue, London NW9 5EQ, UK.

Surveillance of antimicrobial resistance (AMR) in Salmonella enterica serovars Typhi and Paratyphi is essential to provide an evidence base for empirical treatment protocols and to monitor emerging AMR. We sought to compare phenotypic and WGS-based genotypic methods for the detection of AMR in Salmonella Typhi and Salmonella Paratyphi. WGS data from 603 isolates of Salmonella Typhi (n = 332) and Salmonella Paratyphi (n = 271) were mapped to genes or chromosomal mutations known to be associated with phenotypic AMR and compared with phenotypic susceptibility data interpreted using breakpoints recommended by EUCAST. There were two (0.03%) discordant interpretations out of a possible 6030 isolate/antimicrobial class combinations. MDR (resistant to three or more classes of antimicrobial) was detected in 83/332 (25.0%) Salmonella Typhi isolates, but was not detected in Salmonella Paratyphi. Thirty-six (10.8%) isolates of Salmonella Typhi were resistant to ciprofloxacin (MIC >0.5 mg/L), with 33 (9.9%) of 332 exhibiting mutations in gyrA and parC, and 244 (73.5%) isolates had reduced susceptibility to ciprofloxacin (MIC 0.06-0.25 mg/L). In comparison, 209/227 (92.1%) isolates of Salmonella Paratyphi A exhibited resistance to ciprofloxacin (MIC >0.5 mg/L). No resistance to azithromycin or the third-generation cephalosporins was detected. WGS data provided a robust and informative approach for monitoring MDR and emerging resistance to ciprofloxacin in Salmonella Typhi and Salmonella Paratyphi. Phenotypic antimicrobial susceptibility testing continues to be performed to guide targeted individual patient treatment, but inferred AMR profiles from WGS data may be used for surveillance and to guide empirical therapy.

UI MeSH Term Description Entries
D008297 Male Males
D008826 Microbial Sensitivity Tests Any tests that demonstrate the relative efficacy of different chemotherapeutic agents against specific microorganisms (i.e., bacteria, fungi, viruses). Bacterial Sensitivity Tests,Drug Sensitivity Assay, Microbial,Minimum Inhibitory Concentration,Antibacterial Susceptibility Breakpoint Determination,Antibiogram,Antimicrobial Susceptibility Breakpoint Determination,Bacterial Sensitivity Test,Breakpoint Determination, Antibacterial Susceptibility,Breakpoint Determination, Antimicrobial Susceptibility,Fungal Drug Sensitivity Tests,Fungus Drug Sensitivity Tests,Sensitivity Test, Bacterial,Sensitivity Tests, Bacterial,Test, Bacterial Sensitivity,Tests, Bacterial Sensitivity,Viral Drug Sensitivity Tests,Virus Drug Sensitivity Tests,Antibiograms,Concentration, Minimum Inhibitory,Concentrations, Minimum Inhibitory,Inhibitory Concentration, Minimum,Inhibitory Concentrations, Minimum,Microbial Sensitivity Test,Minimum Inhibitory Concentrations,Sensitivity Test, Microbial,Sensitivity Tests, Microbial,Test, Microbial Sensitivity,Tests, Microbial Sensitivity
D009154 Mutation Any detectable and heritable change in the genetic material that causes a change in the GENOTYPE and which is transmitted to daughter cells and to succeeding generations. Mutations
D010284 Paratyphoid Fever A prolonged febrile illness commonly caused by several Paratyphi serotypes of SALMONELLA ENTERICA. It is similar to TYPHOID FEVER but less severe. Fever, Paratyphoid,Fevers, Paratyphoid,Paratyphoid Fevers
D005260 Female Females
D005798 Genes, Bacterial The functional hereditary units of BACTERIA. Bacterial Gene,Bacterial Genes,Gene, Bacterial
D005838 Genotype The genetic constitution of the individual, comprising the ALLELES present at each GENETIC LOCUS. Genogroup,Genogroups,Genotypes
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000073336 Whole Genome Sequencing Techniques to determine the entire sequence of the GENOME of an organism or individual. Complete Genome Sequencing,Genome Sequencing, Complete,Genome Sequencing, Whole,Sequencing, Complete Genome,Sequencing, Whole Genome
D000900 Anti-Bacterial Agents Substances that inhibit the growth or reproduction of BACTERIA. Anti-Bacterial Agent,Anti-Bacterial Compound,Anti-Mycobacterial Agent,Antibacterial Agent,Antibiotics,Antimycobacterial Agent,Bacteriocidal Agent,Bacteriocide,Anti-Bacterial Compounds,Anti-Mycobacterial Agents,Antibacterial Agents,Antibiotic,Antimycobacterial Agents,Bacteriocidal Agents,Bacteriocides,Agent, Anti-Bacterial,Agent, Anti-Mycobacterial,Agent, Antibacterial,Agent, Antimycobacterial,Agent, Bacteriocidal,Agents, Anti-Bacterial,Agents, Anti-Mycobacterial,Agents, Antibacterial,Agents, Antimycobacterial,Agents, Bacteriocidal,Anti Bacterial Agent,Anti Bacterial Agents,Anti Bacterial Compound,Anti Bacterial Compounds,Anti Mycobacterial Agent,Anti Mycobacterial Agents,Compound, Anti-Bacterial,Compounds, Anti-Bacterial

Related Publications

Martin R Day, and Michel Doumith, and Vivienne Do Nascimento, and Satheesh Nair, and Philip M Ashton, and Claire Jenkins, and Timothy J Dallman, and Flora J Stevens, and Joanne Freedman, and Katie L Hopkins, and Neil Woodford, and Elizabeth M De Pinna, and Gauri Godbole
August 2014, Journal of infection in developing countries,
Martin R Day, and Michel Doumith, and Vivienne Do Nascimento, and Satheesh Nair, and Philip M Ashton, and Claire Jenkins, and Timothy J Dallman, and Flora J Stevens, and Joanne Freedman, and Katie L Hopkins, and Neil Woodford, and Elizabeth M De Pinna, and Gauri Godbole
January 2019, Microbial drug resistance (Larchmont, N.Y.),
Martin R Day, and Michel Doumith, and Vivienne Do Nascimento, and Satheesh Nair, and Philip M Ashton, and Claire Jenkins, and Timothy J Dallman, and Flora J Stevens, and Joanne Freedman, and Katie L Hopkins, and Neil Woodford, and Elizabeth M De Pinna, and Gauri Godbole
January 2014, Frontiers in microbiology,
Martin R Day, and Michel Doumith, and Vivienne Do Nascimento, and Satheesh Nair, and Philip M Ashton, and Claire Jenkins, and Timothy J Dallman, and Flora J Stevens, and Joanne Freedman, and Katie L Hopkins, and Neil Woodford, and Elizabeth M De Pinna, and Gauri Godbole
August 2008, Journal of infection in developing countries,
Martin R Day, and Michel Doumith, and Vivienne Do Nascimento, and Satheesh Nair, and Philip M Ashton, and Claire Jenkins, and Timothy J Dallman, and Flora J Stevens, and Joanne Freedman, and Katie L Hopkins, and Neil Woodford, and Elizabeth M De Pinna, and Gauri Godbole
January 2014, PloS one,
Martin R Day, and Michel Doumith, and Vivienne Do Nascimento, and Satheesh Nair, and Philip M Ashton, and Claire Jenkins, and Timothy J Dallman, and Flora J Stevens, and Joanne Freedman, and Katie L Hopkins, and Neil Woodford, and Elizabeth M De Pinna, and Gauri Godbole
May 2015, Antimicrobial agents and chemotherapy,
Martin R Day, and Michel Doumith, and Vivienne Do Nascimento, and Satheesh Nair, and Philip M Ashton, and Claire Jenkins, and Timothy J Dallman, and Flora J Stevens, and Joanne Freedman, and Katie L Hopkins, and Neil Woodford, and Elizabeth M De Pinna, and Gauri Godbole
January 2009, Indian journal of pathology & microbiology,
Martin R Day, and Michel Doumith, and Vivienne Do Nascimento, and Satheesh Nair, and Philip M Ashton, and Claire Jenkins, and Timothy J Dallman, and Flora J Stevens, and Joanne Freedman, and Katie L Hopkins, and Neil Woodford, and Elizabeth M De Pinna, and Gauri Godbole
July 2006, Journal of medical microbiology,
Martin R Day, and Michel Doumith, and Vivienne Do Nascimento, and Satheesh Nair, and Philip M Ashton, and Claire Jenkins, and Timothy J Dallman, and Flora J Stevens, and Joanne Freedman, and Katie L Hopkins, and Neil Woodford, and Elizabeth M De Pinna, and Gauri Godbole
January 2009, BMC genomics,
Martin R Day, and Michel Doumith, and Vivienne Do Nascimento, and Satheesh Nair, and Philip M Ashton, and Claire Jenkins, and Timothy J Dallman, and Flora J Stevens, and Joanne Freedman, and Katie L Hopkins, and Neil Woodford, and Elizabeth M De Pinna, and Gauri Godbole
January 2017, International journal of microbiology,
Copied contents to your clipboard!