Retrospective use of whole genome sequencing to better understand an outbreak of Salmonella enterica serovar Mbandaka in New South Wales, Australia

Authors

  • Cassia Lindsay Hunter New England Health, New South Wales, Australia
  • James Flint Hunter New England Health, New South Wales, Australia
  • Kim Lilly Hunter New England Health, New South Wales, Australia
  • Kirsty Hope Health Protection NSW, New South Wales, Australia
  • Qinning Wang Centre for Infectious Diseases and Microbiology, Institute of Clinical Pathology and Medical Research, Westmead Hospital, New South Wales, Australia
  • Peter Howard Centre for Infectious Diseases and Microbiology, Institute of Clinical Pathology and Medical Research, Westmead Hospital, New South Wales, Australia
  • Vitali Sintchenko Centre for Infectious Diseases and Microbiology, Institute of Clinical Pathology and Medical Research, Westmead Hospital, New South Wales, Australia
  • David N Durrheim Hunter New England Health, New South Wales, Australia

DOI:

https://doi.org/10.5365/wpsar.2017.8.4.008

Abstract

Introduction: Salmonella enterica serovar Mbandaka is an infrequent cause of salmonellosis in New South Wales (NSW) with an average of 17 cases reported annually. This study examined the added value of whole genome sequencing (WGS) for investigating a non-point source outbreak of Salmonella ser. Mbandaka with limited geographical spread.

Methods: In February 2016, an increase in Salmonella ser. Mbandaka was noted in New South Wales, and an investigation was initiated. A WGS study was conducted three months after the initial investigation, analysing the outbreak Salmonella ser. Mbandaka isolates along with 17 human and non-human reference strains from 2010 to 2015.

Results: WGS analysis distinguished the original outbreak cases (n = 29) into two main clusters: Cluster A (n = 11) and Cluster B (n = 6); there were also 12 sporadic cases. Reanalysis of food consumption histories of cases by WGS cluster provided additional specificity when assessing associations.

Discussion: WGS has been widely acknowledged as a promising high-resolution typing tool for enteric pathogens. This study was one of the first to apply WGS to a geographically limited cluster of salmonellosis in Australia. WGS clearly distinguished the outbreak cases into distinct clusters, demonstrating its potential value for use in real time to support non-point source foodborne disease outbreaks of limited geographical spread.

References

(1) NSW Notifiable Conditions Information Management System (SAPHaRI). (2017) Health Protection.

(2) Bates. (2017) Australian Salmonella sources by serotype (Foodborne Disease Outbreak Toolkit). https://sites.google.com/site/outbreaktoolkit/products-services/salmonella-sources

(3) Phillips A, Sotomayor C, Wang Q, et al. (2016) Whole genome sequencing of Salmonella Typhimurium illuminates distinct outbreaks caused by an endemic multi-locus variable number tandem repeat analysis type in Australia, 2014. BMC microbiology16(1), 211.

(4) European Centre for Disease Prevention and Control. (2016) Expert opinion on whole genome sequencing for public health surveillance.

(5) U.S.Food and Drug Administration. (2017) Examples of How FDA Has Used Whole Genome Sequencing of Foodborne Pathogens For Regulatory Purposes. https://www.fda.gov/Food/FoodScienceResearch/WholeGenomeSequencingProgramWGS/ucm422075.htm

(6) Ashton PM, Nair S, Peters TM, et al. (2016) Identification of Salmonella for public health surveillance using whole genome sequencing. PeerJ4, e1752.

(7) Octavia S, Wang Q, Tanaka MM, Kaur S, Sintchenko V, Lan R. (2015) Delineating community outbreaks of Salmonella enterica serovar Typhimurium by use of whole-genome sequencing: insights into genomic variability within an outbreak. Journal of clinical microbiology. Apr 1;53(4):1063-71.

(8) Kumar S, Stecher G, Tamura K. (2016) MEGA7: Molecular Evolutionary Genetics Analysis version 7.0 for bigger datasets. Molecular biology and evolution. Mar 22;33(7):1870-4.

(9) Sintchenko V, Holmes EC. (2015) The role of pathogen genomics in assessing disease transmission. BMJ. May 11;350:h1314.

(10) Carleton HA, Gerner-Smidt P. (2016) Whole-genome sequencing is taking over foodborne disease surveillance. Microbe11, 311-7.

(11) Allard MW, Luo Y, Strain E, et al. (2013) On the evolutionary history, population genetics and diversity among isolates of Salmonella Enteritidis PFGE pattern JEGX01. 0004. PLOS ONE8(1), e55254.

(12) Lienau EK, Strain E, Wang C, et al. (2011) Identification of a salmonellosis outbreak by means of molecular sequencing. N Engl J Med364(10), 981-2.

(13) Department of Health. (2014) Ensuring national capacity in genomics-guided public health laboratory surveillance. http://www.health.gov.au/internet/main/publishing.nsf/Content/ohp-phln-pubs-genome-sequencing-report.htm

(14) Kwong JC, McCallum N, Sintchenko V, et al. (2015) Whole genome sequencing in clinical and public health microbiology. Pathology47(3), 199-210.

(15) Marder E, Cieslak P, Cronquist A, Dunn J, Lathrop S, Rabatsky-Ehr T, et al. Incidence and Trends of Infections with Pathogens Transmitted Commonly Through Food and the Effect of Increasing Use of Culture-Independent Diagnostic Tests on Surveillance — Foodborne Diseases Active Surveillance Network, 10 U.S. Sites, 2013–2016. MMWR Morb Mortal Wkly Rep 2017 66, 397-403. 2017.

(16) Wang Q, Holmes N, Martinez E, Howard P, Hill-Cawthorne G, Sintchenko V. (2015) It is not all about SNPs: Comparison of mobile genetic elements and deletions in Listeria monocytogenesgenomes links cases of hospital-acquired listeriosis to the environmental source. Journal of Clinical Microbiology;53(11):3492-3500.

(17) Cronquist AB, Mody RK, Atkinson R, Besser J, D’Angelo MT, Hurd S, Robinson T, Nicholson C, Mahon BE. (2012) Impacts of culture-independent diagnostic practices on public health surveillance for bacterial enteric pathogens. Clinical infectious diseases. Jun 1;54(suppl_5):S432-9.

Published

04-07-2018

How to Cite

1.
Lindsay C, Flint J, Lilly K, Hope K, Wang Q, Howard P, Sintchenko V, Durrheim DN. Retrospective use of whole genome sequencing to better understand an outbreak of Salmonella enterica serovar Mbandaka in New South Wales, Australia. Western Pac Surveill Response J [Internet]. 2018 Jul. 4 [cited 2024 Dec. 22];9(2). Available from: https://ojs.wpro.who.int/ojs/index.php/wpsar/article/view/581

Issue

Section

Original Research

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