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Global population structure and genotyping framework for genomic surveillance of the major dysentery pathogen, Shigella sonnei.

Published version
Peer-reviewed

Type

Article

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Authors

Paranagama, Kalani 
Baker, Kate S 
Bengtsson, Rebecca J 
Weill, François-Xavier  ORCID logo  https://orcid.org/0000-0001-9941-5799

Abstract

Shigella sonnei is the most common agent of shigellosis in high-income countries, and causes a significant disease burden in low- and middle-income countries. Antimicrobial resistance is increasingly common in all settings. Whole genome sequencing (WGS) is increasingly utilised for S. sonnei outbreak investigation and surveillance, but comparison of data between studies and labs is challenging. Here, we present a genomic framework and genotyping scheme for S. sonnei to efficiently identify genotype and resistance determinants from WGS data. The scheme is implemented in the software package Mykrobe and tested on thousands of genomes. Applying this approach to analyse >4,000 S. sonnei isolates sequenced in public health labs in three countries identified several common genotypes associated with increased rates of ciprofloxacin resistance and azithromycin resistance, confirming intercontinental spread of highly-resistant S. sonnei clones and demonstrating the genomic framework can facilitate monitoring the spread of resistant clones, including those that have recently emerged, at local and global scales.

Description

Keywords

Humans, Shigella sonnei, Dysentery, Bacillary, Azithromycin, Ciprofloxacin, Anti-Bacterial Agents, Microbial Sensitivity Tests, Genetics, Population, Genomics, Phylogeny, Drug Resistance, Multiple, Bacterial, Genotype, Polymorphism, Single Nucleotide, Genome, Bacterial, Geography, United States, Australia, England, Global Health, Whole Genome Sequencing

Journal Title

Nature communications

Conference Name

Journal ISSN

2041-1723

Volume Title

12

Publisher

Sponsorship
Wellcome Trust (A/106690/A/14/Z)
Medical Research Council (MR/R020787/1)