Genetic epidemiology using whole genome sequencing and haplotype networks revealed the linkage of SARS-CoV-2 infection in nosocomial outbreak

Summary: Background: A characteristic feature of SARS-CoV-2 is its ability to transmit from pre- or asymptomatic patients, complicating the tracing of infection pathways and causing outbreaks. Despite several reports that whole genome sequencing (WGS) and haplotype networks are useful for epidemiol...

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Autores principales: Fumihiro Ishikawa, Yuko Udaka, Hideto Oyamada, Keiko Ishino, Issei Tokimatsu, Hironori Sagara, Yuji Kiuchi
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Publicado: Elsevier 2021
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spelling oai:doaj.org-article:03d8f2bc2b394143ab8a5cd81732d1032021-12-04T04:35:46ZGenetic epidemiology using whole genome sequencing and haplotype networks revealed the linkage of SARS-CoV-2 infection in nosocomial outbreak2590-088910.1016/j.infpip.2021.100190https://doaj.org/article/03d8f2bc2b394143ab8a5cd81732d1032021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2590088921000792https://doaj.org/toc/2590-0889Summary: Background: A characteristic feature of SARS-CoV-2 is its ability to transmit from pre- or asymptomatic patients, complicating the tracing of infection pathways and causing outbreaks. Despite several reports that whole genome sequencing (WGS) and haplotype networks are useful for epidemiologic analysis, little is known about their use in nosocomial infections. Aim: We aimed to demonstrate the advantages of genetic epidemiology in identifying the link in nosocomial infection by comparing single nucleotide variations (SNVs) of isolates from patients associated with an outbreak in Showa University Hospital. Methods: We used specimens from 32 patients in whom COVID-19 had been diagnosed using clinical reverse transcription-polymerase chain reaction tests. RNA of SARS-CoV-2 from specimens was reverse-transcribed and analysed using WGS. SNVs were extracted and used for lineage determination, phylogenetic tree analysis, and median-joining analysis. Findings: The lineage of SARS-CoV-2 that was associated with outbreak in Showa University Hospital was B.1.1.214, which was consistent with that found in the Kanto metropolitan area during the same period. Consistent with canonical epidemiological observations, haplotype network analysis was successful for the classification of patients. Additionally, phylogenetic tree analysis revealed three independent introductions of the virus into the hospital during the outbreak. Further, median-joining analysis indicated that four patients were directly infected by any of the others in the same cluster. Conclusion: Genetic epidemiology with WGS and haplotype networks is useful for tracing transmission and optimizing prevention strategies in nosocomial outbreaks.Fumihiro IshikawaYuko UdakaHideto OyamadaKeiko IshinoIssei TokimatsuHironori SagaraYuji KiuchiElsevierarticleEpidemiological analysisHaplotype networksPhylogenetic tree analysisSevere acute respiratory syndrome coronavirus 2Whole genome sequencingInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENInfection Prevention in Practice, Vol 3, Iss 4, Pp 100190- (2021)
institution DOAJ
collection DOAJ
language EN
topic Epidemiological analysis
Haplotype networks
Phylogenetic tree analysis
Severe acute respiratory syndrome coronavirus 2
Whole genome sequencing
Infectious and parasitic diseases
RC109-216
Public aspects of medicine
RA1-1270
spellingShingle Epidemiological analysis
Haplotype networks
Phylogenetic tree analysis
Severe acute respiratory syndrome coronavirus 2
Whole genome sequencing
Infectious and parasitic diseases
RC109-216
Public aspects of medicine
RA1-1270
Fumihiro Ishikawa
Yuko Udaka
Hideto Oyamada
Keiko Ishino
Issei Tokimatsu
Hironori Sagara
Yuji Kiuchi
Genetic epidemiology using whole genome sequencing and haplotype networks revealed the linkage of SARS-CoV-2 infection in nosocomial outbreak
description Summary: Background: A characteristic feature of SARS-CoV-2 is its ability to transmit from pre- or asymptomatic patients, complicating the tracing of infection pathways and causing outbreaks. Despite several reports that whole genome sequencing (WGS) and haplotype networks are useful for epidemiologic analysis, little is known about their use in nosocomial infections. Aim: We aimed to demonstrate the advantages of genetic epidemiology in identifying the link in nosocomial infection by comparing single nucleotide variations (SNVs) of isolates from patients associated with an outbreak in Showa University Hospital. Methods: We used specimens from 32 patients in whom COVID-19 had been diagnosed using clinical reverse transcription-polymerase chain reaction tests. RNA of SARS-CoV-2 from specimens was reverse-transcribed and analysed using WGS. SNVs were extracted and used for lineage determination, phylogenetic tree analysis, and median-joining analysis. Findings: The lineage of SARS-CoV-2 that was associated with outbreak in Showa University Hospital was B.1.1.214, which was consistent with that found in the Kanto metropolitan area during the same period. Consistent with canonical epidemiological observations, haplotype network analysis was successful for the classification of patients. Additionally, phylogenetic tree analysis revealed three independent introductions of the virus into the hospital during the outbreak. Further, median-joining analysis indicated that four patients were directly infected by any of the others in the same cluster. Conclusion: Genetic epidemiology with WGS and haplotype networks is useful for tracing transmission and optimizing prevention strategies in nosocomial outbreaks.
format article
author Fumihiro Ishikawa
Yuko Udaka
Hideto Oyamada
Keiko Ishino
Issei Tokimatsu
Hironori Sagara
Yuji Kiuchi
author_facet Fumihiro Ishikawa
Yuko Udaka
Hideto Oyamada
Keiko Ishino
Issei Tokimatsu
Hironori Sagara
Yuji Kiuchi
author_sort Fumihiro Ishikawa
title Genetic epidemiology using whole genome sequencing and haplotype networks revealed the linkage of SARS-CoV-2 infection in nosocomial outbreak
title_short Genetic epidemiology using whole genome sequencing and haplotype networks revealed the linkage of SARS-CoV-2 infection in nosocomial outbreak
title_full Genetic epidemiology using whole genome sequencing and haplotype networks revealed the linkage of SARS-CoV-2 infection in nosocomial outbreak
title_fullStr Genetic epidemiology using whole genome sequencing and haplotype networks revealed the linkage of SARS-CoV-2 infection in nosocomial outbreak
title_full_unstemmed Genetic epidemiology using whole genome sequencing and haplotype networks revealed the linkage of SARS-CoV-2 infection in nosocomial outbreak
title_sort genetic epidemiology using whole genome sequencing and haplotype networks revealed the linkage of sars-cov-2 infection in nosocomial outbreak
publisher Elsevier
publishDate 2021
url https://doaj.org/article/03d8f2bc2b394143ab8a5cd81732d103
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