The use of whole-genome sequencing and development of bioinformatics to monitor overlapping outbreaks of Candida auris in southern Nevada

A Candida auris outbreak has been ongoing in Southern Nevada since August 2021. In this manuscript we describe the sequencing of over 200 C. auris isolates from patients at several facilities. Genetically distinct subgroups of C. auris were detected from Clade I (3 distinct lineages) and III (1 line...

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Main Authors: Andrew Gorzalski, Frank J. Ambrosio, Lauryn Massic, Michelle R. Scribner, Danielle Denise Siao, Chi Hua, Phillip Dykema, Emily Schneider, Chidinma Njoku, Kevin Libuit, Joel R. Sevinsky, Stephanie Van Hooser, Mark Pandori, David Hess
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-07-01
Series:Frontiers in Public Health
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Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2023.1198189/full
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author Andrew Gorzalski
Frank J. Ambrosio
Lauryn Massic
Michelle R. Scribner
Danielle Denise Siao
Chi Hua
Phillip Dykema
Emily Schneider
Chidinma Njoku
Kevin Libuit
Joel R. Sevinsky
Stephanie Van Hooser
Mark Pandori
Mark Pandori
Mark Pandori
David Hess
David Hess
author_facet Andrew Gorzalski
Frank J. Ambrosio
Lauryn Massic
Michelle R. Scribner
Danielle Denise Siao
Chi Hua
Phillip Dykema
Emily Schneider
Chidinma Njoku
Kevin Libuit
Joel R. Sevinsky
Stephanie Van Hooser
Mark Pandori
Mark Pandori
Mark Pandori
David Hess
David Hess
author_sort Andrew Gorzalski
collection DOAJ
description A Candida auris outbreak has been ongoing in Southern Nevada since August 2021. In this manuscript we describe the sequencing of over 200 C. auris isolates from patients at several facilities. Genetically distinct subgroups of C. auris were detected from Clade I (3 distinct lineages) and III (1 lineage). Open-source bioinformatic tools were developed and implemented to aid in the epidemiological investigation. The work herein compares three methods for C. auris whole genome analysis: Nullarbor, MycoSNP and a new pipeline TheiaEuk. We also describe a novel analysis method focused on elucidating phylogenetic linkages between isolates within an ongoing outbreak. Moreover, this study places the ongoing outbreaks in a global context utilizing existing sequences provided worldwide. Lastly, we describe how the generated results were communicated to the epidemiologists and infection control to generate public health interventions.
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spelling doaj.art-d476c96b47524fb0864e4d6758d6790d2023-07-14T09:54:11ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-07-011110.3389/fpubh.2023.11981891198189The use of whole-genome sequencing and development of bioinformatics to monitor overlapping outbreaks of Candida auris in southern NevadaAndrew Gorzalski0Frank J. Ambrosio1Lauryn Massic2Michelle R. Scribner3Danielle Denise Siao4Chi Hua5Phillip Dykema6Emily Schneider7Chidinma Njoku8Kevin Libuit9Joel R. Sevinsky10Stephanie Van Hooser11Mark Pandori12Mark Pandori13Mark Pandori14David Hess15David Hess16Nevada State Public Health Laboratory, Reno, NV, United StatesTheiagen Consulting LLC, Highlands Ranch, CO, United StatesNevada State Public Health Laboratory, Reno, NV, United StatesTheiagen Consulting LLC, Highlands Ranch, CO, United StatesNevada State Public Health Laboratory, Reno, NV, United StatesDivision of Disease Control and Health Statistics, Washington State Department of Health, Public Health Laboratories, Shoreline, WA, United StatesDivision of Disease Control and Health Statistics, Washington State Department of Health, Public Health Laboratories, Shoreline, WA, United StatesDivision of Disease Control and Health Statistics, Washington State Department of Health, Public Health Laboratories, Shoreline, WA, United StatesNevada Department of Health and Human Services, Las Vegas, NV, United StatesTheiagen Consulting LLC, Highlands Ranch, CO, United StatesTheiagen Consulting LLC, Highlands Ranch, CO, United StatesNevada State Public Health Laboratory, Reno, NV, United StatesNevada State Public Health Laboratory, Reno, NV, United StatesDepartment of Pathology and Laboratory Medicine, University of Nevada, Reno School of Medicine, Reno, NV, United StatesDepartment of Microbiology and Immunology, University of Nevada, Reno School of Medicine, Reno, NV, United StatesNevada State Public Health Laboratory, Reno, NV, United StatesDepartment of Pathology and Laboratory Medicine, University of Nevada, Reno School of Medicine, Reno, NV, United StatesA Candida auris outbreak has been ongoing in Southern Nevada since August 2021. In this manuscript we describe the sequencing of over 200 C. auris isolates from patients at several facilities. Genetically distinct subgroups of C. auris were detected from Clade I (3 distinct lineages) and III (1 lineage). Open-source bioinformatic tools were developed and implemented to aid in the epidemiological investigation. The work herein compares three methods for C. auris whole genome analysis: Nullarbor, MycoSNP and a new pipeline TheiaEuk. We also describe a novel analysis method focused on elucidating phylogenetic linkages between isolates within an ongoing outbreak. Moreover, this study places the ongoing outbreaks in a global context utilizing existing sequences provided worldwide. Lastly, we describe how the generated results were communicated to the epidemiologists and infection control to generate public health interventions.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1198189/fullCandida aurisepidemiologywhole-genome sequencingbioinformaticsemerging pathogens
spellingShingle Andrew Gorzalski
Frank J. Ambrosio
Lauryn Massic
Michelle R. Scribner
Danielle Denise Siao
Chi Hua
Phillip Dykema
Emily Schneider
Chidinma Njoku
Kevin Libuit
Joel R. Sevinsky
Stephanie Van Hooser
Mark Pandori
Mark Pandori
Mark Pandori
David Hess
David Hess
The use of whole-genome sequencing and development of bioinformatics to monitor overlapping outbreaks of Candida auris in southern Nevada
Frontiers in Public Health
Candida auris
epidemiology
whole-genome sequencing
bioinformatics
emerging pathogens
title The use of whole-genome sequencing and development of bioinformatics to monitor overlapping outbreaks of Candida auris in southern Nevada
title_full The use of whole-genome sequencing and development of bioinformatics to monitor overlapping outbreaks of Candida auris in southern Nevada
title_fullStr The use of whole-genome sequencing and development of bioinformatics to monitor overlapping outbreaks of Candida auris in southern Nevada
title_full_unstemmed The use of whole-genome sequencing and development of bioinformatics to monitor overlapping outbreaks of Candida auris in southern Nevada
title_short The use of whole-genome sequencing and development of bioinformatics to monitor overlapping outbreaks of Candida auris in southern Nevada
title_sort use of whole genome sequencing and development of bioinformatics to monitor overlapping outbreaks of candida auris in southern nevada
topic Candida auris
epidemiology
whole-genome sequencing
bioinformatics
emerging pathogens
url https://www.frontiersin.org/articles/10.3389/fpubh.2023.1198189/full
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