Related Experiment Video
Updated: Aug 29, 2026

Screening Foodstuffs for Class 1 Integrons and Gene Cassettes
Published on: June 19, 2015
Integrons as tools for epidemiological studies
1Center for Experimental Research, Education and Research Institute, Hospital Albert Einstein, São Paulo, Brazil. psever@einstein.br
Abstract:
The integron content of Gram-negative strains implicated in three distinct episodes of suspected cross-infection among inpatients was investigated and compared with ribotyping. In the first episode, ribotyping identified a strain of Acinetobacter, isolated over a 3-month period, responsible for an outbreak associated with the use of mechanical ventilation in the intensive care unit (ICU). The second episode concerned simultaneous isolations of Pseudomonas aeruginosa and Serratia marcescens from 13 bronchoscopy patients. In these two episodes, results obtained by analysis of integron content and ribotyping were in agreement and correctly identified the epidemiologically related strains. In the third episode, isolates of Enterobacter cloacae were collected from patients in the neonatal ICU over a 3-month period. Although several isolates belonged to the same ribotype, cross-infection could not always be confirmed when the integron content was analysed. Integron detection can be considered a useful tool for studying molecular epidemiology in hospital environments, facilitating the quick detection of possible cross-infection cases, especially in critical wards such as the ICU.
Insights
Integron detection aids in identifying hospital cross-infections, particularly in intensive care units (ICUs). This molecular epidemiology tool complements ribotyping for accurate strain identification, enhancing patient safety.
Area of Science:
- Medical Microbiology
- Molecular Epidemiology
- Infectious Disease Control
Background:
- Hospital-acquired infections pose a significant threat to patient safety, especially in critical care settings.
- Accurate identification of causative agents and transmission routes is crucial for effective infection control.
- Molecular typing methods are essential tools for investigating outbreaks and understanding pathogen dissemination.
Purpose of the Study:
- To investigate the utility of integron content analysis in detecting cross-infections among Gram-negative bacterial strains.
- To compare the effectiveness of integron detection with ribotyping in molecular epidemiology studies within a hospital setting.
- To assess the role of integron analysis in identifying epidemiologically related strains during suspected cross-infection episodes.
Main Methods:
- Analysis of integron content in Gram-negative bacterial isolates from three distinct hospital cross-infection episodes.
- Comparison of integron profiling results with conventional ribotyping techniques.
- Epidemiological data collection from intensive care units (ICUs) and bronchoscopy patients.
Main Results:
- Integron analysis and ribotyping showed agreement in identifying epidemiologically linked strains in two of the three investigated episodes (Acinetobacter and co-infections of Pseudomonas aeruginosa and Serratia marcescens).
- In the third episode involving Enterobacter cloacae, integron analysis provided additional discriminatory power beyond ribotyping, highlighting its ability to refine epidemiological conclusions.
- The study demonstrated the potential of integron detection as a valuable tool for rapid identification of cross-infection cases in critical hospital wards.
Conclusions:
- Integron detection is a valuable adjunct to traditional methods like ribotyping for molecular epidemiology in hospital environments.
- This method facilitates the prompt identification of potential cross-infection events, particularly in high-risk areas such as ICUs.
- Utilizing integron analysis can significantly enhance the speed and accuracy of outbreak investigations and infection control strategies.
Related Concept Videos
Non-LTR Retrotransposons
Introduction to Epidemiology
Statistical Software for Data Analysis and Clinical Trials
Investigation of Disease Outbreaks
Confounding in Epidemiological Studies
Statistical Methods for Analyzing Epidemiological Data

