Whole Genome Sequencing of a Methicillin-Resistant Staphylococcus aureus Pseudo-Outbreak in a Professional Football

Deverick J Anderson1, Simon R Harris2, Eliot Godofsky3

  • 1Duke University Medical Center , Durham, North Carolina.

Insights

Two football players contracted methicillin-resistant Staphylococcus aureus (MRSA) infections. Whole genome sequencing revealed they did not transmit the bacteria to each other or acquire it from their training facility.

Area of Science:

  • Infectious Diseases
  • Genomics
  • Sports Medicine

Background:

  • Methicillin-resistant Staphylococcus aureus (MRSA) is a significant cause of skin and soft tissue infections.
  • MRSA outbreaks can occur in close-contact settings like sports teams.
  • Identifying transmission routes is crucial for infection control.

Purpose of the Study:

  • To investigate the source and transmission of MRSA in two American football players diagnosed concurrently.
  • To determine if the infections were acquired from a common source within the training facility or through player-to-player transmission.

Main Methods:

  • Whole genome sequencing (WGS) was employed to analyze the genetic relatedness of the MRSA isolates.
  • Epidemiological data and environmental sampling (if applicable) were considered.

Main Results:

  • The WGS analysis demonstrated that the MRSA strains from the two players were distinct.
  • This finding ruled out direct transmission between the players.
  • Evidence did not support a single common source within the training facility.

Conclusions:

  • The MRSA infections in the two football players likely originated from independent sources.
  • This highlights the importance of considering multiple acquisition pathways for MRSA in team settings.
  • Further investigation into individual exposures may be warranted.

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