Approaches for characterizing and tracking hospital-associated multidrug-resistant bacteria
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Updated: Nov 17, 2025

Isolation and Identification of Waterborne Antibiotic-Resistant Bacteria and Molecular Characterization of their Antibiotic Resistance Genes
Published on: March 3, 2023
Kevin S Blake1, JooHee Choi2, Gautam Dantas3,4,5,6
1The Edison Family Center for Genome Sciences & Systems Biology, Washington University School of Medicine, St. Louis, MO, 63110, USA. kevin.blake@wustl.edu.
Abstract:
Hospital-associated infections are a major concern for global public health. Infections with antibiotic-resistant pathogens can cause empiric treatment failure, and for infections with multidrug-resistant bacteria which can overcome antibiotics of "last resort" there exists no alternative treatments. Despite extensive sanitization protocols, the hospital environment is a potent reservoir and vector of antibiotic-resistant organisms. Pathogens can persist on hospital surfaces and plumbing for months to years, acquire new antibiotic resistance genes by horizontal gene transfer, and initiate outbreaks of hospital-associated infections by spreading to patients via healthcare workers and visitors. Advancements in next-generation sequencing of bacterial genomes and metagenomes have expanded our ability to (1) identify species and track distinct strains, (2) comprehensively profile antibiotic resistance genes, and (3) resolve the mobile elements that facilitate intra- and intercellular gene transfer. This information can, in turn, be used to characterize the population dynamics of hospital-associated microbiota, track outbreaks to their environmental reservoirs, and inform future interventions. This review provides a detailed overview of the approaches and bioinformatic tools available to study isolates and metagenomes of hospital-associated bacteria, and their multi-layered networks of transmission.
Insights
Hospital-associated infections from antibiotic-resistant bacteria are a major threat. New genomic sequencing methods help track pathogen spread and antibiotic resistance genes in hospitals to prevent outbreaks.
Area of Science:
- Microbiology
- Genomics
- Public Health
Background:
- Hospital-associated infections (HAIs) pose a significant global public health risk.
- Antibiotic-resistant pathogens in hospitals can lead to treatment failures and untreatable infections.
- The hospital environment serves as a reservoir for antibiotic-resistant organisms, facilitating transmission.
Purpose of the Study:
- To review advanced genomic and bioinformatic approaches for studying hospital-associated bacteria.
- To detail methods for identifying species, tracking strains, and profiling antibiotic resistance genes.
- To explore the use of genomic data in understanding transmission networks and informing interventions.
Main Methods:
- Next-generation sequencing of bacterial genomes and metagenomes.
- Bioinformatic tools for species identification, strain tracking, and antibiotic resistance gene profiling.
- Analysis of mobile genetic elements involved in gene transfer.
Main Results:
- Genomic sequencing enables detailed characterization of hospital-associated microbiota.
- It allows for comprehensive profiling of antibiotic resistance genes and mobile elements.
- These methods can identify environmental reservoirs of pathogens and track outbreak transmission.
Conclusions:
- Genomic and bioinformatic tools are crucial for understanding and combating antibiotic resistance in hospitals.
- Tracking bacterial populations and resistance genes aids in identifying transmission pathways.
- This knowledge is vital for developing effective interventions against HAIs.
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