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Cultivation and sequencing-free protocol for Serratia marcescens detection and typing
Alessandro Alvaro1,2, Aurora Piazza3, Stella Papaleo1
1Department of Biomedical and Clinical Sciences, Pediatric Clinical Research Center "Romeo and Enrica Invernizzi", University of Milan, 20157 Milan, Italy.
Abstract:
Serratia marcescens is an opportunistic pathogen that survives in inhospitable environments causing large outbreaks, particularly in neonatal intensive care units (NICUs). Genomic studies revealed that most S. marcescens nosocomial infections are caused by a specific clone (here "Infectious clone"). Whole genome sequencing (WGS) is the only portable method able to identify this clone, but it requires days to obtain results. We present a cultivation-free hypervariable-locus melting typing (HLMT) protocol for the fast detection and typing of S. marcescens, with 100% detection capability on mixed samples and a limit of detection that can reach the 10 genome copies. The protocol was able to identify the S. marcescens infectious clone with 97% specificity and 96% sensitivity when compared to WGS, yielding typing results portable among laboratories. The protocol is a cost and time saving method for S. marcescens detection and typing for large environmental/clinical surveillance screenings, also in low-middle income countries.
Insights
A new fast method detects Serratia marcescens, an opportunistic pathogen causing hospital outbreaks. This cultivation-free protocol quickly identifies infectious clones, aiding rapid clinical and environmental surveillance.
Area of Science:
- Microbiology
- Infectious Diseases
- Genomics
Background:
- Serratia marcescens is an opportunistic pathogen causing outbreaks, especially in neonatal intensive care units (NICUs).
- Nosocomial infections are often linked to a specific infectious clone of S. marcescens.
- Whole genome sequencing (WGS) identifies this clone but is time-consuming.
Purpose of the Study:
- To develop a rapid, cultivation-free method for detecting and typing Serratia marcescens.
- To specifically identify the infectious clone responsible for nosocomial infections.
- To provide a portable and cost-effective alternative to WGS for S. marcescens surveillance.
Main Methods:
- Development of a cultivation-free hypervariable-locus melting typing (HLMT) protocol.
- Testing the protocol's detection capability on mixed samples and its limit of detection.
- Comparative analysis of HLMT against WGS for identifying the S. marcescens infectious clone.
Main Results:
- The HLMT protocol achieved 100% detection capability on mixed samples.
- The limit of detection reached as low as 10 genome copies.
- HLMT identified the S. marcescens infectious clone with 97% specificity and 96% sensitivity compared to WGS.
Conclusions:
- The HLMT protocol offers a fast, cost-effective, and portable method for S. marcescens detection and typing.
- This method is suitable for large-scale environmental and clinical surveillance, including in resource-limited settings.
- HLMT provides rapid results, crucial for controlling outbreaks of this opportunistic pathogen.
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