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Published on: September 15, 2020
Fourier-transform infrared spectroscopy reliably differentiates Klebsiella pneumoniae outbreak isolates
Miriam Cordovana1, Markus Kostrzewa1, Jürgen A Bohnert2
1Bruker Daltonics GmbH & Co. KG, Bremen, Germany.
Abstract:
International, multidrug-resistant (MDR) high-risk clonal Klebsiella pneumoniae lineages are a frequent cause of outbreaks, posing a serious public health threat. Tracking, understanding and containing such outbreaks remain a challenge for infection control. In this study, we evaluated Fourier-transform infrared (FTIR) spectroscopy - a method previously shown to enable bacterial typing at various intraspecies levels - as a tool to type 53 MDR K. pneumoniae isolates that had been geno- and phenotypically characterized and collected during an outbreak in North-Eastern Germany in 2019. Infrared (IR) spectra were acquired from dried spots of bacterial suspensions in ethanol solution, with three independent cultures of each isolate. FTIR spectroscopy exploratory data analysis, performed by Hierarchical Cluster Analysis (HCA) and Principal Component Analysis (PCA), revealed six distinct clusters. These showed perfect concordance with K locus typing (Adjusted Rand index [AR]: 100 %), very high concordance with sequence type (ST) (AR: 99.1 %), and high but lower concordance with the O locus (AR: 90.6 %). All MDR outbreak isolates clustered tightly together, indicating strong spectral similarity and confirming their clonal relatedness. These findings demonstrate that FTIR spectroscopy could serve as a rapid, first-line screening tool to support early detection of cross-transmission events involving clonally related K. pneumoniae strains.
Insights
Fourier-transform infrared spectroscopy rapidly identified clonal Klebsiella pneumoniae strains during a German outbreak. This method aids early detection of multidrug-resistant bacterial cross-transmission, enhancing infection control efforts.
Area of Science:
- Microbiology
- Infectious Diseases
- Spectroscopy
Background:
- Multidrug-resistant (MDR) high-risk clonal Klebsiella pneumoniae lineages cause frequent outbreaks, posing significant public health challenges.
- Effective tracking and containment of these outbreaks are crucial for infection control.
Purpose of the Study:
- To evaluate Fourier-transform infrared (FTIR) spectroscopy as a rapid typing tool for MDR Klebsiella pneumoniae isolates.
- To assess the concordance of FTIR-based typing with established genotypic and phenotypic methods during a 2019 outbreak in North-Eastern Germany.
Main Methods:
- FTIR spectra were acquired from 53 characterized MDR K. pneumoniae isolates.
- Hierarchical Cluster Analysis (HCA) and Principal Component Analysis (PCA) were used for exploratory data analysis of the spectral data.
Main Results:
- FTIR spectroscopy revealed six distinct clusters with high concordance to K locus typing (AR: 100%), sequence type (AR: 99.1%), and O locus (AR: 90.6%).
- All MDR outbreak isolates clustered together, demonstrating strong spectral similarity and confirming their clonal relatedness.
Conclusions:
- FTIR spectroscopy is a valuable tool for rapid, first-line screening of clonally related K. pneumoniae strains.
- This method can support early detection of cross-transmission events in clinical settings, aiding infection control.
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