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Genomic Characterization of a Multidrug-Resistant Serratia marcescens Isolate Recovered from a Neonatal Meningitis
Husam Al-Hraishawi1, Namariq Al-Saadi2, Shilan Jabbar3
1Physiology department, College of Medicine, University of Misan, Misan, Iraq. husam.mcm@uomisan.edu.iq.
Abstract:
Serratia marcescens (S. marcescens) is an opportunistic pathogen associated with severe hospital-acquired infections, particularly in neonatal intensive care units. Here, we report the first whole-genome sequencing and characterization of a multidrug-resistant S. marcescens isolate (NOA1) recovered from the cerebrospinal fluid of a neonate with acute meningitis in Iraq. The isolate was identified using the VITEK® 2 system and confirmed by 16 S rRNA gene sequencing. Antimicrobial susceptibility testing demonstrated a multidrug-resistant phenotype, with resistance to β-lactams, aminoglycosides, carbapenems, nitrofurantoin, and trimethoprim/sulfamethoxazole, while susceptibility to ciprofloxacin, levofloxacin, and tigecycline was retained. Whole-genome sequencing produced a 5.29 Mb draft genome with 59.67% GC content, an N50 of 1.35 Mb, and an average sequencing coverage of 200x. Genome analysis identified 15 antimicrobial resistance genes, including 10 located on plasmid-associated contigs, suggesting a potential role of mobile genetic elements in resistance dissemination. Comparative genomic analysis revealed 13,971 sequence variants relative to the closest available reference genome, indicating substantial genetic divergence. Phylogenetic analysis placed NOA1 within a distinct lineage of clinical S. marcescens isolates. This study highlights the utility of whole-genome sequencing for comprehensive characterization of multidrug-resistant S. marcescens and underscores the importance of integrating phenotypic and genomic approaches for accurate antimicrobial resistance profiling.
Insights
This study presents the first whole-genome sequencing of a multidrug-resistant Serratia marcescens (S. marcescens) strain from Iraq. The findings reveal key antimicrobial resistance genes and genetic divergence, crucial for understanding hospital-acquired infections.
Area of Science:
- Microbiology
- Genomics
- Infectious Diseases
Background:
- Serratia marcescens (S. marcescens) is a significant opportunistic pathogen causing severe hospital-acquired infections, especially in neonatal intensive care units.
- Multidrug resistance in S. marcescens poses a growing threat to patient outcomes.
Purpose of the Study:
- To perform whole-genome sequencing and characterization of a multidrug-resistant S. marcescens isolate (NOA1) from a neonate with meningitis in Iraq.
- To identify antimicrobial resistance genes and understand the genetic basis of resistance in this clinical isolate.
Main Methods:
- Identification using VITEK® 2 system and 16S rRNA gene sequencing.
- Antimicrobial susceptibility testing to determine resistance profiles.
- Whole-genome sequencing and comparative genomic analysis.
Main Results:
- The S. marcescens isolate NOA1 exhibited multidrug resistance to several antibiotic classes but remained susceptible to ciprofloxacin, levofloxacin, and tigecycline.
- Whole-genome sequencing yielded a 5.29 Mb draft genome, identifying 15 antimicrobial resistance genes, with 10 on plasmid-associated contigs.
- Comparative genomics revealed significant genetic divergence from reference genomes, and phylogenetic analysis placed NOA1 in a distinct clinical lineage.
Conclusions:
- Whole-genome sequencing is a powerful tool for characterizing multidrug-resistant S. marcescens.
- Integrating phenotypic and genomic data is essential for accurate antimicrobial resistance profiling and understanding resistance dissemination mechanisms.
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