Dr
Vladimir Bajić
(Genome Competence Centre (MF 1), Robert Koch Institute, Berlin, Germany)
In December 2023, the WHO reported a Ralstonia pickettii outbreak in Australia linked to contaminated saline solutions. Concurrently, German surveillance detected an increase in nosocomial R. pickettii bacteremia cases, prompting a national outbreak investigation.
From August 2023 to June 2024, 15 patient isolates were sequenced using Illumina whole genome sequencing. Five of these were additionally sequenced using Oxford Nanopore Technology (ONT). Combining short- and long-read data enabled the reconstruction of complete genomes. Similarities to publicly available data were assessed with core genome multilocus sequence typing (cgMLST), using a newly created scheme.
Six isolates from patients in three hospitals across different federal states clustered within ≤6 allele differences. German and Australian outbreak clusters differed by at least 43 alleles, requiring further investigation into their potential link.
Rapid genomic investigation enabled cluster identification and assessment of relatedness to the other outbreaks, supporting epidemiological investigation. The absence of a standardized cgMLST scheme, limited public data, and sparse documentation of analyses in prior studies posed key challenges. Although, ONT allowed the recovery of complete genomes and plasmids, its increased error rates inflated cgMLST distances, highlighting the usefulness of combined long- and short-read data for bacterial outbreak investigations.
Keywords
Ralstonia pickettii, cgMLST, Public Health, Outbreak, Genomic Epidemiology
| Registration ID |
111
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| Professional Status of the Speaker |
Senior Scientist
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| Junior Scientist Status |
No, I am not a Junior Scientist.
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Dr
Vladimir Bajić
(Genome Competence Centre (MF 1), Robert Koch Institute, Berlin, Germany)
Maximilian Driller
(Genome Competence Centre (MF 1), Robert Koch Institute, Berlin, Germany)
Stefanie Kampmeier
(Institute for Hygiene and Microbiology, University of Würzburg, Würzburg, Germany | Infection Control and Antimicrobial Stewardship Unit, University Hospital Würzburg, Würzburg, Germany)
Mirco Sandfort
(Infectious Disease Epidemiology, Robert Koch Institute, Berlin, Germany)
Anja von Laer
(Infectious Disease Epidemiology, Robert Koch Institute, Berlin, Germany)
Inga Eichhorn
(Genome Competence Centre (MF 1), Robert Koch Institute, Berlin, Germany)
Somayyeh Sedaghatjoo
(Genome Competence Centre (MF 1), Robert Koch Institute, Berlin, Germany)
Stephan Fuchs
(Genome Competence Centre (MF 1), Robert Koch Institute, Berlin, Germany)
Steffen Engelhart
(Institute for Hygiene and Public Health, University Hospital Bonn, Bonn, Germany)
Nico T. Mutters
(Institute for Hygiene and Public Health, University Hospital Bonn, Bonn, Germany)
Esther P. Cónsul-Tejero
(Non-Active Medical Devices, Federal Institute for Drugs and Medical Devices (BfArM), Bonn, Germany)
Josef Zündorf
(Non-Active Medical Devices, Federal Institute for Drugs and Medical Devices (BfArM), Bonn, Germany)
Tim Eckmanns
(Genome Competence Centre (MF 1), Robert Koch Institute, Berlin, Germany)
Sebastian Haller
(Genome Competence Centre (MF 1), Robert Koch Institute, Berlin, Germany)
Michael Hogardt
(Genome Competence Centre (MF 1), Robert Koch Institute, Berlin, Germany)
Silver A. Wolf
(Genome Competence Centre (MF 1), Robert Koch Institute, Berlin, Germany)
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