Cartography of opportunistic pathogens and antibiotic resistance genes in a tertiary hospital environment
Abstract
Although disinfection is key to infection control, the colonization patterns and resistomes of hospital-environment microbes remain underexplored. We report the first extensive genomic characterization of microbiomes, pathogens and antibiotic resistance cassettes in a tertiary-care hospital, from repeated sampling (up to 1.5 years apart) of 179 sites associated with 45 beds. Deep shotgun metagenomics unveiled distinct ecological niches of microbes and antibiotic resistance genes characterized by biofilm-forming and human-microbiome-influenced environments with corresponding patterns of spatiotemporal divergence. Quasi-metagenomics with nanopore sequencing provided thousands of high-contiguity genomes, phage and plasmid sequences (>60% novel), enabling characterization of resistome and mobilome diversity and dynamic architectures in hospital environments. Phylogenetics identified multidrug-resistant strains as being widely distributed and stably colonizing across sites. Comparisons with clinical isolates indicated that such microbes can persist in hospitals for extended periods (>8 years), to opportunistically infect patients. These findings highlight the importance of characterizing antibiotic resistance reservoirs in hospitals and establish the feasibility of systematic surveys to target resources for preventing infections.
- Authors:
-
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- Genome Inst. of Singapore (Singapore)
- Singapore Univ. of Technology and Design (Singapore)
- Singapore General Hospital (Singapore); National Univ. of Singapore (Singapore). Graduate Medical School
- National Univ. Hospital (Singapore)
- Cornell Univ., Ithaca, NY (United States). Weill Medical College
- National Centre for Infectious Diseases (Singapore); Tan Tock Seng Hospital (Singapore); Nanyang Technological Univ. (Singapore)
- National Centre for Infectious Diseases (Singapore); Tan Tock Seng Hospital (Singapore); National Univ. of Singapore (Singapore)
- National Centre for Infectious Diseases (Singapore); Tan Tock Seng Hospital (Singapore)
- Genome Inst. of Singapore (Singapore); National Univ. of Singapore (Singapore)
- Publication Date:
- Research Org.:
- Lawrence Berkeley National Laboratory (LBNL), Berkeley, CA (United States)
- Sponsoring Org.:
- USDOE Office of Science (SC); US Naval Medical Research Center (NMRC); WorldQuant Foundation; Bill and Melinda Gates Foundation; Alfred P. Sloan Foundation
- Contributing Org.:
- MetaSUB Consortium
- OSTI Identifier:
- 1766495
- Grant/Contract Number:
- AC02-05CH11231; CGAug16C005; OPP1151054; G-2015-13964
- Resource Type:
- Accepted Manuscript
- Journal Name:
- Nature Medicine
- Additional Journal Information:
- Journal Volume: 26; Journal Issue: 6; Journal ID: ISSN 1078-8956
- Publisher:
- Nature Publishing Group
- Country of Publication:
- United States
- Language:
- English
- Subject:
- 59 BASIC BIOLOGICAL SCIENCES
Citation Formats
Chng, Kern Rei, Li, Chenhao, Bertrand, Denis, Ng, Amanda Hui Qi, Kwah, Junmei Samantha, Low, Hwee Meng, Tong, Chengxuan, Natrajan, Maanasa, Zhang, Michael Hongjie, Xu, Licheng, Ko, Karrie Kwan Ki, Ho, Eliza Xin Pei, Av-Shalom, Tamar V., Teo, Jeanette Woon Pei, Khor, Chiea Chuen, Chen, Swaine L., Mason, Christopher E., Ng, Oon Tek, Marimuthu, Kalisvar, Ang, Brenda, and Nagarajan, Niranjan. Cartography of opportunistic pathogens and antibiotic resistance genes in a tertiary hospital environment. United States: N. p., 2020.
Web. doi:10.1038/s41591-020-0894-4.
Chng, Kern Rei, Li, Chenhao, Bertrand, Denis, Ng, Amanda Hui Qi, Kwah, Junmei Samantha, Low, Hwee Meng, Tong, Chengxuan, Natrajan, Maanasa, Zhang, Michael Hongjie, Xu, Licheng, Ko, Karrie Kwan Ki, Ho, Eliza Xin Pei, Av-Shalom, Tamar V., Teo, Jeanette Woon Pei, Khor, Chiea Chuen, Chen, Swaine L., Mason, Christopher E., Ng, Oon Tek, Marimuthu, Kalisvar, Ang, Brenda, & Nagarajan, Niranjan. Cartography of opportunistic pathogens and antibiotic resistance genes in a tertiary hospital environment. United States. https://doi.org/10.1038/s41591-020-0894-4
Chng, Kern Rei, Li, Chenhao, Bertrand, Denis, Ng, Amanda Hui Qi, Kwah, Junmei Samantha, Low, Hwee Meng, Tong, Chengxuan, Natrajan, Maanasa, Zhang, Michael Hongjie, Xu, Licheng, Ko, Karrie Kwan Ki, Ho, Eliza Xin Pei, Av-Shalom, Tamar V., Teo, Jeanette Woon Pei, Khor, Chiea Chuen, Chen, Swaine L., Mason, Christopher E., Ng, Oon Tek, Marimuthu, Kalisvar, Ang, Brenda, and Nagarajan, Niranjan. Mon .
"Cartography of opportunistic pathogens and antibiotic resistance genes in a tertiary hospital environment". United States. https://doi.org/10.1038/s41591-020-0894-4. https://www.osti.gov/servlets/purl/1766495.
@article{osti_1766495,
title = {Cartography of opportunistic pathogens and antibiotic resistance genes in a tertiary hospital environment},
author = {Chng, Kern Rei and Li, Chenhao and Bertrand, Denis and Ng, Amanda Hui Qi and Kwah, Junmei Samantha and Low, Hwee Meng and Tong, Chengxuan and Natrajan, Maanasa and Zhang, Michael Hongjie and Xu, Licheng and Ko, Karrie Kwan Ki and Ho, Eliza Xin Pei and Av-Shalom, Tamar V. and Teo, Jeanette Woon Pei and Khor, Chiea Chuen and Chen, Swaine L. and Mason, Christopher E. and Ng, Oon Tek and Marimuthu, Kalisvar and Ang, Brenda and Nagarajan, Niranjan},
abstractNote = {Although disinfection is key to infection control, the colonization patterns and resistomes of hospital-environment microbes remain underexplored. We report the first extensive genomic characterization of microbiomes, pathogens and antibiotic resistance cassettes in a tertiary-care hospital, from repeated sampling (up to 1.5 years apart) of 179 sites associated with 45 beds. Deep shotgun metagenomics unveiled distinct ecological niches of microbes and antibiotic resistance genes characterized by biofilm-forming and human-microbiome-influenced environments with corresponding patterns of spatiotemporal divergence. Quasi-metagenomics with nanopore sequencing provided thousands of high-contiguity genomes, phage and plasmid sequences (>60% novel), enabling characterization of resistome and mobilome diversity and dynamic architectures in hospital environments. Phylogenetics identified multidrug-resistant strains as being widely distributed and stably colonizing across sites. Comparisons with clinical isolates indicated that such microbes can persist in hospitals for extended periods (>8 years), to opportunistically infect patients. These findings highlight the importance of characterizing antibiotic resistance reservoirs in hospitals and establish the feasibility of systematic surveys to target resources for preventing infections.},
doi = {10.1038/s41591-020-0894-4},
journal = {Nature Medicine},
number = 6,
volume = 26,
place = {United States},
year = {Mon Jun 08 00:00:00 EDT 2020},
month = {Mon Jun 08 00:00:00 EDT 2020}
}
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A multiscale study of fungal endophyte communities of the foliar endosphere of native rubber trees in Eastern Amazon
journal, November 2018
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First report of community dynamics of arbuscular mycorrhizal fungi in radiocesium degradation lands after the Fukushima-Daiichi Nuclear disaster in Japan
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Female Blow Flies As Vertebrate Resource Indicators
journal, July 2019
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Impact of coal mining on stream biodiversity in the US and its regulatory implications
journal, April 2018
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Dissecting macroecological and macroevolutionary patterns of forest biodiversity across the Hawaiian archipelago
journal, July 2019
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- Proceedings of the National Academy of Sciences, Vol. 116, Issue 33
Global invasion history of the agricultural pest butterfly Pieris rapae revealed with genomics and citizen science
journal, September 2019
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- Proceedings of the National Academy of Sciences, Vol. 116, Issue 40
Livin' on the edge: the importance of adjacent intermittent habitats in maintaining macroinvertebrate diversity of permanent freshwater marsh systems
journal, July 2018
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- Inland Waters, Vol. 8, Issue 3
Investigating microbial indicators of anthropogenic marine pollution by 16S and 18S High-Throughput Sequencing (HTS) library analysis
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Triclosan-Selected Host-Associated Microbiota Perform Xenobiotic Biotransformations in Larval Zebrafish
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Specialization and niche overlap across spatial scales: Revealing ecological factors shaping species richness and coexistence in Australian songbirds
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- Journal of Animal Ecology, Vol. 88, Issue 11
The role of livestock intensification and landscape structure in maintaining tropical biodiversity
journal, July 2017
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Comparing convenience and probability sampling for urban ecology applications
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Low‐intensity management benefits solitary bees in olive groves
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Exotic eucalypts: From demonized trees to allies of tropical forest restoration?
journal, October 2019
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- Journal of Applied Ecology, Vol. 57, Issue 1
Bacterial colonization of minerals in grassland soils is selective and highly dynamic
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- Environmental Microbiology, Vol. 22, Issue 3
Environmental DNA analysis shows high potential as a tool for estimating intraspecific genetic diversity in a wild fish population
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How should we estimate diversity in the fossil record? Testing richness estimators using sampling‐standardised discovery curves
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The r package divDyn for quantifying diversity dynamics using fossil sampling data
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Choices of sampling method bias functional components estimation and ability to discriminate assembly mechanisms
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Surveying tropical birds is much harder than you think: a primer of best practices
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Canopy tree preference by insectivorous birds in shade‐coffee farms: Implications for migratory bird conservation
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Temporal variation in the influence of forest succession on caterpillar communities: A long‐term study in a tropical dry forest
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Quantifying regional biodiversity in the tropics: A case study of freshwater fish in Trinidad and Tobago
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Elevational filtering and the evolution of planthoppers (Hemiptera, Fulgoromorpha) in Papua New Guinea
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Linking dung beetle‐mediated functions to interactions in the Atlantic Forest: Sampling design matters
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Interpreting beta‐diversity components over time to conserve metacommunities in highly dynamic ecosystems
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Recreational freshwater fishing drives non-native aquatic species richness patterns at a continental scale
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Turnover and nestedness in subtropical dung beetle assemblages along an elevational gradient
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Bees use anthropogenic habitats despite strong natural habitat preferences
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The biodiversity benefit of native forests and mixed‐species plantations over monoculture plantations
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Differential temporal beta‐diversity patterns of native and non‐native arthropod species in a fragmented native forest landscape
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Sampling design may obscure species–area relationships in landscape‐scale field studies
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Comparative responses of termite functional and taxonomic diversity to land‐use change
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Anthropogenic disturbance equalizes diversity levels in arbuscular mycorrhizal fungal communities
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Trade‐offs between carbon stocks and biodiversity in European temperate forests
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Congruence across taxa and spatial scales: Are we asking too much of species data?
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Body size, reef area and temperature predict global reef‐fish species richness across spatial scales
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The acoustic ecology of an Amazonian bird assemblage: the role of allometry, competition and environmental filtering in the acoustic structure
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Livestock areas with canopy cover sustain dung beetle diversity in the humid subtropical Chaco forest
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A cross-continental comparison of assemblages of seed- and fruit-feeding insects in tropical rain forests: Faunal composition and rates of attack
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Model averaging fails to improve the extrapolation capability of the island species–area relationship
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Genotypic diversity in root-endophytic fungi reflects efficient dispersal and environmental adaptation
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Non‐random association patterns in a plant–mycorrhizal fungal network reveal host–symbiont specificity
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The roles of morphological traits, resource variation and resource partitioning associated with the dietary niche expansion in the fish‐eating bat Myotis pilosus
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Historical biome distribution and recent human disturbance shape the diversity of arbuscular mycorrhizal fungi
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Forest biomass, soil and biodiversity relationships originate from biogeographic affinity and direct ecological effects
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Reconciling biodiversity and carbon stock conservation in an Afrotropical forest landscape
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High Rate of Infection by Only Oncogenic Human Papillomavirus in Amerindians
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Vascular Epiphytic Diversity in a Neotropical Transition Zone Is Driven by Environmental and Structural Heterogeneity
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Probing the Rare Biosphere of the North-West Mediterranean Sea: An Experiment with High Sequencing Effort
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Genetic structure and demographic inference of the regular sea urchin Sterechinus neumayeri (Meissner, 1900) in the Southern Ocean: The role of the last glaciation
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The menu varies with metabarcoding practices: A case study with the bat Plecotus auritus
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Successional, spatial, and seasonal changes in seed rain in the Atlantic forest of southern Bahia, Brazil
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Molecular sequencing and morphological identification reveal similar patterns in native bee communities across public and private grasslands of eastern North Dakota
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Simple does not mean poor: grasslands and forests harbor similar ant species richness and distinct composition in highlands of southern Brazil
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Cervicovaginal Fungi and Bacteria Associated With Cervical Intraepithelial Neoplasia and High-Risk Human Papillomavirus Infections in a Hispanic Population
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Comparative Analysis of Intestine Microbiota of Four Wild Waterbird Species
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Antibiotic-Induced Perturbations Are Manifested in the Dominant Intestinal Bacterial Phyla of Atlantic Salmon
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Relationship between Wetland Plant Communities and Environmental Factors in the Tumen River Basin in Northeast China
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A meta-barcoding census of freshwater planktonic protists in Appalachia – Natural Tunnel State Park, Virginia, USA
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Stuck amongst introduced species: Trophic ecology reveals complex relationships between the critically endangered Niau kingfisher and introduced predators, competitors and prey
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Phage-centric ecological interactions in aquatic ecosystems revealed through ultra-deep metagenomics
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Variegated tropical landscapes conserve diverse dung beetle communities
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Nectar-living yeasts of a tropical host plant community: diversity and effects on community-wide floral nectar traits
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Cover cropping can be a stronger determinant than host crop identity for arbuscular mycorrhizal fungal communities colonizing maize and soybean
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A highly diverse fungal community associated with leaves of the mangrove plant Acanthus ilicifolius var. xiamenensis revealed by isolation and metabarcoding analyses
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Genomic Characterization of Extensively Drug-Resistant NDM-Producing Acinetobacter baumannii Clinical Isolates With the Emergence of Novel blaADC-257
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