Evaluation of a Combined Multilocus Sequence Typing and Whole-Genome Sequencing Two-Step Algorithm for Routine Typing of Clostridioides difficile

Author:

Kamboj Mini12,McMillen Tracy3,Syed Mustafa4,Chow Hoi Yan2,Jani Krupa3,Aslam Anoshe2,Brite Jennifer2,Fanelli Brian5,Hasan Nur A.5ORCID,Dadlani Manoj5,Westblade Lars6,Zehir Ahmet4,Simon Matthew7,Babady N. Esther13ORCID

Affiliation:

1. Infectious Disease Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA

2. Infection Control Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA

3. Clinical Microbiology Service, Department of Laboratory Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA

4. Diagnostic Molecular Pathology Service, Department of Pathology, Memorial Sloan Kettering Cancer Center, New York, New York, USA

5. CosmosID Inc., Rockville, Maryland, USA

6. Department of Pathology and Laboratory Medicine, Weill Cornell Medicine, New York, New York, USA

7. Division of Infectious Diseases, Department of Medicine, Weill Cornell Medicine, New York, New York, USA

Abstract

Multilocus sequence typing (MLST) is a low-resolution but rapid genotyping method for Clostridioides difficile . Whole-genome sequencing (WGS) has emerged as the new gold standard for C. difficile typing, but cost and lack of standardization still limit broad utilization. In this study, we evaluated the potential to combine the portability of MLST with the increased resolution of WGS for a cost-saving approach to routine C. difficile typing.

Funder

HHS | NIH | National Cancer Institute

HHS | National Institutes of Health

Publisher

American Society for Microbiology

Subject

Microbiology (medical)

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