Direct Whole-Genome Sequencing of Sputum Accurately Identifies Drug-Resistant Mycobacterium tuberculosis Faster than MGIT Culture Sequencing

Author:

Doyle Ronan M.12ORCID,Burgess Carrie1,Williams Rachel1,Gorton Rebecca3,Booth Helen45,Brown James67,Bryant Josephine M.8,Chan Jackie9,Creer Dean6,Holdstock Jolyon9,Kunst Heinke10,Lozewicz Stefan11,Platt Gareth3,Romero Erika Yara1,Speight Graham9,Tiberi Simon10,Abubakar Ibrahim12,Lipman Marc67,McHugh Timothy D.3,Breuer Judith1

Affiliation:

1. Division of Infection and Immunity, University College London, London, United Kingdom

2. Microbiology, Virology and Infection Control, Great Ormond Street Hospital NHS Foundation Trust, London, United Kingdom

3. Centre for Clinical Microbiology, Division of Infection and Immunity, Royal Free Campus, UCL, London, United Kingdom

4. University College London Hospitals NHS Foundation Trust, London, United Kingdom

5. North Central London TB Service-South Hub, Whittington Hospital NHS Trust, London, United Kingdom

6. Royal Free London NHS Foundation Trust, London, United Kingdom

7. UCL Respiratory, Division of Medicine, University College London, London, United Kingdom

8. Molecular Immunity Unit, MRC Laboratory of Molecular Biology, Department of Medicine, University of Cambridge, Cambridge, United Kingdom

9. Oxford Gene Technology, Oxford Begbroke Science Park, Begbroke, Oxfordshire, United Kingdom

10. Blizard Institute, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, United Kingdom

11. North Middlesex University Hospital NHS Trust, London, United Kingdom

12. UCL Institute for Global Health, University College London, London, United Kingdom

Abstract

The current methods available to diagnose antimicrobial-resistant Mycobacterium tuberculosis infections require a positive culture or only test a limited number of resistance-associated mutations. A rapid accurate identification of antimicrobial resistance enables the prompt initiation of effective treatment.

Funder

UCLH/UCL NIHR Biomedical Resource Centre

European Union's Seventh Program for Research, Technological Development and Demonstration

Publisher

American Society for Microbiology

Subject

Microbiology (medical)

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