Identification of melioidosis outbreak by multilocus variable number tandem repeat analysis

Emerg Infect Dis. 2009 Feb;15(2):169-74. doi: 10.3201/eid1502.081036.

Abstract

Endemic melioidosis is caused by genetically diverse Burkholderia pseudomallei strains. However, clonal outbreaks (multiple cases caused by 1 strain) have occurred, such as from contaminated potable water. B. pseudomallei is designated a group B bioterrorism agent, which necessitates rapidly recognizing point-source outbreaks. Pulsed-field gel electrophoresis (PFGE) and multilocus sequence typing (MLST) can identify genetically related isolates, but results take several days to obtain. We developed a simplified 4-locus multilocus variable number tandem repeat analysis (MLVA-4) for rapid typing and compared results with PFGE and MLST for a large number of well-characterized B. pseudomallei isolates. MLVA-4 compared favorably with MLST and PFGE for the same isolates; it discriminated between 65 multilocus sequence types and showed relatedness between epidemiologically linked isolates from outbreak clusters and between isolates from individual patients. MLVA-4 can establish or refute that a clonal outbreak of melioidosis has occurred within 8 hours of receipt of bacterial strains.

Publication types

  • Evaluation Study
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Bacterial Typing Techniques*
  • Base Sequence
  • Burkholderia pseudomallei / classification*
  • Burkholderia pseudomallei / genetics
  • Burkholderia pseudomallei / isolation & purification
  • Disease Outbreaks*
  • Electrophoresis, Gel, Pulsed-Field
  • Humans
  • Melioidosis / epidemiology*
  • Melioidosis / microbiology
  • Minisatellite Repeats / genetics*
  • Molecular Sequence Data
  • Sequence Analysis, DNA