Genomic analysis of <i>Enterococcus faecium</i> strain RAOG174 associated with acute chorioamnionitis carried antibiotic resistance gene: is it time for precise microbiological identification for appropriate antibiotic use?



Pongchaikul, Pisut ORCID: 0000-0001-8757-3554, Romero, Roberto, Mongkolsuk, Paninee, Vivithanaporn, Pornpun, Wongsurawat, Thidathip, Jenjaroenpun, Piroon, Nitayanon, Perapon, Thaipisuttikul, Iyarit, Kamlungkuea, Threebhorn, Singsaneh, Arunee
et al (show 2 more authors) (2023) Genomic analysis of <i>Enterococcus faecium</i> strain RAOG174 associated with acute chorioamnionitis carried antibiotic resistance gene: is it time for precise microbiological identification for appropriate antibiotic use? BMC GENOMICS, 24 (1). 405-.

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Abstract

<h4>Background</h4>Preterm labor syndrome is associated with high perinatal morbidity and mortality, and intra-amniotic infection is a cause of preterm labor. The standard identification of causative microorganisms is based on the use of biochemical phenotypes, together with broth dilution-based antibiotic susceptibility from organisms grown in culture. However, such methods could not provide an accurate epidemiological aspect and a genetic basis of antimicrobial resistance leading to an inappropriate antibiotic administration. Hybrid genome assembly is a combination of short- and long-read sequencing, which provides better genomic resolution and completeness for genotypic identification and characterization. Herein, we performed a hybrid whole genome assembly sequencing of a pathogen associated with acute histologic chorioamnionitis in women presenting with PPROM.<h4>Results</h4>We identified Enterococcus faecium, namely E. faecium strain RAOG174, with several antibiotic resistance genes, including vancomycin and aminoglycoside. Virulence-associated genes and potential bacteriophage were also identified in this genome.<h4>Conclusion</h4>We report herein the first study demonstrating the use of hybrid genome assembly and genomic analysis to identify E. faecium ST17 as a pathogen associated with acute histologic chorioamnionitis. The analysis provided several antibiotic resistance-associated genes/mutations and mobile genetic elements. The occurrence of E. faecium ST17 raised the awareness of the colonization of clinically relevant E. faecium and the carrying of antibiotic resistance. This finding has brought the advantages of genomic approach in the identification of the bacterial species and antibiotic resistance gene for E. faecium for appropriate antibiotic use to improve maternal and neonatal care.

Item Type: Article
Uncontrolled Keywords: Acute chorioamnionitis, Amniotic fluid, Chorioamnionitis, Chorioamniotic membranes, Enterococcus, Hybrid genome assembly, Infection, Intraamniotic infection, Nanopore, Preterm labor
Divisions: Faculty of Health and Life Sciences
Faculty of Health and Life Sciences > Institute of Infection, Veterinary and Ecological Sciences
Depositing User: Symplectic Admin
Date Deposited: 28 Feb 2024 10:20
Last Modified: 28 Feb 2024 10:21
DOI: 10.1186/s12864-023-09511-1
Open Access URL: https://doi.org/10.1186/s12864-023-09511-1
Related URLs:
URI: https://livrepository.liverpool.ac.uk/id/eprint/3178936