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Böhm S, Woudenberg T, Chen D, Marosevic DV, Böhmer MM, Hansen L, Wallinga J, Sing A, Katz K. Epidemiology and transmission characteristics of early COVID-19 cases, 20 January-19 March 2020, in Bavaria, Germany. Epidemiol Infect 2021; 149:e65. [PMID: 33650470 PMCID: PMC7985897 DOI: 10.1017/s0950268821000510] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2020] [Revised: 01/13/2021] [Accepted: 02/25/2021] [Indexed: 01/18/2023] Open
Abstract
Severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) led to a significant disease burden and disruptions in health systems. We describe the epidemiology and transmission characteristics of early coronavirus disease 2019 (COVID-19) cases in Bavaria, Germany. Cases were reverse transcription polymerase chain reaction (RT-PCR)-confirmed SARS-CoV-2 infections, reported from 20 January-19 March 2020. The incubation period was estimated using travel history and date of symptom onset. To estimate the serial interval, we identified pairs of index and secondary cases. By 19 March, 3546 cases were reported. A large proportion was exposed abroad (38%), causing further local transmission. Median incubation period of 256 cases with exposure abroad was 3.8 days (95%CI: 3.5-4.2). For 95% of infected individuals, symptom onset occurred within 10.3 days (95%CI: 9.1-11.8) after exposure. The median serial interval, using 53 pairs, was 3.5 days (95%CI: 3.0-4.2; mean: 3.9, s.d.: 2.2). Travellers returning to Germany had an important influence on the spread of SARS-CoV-2 infections in Bavaria in early 2020. Especially in times of low incidence, public health agencies should identify holiday destinations, and areas with ongoing local transmission, to monitor potential importation of SARS-CoV-2 infections. Travellers returning from areas with ongoing community transmission should be advised to quarantine to prevent re-introductions of COVID-19.
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Affiliation(s)
- S. Böhm
- Bavarian Health and Food Safety Authority, Oberschleissheim, Germany
- ECDC Fellowship Programme, Field Epidemiology path (EPIET), European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden
- Postgraduate Training for Applied Epidemiology (PAE), Robert Koch Institute, Berlin, Germany
| | - T. Woudenberg
- Bavarian Health and Food Safety Authority, Oberschleissheim, Germany
- ECDC Fellowship Programme, Field Epidemiology path (EPIET), European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden
| | - D. Chen
- National Institute for Public Health and the Environment (RIVM), Bilthoven, Netherlands
| | - D. V. Marosevic
- Bavarian Health and Food Safety Authority, Oberschleissheim, Germany
| | - M. M. Böhmer
- Bavarian Health and Food Safety Authority, Oberschleissheim, Germany
- Institute of Social Medicine and Health Systems Research, Otto-von-Guericke-University Magdeburg, Magdeburg, Germany
| | - L. Hansen
- ECDC Fellowship Programme, Field Epidemiology path (EPIET), European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden
- National Institute for Public Health and the Environment (RIVM), Bilthoven, Netherlands
| | - J. Wallinga
- National Institute for Public Health and the Environment (RIVM), Bilthoven, Netherlands
- Department of Biomedical Data Sciences, Leiden University Medical Center, Leiden, Netherlands
| | - A. Sing
- Bavarian Health and Food Safety Authority, Oberschleissheim, Germany
| | - K. Katz
- Bavarian Health and Food Safety Authority, Oberschleissheim, Germany
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2
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Schöfer H, Enders M, Esser S, Feiterna-Sperling C, Hagedorn HJ, Magistro G, Mayr C, Münstermann D, Hahn K, Jansen K, Klein M, Krause W, Maschke M, Ochsendorf FR, Osowski S, Petry KU, Potthoff A, Rieg S, Sing A, Stücker M, Weberschock T, Werner RN, Brockmeyer NH. [Diagnosis and treatment of syphilis : Update of the S2k guidelines 2020 of the German STI Society (DSTIG) in cooperation with the following specialist societies: DAIG, dagnä, DDG, DGA, DGGG, DGHM, DGI, DGN, DGPI, DGU, RKI]. Hautarzt 2021; 71:969-999. [PMID: 32940778 DOI: 10.1007/s00105-020-04672-6] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- H Schöfer
- Helios Dr. Horst Schmidt Kliniken, Deutsche Klinik für Diagnostik, Aukamm-Allee 33, 65191, Wiesbaden, Deutschland.
| | - M Enders
- Labor Prof. Gisela Enders & Kollegen MVZ Stuttgart, Stuttgart, Deutschland
| | - S Esser
- Leiter der HIV/STD-Ambulanz, Klinik für Dermatologie und Venerologie, Universitätsklinikum Essen, Essen, Deutschland
| | - C Feiterna-Sperling
- Klinik für Pädiatrie m. S. Pneumologie, Immunologie und Intensivmedizin, Charité Universitätsmedizin Berlin, Berlin, Deutschland
| | | | - G Magistro
- Urologische Klinik, Ludwig-Maximilians-Universität München, München, Deutschland
| | - C Mayr
- Facharzt für Innere Medizin/Infektiologie, Hausärztliche Betreuung, Zentrum für Infektiologie Berlin, Prenzlauer Berg (ZIBP), MVZ, Berlin, Deutschland
| | | | - K Hahn
- Klinik für Neurologie, Universitätsmedizin Charité, Campus Charité Mitte, Berlin, Deutschland
| | - K Jansen
- Abteilung für Infektionsepidemiologie, Fachgebiet für HIV/AIDS und andere sexuell oder durch Blut übertragbare Infektionen, Robert Koch-Institut, Berlin, Deutschland
| | - M Klein
- Abteilung: Neurologische Klinik, Ludwig-Maximilians-Universität München, Klinikum Großhadern, München, Deutschland
| | - W Krause
- Hautklinik der Philipps-Universität, Marburg, Deutschland
| | - M Maschke
- Abteilung: Neurologie, Neurophysiologie und neurologische Frührehabilitation, MVZ der Barmherzigen Brüder Trier, Sektion Neurologie, Psychiatrie, Trier, Deutschland
| | - F R Ochsendorf
- Klinik für Dermatologie, Venerologie und Allergologie (KDVA), Universitätsklinikum Frankfurt, Frankfurt, Deutschland
| | - S Osowski
- Klinik f. Dermatologie, Venerologie und Allergologie (KDVA) und Evidenzbasierte Medizin, Institut für Allgemeinmedizin, Goethe-Universität Frankfurt, Frankfurt, Deutschland
| | - K U Petry
- Frauenklinik, Klinikum der Stadt Wolfsburg, Wolfsburg, Deutschland
| | - A Potthoff
- WIR "Walk In Ruhr" im St. Elisabeth-Hospital, Bochum, Deutschland
| | - S Rieg
- Abteilung Infektiologie, Klinik für Innere Medizin II, Universitätsklinikum Freiburg, Freiburg, Deutschland
| | - A Sing
- Bayerisches Landesamt für Gesundheit und Lebensmittelsicherheit (LGL), Oberschleißheim, Deutschland
| | - M Stücker
- Klinik für Dermatologie, Venerologie und Allergologie, Ruhr-Universität Bochum, Bochum, Deutschland
| | - T Weberschock
- Klinik f. Dermatologie, Venerologie und Allergologie (KDVA) und Evidenzbasierte Medizin, Institut für Allgemeinmedizin, Goethe-Universität Frankfurt, Frankfurt, Deutschland
| | - R N Werner
- Klinik für Dermatologie, Venerologie und Allergologie, Division of Evidence-Based Medicine (dEBM), Charité - Universitätsmedizin Berlin, Berlin, Deutschland
| | - N H Brockmeyer
- WIR "Walk In Ruhr" im St. Elisabeth-Hospital, Bochum, Deutschland
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3
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Mazick A, Berger A, Müller M, Valente Ferro G, Hellenbrand W, Mertens E, Pallasch G, Sing A. Sharing more than friendship: Exsudative Otitis externa durch toxigene Corynebacteria ulcerans bei einem im medizinischen Bereich tätigen Mann und seinem Hund. Das Gesundheitswesen 2018. [DOI: 10.1055/s-0038-1639258] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- A Mazick
- Gesundheitsamt Cuxhaven, Infektionsschutz, Cuxhaven, Germany
| | - A Berger
- Bayerisches Landesamt für Gesundheit und Lebensmittelsicherheit Public Health, Mikrobiologie und Infektionsepidemiologie, Oberschleißheim, Germany
| | - M Müller
- Gesundheitsamt Stade, Infektionsschutz, Stade, Germany
| | - G Valente Ferro
- Gesundheitsamt Cuxhaven, Infektionsschutz, Cuxhaven, Germany
| | - W Hellenbrand
- Robert Koch-Institut, Abteilung für Infektionsepidemiologie, Berlin, Germany
| | - E Mertens
- Niedersächsisches Landesgesundheitsamt (NLGA) Mikrobiologie, Infektionsschutz, Krankenhaushygiene, Infektionsepidemiologie und Gesundheitsberichterstattung, Hannover, Germany
| | - G Pallasch
- Gesundheitsamt Stade, Amtsleitung, Stade, Germany
| | - A Sing
- Bayerisches Landesamt für Gesundheit und Lebensmittelsicherheit Public Health, Mikrobiologie und Infektionsepidemiologie, Oberschleißheim, Germany
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Heinzinger S, Sing A, Fingerle V. Das LYDI-Sentinel (Lyme Disease Incidence) in den Jahren 2013 bis 2016. Das Gesundheitswesen 2018. [DOI: 10.1055/s-0038-1639264] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- S Heinzinger
- Bayerisches Landesamt für Gesundheit und Lebensmittelsicherheit (LGL Bayern) GE2 - Public Health Mikrobiologie und Infektionsepidemiologie, Oberschleißheim, Germany
| | - A Sing
- Bayerisches Landesamt für Gesundheit und Lebensmittelsicherheit (LGL Bayern) GE2 - Public Health Mikrobiologie und Infektionsepidemiologie, Oberschleißheim, Germany
| | - V Fingerle
- Bayerisches Landesamt für Gesundheit und Lebensmittelsicherheit (LGL Bayern) GE2 - Public Health Mikrobiologie und Infektionsepidemiologie, Oberschleißheim, Germany
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Marosevic D, Schönberger K, Ackermann N, Sing A. Laborergebnisse von Syphilis- und HIV Ko-Infektionen in Bayern 2010 – 2016. Das Gesundheitswesen 2018. [DOI: 10.1055/s-0038-1639265] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- D Marosevic
- Bayerisches Landesamt für Gesundheit und Lebensmittelsicherheit (LGL Bayern) Public Health Microbiologie und Infektionsepidemiologie, Neufahrn bei Freising, Germany
| | - K Schönberger
- Bayerisches Landesamt für Gesundheit und Lebensmittelsicherheit (LGL Bayern) Public Health Mikrobiologie und Infektionsepidemiologie, Oberschleissheim, Germany
| | - N Ackermann
- Bayerisches Landesamt für Gesundheit und Lebensmittelsicherheit (LGL Bayern) Public Health Mikrobiologie und Infektionsepidemiologie, Oberschleissheim, Germany
| | - A Sing
- Bayerisches Landesamt für Gesundheit und Lebensmittelsicherheit (LGL Bayern) Public Health Mikrobiologie und Infektionsepidemiologie, Oberschleissheim, Germany
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6
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Heinzinger S, Eberle U, Marosevic D, Schönberger K, Ackermann N, Sing A. Das Bayern Influenza Sentinel (BIS). Das Gesundheitswesen 2018. [DOI: 10.1055/s-0038-1639292] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- S Heinzinger
- Bayerisches Landesamt für Gesundheit und Lebensmittelsicherheit (LGL Bayern), GE2 - Public Health, Mikrobiologie und Infektionsepidemiologie, Oberschleißheim, Germany
| | - U Eberle
- Bayerisches Landesamt für Gesundheit und Lebensmittelsicherheit (LGL Bayern), GE2 - Public Health, Mikrobiologie und Infektionsepidemiologie, Oberschleißheim, Germany
| | - D Marosevic
- Bayerisches Landesamt für Gesundheit und Lebensmittelsicherheit (LGL Bayern), GE2 - Public Health, Mikrobiologie und Infektionsepidemiologie, Oberschleißheim, Germany
| | - K Schönberger
- Bayerisches Landesamt für Gesundheit und Lebensmittelsicherheit (LGL Bayern), GE2 - Public Health, Mikrobiologie und Infektionsepidemiologie, Oberschleißheim, Germany
| | - N Ackermann
- Bayerisches Landesamt für Gesundheit und Lebensmittelsicherheit (LGL Bayern), GE2 - Public Health, Mikrobiologie und Infektionsepidemiologie, Oberschleißheim, Germany
| | - A Sing
- Bayerisches Landesamt für Gesundheit und Lebensmittelsicherheit (LGL Bayern), GE2 - Public Health, Mikrobiologie und Infektionsepidemiologie, Oberschleißheim, Germany
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Margos G, Marosevic D, Cutler S, Derdakova M, Diuk-Wasser M, Emler S, Fish D, Gray J, Hunfeld KP, Jaulhac B, Kahl O, Kovalev S, Kraiczy P, Lane RS, Lienhard R, Lindgren PE, Ogden NH, Ornstein K, Rupprecht T, Schwartz I, Sing A, Straubinger RK, Strle F, Voordouw M, Rizzoli A, Stevenson B, Fingerle V. Corrigendum: There is inadequate evidence to support the division of the genus Borrelia. Int J Syst Evol Microbiol 2017; 67:2073. [PMID: 28665266 DOI: 10.1099/ijsem.0.002100] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Affiliation(s)
- G Margos
- National Reference Centre for Borrelia, Bavarian Health and Food Safety Authority, Veterinärstr. 2, 85764 Oberschleißheim, Germany
| | - D Marosevic
- European Programme for Public Health Microbiology Training, European Centre of Disease Prevention and Control (ECDC), Stockholm, Sweden.,National Reference Centre for Borrelia, Bavarian Health and Food Safety Authority, Veterinärstr. 2, 85764 Oberschleißheim, Germany
| | - S Cutler
- School of Health Sport and Bioscience, University of East London, Water Lane, London, UK
| | - M Derdakova
- Department of Zoology, Slovak Academy of Sciences, Bratislava, Slovakia
| | - M Diuk-Wasser
- Department of Ecology, Evolution and Environmental Biology, Columbia University, 1200 Amsterdam Avenue, New York, NY 10027, USA
| | - S Emler
- SmartGene Services SARL, Innovation Park, Building C, EPFL-Ecublens, CH-1015 Lausanne, Switzerland
| | - D Fish
- Yale School of Public Health, Laboratory of Epidemiology and Public Health, 60 College Street, New Haven, CT 06510, USA
| | - J Gray
- Members of the Steering Committee of the ESCMID Study Group for Borrelia (ESGBOR).,Emeritus Professor of Animal Parasitology, University College Dublin, Dublin, Ireland
| | - K-P Hunfeld
- Zentralinstitut für Labormedizin, Mikrobiologie and Krankenhaushygiene, Krankenhaus Nordwest, Akademisches Lehrkrankenhaus der Johann Wolfgang Goethe-Universität, Steinbacher Hohl 2-26, D-60488 Frankfurt am Main, Frankfurt, Germany.,Members of the Steering Committee of the ESCMID Study Group for Borrelia (ESGBOR)
| | - B Jaulhac
- Laboratoire de Bactériologie, CNR des Borrelia, Plateau Technique de Microbiologie, Hôpitaux Universitaires de Strasbourg et Faculté de Médecine de Strasbourg, 1 rue Koeberlé, Strasbourg 67000, France.,Members of the Steering Committee of the ESCMID Study Group for Borrelia (ESGBOR)
| | - O Kahl
- tick-radar GmbH, Haderslebener Str. 9, Berlin 12163, Germany.,Members of the Steering Committee of the ESCMID Study Group for Borrelia (ESGBOR)
| | - S Kovalev
- Molecular Genetics Lab (www.dnk-ural.ru) Biology Department, Ural Federal University named after the first President of Russia B.N.Yeltsin, Lenin Avenue, Yekaterinburg 620000, Russia
| | - P Kraiczy
- Institute of Medical Microbiology and Infection Control, University Hospital Frankfurt, Paul-Ehrlich-Str, Frankfurt/Main 40, 60596, Germany
| | - R S Lane
- Environmental Science, Policy and Management, University of California Berkeley, 130 Mulford Hall, Berkeley CA 94720, California, USA
| | - R Lienhard
- Borrelia Laboratory for the National Reference Centre of Tick Diseases (CNRT/ NRZK), ADMed Microbiology, La Chaux-de-Fonds 2303, Switzerland
| | - P E Lindgren
- Division of Medical Microbiology, Department of Clinical and Experimental Medicine, Faculty of Health Sciences, Linköping University, Linköping, Sweden.,Members of the Steering Committee of the ESCMID Study Group for Borrelia (ESGBOR)
| | - N H Ogden
- Director, Public Health Risk Sciences Division, National Microbiology Laboratory, @ Saint-Hyacinthe and Guelph, Public Health Agency of Canada, Saint-Hyacinthe, Canada
| | - K Ornstein
- Clinical and Experimental Infectious Medicine Section, Department of Clinical Sciences, Lund University, Sweden.,Members of the Steering Committee of the ESCMID Study Group for Borrelia (ESGBOR)
| | - T Rupprecht
- Klinikum Dachau, Abt. Neurology u. Schlafmedizinisches Zentrum, Krankenhausstr. 15, 8521 Dachau, Germany.,Members of the Steering Committee of the ESCMID Study Group for Borrelia (ESGBOR)
| | - I Schwartz
- Department of Microbiology and Immunology, School of Medicine, New York Medical College, Basic Sciences Building, Valhalla, NY 10595, USA
| | - A Sing
- National Reference Centre for Borrelia, Bavarian Health and Food Safety Authority, Veterinärstr. 2, 85764 Oberschleißheim, Germany
| | - R K Straubinger
- Chair Bacteriology and Mykology, Department of Veterinary Science, Veterinary Faculty, LMU Munich, Veterinärstraße, München 13, 80539, Gemany
| | - F Strle
- Department of Infectious Diseases, University Medical Centre Ljubljana, Ljubljana, Slovenia.,Members of the Steering Committee of the ESCMID Study Group for Borrelia (ESGBOR)
| | - M Voordouw
- Université de Neuchâtel, Institut de Biologie, Laboratoire d'Ecologie et Evolution des Parasites, Rue Emile-Argand 11, CH-2000, Neuchâtel, Switzerland
| | - A Rizzoli
- Fondazione Edmund Mach, Research and Innovation Centre, Via Mach, 1, San Michele all'Adige, Trento, Italy
| | - B Stevenson
- Department of Microbiology, Immunology and Molecular Genetics, University of Kentucky College of Medicine, MS421 Chandler Medical Center, Lexington, Kentucky, 40536-0298, USA
| | - V Fingerle
- Members of the Steering Committee of the ESCMID Study Group for Borrelia (ESGBOR).,National Reference Centre for Borrelia, Bavarian Health and Food Safety Authority, Veterinärstr. 2, 85764 Oberschleißheim, Germany
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Margos G, Hepner S, Mang C, Marosevic D, Reynolds SE, Krebs S, Sing A, Derdakova M, Reiter MA, Fingerle V. Lost in plasmids: next generation sequencing and the complex genome of the tick-borne pathogen Borrelia burgdorferi. BMC Genomics 2017; 18:422. [PMID: 28558786 PMCID: PMC5450258 DOI: 10.1186/s12864-017-3804-5] [Citation(s) in RCA: 43] [Impact Index Per Article: 6.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2017] [Accepted: 05/17/2017] [Indexed: 11/21/2022] Open
Abstract
Background Borrelia (B.) burgdorferi sensu lato, including the tick-transmitted agents of human Lyme borreliosis, have particularly complex genomes, consisting of a linear main chromosome and numerous linear and circular plasmids. The number and structure of plasmids is variable even in strains within a single genospecies. Genes on these plasmids are known to play essential roles in virulence and pathogenicity as well as host and vector associations. For this reason, it is essential to explore methods for rapid and reliable characterisation of molecular level changes on plasmids. In this study we used three strains: a low passage isolate of B. burgdorferi sensu stricto strain B31(−NRZ) and two closely related strains (PAli and PAbe) that were isolated from human patients. Sequences of these strains were compared to the previously sequenced reference strain B31 (available in GenBank) to obtain proof-of-principle information on the suitability of next generation sequencing (NGS) library construction and sequencing methods on the assembly of bacterial plasmids. We tested the effectiveness of different short read assemblers on Illumina sequences, and of long read generation methods on sequence data from Pacific Bioscience single-molecule real-time (SMRT) and nanopore (Oxford Nanopore Technologies) sequencing technology. Results Inclusion of mate pair library reads improved the assembly in some plasmids as did prior enrichment of plasmids. While cp32 plasmids remained refractory to assembly using only short reads they were effectively assembled by long read sequencing methods. The long read SMRT and nanopore sequences came, however, at the cost of indels (insertions or deletions) appearing in an unpredictable manner. Using long and short read technologies together allowed us to show that the three B. burgdorferi s.s. strains investigated here, whilst having similar plasmid structures to each other (apart from fusion of cp32 plasmids), differed significantly from the reference strain B31-GB, especially in the case of cp32 plasmids. Conclusion Short read methods are sufficient to assemble the main chromosome and many of the plasmids in B. burgdorferi. However, a combination of short and long read sequencing methods is essential for proper assembly of all plasmids including cp32 and thus, for gaining an understanding of host- or vector adaptations. An important conclusion from our work is that the evolution of Borrelia plasmids appears to be dynamic. This has important implications for the development of useful research strategies to monitor the risk of Lyme disease occurrence and how to medically manage it. Electronic supplementary material The online version of this article (doi:10.1186/s12864-017-3804-5) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- G Margos
- German National Reference Centre for Borrelia (NRZ), Bavarian Health and Food Safety Authority (LGL), Veterinärstrasse 2, 85764, Oberschleissheim, Germany.
| | - S Hepner
- German National Reference Centre for Borrelia (NRZ), Bavarian Health and Food Safety Authority (LGL), Veterinärstrasse 2, 85764, Oberschleissheim, Germany
| | - C Mang
- German National Reference Centre for Borrelia (NRZ), Bavarian Health and Food Safety Authority (LGL), Veterinärstrasse 2, 85764, Oberschleissheim, Germany
| | - D Marosevic
- Bavarian Health and Food Safety Authority (LGL), Veterinärstrasse 2, 85764, Oberschleissheim, Germany.,European Programme for Public Health Microbiology Training, European Centre of Disease Prevention and Control (ECDC), Stockholm, Sweden
| | - S E Reynolds
- Department of Biology and Biochemistry, University of Bath, Claverton Down, BA2 7AY, Bath, UK
| | - S Krebs
- Gene Centre, Laboratory for Functional Genome Analysis, LMU Munich, Feodor-Lynen-Strasse 25, 81377, Munich, Germany
| | - A Sing
- German National Reference Centre for Borrelia (NRZ), Bavarian Health and Food Safety Authority (LGL), Veterinärstrasse 2, 85764, Oberschleissheim, Germany
| | - M Derdakova
- Institute of Zoology, Slovak Academy of Sciences, Bratislava, Slovakia
| | - M A Reiter
- Institut für Hygiene und Angewandte Immunologie, Medizinische Universität Wien, Kinderspitalgasse 15, A-1090, Wien, Austria
| | - V Fingerle
- German National Reference Centre for Borrelia (NRZ), Bavarian Health and Food Safety Authority (LGL), Veterinärstrasse 2, 85764, Oberschleissheim, Germany
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9
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Margos G, Marosevic D, Cutler S, Derdakova M, Diuk-Wasser M, Emler S, Fish D, Gray J, Hunfeldt KP, Jaulhac B, Kahl O, Kovalev S, Kraiczy P, Lane RS, Lienhard R, Lindgren PE, Ogden N, Ornstein K, Rupprecht T, Schwartz I, Sing A, Straubinger RK, Strle F, Voordouw M, Rizzoli A, Stevenson B, Fingerle V. There is inadequate evidence to support the division of the genus Borrelia. Int J Syst Evol Microbiol 2017; 67:1081-1084. [PMID: 27930271 DOI: 10.1099/ijsem.0.001717] [Citation(s) in RCA: 35] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022] Open
Affiliation(s)
- G Margos
- National Reference Centre for Borrelia, Bavarian Health and Food Safety Authority, Veterinärstr. 2, 85764 Oberschleißheim, Germany
| | - D Marosevic
- National Reference Centre for Borrelia, Bavarian Health and Food Safety Authority, Veterinärstr. 2, 85764 Oberschleißheim, Germany
- European Programme for Public Health Microbiology Training, European Centre of Disease Prevention and Control (ECDC), Stockholm, Sweden
| | - S Cutler
- School of Health Sport and Bioscience, University of East London, Water Lane, London, UK
| | - M Derdakova
- Department of Zoology, Slovak Academy of Sciences, Bratislava, Slovakia
| | - M Diuk-Wasser
- Department of Ecology, Evolution and Environmental Biology, Columbia University, 1200 Amsterdam Avenue, New York, NY 10027, USA
| | - S Emler
- SmartGene Services SARL, Innovation Park, Building C, EPFL-Ecublens, CH-1015 Lausanne, Switzerland
| | - D Fish
- Yale School of Public Health, Laboratory of Epidemiology and Public Health, 60 College Street, New Haven, CT 06510, USA
| | - J Gray
- Emeritus Professor of Animal Parasitology, University College Dublin, Dublin, Ireland
- Members of the Steering Committee of the ESCMID Study Group for Borrelia (ESGBOR)
| | - K-P Hunfeldt
- Members of the Steering Committee of the ESCMID Study Group for Borrelia (ESGBOR)
- Zentralinstitut für Labormedizin, Mikrobiologie and Krankenhaushygiene, Krankenhaus Nordwest, Akademisches Lehrkrankenhaus der Johann Wolfgang Goethe-Universität, Steinbacher Hohl 2-26, D-60488 Frankfurt am Main, Frankfurt, Germany
| | - B Jaulhac
- Members of the Steering Committee of the ESCMID Study Group for Borrelia (ESGBOR)
- Laboratoire de Bactériologie, CNR des Borrelia, Plateau Technique de Microbiologie, Hôpitaux Universitaires de Strasbourg et Faculté de Médecine de Strasbourg, 1 rue Koeberlé, Strasbourg 67000, France
| | - O Kahl
- Members of the Steering Committee of the ESCMID Study Group for Borrelia (ESGBOR)
- tick-radar GmbH, Haderslebener Str. 9, Berlin 12163, Germany
| | - S Kovalev
- Molecular Genetics Lab (www.dnk-ural.ru) Biology Department, Ural Federal University named after the first President of Russia B.N.Yeltsin, Lenin Avenue, Yekaterinburg 620000, Russia
| | - P Kraiczy
- Institute of Medical Microbiology and Infection Control, University Hospital Frankfurt, Paul-Ehrlich-Str, Frankfurt/Main 40, 60596, Germany
| | - R S Lane
- Environmental Science, Policy and Management, University of California Berkeley, 130 Mulford Hall, Berkeley CA 94720, California, USA
| | - R Lienhard
- Borrelia Laboratory for the National Reference Centre of Tick Diseases (CNRT/ NRZK), ADMed Microbiology, La Chaux-de-Fonds 2303, Switzerland
| | - P E Lindgren
- Members of the Steering Committee of the ESCMID Study Group for Borrelia (ESGBOR)
- Division of Medical Microbiology, Department of Clinical and Experimental Medicine, Faculty of Health Sciences, Linköping University, Linköping, Sweden
| | - N Ogden
- Director, Public Health Risk Sciences Division, National Microbiology Laboratory, @ Saint-Hyacinthe and Guelph, Public Health Agency of Canada, Saint-Hyacinthe, Canada
| | - K Ornstein
- Members of the Steering Committee of the ESCMID Study Group for Borrelia (ESGBOR)
- Clinical and Experimental Infectious Medicine Section, Department of Clinical Sciences, Lund University, Sweden
| | - T Rupprecht
- Members of the Steering Committee of the ESCMID Study Group for Borrelia (ESGBOR)
- Klinikum Dachau, Abt. Neurology u. Schlafmedizinisches Zentrum, Krankenhausstr. 15, 8521 Dachau, Germany
| | - I Schwartz
- Department of Microbiology and Immunology, School of Medicine, New York Medical College, Basic Sciences Building, Valhalla, NY 10595, USA
| | - A Sing
- National Reference Centre for Borrelia, Bavarian Health and Food Safety Authority, Veterinärstr. 2, 85764 Oberschleißheim, Germany
| | - R K Straubinger
- Chair Bacteriology and Mykology, Department of Veterinary Science, Veterinary Faculty, LMU Munich, Veterinärstraße, München 13, 80539, Gemany
| | - F Strle
- Members of the Steering Committee of the ESCMID Study Group for Borrelia (ESGBOR)
- Department of Infectious Diseases, University Medical Centre Ljubljana, Ljubljana, Slovenia
| | - M Voordouw
- Université de Neuchâtel, Institut de Biologie, Laboratoire d'Ecologie et Evolution des Parasites, Rue Emile-Argand 11, CH-2000, Neuchâtel, Switzerland
| | - A Rizzoli
- Fondazione Edmund Mach, Research and Innovation Centre, Via Mach, 1, San Michele all'Adige, Trento, Italy
| | - B Stevenson
- Department of Microbiology, Immunology and Molecular Genetics, University of Kentucky College of Medicine, MS421 Chandler Medical Center, Lexington, Kentucky, 40536-0298, USA
| | - V Fingerle
- National Reference Centre for Borrelia, Bavarian Health and Food Safety Authority, Veterinärstr. 2, 85764 Oberschleißheim, Germany
- Members of the Steering Committee of the ESCMID Study Group for Borrelia (ESGBOR)
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Berger A, Meinel DM, Marosevic D, Konrad R, Egli A, Sing A. Molekulare Epidemiologie toxigener Corynebacterium diphtheriae Infektionen in Deutschland (Epidemiological analysis of toxigenic Corynebacterium diphtheriae infections in Germany using molecular typing methods). Gesundheitswesen 2017. [DOI: 10.1055/s-0037-1601959] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- A Berger
- Bayerisches Landesamt für Gesundheit und Lebensmittelsicherheit, Oberschleißheim
| | - DM Meinel
- Universitätsspital Basel, Klinische Mikrobiologie, Basel
| | - D Marosevic
- Bayerisches Landesamt für Gesundheit und Lebensmittelsicherheit, Oberschleißheim
| | - R Konrad
- Bayerisches Landesamt für Gesundheit und Lebensmittelsicherheit, Oberschleißheim
| | - A Egli
- Universitätsspital Basel, Klinische Mikrobiologie, Basel
| | - A Sing
- Bayerisches Landesamt für Gesundheit und Lebensmittelsicherheit, Oberschleißheim
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Hörmansdorfer S, Berger A, Konrad R, Marosevic D, Rabsch W, Sing A. Vorkommen von Salmonella Enteritidis in Bayern. Gesundheitswesen 2017. [DOI: 10.1055/s-0037-1601960] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- S Hörmansdorfer
- Bayerisches Landesamt für Gesundheit und Lebensmittelsicherheit, Oberschleißheim
| | - A Berger
- Bayerisches Landesamt für Gesundheit und Lebensmittelsicherheit, Oberschleißheim
| | - R Konrad
- Bayerisches Landesamt für Gesundheit und Lebensmittelsicherheit, Oberschleißheim
| | - D Marosevic
- Bayerisches Landesamt für Gesundheit und Lebensmittelsicherheit, Oberschleißheim
| | - W Rabsch
- Nationales Referenzzentrum für Salmonellen und andere bakterielle Enteritiserreger, Wernigerode
| | - A Sing
- Bayerisches Landesamt für Gesundheit und Lebensmittelsicherheit, Oberschleißheim
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Marosevic D, Ackermann N, Rieder G, Eberle U, Treis B, Sing A. Masern-Genotypisierung in Bayern. Gesundheitswesen 2017. [DOI: 10.1055/s-0037-1601961] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- D Marosevic
- Bayerisches Landesamt für Gesundheit und Lebensmittelsicherheit, Oberschleißheim
| | - N Ackermann
- Bayerisches Landesamt für Gesundheit und Lebensmittelsicherheit, Oberschleißheim
| | - G Rieder
- Bayerisches Landesamt für Gesundheit und Lebensmittelsicherheit, Oberschleißheim
| | - U Eberle
- Bayerisches Landesamt für Gesundheit und Lebensmittelsicherheit, Oberschleißheim
| | - B Treis
- Bayerisches Landesamt für Gesundheit und Lebensmittelsicherheit, Oberschleißheim
| | - A Sing
- Bayerisches Landesamt für Gesundheit und Lebensmittelsicherheit, Oberschleißheim
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Meinel DM, Kuehl R, Zbinden R, Boskova V, Garzoni C, Fadini D, Dolina M, Blümel B, Weibel T, Tschudin-Sutter S, Widmer AF, Bielicki JA, Dierig A, Heininger U, Konrad R, Berger A, Hinic V, Goldenberger D, Blaich A, Stadler T, Battegay M, Sing A, Egli A. Outbreak investigation for toxigenic Corynebacterium diphtheriae wound infections in refugees from Northeast Africa and Syria in Switzerland and Germany by whole genome sequencing. Clin Microbiol Infect 2016; 22:1003.e1-1003.e8. [PMID: 27585943 DOI: 10.1016/j.cmi.2016.08.010] [Citation(s) in RCA: 39] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2016] [Revised: 07/28/2016] [Accepted: 08/19/2016] [Indexed: 01/28/2023]
Abstract
Toxigenic Corynebacterium diphtheriae is an important and potentially fatal threat to patients and public health. During the current dramatic influx of refugees into Europe, our objective was to use whole genome sequencing for the characterization of a suspected outbreak of C. diphtheriae wound infections among refugees. After conventional culture, we identified C. diphtheriae using matrix-assisted laser desorption/ionization time-of-flight (MALDI-TOF) and investigated toxigenicity by PCR. Whole genome sequencing was performed on a MiSeq Illumina with >70×coverage, 2×250 bp read length, and mapping against a reference genome. Twenty cases of cutaneous C. diphtheriae in refugees from East African countries and Syria identified between April and August 2015 were included. Patients presented with wound infections shortly after arrival in Switzerland and Germany. Toxin production was detected in 9/20 (45%) isolates. Whole genome sequencing-based typing revealed relatedness between isolates using neighbour-joining algorithms. We detected three separate clusters among epidemiologically related refugees. Although the isolates within a cluster showed strong relatedness, isolates differed by >50 nucleotide polymorphisms. Toxigenic C. diphtheriae associated wound infections are currently observed more frequently in Europe, due to refugees travelling under poor hygienic conditions. Close genetic relatedness of C. diphtheriae isolates from 20 refugees with wound infections indicates likely transmission between patients. However, the diversity within each cluster and phylogenetic time-tree analysis suggest that transmissions happened several months ago, most likely outside Europe. Whole genome sequencing offers the potential to describe outbreaks at very high resolution and is a helpful tool in infection tracking and identification of transmission routes.
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Affiliation(s)
- D M Meinel
- Clinical Microbiology, University Hospital Basel, Basel, Switzerland; Bavarian Health and Food Safety Authority (LGL), Oberschleissheim, Germany; Applied Microbiology Research, Department of Biomedicine, University Basel, Basel, Switzerland
| | - R Kuehl
- Infectious Diseases and Hospital Epidemiology, University Hospital Basel, Basel, Switzerland
| | - R Zbinden
- Institute for Medical Microbiology, University of Zurich, Zurich, Switzerland
| | - V Boskova
- Computational Evolution, D-BSSE, ETH Zurich, Basel, Switzerland
| | - C Garzoni
- Department of Internal Medicine and Infectious Diseases, Clinica Luganese, Lugano, Switzerland
| | - D Fadini
- Internal Medicine, Ospedale di Mendrisio, Mendrisio, Switzerland
| | - M Dolina
- Clinical Microbiology, EOLAB, Bellinzona, Switzerland
| | - B Blümel
- Institute of Medical Microbiology and Hygiene, University Medical Centre Freiburg, Freiburg, Germany
| | - T Weibel
- Clinical Microbiology, Labor Team W, Saint Gallen, Switzerland
| | - S Tschudin-Sutter
- Infectious Diseases and Hospital Epidemiology, University Hospital Basel, Basel, Switzerland
| | - A F Widmer
- Infectious Diseases and Hospital Epidemiology, University Hospital Basel, Basel, Switzerland
| | - J A Bielicki
- Paediatric Infectious Diseases, University of Basel Children's Hospital, Basel, Switzerland
| | - A Dierig
- Paediatric Infectious Diseases, University of Basel Children's Hospital, Basel, Switzerland
| | - U Heininger
- Paediatric Infectious Diseases, University of Basel Children's Hospital, Basel, Switzerland
| | - R Konrad
- Bavarian Health and Food Safety Authority (LGL), Oberschleissheim, Germany; German National Consiliary Laboratory on Diphtheria, Oberschleissheim, Germany
| | - A Berger
- Bavarian Health and Food Safety Authority (LGL), Oberschleissheim, Germany; German National Consiliary Laboratory on Diphtheria, Oberschleissheim, Germany
| | - V Hinic
- Clinical Microbiology, University Hospital Basel, Basel, Switzerland
| | - D Goldenberger
- Clinical Microbiology, University Hospital Basel, Basel, Switzerland
| | - A Blaich
- Clinical Microbiology, University Hospital Basel, Basel, Switzerland
| | - T Stadler
- Computational Evolution, D-BSSE, ETH Zurich, Basel, Switzerland
| | - M Battegay
- Infectious Diseases and Hospital Epidemiology, University Hospital Basel, Basel, Switzerland
| | - A Sing
- Bavarian Health and Food Safety Authority (LGL), Oberschleissheim, Germany; German National Consiliary Laboratory on Diphtheria, Oberschleissheim, Germany
| | - A Egli
- Clinical Microbiology, University Hospital Basel, Basel, Switzerland; Applied Microbiology Research, Department of Biomedicine, University Basel, Basel, Switzerland.
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Marosevic D, Fingerle V, Hizo-Teufel C, Stockmeier S, Wieser A, Sing A, Margos G. Ganz-Genom Sequenzierung verschiedener Borrelia recurrentis Stämme. Gesundheitswesen 2016. [DOI: 10.1055/s-0036-1578891] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Faller M, Margos G, Hizo-Teufel C, Koloczek J, Stockmeier S, Strehle W, Sing A, Fingerle V. Lyme-Borreliose: EU-weite externe Qualitätssicherungsstudie zur Leistungsfähigkeit verschiedener Amplifikationsprotokolle zum Nachweis von Borrelia burgdorferi sensu lato. Gesundheitswesen 2016. [DOI: 10.1055/s-0036-1578939] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Hörmansdorfer S, Bengs K, Berger A, Bischoff H, Sing A. Bakteriologische Stuhluntersuchungen bei Asylbewerbern in Bayern – Entwicklungen und Ergebnisse. Gesundheitswesen 2016. [DOI: 10.1055/s-0036-1578938] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Margos G, Jungnick S, Rieger M, Koloczek J, Sing A, Fingerle V. Molekulare Typisierungsverfahren für Borrelia burgdorferi sensu lato. Gesundheitswesen 2016. [DOI: 10.1055/s-0036-1578925] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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18
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Castillo-Ramírez S, Fingerle V, Jungnick S, Straubinger RK, Krebs S, Blum H, Meinel DM, Hofmann H, Guertler P, Sing A, Margos G. Trans-Atlantic exchanges have shaped the population structure of the Lyme disease agent Borrelia burgdorferi sensu stricto. Sci Rep 2016; 6:22794. [PMID: 26955886 PMCID: PMC4783777 DOI: 10.1038/srep22794] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2015] [Accepted: 02/18/2016] [Indexed: 12/14/2022] Open
Abstract
The origin and population structure of Borrelia burgdorferi sensu stricto (s.s.), the agent of Lyme disease, remain obscure. This tick-transmitted bacterial species occurs in both North America and Europe. We sequenced 17 European isolates (representing the most frequently found sequence types in Europe) and compared these with 17 North American strains. We show that trans-Atlantic exchanges have occurred in the evolutionary history of this species and that a European origin of B. burgdorferi s.s. is marginally more likely than a USA origin. The data further suggest that some European human patients may have acquired their infection in North America. We found three distinct genetically differentiated groups: i) the outgroup species Borrelia bissettii, ii) two divergent strains from Europe, and iii) a group composed of strains from both the USA and Europe. Phylogenetic analysis indicated that different genotypes were likely to have been introduced several times into the same area. Our results demonstrate that irrespective of whether B. burgdorferi s.s. originated in Europe or the USA, later trans-Atlantic exchange(s) have occurred and have shaped the population structure of this genospecies. This study clearly shows the utility of next generation sequencing to obtain a better understanding of the phylogeography of this bacterial species.
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Affiliation(s)
- S. Castillo-Ramírez
- Programa de Genómica Evolutiva, Centro de Ciencias Genómicas, Universidad Nacional Autónoma de México, Apartado Postal 565-A, CP 62210, Cuernavaca, Morelos, México
| | - V. Fingerle
- National Reference Center for Borreliosis at the Bavarian Health and Food Safety Authority, Veterinärstr. 2, 85764 Oberschleissheim, Germany
| | - S. Jungnick
- National Reference Center for Borreliosis at the Bavarian Health and Food Safety Authority, Veterinärstr. 2, 85764 Oberschleissheim, Germany
| | - R. K. Straubinger
- LMU Munich, Department of Infection and Zoonoses, Veterinärstr. 13, 80539 Munich, Germany
| | - S. Krebs
- LMU Munich, Gene Centre, Lafuga, Feodor-Lynen-Strasse 25, 81377 Munich, Germany
| | - H. Blum
- LMU Munich, Gene Centre, Lafuga, Feodor-Lynen-Strasse 25, 81377 Munich, Germany
| | - D. M. Meinel
- National Reference Center for Borreliosis at the Bavarian Health and Food Safety Authority, Veterinärstr. 2, 85764 Oberschleissheim, Germany
| | - H. Hofmann
- TU Munich, Klinik für Dermatologie and Allergologie, 80802 Munich, Germany
| | - P. Guertler
- National Reference Center for Borreliosis at the Bavarian Health and Food Safety Authority, Veterinärstr. 2, 85764 Oberschleissheim, Germany
| | - A. Sing
- National Reference Center for Borreliosis at the Bavarian Health and Food Safety Authority, Veterinärstr. 2, 85764 Oberschleissheim, Germany
| | - G. Margos
- National Reference Center for Borreliosis at the Bavarian Health and Food Safety Authority, Veterinärstr. 2, 85764 Oberschleissheim, Germany
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Faller M, Margos G, Koloczek J, Hizo-Teufel C, Strehle W, Stockmeier S, Sing A, Fingerle V. EU-weite externe Qualitätssicherungsstudie zur Sensitivität und Spezifität verschiedener Amplifikationsprotokolle zum Nachweis von Borrelia burgdorferi sensu lato. Gesundheitswesen 2015. [DOI: 10.1055/s-0035-1562991] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Hoch M, Hörmansdorfer S, Reich A, Sing A. Abklärung von Ebola-Verdachtsfällen in Bayern im Zeitraum September 2014 bis März 2015. Gesundheitswesen 2015. [DOI: 10.1055/s-0035-1563285] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Schönberger K, Sing A, Wildner M, Liebl B, Hautmann W. Epidemiologie der Masern in Bayern. Wo stehen wir, wo wollen wir hin. Gesundheitswesen 2015. [DOI: 10.1055/s-0035-1563133] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Konrad R, Margos G, König C, Meinel D, Sing A. Molekulare Typisierungsverfahren bei Corynebakterien. Gesundheitswesen 2015. [DOI: 10.1055/s-0035-1563039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Heinzinger S, Eberle U, Ackermann N, Sing A. Das Bayern Influenza Sentinel (BIS). Gesundheitswesen 2015. [DOI: 10.1055/s-0035-1563088] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Sing A, Berger A, Margos G, Meinel D, Hörmansdorfer S, Bischoff H. Diphtherie – neue Aspekte einer alten Infektionskrankheit. Gesundheitswesen 2015. [DOI: 10.1055/s-0035-1563135] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Margos G, Jungnick S, Rieger M, Koloczek J, Sing A, Fingerle V. Molekulare Typisierungsverfahren bei Borrelia. Gesundheitswesen 2015. [DOI: 10.1055/s-0035-1563040] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Binder K, Reich A, Sing A, Wildner M, Liebl B, Fingerle V, Hautmann W. LB-Meldedaten in Bayern. Gesundheitswesen 2015. [DOI: 10.1055/s-0035-1562990] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Venczel R, Knoke L, Pavlovic M, Dzaferovic E, Vaculova T, Silaghi C, Overzier E, Konrad R, Kolenčík S, Derdakova M, Sing A, Schaub GA, Margos G, Fingerle V. A novel duplex real-time PCR permits simultaneous detection and differentiation of Borrelia miyamotoi and Borrelia burgdorferi sensu lato. Infection 2015; 44:47-55. [PMID: 26168860 DOI: 10.1007/s15010-015-0820-8] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2015] [Accepted: 06/29/2015] [Indexed: 01/09/2023]
Abstract
PURPOSE For simultaneous detection of Borrelia miyamotoi (relapsing fever spirochete) and Borrelia burgdorferi sensu lato, we have developed a duplex real-time PCR targeting the flagellin gene (flaB; p41), a locus frequently used in routine diagnostic PCR for B. burgdorferi s.l. detection. METHODS Primers and probes were designed using multiple alignments of flaB sequences of B. miyamotoi and B. burgdorferi s.l. species. The sensitivity and specificity of primers and probes were determined using serial dilutions (ranging from 10(4) to 10(-1)) of B. miyamotoi and B. burgdorferi s.l. DNA and of several species of relapsing fever spirochetes. Conventional PCR on recG and glpQ and sequencing of p41 PCR products were used to confirm the species assignment. RESULTS The detection limit of both singleplex and duplex PCR was 10 genome equivalents except for B. spielmanii and two B. garinii genotypes which showed a detection limit of 10(2) genome equivalents. There was no cross reactivity of the B. miyamotoi primers/probes with B. burgdorferi s.l. DNA, while the B. burgdorferi s.l. primer/probe generated a signal with B. hermsii DNA. Out of 2341 Ixodes ricinus ticks from Germany and Slovakia that were screened simultaneously for the presence of B. miyamotoi and B. burgdorferi s.l., 52 were positive for B. miyamotoi and 276 for B. burgdorferi s.l., denoting an average prevalence of 2.2% for B. miyamotoi and 11.8% for B. burgdorferi s.l., and B. miyamotoi DNA was also detectable by PCR using artificial clinical samples. CONCLUSION The duplex real-time PCR developed here represents a method that permits simultaneous detection and differentiation of B. burgdorferi s.l. and B. miyamotoi in environmental and potentially clinical samples.
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Affiliation(s)
- R Venczel
- German National Reference Centre for Borrelia, Veterinärstr. 2, 85764, Oberschleissheim, Germany. .,Bavarian Health and Food Safety Authority, Veterinärstr. 2, 85764, Oberschleissheim, Germany.
| | - L Knoke
- Zoology/Parasitology, Ruhr University Bochum, Universitätsstr. 150, 44780, Bochum, Germany.
| | - M Pavlovic
- Bavarian Health and Food Safety Authority, Veterinärstr. 2, 85764, Oberschleissheim, Germany.
| | - E Dzaferovic
- German National Reference Centre for Borrelia, Veterinärstr. 2, 85764, Oberschleissheim, Germany.
| | - T Vaculova
- Institute of Zoology, Slovak Academy of Sciences, Dúbravská cesta 9, 84506, Bratislava, Slovakia.
| | - C Silaghi
- Comparative Tropical Medicine and Parasitology, Ludwig-Maximilians-Universität München, Munich, Leopoldstr. 5, 80802, Munich, Germany. .,Swiss National Reference Center for Vector Entomology, Institute of Parasitology, Vetsuisse Faculty, University of Zurich, Winterthurerstr. 266A, 8057, Zurich, Switzerland.
| | - E Overzier
- Comparative Tropical Medicine and Parasitology, Ludwig-Maximilians-Universität München, Munich, Leopoldstr. 5, 80802, Munich, Germany. .,Lehrstuhl für Bakteriologie und Mykologie, Veterinärwissenschaftliches Department, Tierärztliche Fakultät der LMU, Veterinärstr. 13, 80539, Munich, Germany.
| | - R Konrad
- Bavarian Health and Food Safety Authority, Veterinärstr. 2, 85764, Oberschleissheim, Germany.
| | - S Kolenčík
- University of Veterinary and Pharmaceutical Sciences, Palackého 1/3, 612 42, Brno, Czech Republic.
| | - M Derdakova
- Institute of Zoology, Slovak Academy of Sciences, Dúbravská cesta 9, 84506, Bratislava, Slovakia.
| | - A Sing
- Bavarian Health and Food Safety Authority, Veterinärstr. 2, 85764, Oberschleissheim, Germany.
| | - G A Schaub
- Zoology/Parasitology, Ruhr University Bochum, Universitätsstr. 150, 44780, Bochum, Germany.
| | - G Margos
- German National Reference Centre for Borrelia, Veterinärstr. 2, 85764, Oberschleissheim, Germany. .,Bavarian Health and Food Safety Authority, Veterinärstr. 2, 85764, Oberschleissheim, Germany.
| | - V Fingerle
- German National Reference Centre for Borrelia, Veterinärstr. 2, 85764, Oberschleissheim, Germany. .,Bavarian Health and Food Safety Authority, Veterinärstr. 2, 85764, Oberschleissheim, Germany.
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Konrad R, Hörmansdorfer S, Sing A. Possible human-to-human transmission of toxigenic Corynebacterium ulcerans. Clin Microbiol Infect 2015; 21:768-71. [PMID: 26027917 DOI: 10.1016/j.cmi.2015.05.021] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2015] [Revised: 05/15/2015] [Accepted: 05/18/2015] [Indexed: 10/23/2022]
Abstract
Toxigenic Corynebacterium ulcerans is an emerging cause of diphtheria. In contrast to the classical diphtheria pathogen C. diphtheriae, human-to-human transmission of this primarily zoonotic pathogen has not been clearly documented. Here we report on a two-person cluster suggesting an initial zoonotic and a subsequent human-to-human transmission event.
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Affiliation(s)
- R Konrad
- Bavarian Health and Food Safety Authority, Oberschleißheim, Germany; Consiliary Laboratory on Diphtheria, Oberschleißheim, Germany
| | - S Hörmansdorfer
- Bavarian Health and Food Safety Authority, Oberschleißheim, Germany
| | - A Sing
- Bavarian Health and Food Safety Authority, Oberschleißheim, Germany; Consiliary Laboratory on Diphtheria, Oberschleißheim, Germany.
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Heinzinger S, Hartberger C, Sing A, Eberle U. Untersuchung des Spektrums viraler Respirationstrakterreger in der Influenza Hochsaison 2013/14 in Bayern. Gesundheitswesen 2015. [DOI: 10.1055/s-0035-1546907] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Mamounas T, Wolmark N, Baehner F, Butler S, Tang G, Jamshidian F, Sing A, Shak S, Paik S. Recurrence Score and Quantitative Er Expression Predicts Late Distant Recurrence Risk in Er+ Bc After Five Years of Tamoxifen. Ann Oncol 2014. [DOI: 10.1093/annonc/mdu326.11] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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31
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Sing A, Tan V, Bailey H, Anderson, J, Rothney M, Baehner F. The 12-Gene Dcis Score Assay and Quantitative Er, Pr, and Her2 Across Histologic Subtypes: Experience in the First 2 Years. Ann Oncol 2014. [DOI: 10.1093/annonc/mdu327.7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Alvarado M, Prasad C, Rothney M, Cherbavaz D, Sing A, Svedman C, Markopoulos C. A Laboratory Comparison of the 21-Gene Assay and Pam50-Ror. Ann Oncol 2014. [DOI: 10.1093/annonc/mdu327.33] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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33
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Boschert V, Berger A, Konrad R, Huber I, Hörmansdorfer S, Zöls S, Eddicks M, Ritzmann M, Sing A. Corynebacterium species nasal carriage in pigs and their farmers in Bavaria, Germany: implications for public health. Vet Rec 2014; 175:248. [PMID: 25037890 DOI: 10.1136/vr.102634] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Reports on cases of human diphtheria caused by toxigenic Corynebacterium ulcerans that were linked to occupational swine contact as well as isolation of C ulcerans from wild boars have suggested that pigs might serve as reservoir for human infections. Therefore, a prevalence study on Corynebacterium species nasal carriage in pigs and their farmers was performed between August 1 and December 31, 2009, in 41 swine farms from Bavaria, Germany. All 411 asymptomatic pigs and 29 of 30 healthy farmers were colonised with Corynebacterium strains of up to 11 different species. No potentially toxigenic Corynebacterium strain was isolated either from the pigs or from their farmers, respectively. The patterns of the species composition in the pigs and the farmers were very similar, suggesting a potential transmission of strains between animals and humans.
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Affiliation(s)
- V Boschert
- Bavarian Health and Food Safety Authority, Oberschleißheim 85764, Germany Clinic for Swine, Ludwig-Maximilians-University Munich, Oberschleißheim 85764, Germany
| | - A Berger
- National Consiliary Laboratory for Diphtheria, Oberschleißheim 85764, Germany Bavarian Health and Food Safety Authority, Oberschleißheim 85764, Germany
| | - R Konrad
- National Consiliary Laboratory for Diphtheria, Oberschleißheim 85764, Germany Bavarian Health and Food Safety Authority, Oberschleißheim 85764, Germany
| | - I Huber
- Bavarian Health and Food Safety Authority, Oberschleißheim 85764, Germany
| | - S Hörmansdorfer
- Bavarian Health and Food Safety Authority, Oberschleißheim 85764, Germany
| | - S Zöls
- Clinic for Swine, Ludwig-Maximilians-University Munich, Oberschleißheim 85764, Germany
| | - M Eddicks
- Clinic for Swine, Ludwig-Maximilians-University Munich, Oberschleißheim 85764, Germany
| | - M Ritzmann
- Clinic for Swine, Ludwig-Maximilians-University Munich, Oberschleißheim 85764, Germany
| | - A Sing
- National Consiliary Laboratory for Diphtheria, Oberschleißheim 85764, Germany Bavarian Health and Food Safety Authority, Oberschleißheim 85764, Germany
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Susanne H, Campe H, Sing A. Zirkulation viraler Respirationstrakterreger in der Influenza-Saison 2012/13 in einem bayerischen Landkreis. Gesundheitswesen 2014. [DOI: 10.1055/s-0034-1371641] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Campe H, Englund H, Hautmann W, Wildner M, Liebl B, Zapf A, Sing A. Das Bayern Influenza Sentinel (BIS) ermöglicht eine intensivere regionale Influenza-Überwachung. Gesundheitswesen 2013. [DOI: 10.1055/s-0033-1337545] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Klier C, Liebl B, Sing A, Wildner M, Fingerle V. LYDI-Sentinel (Sentinel on the Incidence of LYme DIsease in Bavaria) - Etablierung eines Praxisnetzwerks zur Surveillance der Inzidenz von Lyme-Borreliose in Bayern. Gesundheitswesen 2013. [DOI: 10.1055/s-0033-1337555] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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37
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Berger A, Boschert V, Konrad R, Schmidt-Wieland T, Hörmansdorfer S, Eddicks M, Sing A. Two cases of cutaneous diphtheria associated with occupational pig contact in Germany. Zoonoses Public Health 2012; 60:539-42. [PMID: 23280311 DOI: 10.1111/zph.12031] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2012] [Indexed: 11/29/2022]
Abstract
In 2010, two independent cases of cutaneous diphtheria caused by toxigenic C. ulcerans were identified in Germany. Both patients had intense occupational contact with pigs. Diagnostic work-up comprising biochemical differentiation, rpoB sequencing, matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF) analysis, real-time tox PCR and Elek test as well as public health measures including an intensified source tracing involving 83 asymptomatic pigs of an associated pig farm are presented.
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Affiliation(s)
- A Berger
- National Consiliary Laboratory for Diphtheria, Oberschleißheim, Germany; Bavarian Health and Food Safety Authority, Oberschleißheim, Germany
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Holzmann T, Frangoulidis D, Simon M, Noll P, Schmoldt S, Hanczaruk M, Grass G, Pregler M, Sing A, Hörmansdorfer S, Bernard H, Grunow R, Zimmermann R, Schneider-Brachert W, Gessner A, Reischl U. Fatal anthrax infection in a heroin user from southern Germany, June 2012. Euro Surveill 2012; 17:20204. [PMID: 22790532] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/01/2023] Open
Abstract
Blood cultures from a heroin user who died in June 2012, a few hours after hospital admission, due to acute septic disease, revealed the presence of Bacillus anthracis. This report describes the extended diagnosis by MALDI-TOF and real-time PCR and rapid confirmation of the anthrax infection through reference laboratories. Physicians and diagnostic laboratories were informed and alerted efficiently through the reporting channels of German public health institutions, which is essential for the prevention of further cases.
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Affiliation(s)
- T Holzmann
- Institute of Medical Microbiology and Hygiene, University Hospital of Regensburg, Germany.
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Holzmann T, Frangoulidis D, Simon M, Noll P, Schmoldt S, Hanczaruk M, Grass G, Pregler M, Sing A, Hörmansdorfer S, Bernard H, Grunow R, Zimmermann R, Schneider-Brachert W, Gessner A, Reischl U. Fatal anthrax infection in a heroin user from southern Germany, June 2012. Euro Surveill 2012. [DOI: 10.2807/ese.17.26.20204-en] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Blood cultures from a heroin user who died in June 2012, a few hours after hospital admission, due to acute septic disease, revealed the presence of Bacillus anthracis. This report describes the extended diagnosis by MALDI-TOF and real-time PCR and rapid confirmation of the anthrax infection through reference laboratories. Physicians and diagnostic laboratories were informed and alerted efficiently through the reporting channels of German public health institutions, which is essential for the prevention of further cases.
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Affiliation(s)
- T Holzmann
- Institute of Medical Microbiology and Hygiene, University Hospital of Regensburg, Regensburg, Germany
| | | | - M Simon
- Institute of Medical Microbiology and Hygiene, University Hospital of Regensburg, Regensburg, Germany
| | - P Noll
- Krankenhaus der Barmherzigen Brüder, Regensburg, Germany
| | - S Schmoldt
- Bundeswehr Institute of Microbiology, Munich, Germany
| | - M Hanczaruk
- Bundeswehr Institute of Microbiology, Munich, Germany
| | - G Grass
- Bundeswehr Institute of Microbiology, Munich, Germany
| | - M Pregler
- District Health Office, Regensburg, Germany
| | - A Sing
- Bavarian Health and Food Safety Authority (LGL), Oberschleißheim, Germany
| | - S Hörmansdorfer
- Bavarian Health and Food Safety Authority (LGL), Oberschleißheim, Germany
| | - H Bernard
- Robert-Koch Institute, Berlin, Germany
| | - R Grunow
- Robert-Koch Institute, Berlin, Germany
| | | | - W Schneider-Brachert
- Institute of Medical Microbiology and Hygiene, University Hospital of Regensburg, Regensburg, Germany
| | - A Gessner
- Institute of Medical Microbiology and Hygiene, University Hospital of Regensburg, Regensburg, Germany
| | - U Reischl
- Institute of Medical Microbiology and Hygiene, University Hospital of Regensburg, Regensburg, Germany
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Kabbinavar FF, Flynn PJ, Kozloff M, Ashby MA, Sing A, Barr CE, Grothey A. Gastrointestinal perforation associated with bevacizumab use in metastatic colorectal cancer: results from a large treatment observational cohort study. Eur J Cancer 2012; 48:1126-32. [PMID: 22424880 DOI: 10.1016/j.ejca.2012.02.052] [Citation(s) in RCA: 37] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2011] [Revised: 01/05/2012] [Accepted: 02/19/2012] [Indexed: 02/07/2023]
Abstract
BACKGROUND Bevacizumab prolongs overall and progression-free survival when added to fluorouracil-based chemotherapy in patients with metastatic colorectal cancer in randomised controlled trials (RCTs). However, gastrointestinal perforation (GIP) occurs in 1-2% of treated patients. We sought to describe the incidence, temporal pattern, outcomes and potential risk factors for GIP in a large, community-based observational cohort study of patients treated with bevacizumab. PATIENTS AND METHODS Baseline patient and tumour characteristics, including potential GIP risk factors, were collected at study entry. Treatment, targeted adverse events, progression events and survival data were recorded every 3 months. Detailed clinical information was collected for all patients experiencing a GIP event. Effects of baseline risk factors on GIP risk were investigated using Cox proportional hazards regression. RESULTS Of 1953 evaluable patients followed for a median of 20.1 months, 37 (1.9%) experienced GIP. Most GIP events were surgically managed with successful outcomes; four events were fatal. The majority of GIP events (26/37) occurred ≤6 months after starting bevacizumab (median, 3.35 months). Univariate and multivariate analyses showed that age ≥65 years was significantly associated with lower GIP risk. In multivariate analyses, intact primary tumour and prior adjuvant radiotherapy were significantly associated with increased risk of GIP within 6 months after starting bevacizumab. A regression analysis that assessed the risk of GIP over time showed no cumulative risk associated with bevacizumab exposure. CONCLUSION The observed rate of GIP in this large, community-based experience was consistent with rates reported in RCTs. Most events were successfully managed with surgical intervention.
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Affiliation(s)
- Fairooz F Kabbinavar
- Department of Medicine, Division of Hematology & Oncology, University of California at Los Angeles, 924 Westwood Blvd, Los Angeles, CA 90095-7207, USA
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Lâm TT, Claus H, Elias J, Hellenbrand W, Imöhl M, Prelog M, Sing A, van der Linden M, Vogel U. [Infections with pneumococci, menigococci, H. influenzae and diphtheria in Germany: the RKI Reference Network for Invasive Bacterial Infections (IBI) at the 5th Würzburg Workshop on Epidemiology, Prevention and Therapy for Invasive Meningococcal Diseases 2010 (meeting report)]. Gesundheitswesen 2011; 74:747-53. [PMID: 22203584 DOI: 10.1055/s-0031-1286269] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
Abstract
The surveillance and prevention of invasive bacterial infections requires flexible strategic coordination of all involved health-care professionals. For this purpose, the German National Reference Centres for Meningococci, Streptococci and the Consultant Laboratories for Haemophilus influenzae and diphtheria have formed the Reference Network for Invasive bacterial infections (IBI). The 5th Würzburg Workshop on Meningococcal Diseases 2010 provided the network with a forum for the interdisciplinary exchange between scientists, public health professionals, medical microbiologists and clinicians. The topics covered the analysis of surveillance data for meningococcal disease in the last decade, as well as methods to control for antibody response following vaccination, including a serum bactericidal antibody (SBA) assay, and the development of new vaccines that also include the most common serogroup B. The presentation on diphtheria showed that this rare disease in Germany has become a diagnostic challenge, and that apart from the classical pathogen also toxigenic C. ulcerans strains must be considered. Due to the successful vaccination against Hib, H. influenzae disease has changed from a classical childhood disease to an infection of elderly people mainly caused by unencapsulated strains. Following the introduction of vaccines, changes in the serotype distribution and antibiotic resistance profiles have become apparent for S. pneumoniae infections. The epidemiological data were complemented by clinical aspects concerning the vaccination of immunocompromised children.
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Affiliation(s)
- T T Lâm
- Nationales Referenzzentrum für Meningokokken und Konsiliarlabor für H. influenzae, Institut für Hygiene und Mikrobiologie, Universität Würzburg
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Polite BN, Sing A, Sargent DJ, Grothey A, Berlin J, Kozloff M, Feng S. Exploring racial differences in outcome and treatment for metastatic colorectal cancer: results from a large prospective observational cohort study (BRiTE). Cancer 2011; 118:1083-90. [PMID: 21800287 DOI: 10.1002/cncr.26394] [Citation(s) in RCA: 33] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2011] [Revised: 05/16/2011] [Accepted: 06/08/2011] [Indexed: 01/14/2023]
Abstract
BACKGROUND African Americans are more likely to be diagnosed with metastatic colorectal cancer than whites and have shorter survival once they are diagnosed. In this analysis, the authors examined racial differences in clinical outcomes among patients with metastatic colorectal cancer (mCRC) who received bevacizumab. METHODS The study cohort consisted of 1589 white patients (81.4%) and 227 African American patients (11.6%) with mCRC who received front-line bevacizumab therapy and who were enrolled in a large, predominantly community-based, prospective, observational cohort study. Differences in time-to-event endpoints and response rates were examined by race. Differences in the incidence of baseline and treatment-related toxicities associated with bevacizumab also were examined. Finally, differences in patterns of care by race were explored. RESULTS The median overall survival was 22.6 months for African Americans and 22.9 months for whites, and the median progression-free survival was 9.5 months for African Americans and 9.8 months for whites. Response rates (complete responses plus partial responses) were 37.5% for African Americans and 46.3% for whites (adjusted odds ratio, 0.67; 95% confidence interval, 0.50-0.90). African Americans had higher rates of baseline diabetes (18.9% vs 11%; P = .002), higher rates of hypertension (52.9% vs 41.4%; P = .001), and worsening hypertension while on therapy (13.7% vs 8.9%; P = .02), but no differences in on-treatment arterial thromboembolic events were observed. CONCLUSIONS This large observational cohort study of patients with mCRC demonstrated that, when treated in a similar fashion with modern chemotherapy, African Americans and whites had equivalent cancer outcomes. No significant differences in bevacizumab-related toxicity or patterns of care were observed between African Americans and whites. The lower response rate among African Americans deserves further study.
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Affiliation(s)
- Blase N Polite
- Section of Hematology-Oncology, Department of Medicine, University of Chicago, Chicago, Illinois 60637-1470, USA.
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Konrad R, Wolf S, Meindl K, Fräßdorf J, Lindermayer M, Huber I, Messelhäußer U, Hautmann W, Sing A, Busch U. Diagnostik von pathogenen Escherichia coli (EHEC/EPEC) am Bayerischen Landesamt für Gesundheit und Lebensmittelsicherheit. Gesundheitswesen 2011. [DOI: 10.1055/s-0031-1274475] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Angermayr L, Ludwig MS, Wildner M, Liebl B, Sing A, Nennstiel-Ratzel U. Impferinnerungen bei der Schuleingangsuntersuchung - Ergebnisse aus den ersten drei Pilotphasen an bayerischen Gesundheitsämtern. Gesundheitswesen 2011. [DOI: 10.1055/s-0031-1274453] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Huber I, Konrad R, Sebah D, Hartberger C, Bayer M, Sing A, Campe H. Eine Multiplex one-step RT- Real Time PCR für die Diagnostik von Influenzaviren. Gesundheitswesen 2011. [DOI: 10.1055/s-0031-1274465] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Pavlovic M, Grünwald K, Zeller-Péronnet V, Maggipinto M, Huber I, Konrad R, Berger A, Messelhäußer U, Zimmermann P, Hörmansdorfer S, Sing A, Busch U. Identifizierung von Bakterien mit dem MALDI Biotyper am Bayerischen Landesamt für Gesundheit und Lebensmittelsicherheit. Gesundheitswesen 2011. [DOI: 10.1055/s-0031-1274482] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Hogardt M, Campe H, Berger A, Sing A. Mikrobiologisch-infektiologische Diagnostik der Tuberkulose: Das Oberschleißheimer Modell. Gesundheitswesen 2011. [DOI: 10.1055/s-0031-1274463] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Nadler E, Yu E, Ravelo A, Sing A, Forsyth M, Gruschkus S. Bevacizumab treatment to progression after chemotherapy: outcomes from a U.S. community practice network. Oncologist 2011; 16:486-96. [PMID: 21441299 DOI: 10.1634/theoncologist.2010-0287] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Bevacizumab significantly extends progression-free survival (PFS) and overall survival (OS) times when combined with initial chemotherapy and continued as monotherapy until disease progression or unacceptable toxicity in patients with nonsquamous non-small cell lung cancer (NSCLC). In clinical practice, bevacizumab is sometimes discontinued after completion of chemotherapy. This retrospective analysis of the US Oncology network's electronic medical records evaluated the association between PFS and OS times and bevacizumab monotherapy to progression (BTP) among patients with advanced NSCLC. Patients treated from July 2006 through June 2008 were analyzed as two cohorts based on whether or not they received BTP after completion of first-line chemotherapy plus bevacizumab. Hazard ratios for PFS and OS were estimated using Cox proportional hazards, adjusting for relevant treatment and patient characteristics. To account for survivorship bias, landmark analyses were conducted at 18, 21, and 26 weeks from initial therapy to examine residual PFS and OS times, defined as the time from the landmark to disease progression or death. From the total 498 nonsquamous NSCLC patients, 403 received first-line chemotherapy plus bevacizumab: 154 received BTP, 249 did not. Longer PFS and OS times were observed in patients who received BTP than in those who received no BTP (median OS, 20.9 months versus 10.2 months; median PFS, 10.3 months versus 6.5 months). BTP was associated with a longer residual OS time at all specified landmarks and longer residual PFS time at week 18 than with no BTP. In conclusion, this retrospective analysis provides supportive evidence that continued vascular endothelial growth factor suppression in advanced nonsquamous NSCLC patients is associated with favorable clinical outcomes.
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MESH Headings
- Adult
- Aged
- Aged, 80 and over
- Antibodies, Monoclonal/therapeutic use
- Antibodies, Monoclonal, Humanized
- Antineoplastic Combined Chemotherapy Protocols/therapeutic use
- Bevacizumab
- Carcinoma, Non-Small-Cell Lung/drug therapy
- Carcinoma, Non-Small-Cell Lung/mortality
- Carcinoma, Non-Small-Cell Lung/pathology
- Carcinoma, Squamous Cell/drug therapy
- Carcinoma, Squamous Cell/mortality
- Carcinoma, Squamous Cell/pathology
- Chemotherapy, Adjuvant
- Community Health Services
- Disease-Free Survival
- Female
- Humans
- Kaplan-Meier Estimate
- Lung Neoplasms/drug therapy
- Lung Neoplasms/mortality
- Lung Neoplasms/pathology
- Male
- Middle Aged
- Retrospective Studies
- Treatment Outcome
- United States
- Vascular Endothelial Growth Factor A/antagonists & inhibitors
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Affiliation(s)
- Eric Nadler
- Healthcare Informatics, US Oncology, Woodlands, Texas, USA.
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Pavlovic M, Luze A, Konrad R, Berger A, Sing A, Busch U, Huber I. Development of a duplex real-time PCR for differentiation between E. coli and Shigella spp. J Appl Microbiol 2011; 110:1245-51. [DOI: 10.1111/j.1365-2672.2011.04973.x] [Citation(s) in RCA: 40] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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