TY - JOUR A1 - Groß, Uwe A1 - Amuzu, Sylvarius K. A1 - de Ciman, Ring A1 - Kassimova, Iparkhan A1 - Groß, Lisa A1 - Rabsch, Wolfgang A1 - Rosenberg, Ulrike A1 - Schulze, Marco A1 - Stich, August A1 - Zimmermann, Ortrud T1 - Bacteremia and Antimicrobial Drug Resistance over Time, Ghana JF - Emerging Infectious Diseases N2 - Bacterial distribution and antimicrobial drug resistance were monitored in patients with bacterial bloodstream infections in rural hospitals in Ghana. In 2001-2002 and in 2009, Salmonella enterica serovar Typhi was the most prevalent pathogen. Although most S. enterica serovar Typhi isolates were chloramphenicol resistant, all isolates tested were susceptible to ciprofloxacin. KW - Typhoid-fever KW - Children KW - Surveillance KW - Kenya Y1 - 2011 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-133805 N1 - All material published in Emerging Infectious Diseases is in the public domain and may be used and reprinted without special permission; proper citation, however, is required. VL - 17 IS - 10 ER - TY - JOUR A1 - Friedrich, Torben A1 - Rahmann, Sven A1 - Weigel, Wilfried A1 - Rabsch, Wolfgang A1 - Fruth, Angelika A1 - Ron, Eliora A1 - Gunzer, Florian A1 - Dandekar, Thomas A1 - Hacker, Joerg A1 - Mueller, Tobias A1 - Dobrindt, Ulrich T1 - High-throughput microarray technology in diagnostics of enterobacteria based on genome-wide probe selection and regression analysis N2 - The Enterobacteriaceae comprise a large number of clinically relevant species with several individual subspecies. Overlapping virulence-associated gene pools and the high overall genome plasticity often interferes with correct enterobacterial strain typing and risk assessment. Array technology offers a fast, reproducible and standardisable means for bacterial typing and thus provides many advantages for bacterial diagnostics, risk assessment and surveillance. The development of highly discriminative broad-range microbial diagnostic microarrays remains a challenge, because of marked genome plasticity of many bacterial pathogens. Results: We developed a DNA microarray for strain typing and detection of major antimicrobial resistance genes of clinically relevant enterobacteria. For this purpose, we applied a global genome-wide probe selection strategy on 32 available complete enterobacterial genomes combined with a regression model for pathogen classification. The discriminative power of the probe set was further tested in silico on 15 additional complete enterobacterial genome sequences. DNA microarrays based on the selected probes were used to type 92 clinical enterobacterial isolates. Phenotypic tests confirmed the array-based typing results and corroborate that the selected probes allowed correct typing and prediction of major antibiotic resistances of clinically relevant Enterobacteriaceae, including the subspecies level, e.g. the reliable distinction of different E. coli pathotypes. Conclusions: Our results demonstrate that the global probe selection approach based on longest common factor statistics as well as the design of a DNA microarray with a restricted set of discriminative probes enables robust discrimination of different enterobacterial variants and represents a proof of concept that can be adopted for diagnostics of a wide range of microbial pathogens. Our approach circumvents misclassifications arising from the application of virulence markers, which are highly affected by horizontal gene transfer. Moreover, a broad range of pathogens have been covered by an efficient probe set size enabling the design of high-throughput diagnostics. KW - Mikroarray KW - Enterobacteriaceae Y1 - 2010 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-67936 ER -