genomic epidemiology Flashcards
(8 cards)
What steps were taken in the S. typhimurium outbreak?
- PFGE showed strain relation
- case control study showed peanut butter and chicken had high odds ratios
- food items for culture
What is the purpose of genomic epi in ID?
- detect outbreaks
- study modes of transmission
- study microbial evolution and strain emergence
- extensive pathogen characteristics
What is PulseNet?
a network established by CDC to enhance outbreak detections in the US and globally
PulseNet uses _________ methods
molecular subtyping
reproducible, stable, discriminatory power, cost, speed, easy
What are the origins of bacterial genomic surveillance?
Routine PFGE of Ecoli O157:H7 in 1995 by Minn DoH detected otherwise undetected outbreaks
What are limitations of PFGE?
slow, subjective, little info, variability
WGS detects ____
SNPs
How can we use SNPs to detect outbreaks
related organisms have fewer SNPs (cutoff is 10 or 15)
WGS connects the dots but must be used in conjunction with epi surveillance principles and intervention practices