2012
DOI: 10.1073/pnas.1121491109
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Genomic epidemiology of the Escherichia coli O104:H4 outbreaks in Europe, 2011

Abstract: International audienceThe degree to which molecular epidemiology reveals informationabout the sources and transmission patterns of an outbreakdepends on the resolution of the technology used and the samplesstudied. Isolates of Escherichia coli O104:H4 from the outbreak centeredin Germany in May–July 2011, and the much smaller outbreakin southwest France in June 2011, were indistinguishable by standardtests. We report a molecular epidemiological analysis usingmultiplatform whole-genome sequencing and analysis o… Show more

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Cited by 258 publications
(241 citation statements)
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“…To construct the complete nucleotide sequence of a genome, multiple short sequence reads must be assembled based on overlapping regions (de novo assembly), or comparisons with previously sequenced 'reference' genomes (resequencing). WGS is becoming a powerful and highly attractive tool for epidemiological investigations [85][86][87][88] and it is highly likely that in the near future WGS technology for routine clinical use will permit accurate identification and characterisation of bacterial isolates. However, the key challenge will not be to produce the sequence data, but to rapidly compute and interpret the relevant information from large data sets.…”
Section: Whole Genome Sequencingmentioning
confidence: 99%
“…To construct the complete nucleotide sequence of a genome, multiple short sequence reads must be assembled based on overlapping regions (de novo assembly), or comparisons with previously sequenced 'reference' genomes (resequencing). WGS is becoming a powerful and highly attractive tool for epidemiological investigations [85][86][87][88] and it is highly likely that in the near future WGS technology for routine clinical use will permit accurate identification and characterisation of bacterial isolates. However, the key challenge will not be to produce the sequence data, but to rapidly compute and interpret the relevant information from large data sets.…”
Section: Whole Genome Sequencingmentioning
confidence: 99%
“…Rapid responses in sequencing efforts during the EAEC O104:H4 outbreak suggest that genomic epidemiology will become a standard molecular strategy to elucidate infectious disease outbreaks. 72 animal models investigating infantile and childhood eaeC induced diarrhea. A global analysis of child mortality in 2008 estimated that infectious diseases cause the majority (68%) of deaths in children younger than 5 y of age worldwide.…”
mentioning
confidence: 99%
“…A popular method has been to construct phylogenies on the basis of SNPs (single-nucleotide differences among samples) that have been identified either by the mapping of short-read sequence data to a reference genome, or by aligning de novo-assembled sequences to a reference genome 37,40 . This approach has been used successfully to investigate the epidemiology and evolution of a number of single-clone pathogens or members of the same lineage [41][42][43][44][45][46][47][48][49][50][51][52] , but it is limited by its requirement for a reference sequence or whole-genome alignment 40 . The analysis of diverse or highly recombining organisms in this way will prove challenging because the number of total polymorphisms increases as the number of polymorphisms conforming to a clonal model of descent decreases (BOX 1).…”
Section: Post-wgs Cataloguing Of Diversitymentioning
confidence: 99%