2019
DOI: 10.1089/fpd.2019.2636
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Metagenomic Approaches for Public Health Surveillance of Foodborne Infections: Opportunities and Challenges

Abstract: Foodborne disease surveillance in the United States is at a critical point. Clinical and diagnostic laboratories are using culture-independent diagnostic tests (CIDTs) to identify the pathogen causing foodborne illness from patient specimens. CIDTs are molecular tests that allow doctors to rapidly identify the bacteria causing illness within hours. CIDTs, unlike previous gold standard methods such as bacterial culture, do not produce an isolate that can be subtyped as part of the national molecular subtyping n… Show more

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Cited by 30 publications
(17 citation statements)
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“…However, the error rate of Oxford Nanopore Technologies is still relatively high and might impact the level of details obtained in the analysis, as observed by Hyeon et al [ 14 ]. Another important drawback for the implementation of metagenomics in routine is the need for adapted bioinformatics pipelines [ 60 ]. This has been improving in the last years with the development of new specialized tools that can be proposed in workflows such as the one presented in this study.…”
Section: Discussionmentioning
confidence: 99%
“…However, the error rate of Oxford Nanopore Technologies is still relatively high and might impact the level of details obtained in the analysis, as observed by Hyeon et al [ 14 ]. Another important drawback for the implementation of metagenomics in routine is the need for adapted bioinformatics pipelines [ 60 ]. This has been improving in the last years with the development of new specialized tools that can be proposed in workflows such as the one presented in this study.…”
Section: Discussionmentioning
confidence: 99%
“…The unknown regions surrounding these AMR genes can thus be characterized, as previously performed for unknown and unauthorized GM plants [25][26][27][28][29] . For metagenomics, even if no prior knowledge is required similarly to WGS, this promising approach is still currently in its infancy mainly due to the following bottlenecks that are challenging its implementation 26, [41][42][43][44][45][46] . Indeed, the low abundance of DNA of interest present in the total DNA extract, as frequently encountered with GMO contamination, complicated its identification.…”
Section: Resultsmentioning
confidence: 99%
“…Moreover, metagenomics requires significant development at both wet-and dry-lab levels as well as important computational capacities for such type of complex bioinformatics analysis. However, all these limitations are expected to be overcome in the near future as successfully illustrated by pioneer studies in other problematics, including foodborne pathogen detection [41][42][43][44][45][46] .…”
Section: Resultsmentioning
confidence: 99%
“…Before 2020, reflex culture of specimens positive for Campylobacter , Salmonella , Shigella , and Yersinia increased in FoodNet sites, augmented by CDC funding. Until metagenomic CIDTs are developed, culture is necessary to identify pathogen subtypes, antimicrobial resistance patterns, and whole-genome sequences ( 4 ). Fewer cultures decrease the ability to detect and investigate outbreaks and sporadic cases of emerging pathogens, which relies on sequencing.…”
Section: Discussionmentioning
confidence: 99%