The phylogeography and incidence of multi-drug resistant typhoid fever in sub-Saharan Africa

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作者
Se Eun Park
Duy Thanh Pham
Christine Boinett
Vanessa K. Wong
Gi Deok Pak
Ursula Panzner
Ligia Maria Cruz Espinoza
Vera von Kalckreuth
Justin Im
Heidi Schütt-Gerowitt
John A. Crump
Robert F. Breiman
Yaw Adu-Sarkodie
Ellis Owusu-Dabo
Raphaël Rakotozandrindrainy
Abdramane Bassiahi Soura
Abraham Aseffa
Nagla Gasmelseed
Karen H. Keddy
Jürgen May
Amy Gassama Sow
Peter Aaby
Holly M. Biggs
Julian T. Hertz
Joel M. Montgomery
Leonard Cosmas
Beatrice Olack
Barry Fields
Nimako Sarpong
Tsiriniaina Jean Luco Razafindrabe
Tiana Mirana Raminosoa
Leon Parfait Kabore
Emmanuel Sampo
Mekonnen Teferi
Biruk Yeshitela
Muna Ahmed El Tayeb
Arvinda Sooka
Christian G. Meyer
Ralf Krumkamp
Denise Myriam Dekker
Anna Jaeger
Sven Poppert
Adama Tall
Aissatou Niang
Morten Bjerregaard-Andersen
Sandra Valborg Løfberg
Hye Jin Seo
Hyon Jin Jeon
Jessica Fung Deerin
Jinkyung Park
机构
[1] SNU Research Park,International Vaccine Institute
[2] 1 Gwanak-ro,The Hospital for Tropical Diseases, Wellcome Trust Major Overseas Programme
[3] 1 Gwanak-gu,Centre for Tropical Medicine and Global Health
[4] Oxford University Clinical Research Unit,Centre for Genomic Pathogen Surveillance
[5] University of Oxford,Addenbrooke’s Hospital, Cambridge University Hospitals NHS Foundation Trust
[6] Old Road campus,Institute of Medical Microbiology
[7] Wellcome Genome Campus,Division of Infectious Diseases and International Health
[8] Hinxton,Duke Global Health Institute
[9] Cambridge Biomedical Campus,Centre for International Health
[10] Hills Road,Emory Global Health Institute
[11] University of Cologne,Kumasi Centre for Collaborative Research in Tropical Medicine
[12] Kilimanjaro Christian Medical Centre,Institut Supérieur des Sciences de la Population
[13] Duke University Medical Center,Faculty of Science
[14] Duke University,Faculty of Health Sciences
[15] University of Otago,German Center for Infection Research
[16] Centers for Disease Control and Prevention,Research Center for Vitamins and Vaccines
[17] Emory University,Institute of Tropical Medicine
[18] 1599 Clifton Road,Swiss Tropical and Public Health Institute
[19] NE,Division of Pediatric Infectious Diseases
[20] Kwame Nkrumah University of Science and Technology,Big Data Institute
[21] Kwame Nkrumah University of Science and Technology,Department of Biochemistry and Molecular Biology, Bio21 Molecular Science and Biotechnology Institute
[22] KCCR,The Department of Medicine
[23] UPO,undefined
[24] PMB,undefined
[25] KNUST,undefined
[26] University of Antananarivo,undefined
[27] University of Ouagadougou,undefined
[28] Armauer Hansen Research Institute,undefined
[29] Faculty of Medicine,undefined
[30] University of Gezira,undefined
[31] University of Hafr Al Batin,undefined
[32] Al Jamiah,undefined
[33] National Institute for Communicable Diseases,undefined
[34] University of the Witwatersrand,undefined
[35] Bernhard Nocht Institute for Tropical Medicine,undefined
[36] Hamburg-Borstel-Lübeck,undefined
[37] Institute Pasteur de Dakar,undefined
[38] Université Cheikh Anta Diop de Dakar,undefined
[39] Bandim Health Project,undefined
[40] Apartado,undefined
[41] Bandim Health Project,undefined
[42] Statens Serum Institut,undefined
[43] Kenya Medical Research Institute,undefined
[44] Schiphra Hospital,undefined
[45] Eberhard-Karls University Tübingen,undefined
[46] Geschwister-Scholl-Platz,undefined
[47] Duy Tan University,undefined
[48] 254 Nguyen Van Linh,undefined
[49] University of Basel,undefined
[50] Johns Hopkins Bloomberg School of Public Health,undefined
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摘要
There is paucity of data regarding the geographical distribution, incidence, and phylogenetics of multi-drug resistant (MDR) Salmonella Typhi in sub-Saharan Africa. Here we present a phylogenetic reconstruction of whole genome sequenced 249 contemporaneous S. Typhi isolated between 2008-2015 in 11 sub-Saharan African countries, in context of the 2,057 global S. Typhi genomic framework. Despite the broad genetic diversity, the majority of organisms (225/249; 90%) belong to only three genotypes, 4.3.1 (H58) (99/249; 40%), 3.1.1 (97/249; 39%), and 2.3.2 (29/249; 12%). Genotypes 4.3.1 and 3.1.1 are confined within East and West Africa, respectively. MDR phenotype is found in over 50% of organisms restricted within these dominant genotypes. High incidences of MDR S. Typhi are calculated in locations with a high burden of typhoid, specifically in children aged <15 years. Antimicrobial stewardship, MDR surveillance, and the introduction of typhoid conjugate vaccines will be critical for the control of MDR typhoid in Africa.
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