1887

Abstract

To clarify the spread of infections in semi-closed settings such as schools and family homes using molecular typing methods.

We retrospectively searched for school- and family-based clusters of infections based on information regarding patients from whom strains had been isolated between 2011 and 2013 in Yamagata, Japan. The molecular typing profile, including the P1 type and the four-locus (Mpn13, 14, 15 and 16) multiple-locus variable-number tandem-repeat (VNTR) analysis (MLVA) type, was obtained from our previous study.

We identified 11 school-based clusters involving 71 patients and 16 family-based clusters involving 38 patients, including 14 duplications between these types of clusters. A total of 95 strains isolated from those patients were divided into 4 genotypes: 33 strains of type 4-5-7-2, 1; 31 of type 4-5-7-3, 1; 24 of type 3-5-6-2, 2c; and 7 of type 3-5-6-2, 2a. Of the 11 school-based clusters, 6 clusters (54.5%) consisted of multiple genotypes, and the remaining 5 clusters consisted of a single genotype. Moreover, the presence of multiple genotypes was identified in three classrooms of a school. On the other hand, in 14 (87.5%) of the 16 family-based clusters, the genotypes of the strains isolated from each family member were identical.

The spread of infection in schools is likely polyclonal, since strains are brought into schools from various sites, such as family homes, which are important sites of disease transmission.

Loading

Article metrics loading...

/content/journal/jmm/10.1099/jmm.0.000969
2019-05-01
2024-04-27
Loading full text...

Full text loading...

/deliver/fulltext/jmm/68/5/785.html?itemId=/content/journal/jmm/10.1099/jmm.0.000969&mimeType=html&fmt=ahah

References

  1. Atkinson TP, Balish MF, Waites KB. Epidemiology, clinical manifestations, pathogenesis and laboratory detection of Mycoplasma pneumoniae infections. FEMS Microbiol Rev 2008; 32:956–973 [View Article]
    [Google Scholar]
  2. Waites KB, Talkington DF. Mycoplasma pneumoniae and its role as a human pathogen. Clin Microbiol Rev 2004; 17:697–728 [View Article]
    [Google Scholar]
  3. Foy HM. Infections caused by Mycoplasma pneumoniae and possible carrier state in different populations of patients. Clin Infect Dis 1993; 17:S37–S46 [View Article]
    [Google Scholar]
  4. Block S, Hedrick J, Hammerschlag MR, Cassell GH, Craft JC. Mycoplasma pneumoniae and Chlamydia pneumoniae in pediatric community-acquired pneumonia: comparative efficacy and safety of clarithromycin vs. erythromycin ethylsuccinate. Pediatr Infect Dis J 1995; 14:471–477
    [Google Scholar]
  5. Korppi M, Heiskanen-Kosma T, Kleemola M. Incidence of community-acquired pneumonia in children caused by Mycoplasma pneumoniae: serological results of a prospective, population-based study in primary health care. Respirology 2004; 9:109–114 [View Article]
    [Google Scholar]
  6. Yamazaki T, Kenri T. Epidemiology of Mycoplasma pneumoniae infections in Japan and therapeutic strategies for macrolide-resistant M. pneumoniae . Front Microbiol 2016; 7:693 [View Article]
    [Google Scholar]
  7. Pereyre S, Goret J, Bébéar C. Mycoplasma pneumoniae: current knowledge on macrolide resistance and treatment. Front Microbiol 2016; 7:974 [View Article]
    [Google Scholar]
  8. Mandell LA, Wunderink RG, Anzueto A, Bartlett JG, Campbell GD et al. Infectious Diseases Society of America; American Thoracic Society. Infectious Diseases Society of America/American Thoracic Society consensus guidelines on the management of community-acquired pneumonia in adults. Clin Infect Dis 2007; 44:S27–S72
    [Google Scholar]
  9. Chalker VJ, Pereyre S, Dumke R, Winchell J, Khosla P et al. International Mycoplasma pneumoniae typing study: interpretation of M. pneumoniae multilocus variable-number tandem-repeat analysis. New Microbes New Infect 2015; 7:37–40 [View Article]
    [Google Scholar]
  10. Sasaki T, Kenri T, Okazaki N, Iseki M, Yamashita R et al. Epidemiological study of Mycoplasma pneumoniae infections in Japan based on PCR-restriction fragment length polymorphism of the P1 cytadhesin gene. J Clin Microbiol 1996; 34:447–449
    [Google Scholar]
  11. Dégrange S, Cazanave C, Charron A, Renaudin H, Bébéar C et al. Development of multiple-locus variable-number tandem-repeat analysis for molecular typing of Mycoplasma pneumoniae . J Clin Microbiol 2009; 47:914–923 [View Article]
    [Google Scholar]
  12. Kenri T, Taniguchi R, Sasaki Y, Okazaki N, Narita M et al. Identification of a new variable sequence in the P1 cytadhesin gene of Mycoplasma pneumoniae: evidence for the generation of antigenic variation by DNA recombination between repetitive sequences. Infect Immun 1999; 67:4557–4562
    [Google Scholar]
  13. Kenri T, Ohya H, Horino A, Shibayama K. Identification of Mycoplasma pneumoniae type 2b variant strains in Japan. J Med Microbiol 2012; 61:1633–1635 [View Article]
    [Google Scholar]
  14. Zhao F, Cao B, Li J, Song S, Tao X et al. Sequence analysis of the p1 adhesin gene of Mycoplasma pneumoniae in clinical isolates collected in Beijing in 2008 to 2009. J Clin Microbiol 2011; 49:3000–3003 [View Article]
    [Google Scholar]
  15. Sun H, Xue G, Yan C, Li S, Zhao H et al. Changes in molecular characteristics of Mycoplasma pneumoniae in clinical specimens from children in Beijing between 2003 and 2015. PLoS One 2017; 12:e0170253 [View Article]
    [Google Scholar]
  16. Ho PL, Law PY, Chan BW, Wong CW, To KK et al. Emergence of macrolide-resistant Mycoplasma pneumoniae in Hong Kong is linked to increasing macrolide resistance in multilocus variable-number tandem-repeat analysis type 4-5-7-2. J Clin Microbiol 2015; 53:3560–3564 [View Article]
    [Google Scholar]
  17. Xue G, Wang Q, Yan C, Jeoffreys N, Wang L et al. Molecular characterizations of PCR-positive Mycoplasma pneumoniae specimens collected from Australia and China. J Clin Microbiol 2014; 52:1478–1482 [View Article]
    [Google Scholar]
  18. Diaz MH, Benitez AJ, Winchell JM. Investigations of Mycoplasma pneumoniae infections in the United States: trends in molecular typing and macrolide resistance from 2006 to 2013. J Clin Microbiol 2015; 53:124–130 [View Article]
    [Google Scholar]
  19. Dumke R, Schnee C, Pletz MW, Rupp J, Jacobs E et al. Mycoplasma pneumoniae and Chlamydia spp. infection in community-acquired pneumonia, Germany, 2011–2012. Emerg Infect Dis 2015; 21:426–434 [View Article]
    [Google Scholar]
  20. Chironna M, Loconsole D, De Robertis AL, Morea A, Scalini E et al. Clonal spread of a unique strain of macrolide-resistant Mycoplasma pneumoniae within a single family in Italy. Medicine 2016; 95:e3160 [View Article]
    [Google Scholar]
  21. Pereyre S, Renaudin H, Charron A, Bébéar C. Clonal spread of Mycoplasma pneumoniae in primary school, Bordeaux, France. Emerg Infect Dis 2012; 18:343–345 [View Article]
    [Google Scholar]
  22. Edelstein I, Rachina S, Touati A, Kozlov R, Henin N et al. Mycoplasma pneumoniae monoclonal P1 type 2c outbreak, Russia, 2013. Emerg Infect Dis 2016; 22:348–350 [View Article]
    [Google Scholar]
  23. Wang Y, Ye Q, Yang D, Ni Z, Chen Z. Study of two separate types of macrolide-resistant Mycoplasma pneumoniae outbreaks. Antimicrob Agents Chemother 2016; 60:4310–4314 [View Article]
    [Google Scholar]
  24. Suzuki Y, Seto J, Shimotai Y, Itagaki T, Katsushima Y et al. Multiple-locus variable-number tandem-repeat analysis of Mycoplasma pneumoniae isolates between 2004 and 2014 in Yamagata, Japan: change in molecular characteristics during an 11-year period. Jpn J Infect Dis 2017; 70:642–646 [View Article]
    [Google Scholar]
  25. Suzuki Y, Seto J, Itagaki T, Aoki T, Abiko C et al. [Gene Mutations Associated with Macrolide-resistance and p1 Gene Typing of Mycoplasma pneumoniae Isolated in Yamagata, Japan, between 2004 and 2013]. Kansenshogaku Zasshi 2015; 89:16–22 [View Article]
    [Google Scholar]
  26. Suzuki Y, Seto J, Shimotai Y, Ikeda T, Yahagi K et al. Development of an endpoint genotyping assay to detect the Mycoplasma pneumoniae 23S rRNA gene and distinguish the existence of macrolide resistance-associated mutations at position 2063. J Microbiol Methods 2016; 131:130–134 [View Article]
    [Google Scholar]
  27. Liu Y, Ye X, Zhang H, Wu Z, Xu X. Rapid detection of Mycoplasma pneumoniae and its macrolide-resistance mutation by Cycleave PCR. Diagn Microbiol Infect Dis 2014; 78:333–337 [View Article]
    [Google Scholar]
  28. Wolff BJ, Thacker WL, Schwartz SB, Winchell JM. Detection of macrolide resistance in Mycoplasma pneumoniae by real-time PCR and high-resolution melt analysis. Antimicrob Agents Chemother 2008; 52:3542–3549 [View Article]
    [Google Scholar]
http://instance.metastore.ingenta.com/content/journal/jmm/10.1099/jmm.0.000969
Loading
/content/journal/jmm/10.1099/jmm.0.000969
Loading

Data & Media loading...

Supplements

Supplementary material 1

Supplementary material 1

Supplementary material 1

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error