Integrating Genomic Data into Public Health Surveillance for Multidrug-Resistant Organisms, Washington, USA

Mitigating antimicrobial resistance (AMR) is a public health priority to preserve antimicrobial treatment options. The Washington State Department of Health in Washington, USA, piloted a process to leverage longitudinal genomic surveillance on the basis of whole-genome sequencing (WGS) and a genomi...

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Main Authors: Laura Marcela Torres, Jared Johnson, Audrey Valentine, Audrey Brezak, Emily C. Schneider, Marisa D’Angeli, Jennifer Morgan, Claire Brostrom-Smith, Chi N. Hua, Michael Tran, Darren Lucas, Joenice Gonzalez De Leon, Drew MacKellar, Philip Dykema, Kelly J. Kauber, Allison Black
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2025-05-01
Series:Emerging Infectious Diseases
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Online Access:https://wwwnc.cdc.gov/eid/article/31/13/24-1227_article
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author Laura Marcela Torres
Jared Johnson
Audrey Valentine
Audrey Brezak
Emily C. Schneider
Marisa D’Angeli
Jennifer Morgan
Claire Brostrom-Smith
Chi N. Hua
Michael Tran
Darren Lucas
Joenice Gonzalez De Leon
Drew MacKellar
Philip Dykema
Kelly J. Kauber
Allison Black
author_facet Laura Marcela Torres
Jared Johnson
Audrey Valentine
Audrey Brezak
Emily C. Schneider
Marisa D’Angeli
Jennifer Morgan
Claire Brostrom-Smith
Chi N. Hua
Michael Tran
Darren Lucas
Joenice Gonzalez De Leon
Drew MacKellar
Philip Dykema
Kelly J. Kauber
Allison Black
author_sort Laura Marcela Torres
collection DOAJ
description Mitigating antimicrobial resistance (AMR) is a public health priority to preserve antimicrobial treatment options. The Washington State Department of Health in Washington, USA, piloted a process to leverage longitudinal genomic surveillance on the basis of whole-genome sequencing (WGS) and a genomics-first cluster definition to enhance AMR surveillance. Here, we outline the approach to collaborative surveillance and describe the pilot using 6 carbapenemase-producing organism outbreaks of 3 species: Pseudomonas aeruginosa, Acinetobacter baumannii, and Klebsiella pneumoniae. We also highlight how we applied the approach to an emerging outbreak. We found that genomic and epidemiologic data define highly congruent outbreaks. By layering genomic and epidemiologic data, we refined linkage hypotheses and addressed gaps in traditional epidemiologic surveillance. With the accessibility of WGS, public health agencies must leverage new approaches to modernize surveillance for communicable diseases.
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issn 1080-6040
1080-6059
language English
publishDate 2025-05-01
publisher Centers for Disease Control and Prevention
record_format Article
series Emerging Infectious Diseases
spelling doaj-art-500bbe111fdb4ea5ad124887f0ee54c12025-08-20T03:10:10ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592025-05-013113253410.3201/eid3113.241227Integrating Genomic Data into Public Health Surveillance for Multidrug-Resistant Organisms, Washington, USALaura Marcela TorresJared JohnsonAudrey ValentineAudrey BrezakEmily C. SchneiderMarisa D’AngeliJennifer MorganClaire Brostrom-SmithChi N. HuaMichael TranDarren LucasJoenice Gonzalez De LeonDrew MacKellarPhilip DykemaKelly J. KauberAllison Black Mitigating antimicrobial resistance (AMR) is a public health priority to preserve antimicrobial treatment options. The Washington State Department of Health in Washington, USA, piloted a process to leverage longitudinal genomic surveillance on the basis of whole-genome sequencing (WGS) and a genomics-first cluster definition to enhance AMR surveillance. Here, we outline the approach to collaborative surveillance and describe the pilot using 6 carbapenemase-producing organism outbreaks of 3 species: Pseudomonas aeruginosa, Acinetobacter baumannii, and Klebsiella pneumoniae. We also highlight how we applied the approach to an emerging outbreak. We found that genomic and epidemiologic data define highly congruent outbreaks. By layering genomic and epidemiologic data, we refined linkage hypotheses and addressed gaps in traditional epidemiologic surveillance. With the accessibility of WGS, public health agencies must leverage new approaches to modernize surveillance for communicable diseases. https://wwwnc.cdc.gov/eid/article/31/13/24-1227_articleantimicrobial resistanceAMRmultidrug resistancegenomicsMDROAMR surveillance
spellingShingle Laura Marcela Torres
Jared Johnson
Audrey Valentine
Audrey Brezak
Emily C. Schneider
Marisa D’Angeli
Jennifer Morgan
Claire Brostrom-Smith
Chi N. Hua
Michael Tran
Darren Lucas
Joenice Gonzalez De Leon
Drew MacKellar
Philip Dykema
Kelly J. Kauber
Allison Black
Integrating Genomic Data into Public Health Surveillance for Multidrug-Resistant Organisms, Washington, USA
Emerging Infectious Diseases
antimicrobial resistance
AMR
multidrug resistance
genomics
MDRO
AMR surveillance
title Integrating Genomic Data into Public Health Surveillance for Multidrug-Resistant Organisms, Washington, USA
title_full Integrating Genomic Data into Public Health Surveillance for Multidrug-Resistant Organisms, Washington, USA
title_fullStr Integrating Genomic Data into Public Health Surveillance for Multidrug-Resistant Organisms, Washington, USA
title_full_unstemmed Integrating Genomic Data into Public Health Surveillance for Multidrug-Resistant Organisms, Washington, USA
title_short Integrating Genomic Data into Public Health Surveillance for Multidrug-Resistant Organisms, Washington, USA
title_sort integrating genomic data into public health surveillance for multidrug resistant organisms washington usa
topic antimicrobial resistance
AMR
multidrug resistance
genomics
MDRO
AMR surveillance
url https://wwwnc.cdc.gov/eid/article/31/13/24-1227_article
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