iScience (Apr 2024)

Cultivation and sequencing-free protocol for Serratia marcescens detection and typing

  • Alessandro Alvaro,
  • Aurora Piazza,
  • Stella Papaleo,
  • Matteo Perini,
  • Ajay Ratan Pasala,
  • Simona Panelli,
  • Tiago Nardi,
  • Riccardo Nodari,
  • Lodovico Sterzi,
  • Cristina Pagani,
  • Cristina Merla,
  • Daniele Castelli,
  • Emanuela Olivieri,
  • Silvia Bracco,
  • Maria Laura Ferrando,
  • Francesca Saluzzo,
  • Sara Giordana Rimoldi,
  • Marta Corbella,
  • Annalisa Cavallero,
  • Paola Prati,
  • Claudio Farina,
  • Daniela Maria Cirillo,
  • Gianvincenzo Zuccotti,
  • Francesco Comandatore

Journal volume & issue
Vol. 27, no. 4
p. 109402

Abstract

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Summary: Serratia marcescens is an opportunistic pathogen that survives in inhospitable environments causing large outbreaks, particularly in neonatal intensive care units (NICUs). Genomic studies revealed that most S. marcescens nosocomial infections are caused by a specific clone (here “Infectious clone”). Whole genome sequencing (WGS) is the only portable method able to identify this clone, but it requires days to obtain results. We present a cultivation-free hypervariable-locus melting typing (HLMT) protocol for the fast detection and typing of S. marcescens, with 100% detection capability on mixed samples and a limit of detection that can reach the 10 genome copies. The protocol was able to identify the S. marcescens infectious clone with 97% specificity and 96% sensitivity when compared to WGS, yielding typing results portable among laboratories. The protocol is a cost and time saving method for S. marcescens detection and typing for large environmental/clinical surveillance screenings, also in low-middle income countries.

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