Impact of genotyping of Mycobacterium tuberculosis on public health practice in Massachusetts

Ann C Miller, Sharon Sharnprapai, Robert Suruki, Edward Corkren, Edward A Nardell, Jeffrey R Driscoll, Michael McGarry, Harry Taber, Sue Etkind, Ann C Miller, Sharon Sharnprapai, Robert Suruki, Edward Corkren, Edward A Nardell, Jeffrey R Driscoll, Michael McGarry, Harry Taber, Sue Etkind

Abstract

Massachusetts was one of seven sentinel surveillance sites in the National Tuberculosis Genotyping and Surveillance Network. From 1996 through 2000, isolates from new patients with tuberculosis (TB) underwent genotyping. We describe the impact that genotyping had on public health practice in Massachusetts and some limitations of the technique. Through genotyping, we explored the dynamics of TB outbreaks, investigated laboratory cross-contamination, and identified Mycobacterium tuberculosis strains, transmission sites, and accurate epidemiologic links. Genotyping should be used with epidemiologic follow-up to identify how resources can best be allocated to investigate genotypic findings.

References

    1. Alland D, Kalkut GE, Moss AR, McAdam RA, Hahn JA, Bosworth W, et al. Transmission of TB in New York City; an analysis by DNA fingerprinting and conventional epidemiologic methods. N Engl J Med. 1994;330:1710–6. 10.1056/NEJM199406163302403
    1. Edlin BR, Tokars JI, Greico MH, Crawford JT, Williams J, Sordillo EM, et al. An outbreak of multidrug-resistant tuberculosis among hospitalized patients with the acquired immunodeficiency syndrome. N Engl J Med. 1992;326:1514–21.
    1. Beck-Sague C, Dooley SW, Hutton MD, Otten J, Breeden A, Crawford J, et al. Hospital outbreak of multidrug-resistant Mycobacterium tuberculosis infections: factors in transmission to staff and HIV-infected patients. JAMA. 1992;268:1280–6. 10.1001/jama.268.10.1280
    1. Bauer J, Kok-Jensen A, Faurschou P, Theusen J, Taudorf E, Anderson AB. A prospective evaluation of the clinical value of nationwide DNA fingerprinting of tuberculosis isolates in Denmark. Int J Tuberc Lung Dis. 2000;4:295–9.
    1. Small PM, Hopewell PC, Singh SP, Paz A, Parsonnet J, Ruston DC, et al. The epidemiology of tuberculosis in San Francisco: a population-based study using conventional and molecular methods. N Engl J Med. 1994;330:1703–9. 10.1056/NEJM199406163302402
    1. Dobbs KG, Lok KH, Bruce F, Mulcahy D, Benjamin WH, Dunlap NE. Value of Mycobacterium tuberculosis fingerprinting as a tool in a rural state surveillance program. Chest. 2001;120:1877–82. 10.1378/chest.120.6.1877
    1. Chavez F, Dronda F, Cave MD, Alonso-Sanz M, González-López A, Eisenach KD, et al. A longitudinal study of transmission of tuberculosis in a large prison population. Am J Respir Crit Care Med. 1997;155:719–25.
    1. Hanau-Bercot B, Grémy I, Raskine L, Bizet J, Gutierrez MC, Boyer-Mariotte S, et al. A one-year prospective study (1994–1995) for a first evaluation of tuberculosis transmission in French prisons. Int J Tuberc Lung Dis. 2000;4:853–9.
    1. Southwick KL, Hoffmann K, Ferree K, Matthews J, Salfinger M. Cluster of tuberculosis cases in North Carolina: possible association with atomizer reuse. Am J Infect Control. 2001;29:1–6. 10.1067/mic.2001.110213
    1. Michele TM, Cronin WA, Graham NMH, Dwyer DM, Spies Pope D, Harrington N, et al. Transmission of Mycobacterium tuberculosis by a fiberoptic bronchoscope. Identification by DNA fingerprinting. JAMA. 1997;278:1093–5. 10.1001/jama.278.13.1093
    1. Cronin W, Rodriguez E, Valway S, Bur S, Hooper N, Smithwick R, et al. Pseudo-outbreak of tuberculosis in an acute-care general hospital: epidemiology and clinical implications. Infect Control Hosp Epidemiol. 1998;19:739–40.
    1. Wurtz R. Specimen contamination in mycobacteriology laboratory detected by pseudo-outbreak of multidrug-resistant tuberculosis: analysis by routine epidemiology and confirmation by molecular technique. J Clin Microbiol. 1996;34:1017–9.
    1. Braden CR, Templeton GL, Stead WW, Bates JH, Cave MD, Valway S. Retrospective detection of laboratory cross-contamination of Mycobacterium tuberculosis culture with use of DNA fingerprint analysis. Clin Infect Dis. 1997;24:35–40.
    1. Sharnprapai S, Miller A. Genotyping analyses among foreign-born and U.S.-born persons in Massachusetts. Emerg Infect Dis. 2002;8:1239–45.
    1. Cowan LS, Crawford JT. National tuberculosis genotyping and surveillance network: analysis of the genotype database. Emerg Infect Dis. 2002;8:1294–302.
    1. Crawford JT, Braden CR, Schable BA. National tuberculosis genotyping and surveillance network: design and methods. Emerg Infect Dis. 2002;8:1192–6.
    1. van Embden JD, Cave MD, Crawford JT, Dale JW, Eisenach KD, Gicquel B, et al. Strain identification of Mycobacterium tuberculosis by DNA fingerprinting: recommendations for a standardized methodology. J Clin Microbiol. 1993;31:406–9.
    1. Kamerbeek J, Schouls L, Kolk A, van Agterveld M, van Soolingen DS, Bunschoten A, et al. Simultaneous detection and strain differentiation of Mycobacterium tuberculosis for diagnosis and epidemiology. J Clin Microbiol. 1997;35:907–14.
    1. Northrup J, Miller AC, Nardell EA, Sharnprapai S, Etkind S, Driscoll J, et al. Estimated cost of misdiagnosis of tuberculosis resulting from laboratory cross-contamination of Mycobacterium tuberculosis specimens. Emerg Infect Dis. 2002;8:1264–70.
    1. Bishai WR, Graham NM, Harrington S, Pope DS, Hooper N, Astemborski J, et al. Molecular and geographic patterns of tuberculosis transmission after 15 years of directly observed therapy. JAMA. 1998;280:1679–84. 10.1001/jama.280.19.1679
    1. Solsona J, Caylà JA, Verdú E, Estrada MP, Garcia S, Roca D, et al. Molecular and conventional epidemiology of tuberculosis in an inner city district. Int J Tuberc Lung Dis. 2000;5:724–31.
    1. Onorato IM. Tuberculosis outbreaks in the United States. Int J Tuberc Lung Dis. 2000;4:121–6.
    1. Valway SE, Sanchez MP, Shinnick TF, Orme I, Agerton T, Hoy D, et al. An outbreak involving extensive transmission of a virulent strain of tuberculosis. N Engl J Med. 1998;338:633–9. 10.1056/NEJM199803053381001
    1. Sterling TR, Thompson D, Stanley RL, McElroy PD, Madison A, Moore K, et al. A multistate outbreak of TB among members of a highly mobile social network: implications for TB elimination. Int J Tuberc Lung Dis. 2000;4:1066–73.
    1. Behr MA, Hopewell PH, Paz EA, Kawamura LM, Schecter GF, Small PM. Predictive value of contact investigation for identifying recent transmission of Mycobacterium tuberculosis. Am J Respir Crit Care Med. 1998;158:465–9.
    1. Dunlap NE, Harris RH, Benjamin WH, Harden JW, Hafner D. Laboratory contamination of Mycobacterium tuberculosis cultures. Am J Respir Crit Care Med. 1995;152:1722–4.
    1. van Soolingen D. Molecular epidemiology of tuberculosis and other mycobacterial infections: main methodologies and achievements. J Intern Med. 2001;249:1–26. 10.1046/j.1365-2796.2001.00772.x
    1. Murray M. Sampling bias in the molecular epidemiology of tuberculosis. Emerg Infect Dis. 2002;8:363–9.
    1. de Boer AS, Borgdorff MW, de Haas PE, Nagelkerke NJD, van Embden JDA, van Soolingen D. Analysis of rate of change of IS6110 RFLP patterns of Mycobacterium tuberculosis based on serial patient isolates. J Infect Dis. 1999;180:1238–44. 10.1086/314979
    1. Niemann S, Rusch-Gerdes S, Richter E, Thielen H, Heykes-Uden H, Diel R. Stability of IS6110 restriction fragment length polymorphism patterns of Mycobacterium tuberculosis strains in actual chains of transmission. J Clin Microbiol. 2000;38:2563–7.
    1. Yeh RW, Ponce de Leon A, Agasino CB, Hahn JA, Daley CL, Hopewell PC, et al. Stability of Mycobacterium tuberculosis DNA genotypes. J Infect Dis. 1998;177:1107–11. 10.1086/517406
    1. Cave MD, Eisenach KD, Templeton G, Salfinger M, Muzerek G, Bates JH, et al. Stability of the DNA fingerprint patterns produced with IS6110 in strains of Mycobacterium tuberculosis. J Clin Microbiol. 1994;32:262–6.
    1. Dunlap NE. The use of RFLP as a tool for tuberculosis control: utility or futility? Int J Tuberc Lung Dis. 2000;4:134–8.

Source: PubMed

3
S'abonner