Whole-genome Sequencing for Tracing the Transmission Link between Two ARD Outbreaks Caused by a Novel HAdV Serotype 7 Variant, China

Sci Rep. 2015 Sep 4:5:13617. doi: 10.1038/srep13617.

Abstract

From December 2012 to February 2013, two outbreaks of acute respiratory disease caused by HAdV-7 were reported in China. We investigated possible transmission links between these two seemingly unrelated outbreaks by integration of epidemiological and whole-genome sequencing (WGS) data. WGS analyses showed that the HAdV-7 isolates from the two outbreaks were genetically indistinguishable; however, a 12 bp deletion in the virus-associated RNA gene distinguished the outbreak isolates from other HAdV-7 isolates. Outbreak HAdV-7 isolates demonstrated increased viral replication compared to non-outbreak associated HAdV-7 isolate. Epidemiological data supported that the first outbreak was caused by introduction of the novel HAdV-7 virus by an infected recruit upon arrival at the training base. Nosocomial transmission by close contacts was the most likely source leading to onset of the second HAdV-7 outbreak, establishing the apparent transmission link between the outbreaks. Our findings imply that in-hospital contact investigations should be encouraged to reduce or interrupt further spread of infectious agents when treating outbreak cases, and WGS can provide useful information guiding infection-control interventions.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Acute Disease
  • Adenovirus Infections, Human / epidemiology*
  • Adenovirus Infections, Human / virology*
  • Adenoviruses, Human / genetics*
  • Adenoviruses, Human / isolation & purification
  • Adult
  • China / epidemiology
  • Chromosome Mapping / methods
  • Cross Infection / epidemiology
  • Cross Infection / virology
  • Disease Outbreaks / statistics & numerical data*
  • Female
  • Genetic Linkage / genetics
  • Genome, Viral / genetics
  • Humans
  • Incidence
  • Male
  • Prevalence
  • Respiratory Tract Infections / epidemiology*
  • Respiratory Tract Infections / virology*
  • Risk Assessment
  • Risk Factors
  • Serogroup