[Source: US Centers for Disease Control and Prevention (CDC), Emerging Infectious Diseases Journal, full page: (LINK). Abstract, edited.]
Volume 25, Number 5—May 2019 / CME ACTIVITY – Research
Novel Sequence Type in Bacillus cereus Strains Associated with Nosocomial Infections and Bacteremia, Japan
Reiko Akamatsu, Masato Suzuki, Keiji Okinaka, Teppei Sasahara, Kunikazu Yamane, Satowa Suzuki, Daisuke Fujikura1, Yoshikazu Furuta, Naomi Ohnishi2, Minoru Esaki, Keigo Shibayama, and Hideaki Higashi
Author affiliations: Hokkaido University, Sapporo, Japan (R. Akamatsu, D. Fujikura, Y. Furuta, N. Ohnishi, H. Higashi); National Institute of Infectious Diseases, Tokyo, Japan (M. Suzuki, S. Suzuki, K. Shibayama); National Cancer Center Hospital, Tokyo (K. Okinaka, M. Esaki); Jichi Medical University, Tochigi, Japan (T. Sasahara); Yonago Medical Center, Tottori, Japan (K. Yamane)
Bacillus cereus is associated with foodborne illnesses characterized by vomiting and diarrhea. Although some B. cereus strains that cause severe extraintestinal infections and nosocomial infections are recognized as serious public health threats in healthcare settings, the genetic backgrounds of B. cereus strains causing such infections remain unknown. By conducting pulsed-field gel electrophoresis and multilocus sequence typing, we found that a novel sequence type (ST), newly registered as ST1420, was the dominant ST isolated from the cases of nosocomial infections that occurred in 3 locations in Japan in 2006, 2013, and 2016. Phylogenetic analysis showed that ST1420 strains belonged to the Cereus III lineage, which is much closer to the Anthracis lineage than to other Cereus lineages. Our results suggest that ST1420 is a prevalent ST in B. cereus strains that have caused recent nosocomial infections in Japan.
Keywords: Bacillus cereus; Nosocomial Outbreaks; Bacteremia; Japan.