Characterization of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Infection Clusters Based on Integrated Genomic Surveillance, Outbreak Analysis and Contact Tracing in an Urban Setting
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Characterization of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Infection Clusters Based on Integrated Genomic Surveillance, Outbreak Analysis and Contact Tracing in an Urban Setting. / Walker, Andreas; Houwaart, Torsten; Finzer, Patrick; Ehlkes, Lutz; Tyshaieva, Alona; Damagnez, Maximilian; Strelow, Daniel; Duplessis, Ashley; Nicolai, Jessica; Wienemann, Tobias; Tamayo, Teresa; Kohns Vasconcelos, Malte; Hülse, Lisanna; Hoffmann, Katrin; Lübke, Nadine; Hauka, Sandra; Andree, Marcel; Däumer, Martin P; Thielen, Alexander; Kolbe-Busch, Susanne; Göbels, Klaus; Zotz, Rainer; Pfeffer, Klaus; Timm, Jörg; Dilthey, Alexander T; German COVID-19 OMICS Initiative (DeCOI).
In: CLIN INFECT DIS, Vol. 74, No. 6, 23.03.2022, p. 1039-1046.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Characterization of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Infection Clusters Based on Integrated Genomic Surveillance, Outbreak Analysis and Contact Tracing in an Urban Setting
AU - Walker, Andreas
AU - Houwaart, Torsten
AU - Finzer, Patrick
AU - Ehlkes, Lutz
AU - Tyshaieva, Alona
AU - Damagnez, Maximilian
AU - Strelow, Daniel
AU - Duplessis, Ashley
AU - Nicolai, Jessica
AU - Wienemann, Tobias
AU - Tamayo, Teresa
AU - Kohns Vasconcelos, Malte
AU - Hülse, Lisanna
AU - Hoffmann, Katrin
AU - Lübke, Nadine
AU - Hauka, Sandra
AU - Andree, Marcel
AU - Däumer, Martin P
AU - Thielen, Alexander
AU - Kolbe-Busch, Susanne
AU - Göbels, Klaus
AU - Zotz, Rainer
AU - Pfeffer, Klaus
AU - Timm, Jörg
AU - Dilthey, Alexander T
AU - German COVID-19 OMICS Initiative (DeCOI)
N1 - © The Author(s) 2021. Published by Oxford University Press for the Infectious Diseases Society of America.
PY - 2022/3/23
Y1 - 2022/3/23
N2 - BACKGROUND: Tracing of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) transmission chains is still a major challenge for public health authorities, when incidental contacts are not recalled or are not perceived as potential risk contacts. Viral sequencing can address key questions about SARS-CoV-2 evolution and may support reconstruction of viral transmission networks by integration of molecular epidemiology into classical contact tracing.METHODS: In collaboration with local public health authorities, we set up an integrated system of genomic surveillance in an urban setting, combining a) viral surveillance sequencing, b) genetically based identification of infection clusters in the population, c) integration of public health authority contact tracing data, and d) a user-friendly dashboard application as a central data analysis platform.RESULTS: Application of the integrated system from August to December 2020 enabled a characterization of viral population structure, analysis of 4 outbreaks at a maximum care hospital, and genetically based identification of 5 putative population infection clusters, all of which were confirmed by contact tracing. The system contributed to the development of improved hospital infection control and prevention measures and enabled the identification of previously unrecognized transmission chains, involving a martial arts gym and establishing a link between the hospital to the local population.CONCLUSIONS: Integrated systems of genomic surveillance could contribute to the monitoring and, potentially, improved management of SARS-CoV-2 transmission in the population.
AB - BACKGROUND: Tracing of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) transmission chains is still a major challenge for public health authorities, when incidental contacts are not recalled or are not perceived as potential risk contacts. Viral sequencing can address key questions about SARS-CoV-2 evolution and may support reconstruction of viral transmission networks by integration of molecular epidemiology into classical contact tracing.METHODS: In collaboration with local public health authorities, we set up an integrated system of genomic surveillance in an urban setting, combining a) viral surveillance sequencing, b) genetically based identification of infection clusters in the population, c) integration of public health authority contact tracing data, and d) a user-friendly dashboard application as a central data analysis platform.RESULTS: Application of the integrated system from August to December 2020 enabled a characterization of viral population structure, analysis of 4 outbreaks at a maximum care hospital, and genetically based identification of 5 putative population infection clusters, all of which were confirmed by contact tracing. The system contributed to the development of improved hospital infection control and prevention measures and enabled the identification of previously unrecognized transmission chains, involving a martial arts gym and establishing a link between the hospital to the local population.CONCLUSIONS: Integrated systems of genomic surveillance could contribute to the monitoring and, potentially, improved management of SARS-CoV-2 transmission in the population.
KW - COVID-19/epidemiology
KW - Contact Tracing
KW - Disease Outbreaks/prevention & control
KW - Genomics
KW - Humans
KW - SARS-CoV-2/genetics
U2 - 10.1093/cid/ciab588
DO - 10.1093/cid/ciab588
M3 - SCORING: Journal article
C2 - 34181711
VL - 74
SP - 1039
EP - 1046
JO - CLIN INFECT DIS
JF - CLIN INFECT DIS
SN - 1058-4838
IS - 6
ER -