Integration of genomic and clinical data augments surveillance of healthcare-acquired infections.
Doyle V WardAndrew G HossRaivo KoldeHelen C van AggelenJoshua LovingStephen A SmithDeborah A MackRaja KathirvelJeffery A HalperinDouglas J BuellBrian E WongJudy L AshworthMary M Fortunato-HabibLiyi XuBruce A BartonPeter LazarJuan J CarmonaJomol MathewIvan S SalgoBrian D GrossRichard T EllisonPublished in: Infection control and hospital epidemiology (2019)
Our work supports the assertion that integration of genomic and clinical epidemiologic data can augment infection control surveillance for both the identification of cross-transmission events and the inclusion of missed and exclusion of misidentified outbreaks (ie, false alarms). The integration of clinical data is essential to prioritize suspect clusters for investigation, and for existing infections, a timely review of both the clinical and WGS results can hold promise to reduce HAIs. A richer understanding of cross-transmission events within healthcare settings will require the expansion of current surveillance approaches.