Analysis of potential household transmission events of tuberculosis in the city of Belem, Brazil.
Conceição ECUniversidade Federal do Rio de Janeiro, Instituto de Microbiologia Paulo de Goés, Rio de Janeiro, Brazil. Electronic address: emilyncosta@gmail.com.
Guimarães AEDSUniversidade do Estado do Pará, Programa de Pós-graduação em Biologia Parasitária na Amazônia, Belém, Brazil.
Lopes MLInstituto Evandro Chagas, Seção de Bacteriologia e Micologia, Belém, Brazil.
Furlaneto IPUniversidade do Estado do Pará, Programa de Pós-graduação em Biologia Parasitária na Amazônia, Belém, Brazil.
Rodrigues YCUniversidade do Estado do Pará, Programa de Pós-graduação em Biologia Parasitária na Amazônia, Belém, Brazil.
da Conceição MLUniversidade do Estado do Pará, Programa de Pós-graduação em Biologia Parasitária na Amazônia, Belém, Brazil.
Barros WAUniversidade Federal do Pará, Hospital Universitário João de Barros Barreto, Belém, Brazil.
Cardoso NCUniversidade Federal do Pará, Hospital Universitário João de Barros Barreto, Belém, Brazil.
Sharma AUniversity of Delhi, Delhi College of Engineering, New Delhi, India.
Lima LNGCUniversidade do Estado do Pará, Programa de Pós-graduação em Biologia Parasitária na Amazônia, Belém, Brazil; Instituto Evandro Chagas, Seção de Bacteriologia e Micologia, Belém, Brazil.
Gomes HMInstituto Oswaldo Cruz - FIOCRUZ, Laboratório de Biologia Molecular Aplicada as Micobactérias, Rio de Janeiro, Brazil.
Duarte RSUniversidade Federal do Rio de Janeiro, Instituto de Microbiologia Paulo de Goés, Rio de Janeiro, Brazil.
Frota CUniversidade Federal do Ceará, Departamento de Patologia e Medicina Legal, Fortaleza, Ceará, Brazil.
Rutaihwa LKSwiss Tropical & Public Health Institute, Basel, Switzerland; University of Basel, Basel, Switzerland.
Gagneux SSwiss Tropical & Public Health Institute, Basel, Switzerland; University of Basel, Basel, Switzerland.
Suffys PNInstituto Oswaldo Cruz - FIOCRUZ, Laboratório de Biologia Molecular Aplicada as Micobactérias, Rio de Janeiro, Brazil. Electronic address: psuffys@ioc.fiocruz.br.
Lima KVBUniversidade do Estado do Pará, Programa de Pós-graduação em Biologia Parasitária na Amazônia, Belém, Brazil; Instituto Evandro Chagas, Seção de Bacteriologia e Micologia, Belém, Brazil. Electronic address: karlalima@iec.pa.gov.br.
English
Tuberculosis (TB) is an infectious disease with a higher risk for infection and disease among household contacts (HHC). Here, we report a molecular epidemiology-based approach to study disease transmission and the genetic characteristics of Mycobacterium tuberculosis (Mtb) strains among HHC in the city of Belem, the capital of the state of Para in north Brazil. The study included 63 TB patients belonging to 26 HHC groups (HHC1 to HHC26). Spoligotyping and 24-loci Mycobacterial Interspersed Repetitive Unit - Variable Number of Tandem Repeat (MIRU-VNTR) revealed indistinguishable bacterial genotypes among 26 patients in 14 (53.8%) HHC groups. Drug susceptibility testing (DST) revealed that 45 (71.4%) of the Mtb isolates were multidrug resistant. The major cluster composed of isolates from five HHCs and on three of these, whole genome sequencing (WGS) was performed confirming their high genetic similarity. These results pinpoint the need for improved vigilance for TB control in households in the city of Belém. When comparing WGS versus phenotypic resistance detection methods as DST and Minimum Inhibitory Concentration (MIC) our data suggest that depending on the colonies selection, results may present variation.