Facilitated Molecular Typing of Shigella Isolates Using ERIC-PCR

Margaret Kosek Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland; Asociación Benéfica PRISMA, Lima, Peru; United States Navy Medical Research Unit, Lima, Peru; Regional Hospital, Loreto, Peru

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Pablo Peñataro Yori Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland; Asociación Benéfica PRISMA, Lima, Peru; United States Navy Medical Research Unit, Lima, Peru; Regional Hospital, Loreto, Peru

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Robert H. Gilman Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland; Asociación Benéfica PRISMA, Lima, Peru; United States Navy Medical Research Unit, Lima, Peru; Regional Hospital, Loreto, Peru

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Henry Vela Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland; Asociación Benéfica PRISMA, Lima, Peru; United States Navy Medical Research Unit, Lima, Peru; Regional Hospital, Loreto, Peru

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Maribel Paredes Olortegui Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland; Asociación Benéfica PRISMA, Lima, Peru; United States Navy Medical Research Unit, Lima, Peru; Regional Hospital, Loreto, Peru

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Cesar Banda Chavez Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland; Asociación Benéfica PRISMA, Lima, Peru; United States Navy Medical Research Unit, Lima, Peru; Regional Hospital, Loreto, Peru

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Maritza Calderon Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland; Asociación Benéfica PRISMA, Lima, Peru; United States Navy Medical Research Unit, Lima, Peru; Regional Hospital, Loreto, Peru

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Juan Perez Bao Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland; Asociación Benéfica PRISMA, Lima, Peru; United States Navy Medical Research Unit, Lima, Peru; Regional Hospital, Loreto, Peru

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Eric Hall Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland; Asociación Benéfica PRISMA, Lima, Peru; United States Navy Medical Research Unit, Lima, Peru; Regional Hospital, Loreto, Peru

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Ryan Maves Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland; Asociación Benéfica PRISMA, Lima, Peru; United States Navy Medical Research Unit, Lima, Peru; Regional Hospital, Loreto, Peru

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Rosa Burga Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland; Asociación Benéfica PRISMA, Lima, Peru; United States Navy Medical Research Unit, Lima, Peru; Regional Hospital, Loreto, Peru

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Graciela Meza Sanchez Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland; Asociación Benéfica PRISMA, Lima, Peru; United States Navy Medical Research Unit, Lima, Peru; Regional Hospital, Loreto, Peru

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To evaluate the performance of enterobacterial repetitive intergenic sequence-based polymerase chain reaction (ERIC-PCR) typing versus the current standard for the typing of Shigella pulsed gel electrophoresis (PFGE), we typed 116 Shigella isolates from a village in an endemic setting over a 20-month period using both methods. PFGE identified 37 pulse types and had a discrimination index of 0.925 (95% confidence interval = 0.830–1.00), whereas ERIC-PCR identified 42 types and had a discrimination index of 0.961 (95% confidence interval = 0.886–1.00). PFGE and ERIC-PCR showed a 90.4% correlation in the designation of isolates as clonal or non-clonal in pairwise comparisons. Both systems were highly reproducible and provided highly similar and supplementary data compared with serotyping regarding the transmission dynamics of shigellosis in this community. ERIC-PCR is considerably more rapid and inexpensive than PFGE and may have a complementary role to PFGE for initial investigations of hypothesized outbreaks in resource-limited settings.

Author Notes

*Address correspondence to Margaret Kosek, Department of International Health, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe St. w5515, Baltimore, MD 21205. E-mail: mkosek@jhsph.edu

Authors' addresses: Margaret Kosek, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, E-mail: mkosek@jhsph.edu. Pablo Peñataro Yori, Universidad Peruana Cayetano Heredia, Laboratorio de Investigacion y Desarrollo, Lima, Peru, E-mail: pyori@jhsph.edu. Robert H. Gilman, Johns Hopkins Bloomberg School of Public Health, International Health, Baltimore, MD, E-mail: rgilman@jhsph.edu. Henry Vela and Maritza Calderon, Universidad Peruana Cayetano Herediam, Laboratorio de Investigacion y Desarrollo, Lima, Peru, E-mails: hjvela@gmail.com and mcalderon@yahoo.es. Maribel Paredes Olortegui and Cesar Banda Chavez, Asociacion Benefica PRISMA, Investigaciones Biomedicas, Iquitos, Peru, E-mails: mparedeso@prisma.org.pe and cbandac@prisma.org.pe. Juan Perez Bao, Naval Medical Research Unit 6, Biostatistics, Lima, Peru, E-mail: juan.perez@med.navy.mil. Eric Hall, Ryan Maves, and Rosa Burga, Naval Medical Research Unit 6, Microbiology, Lima, Peru, E-mails: eric.hall@med.navy.mil, ryan.maves@med.navy.mil, and rosaburga@gmail.com. Graciela Meza Sanchez, Ministry of Health, Loreto, Villa Punchana, Peru, E-mail: gracielamezasanchez@yahoo.com.

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