New preprint: looking at rifampicin-resistant subpopulations in clinical samples Philip Fowler, 10th April 202510th April 2025 Since clinical samples are usually grown in a MGIT tube for a while before some “crumbs” are harvested for DNA extraction, they are metagenomic in the sense that they can and do contain multiple colonies. This means we should expect subpopulations in our analysis but most bioinformatics tools and file formats inherently assume a homogenous sample with a single genome. In this preprint Viki Brunner examines the small proportion of samples with a rifampicin-resistant subpopulation in a dataset of 35,538 samples which have been both whole genome sequenced and tested for rifampicin susceptibility. The sensitivity of resistance prediction is increased from 94.3% to 96.3% if you allow samples with 5% or more of reads supporting a rifampicin (RIF) resistant associated variant (RAV) to call resistance, as opposed to the more usual 75% or 90%. Drawing on her earlier work she shows that these samples with a RIF RAV are less likely to have a compensatory mutation elsewhere in the RNA polymerase and, interestingly, if you then look at the distribution of minor alleles you can infer that resistance arose from a secondary infection in at least a third of these samples. Share this: Click to share on X (Opens in new window) X Click to share on Bluesky (Opens in new window) Bluesky Click to email a link to a friend (Opens in new window) Email Click to share on LinkedIn (Opens in new window) LinkedIn Click to share on Mastodon (Opens in new window) Mastodon Related antimicrobial resistance clinical microbiology publication tuberculosis
antimicrobial resistance Twitter at #ECCMID 27th April 20175th August 2018 A bit over two years ago I was a guest blogger at the US Biophysical… Share this: Click to share on X (Opens in new window) X Click to share on Bluesky (Opens in new window) Bluesky Click to email a link to a friend (Opens in new window) Email Click to share on LinkedIn (Opens in new window) LinkedIn Click to share on Mastodon (Opens in new window) Mastodon Read More
clinical microbiology New publication: Antibody Status and Incidence of SARS-CoV-2 Infection in Health Care Workers 13th January 202113th January 2021 A second Covid-19 publication I’m proud to be (a small) part of has recently published… Share this: Click to share on X (Opens in new window) X Click to share on Bluesky (Opens in new window) Bluesky Click to email a link to a friend (Opens in new window) Email Click to share on LinkedIn (Opens in new window) LinkedIn Click to share on Mastodon (Opens in new window) Mastodon Read More
antimicrobial resistance BashTheBug.net Zooniverse Citizen Science project launches today! 7th April 20175th August 2018 My citizen science project, BashTheBug, is launched today. Head over to the website or go… Share this: Click to share on X (Opens in new window) X Click to share on Bluesky (Opens in new window) Bluesky Click to email a link to a friend (Opens in new window) Email Click to share on LinkedIn (Opens in new window) LinkedIn Click to share on Mastodon (Opens in new window) Mastodon Read More