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High prevalence of mixed infections identified by multilocus sequence typing in Ningbo, China. | LitMetric
This study used multilocus sequence typing (MLST) to investigate the prevalence of () mixed infections and mixed infections involving unrelated strains; and determined the phylogeographic groups of recovered from patients in Ningbo, China. A total of 156 isolates were obtained from a convenience sample of 33 patients with culture-positive infection. MLST was used to classify 150 clinical isolates and 12 methodological control strains (6 clinical isolates and 6 strains of American Type Culture Collection ) into 43 and 12 sequence types (STs), respectively. In this study, 246 new alleles and 53 new STs were identified by MLST. The prevalence of mixed infections was 41% (11/27). The prevalence of mixed infections involving unrelated strains was 46% (5/11) and the prevalence of mixed infections involving completely unrelated strains (strains with all 7 housekeeping genes different) was 36% (4/11). A phylogenetic tree was created to determine the evolutionary relationships between different strains. The STs in this study were clustered within the hspEAsia subgroup (98%) and hpEurope group (2%). mixed infections were common in Ningbo, China. The isolates belonging to the hpEurope group were recovered from three different biopsy samples in a native Chinese patient. Most of strains colonizing the antrum, corpus, and duodenum bulb were homologous.
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