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Journal of Clinical Microbiology, November 2000, p. 4058-4065, Vol. 38, No. 11
0095-1137/00/$04.00+0
Copyright © 2000, American Society for Microbiology. All rights reserved.

Evaluation of Fluorescence-Based Amplified Fragment Length Polymorphism Analysis for Molecular Typing in Hospital Epidemiology: Comparison with Pulsed-Field Gel Electrophoresis for Typing Strains of Vancomycin-Resistant Enterococcus faecium

Nick A. Antonishyn,1,* Ryan R. McDonald,1 Edward L. Chan,1 Greg Horsman,1 Carla E. Woodmansee,2 Pamela S. Falk,2 and C. Glen Mayhall2

Saskatchewan Health, Provincial Laboratory, Regina, Saskatchewan S4S 5W6, Canada,1 and Division of Infectious Diseases, Department of Internal Medicine, University of Texas Medical Branch, Department of Healthcare Epidemiology, University of Texas Medical Branch Hospitals and Clinics, Galveston, Texas 775552

Received 7 January 2000/Returned for modification 23 March 2000/Accepted 7 August 2000

Fluorescence-based amplified fragment length polymorphism (fbAFLP) is a novel assay based on the fluorescent analysis of an amplified subset of restriction fragments. The fbAFLP assay involves the selective PCR amplification of restriction fragments from a total digest of genomic DNA. The ligation of adapters with primer-specific sites coupled with primers containing selective nucleotides allowed the full potential of PCR to be realized while maintaining the advantages of restriction endonuclease analysis. Fluorescence-based fragment analysis with polyacrylamide gel electrophoresis provides the accurate band sizing required for homology assessment. The large number of phylogenetically informative characters obtained by fbAFLP is well suited for cluster analysis and database development. The method demonstrated excellent reproducibility and ease of performance and interpretation. We typed 30 epidemiologically well-characterized isolates of vancomycin-resistant enterococci from an outbreak in a university hospital by fbAFLP. Clustering of fbAFLP data matched epidemiological, microbiological, and pulsed-field gel electrophoresis data. This study demonstrates the unprecedented utility of fbAFLP for epidemiological investigation. Future developments in standardization and automation will set fbAFLP as the "gold standard" for molecular typing in epidemiology.

* Corresponding author. Mailing address: Molecular Diagnostics, Provincial Laboratory, 3211 Albert St., Regina, Saskatchewan S4S 5W6, Canada. Phone: (306) 787-7744. Fax: (306) 787-9122. E-mail: nantonis{at}health.gov.sk.ca.

Journal of Clinical Microbiology, November 2000, p. 4058-4065, Vol. 38, No. 11
0095-1137/00/$04.00+0
Copyright © 2000, American Society for Microbiology. All rights reserved.


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