PMID- 10341177 OWN - NLM STAT- MEDLINE DCOM- 19990729 LR - 20220128 IS - 1080-6040 (Print) IS - 1080-6059 (Electronic) IS - 1080-6040 (Linking) VI - 5 IP - 3 DP - 1999 May-Jun TI - Tuberculosis in the Caribbean: using spacer oligonucleotide typing to understand strain origin and transmission. PG - 404-14 AB - We used direct repeat (DR)-based spacer oligonucleotide typing (spoligotyping) (in association with double-repetitive element polymerase chain reaction, IS6110-restriction fragment length polymorphism [RFLP], and sometimes DR-RFLP and polymorphic GC-rich sequence-RFLP) to detect epidemiologic links and transmission patterns of Mycobacterium tuberculosis on Martinique, Guadeloupe, and French Guiana. In more than a third of the 218 strains we typed from this region, clusters and isolates shared genetic identity, which suggests epidemiologic links. However, because of limited epidemiologic information, only 14.2% of the strains could be directly linked. When spoligotyping patterns shared by two or more isolates were pooled with 392 spoligotypes from other parts of the world, new matches were detected, which suggests imported transmission. Persisting foci of endemic disease and increased active transmission due to high population flux and HIV-coinfection may be linked to the recent reemergence of tuberculosis in the Caribbean. We also found that several distinct families of spoligotypes are overrepresented in this region. FAU - Sola, C AU - Sola C AD - Institut Pasteur de Guadeloupe, Pointe a Pitre. FAU - Devallois, A AU - Devallois A FAU - Horgen, L AU - Horgen L FAU - Maisetti, J AU - Maisetti J FAU - Filliol, I AU - Filliol I FAU - Legrand, E AU - Legrand E FAU - Rastogi, N AU - Rastogi N LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Emerg Infect Dis JT - Emerging infectious diseases JID - 9508155 RN - 0 (DNA Transposable Elements) RN - 0 (DNA, Bacterial) RN - 0 (Oligonucleotides) SB - IM MH - *Bacterial Typing Techniques MH - DNA Transposable Elements/genetics MH - DNA, Bacterial/analysis MH - French Guiana/epidemiology MH - Genetic Variation MH - Guadeloupe/epidemiology MH - Humans MH - Martinique/epidemiology MH - Mycobacterium tuberculosis/*classification/*genetics/isolation & purification MH - Oligonucleotides/analysis MH - Phylogeny MH - Polymerase Chain Reaction/methods MH - Polymorphism, Restriction Fragment Length MH - Tuberculosis/*epidemiology/*microbiology/transmission PMC - PMC2640778 EDAT- 1999/05/26 00:00 MHDA- 1999/05/26 00:01 PMCR- 1999/05/01 CRDT- 1999/05/26 00:00 PHST- 1999/05/26 00:00 [pubmed] PHST- 1999/05/26 00:01 [medline] PHST- 1999/05/26 00:00 [entrez] PHST- 1999/05/01 00:00 [pmc-release] AID - 10.3201/eid0503.990311 [doi] PST - ppublish SO - Emerg Infect Dis. 1999 May-Jun;5(3):404-14. doi: 10.3201/eid0503.990311.