Nicholas M. Brown

ORCID: 0000-0002-6657-300X
Publications
Citations
Views
---
Saved
---
About
Contact & Profiles
Research Areas
  • Antimicrobial Resistance in Staphylococcus
  • Bacterial Identification and Susceptibility Testing
  • Antibiotic Resistance in Bacteria
  • Clostridium difficile and Clostridium perfringens research
  • Streptococcal Infections and Treatments
  • Nosocomial Infections in ICU
  • Antibiotic Use and Resistance
  • Mycobacterium research and diagnosis
  • SARS-CoV-2 and COVID-19 Research
  • SARS-CoV-2 detection and testing
  • Pneumonia and Respiratory Infections
  • Infective Endocarditis Diagnosis and Management
  • COVID-19 Clinical Research Studies
  • COVID-19 epidemiological studies
  • Urinary Tract Infections Management
  • Microscopic Colitis
  • Central Venous Catheters and Hemodialysis
  • Escherichia coli research studies
  • Bacterial biofilms and quorum sensing
  • Neonatal and Maternal Infections
  • Infection Control in Healthcare
  • Infectious Diseases and Tuberculosis
  • Salmonella and Campylobacter epidemiology
  • Genomics and Phylogenetic Studies
  • Antibiotics Pharmacokinetics and Efficacy

Cambridge University Hospitals NHS Foundation Trust
2016-2025

Addenbrooke's Hospital
2014-2024

University Hospitals Bristol and Weston NHS Foundation Trust
2024

British Society for Antimicrobial Chemotherapy
2012-2024

UK Health Security Agency
2022-2024

Elmhurst College
2024

Wesley Hospital
2024

The University of Queensland
2024

University Hospitals Bristol NHS Foundation Trust
2024

The White House
2024

Isolates of methicillin-resistant Staphylococcus aureus (MRSA) belonging to a single lineage are often indistinguishable by means current typing techniques. Whole-genome sequencing may provide improved resolution define transmission pathways and characterize outbreaks.

10.1056/nejmoa1109910 article EN New England Journal of Medicine 2012-06-14

The emergence of meticillin-resistant Staphylococcus aureus (MRSA) that can persist in the community and replace existing hospital-adapted lineages MRSA means it is necessary to understand transmission dynamics terms hospitals as one entity. We assessed use whole-genome sequencing enhance detection between these settings.We studied a putative outbreak on special care baby unit (SCBU) at National Health Service Foundation Trust Cambridge, UK. used validate expand findings from an...

10.1016/s1473-3099(12)70268-2 article EN cc-by The Lancet Infectious Diseases 2012-11-14
Lucy Rivett Sushmita Sridhar Dominic Sparkes Matthew Routledge Nick K Jones and 95 more Stephen R. Forrest Jamie Young Joana Pereira-Dias William L. Hamilton Mark Ferris M. Estée Török Luke W. Meredith Ravi Gupta Paul Lyons Mark Toshner Ben Warne Josefin Bartholdson Scott Claire Cormie Harmeet K. Gill Iain Kean Mailis Maes Nicola Reynolds Michelle Wantoch Sarah Caddy Laura Caller Theresa Feltwell Grant Hall Myra Hosmillo Charlotte J. Houldcroft Aminu S. Jahun Fahad Khokhar Anna Yakovleva Helen Butcher Daniela Caputo Debra Clapham-Riley Helen Dolling Anita Furlong Barbara Graves Emma Le Gresley Nathalie Kingston Sofia Papadia Hannah Stark Kathleen Stirrups Jennifer Webster Joanna Calder Julie R. Harris Sarah Hewitt Jane Kennet Anne Meadows Rebecca Rastall Criona O Brien Jo Price Cherry Publico Jane Rowlands Valentina Ruffolo Hugo Tordesillas Karen Brookes Laura Canna Isabel Cf da Cruz Katie Dempsey Anne Elmer Naidine Escoffery Heather Jones Carla M. S. Ribeiro Caroline Saunders Angela Wright Rutendo Nyagumbo Anne M. Roberts Ashlea Bucke Simone Hargreaves Danielle Johnson Aileen Narcorda Debbie Read Christian Sparke Lucy Warboys Kirsty Lagadu Lenette Mactavous T Gould Tim Raine Claire Mather Nicola Ramenatte Anne-Laure Vallier Mary Kasanicki Penelope-Jane Eames Chris McNicholas Lisa Thake Neil Bartholomew Nicholas M. Brown Surendra Parmar Hongyi Zhang Ailsa Bowring Geraldine Martell Natalie Quinnell Jo Rae Wright Helen Murphy Benjamin J. Dunmore Ekaterina Legchenko Stefan Gräf Christopher Huang Josh Hodgson

Significant differences exist in the availability of healthcare worker (HCW) SARS-CoV-2 testing between countries, and existing programmes focus on screening symptomatic rather than asymptomatic staff. Over a 3 week period (April 2020), 1032 HCWs were screened for large UK teaching hospital. Symptomatic staff household contacts additionally tested. Real-time RT-PCR was used to detect viral RNA from throat+nose self-swab. 3% group tested positive SARS-CoV-2. 17/30 (57%) truly...

10.7554/elife.58728 article EN cc-by eLife 2020-05-11

The burden and influence of health-care associated severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infections is unknown. We aimed to examine the use rapid SARS-CoV-2 sequencing combined with detailed epidemiological analysis investigate inform infection control measures.

10.1016/s1473-3099(20)30562-4 article EN cc-by The Lancet Infectious Diseases 2020-07-14

Pandemic COVID-19 caused by the coronavirus SARS-CoV-2 has a high incidence of patients with severe acute respiratory syndrome (SARS). Many these require admission to an intensive care unit (ICU) for invasive ventilation and are at significant risk developing secondary, ventilator-associated pneumonia (VAP).

10.1186/s13054-021-03460-5 article EN cc-by Critical Care 2021-01-11

Escherichia coli associated with urinary tract infections and bacteremia has been intensively investigated, including recent work focusing on the virulent, globally disseminated, multidrug-resistant lineage ST131. To contextualize ST131 within broader E. population disease, we used genomics to analyze a systematic 11-yr hospital-based survey of using isolates collected from across England by British Society for Antimicrobial Chemotherapy Cambridge University Hospitals NHS Foundation Trust....

10.1101/gr.216606.116 article EN cc-by-nc Genome Research 2017-07-18

The increasing prevalence of E. coli bloodstream infections is a serious public health problem. We used genomic epidemiology in One Health study conducted the East England to examine putative sources associated with human disease. from 1,517 patients were compared 431 isolates livestock farms and meat. Livestock-associated genetically distinct populations based on core genome accessory analyses. Identical antimicrobial resistance genes found isolates, but there was limited overlap mobile...

10.1128/mbio.02693-18 article EN cc-by mBio 2019-01-21

<h3>Importance</h3> The latest generation of benchtop DNA sequencing platforms can provide an accurate whole-genome sequence (WGS) for a broad range bacteria in less than day. These could be used to more effectively contain the spread multidrug-resistant pathogens. <h3>Objective</h3> To compare WGS with standard clinical microbiology practice investigation nosocomial outbreaks caused by bacteria, identification genetic determinants antimicrobial resistance, and typing other clinically...

10.1001/jamainternmed.2013.7734 article EN JAMA Internal Medicine 2013-07-24

Longitudinal genomic and epidemiological surveillance of methicillin-resistant Staphylococcus aureus in the UK reveals extensive transmission hospitals community.

10.1126/scitranslmed.aak9745 article EN Science Translational Medicine 2017-10-25

Whole-genome sequencing (WGS) can be used in genomic epidemiology investigations to confirm or refute outbreaks of bacterial pathogens, and support targeted efficient infection control interventions. We aimed define a genetic relatedness cutoff, quantified as number single-nucleotide polymorphisms (SNP), for meticillin-resistant Staphylococcus aureus (MRSA), above which recent (ie, within 6 months) patient-to-patient transmission could ruled out.We did retrospective epidemiological analysis...

10.1016/s2666-5247(20)30149-x article EN cc-by The Lancet Microbe 2020-12-01

Vancomycin-resistant Enterococcus faecium (VREfm) is a leading cause of nosocomial infection. Here, we describe the utility whole-genome sequencing in defining VREfm transmission.

10.1093/cid/ciw872 article EN cc-by Clinical Infectious Diseases 2017-01-04

The current paradigm for hospital outbreak detection and investigation is based on methodology first developed over 150 years ago. Daily surveillance to detect patients positive pathogens of particular importance nosocomial infection supported by epidemiological determine their relationship in time place, identify any other factor that could link them. antibiotic resistance pattern commonly used as a surrogate bacterial relatedness, although this lacks sensitivity specificity. Typing may be...

10.1099/mic.0.000700 article EN cc-by Microbiology 2018-07-27

The rise in rates of human infection caused by vancomycin-resistant Enterococcus faecium (VREfm) strains between 1988 to the 2000s Europe was suggested be associated with acquisition from livestock. As a result, European Union banned use glycopeptide drug avoparcin as growth promoter livestock feed. While some studies reported decrease VREfm livestock, others no reduction. Here, we report first prevalence survey UK since 2003 and large-scale study using whole-genome sequencing investigate...

10.1128/mbio.01780-18 article EN cc-by mBio 2018-11-06
Petra Mlčochová Dami A. Collier Allyson V. Ritchie Sonny Michael Assennato Myra Hosmillo and 95 more Neha Goel Bo Meng Krishna Chatterjee Vivien Mendoza Nigel Temperton L. Kiss Leo C. James Katarzyna A. Ciazynska Xiaoli Xiong John A. G. Briggs James A. Nathan Federica Mescia Laura Bergamaschi Hongyi Zhang Petros Barmpounakis Nikos Demeris Richard Skells Paul Lyons John R. Bradley S. C. Deng X Fau Baker Jean Pierre Allain Kenneth G. C. Smith Rachel Bousfield Michael J. Wilson Dominic Sparkes Glenn Amoroso Effrossyni Gkrania‐Klotsas Susie Hardwick Adrian Boyle Ian Goodfellow Ravindra K. Gupta Stephen Baker John R. Bradley Gordon Dougan Ian Goodfellow Ravi Gupta Paul J. Lehner Paul Lyons Nicholas J. Matheson Kenneth G. C. Smith Mark Toshner Michael P. Weekes Nicholas M. Brown Martin D. Curran Surendra Palmar Hongyi Zhang David Enoch Daniel Chapman Ashley Shaw Sherly Jose Areti Bermperi Julie Ann Zerrudo Evgenia Kourampa Laura Watson Jieniean Worsley Caroline Saunders Ranalie de Jesus Jason Domingo Ciro Pasquale Bensi Vergese Phoebe Vargas Marivic Fabiculana Marlyn Perales Lee Mynott Elizabeth Blake Amy Bates Anne-Laure Vallier Alexandra Williams David Phillips Edmund Chiu Alex Overhill Nicola Ramenatte Jamal Sipple Steven A. Frost Helena Knock Richard E. Hardy Emily Foster Fiona Davidson Viona Rundell Purity Bundi Richmond Abeseabe Sarah Clark Isabel Vicente Laura Watson Jieniean Worsley Anne Elmer Carla Ribeiro Jenny Kourampa Sherly Jose Jane Kennet Jane Rowlands Anne Meadows Criona O’Brien Rebecca Rastall Cherry Crucusio

HighlightsCombined rapid antibody + nucleic acid detection correctly diagnoses SARS-CoV-2Rapid tests detect immune responses against SARS-CoV-2 bearing D614GRapid do not cross-react with antibodies to seasonal CoVFalse positivity in finger prick blood can be very lowSummaryRapid COVID-19 diagnosis the hospital is essential, although this complicated by 30%–50% of nose/throat swabs being negative amplification testing (NAAT). Furthermore, D614G spike mutant dominates pandemic and it unclear...

10.1016/j.xcrm.2020.100099 article EN cc-by Cell Reports Medicine 2020-09-01

BackgroundDNA sequencing could become an alternative to in vitro antibiotic susceptibility testing (AST) methods for determining resistance by detecting genetic determinants associated with decreased susceptibility. Here, we aimed assess and improve the accuracy of determination from Enterococcus faecium genomes diagnosis surveillance purposes.MethodsIn this retrospective diagnostic study, first conducted a literature search PubMed on Jan 14, 2021, compile catalogue genes mutations...

10.1016/s2666-5247(23)00297-5 article EN cc-by The Lancet Microbe 2024-01-11
Coming Soon ...