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. Author manuscript; available in PMC: 2017 Nov 21.
Published in final edited form as: Clin Chem. 2014 Jan 7;60(4):586–588. doi: 10.1373/clinchem.2013.217141

Table.

Advantages and Disadvantages of Three Common Bacterial Subtyping Methods

Subtyping Method Advantages Disadvantages
Whole Genome Sequencing (WGS) Analysis may be tailored for low or high discriminatory power
May potentially be automated
Provides phylogenetically relevant subtyping data
Reproducibility likely to be high if method of data interpretation is standardized, but this requires demonstration in clinical use
Typability high
Data acquisition methods are applicable to any species without significant adaptation (customizing)
Expensive, but cost is falling
Requires technical expertise to perform
Labor intensive
Requires high informatics capacity and special software
Requires bioinformatics expertise, typically doctoral level, to analyze and interpret data; analytical approach must be adapted for each organism and research question
Generally long turn-around time, although can be performed in days with concerted effort
Currently an experimental method for outbreak investigations
Pulse Field Gel Electrophoresis (PFGE) Current gold standard for highly discriminatory subtyping, i.e. outbreak investigations
Reproducibility high if rigorously standardized
Typability high
Readily adapted to a variety of species, methods already well described for many species
Inexpensive
Fairly labor intensive
Requires expertise to interpret the data
Do not produce phylogenetically relevant information
Multilocus Sequence Typing (MLST) Used for phylogenetic subtyping
Repeatability, reproducibility high
Typability high
Low to moderate discriminatory power, i.e. little use in outbreak investigations
Moderately expensive
Labor intensive
Requires expertise to interpret data
Requires significant labor and expertise to adapt and validate for each species