{"id":4087,"date":"2021-07-07T14:48:38","date_gmt":"2021-07-07T18:48:38","guid":{"rendered":"https:\/\/outbreaktools.ca\/?page_id=4087"},"modified":"2026-06-19T08:45:30","modified_gmt":"2026-06-19T12:45:30","slug":"wgs-tree","status":"publish","type":"page","link":"https:\/\/outbreaktools.ca\/fr\/case-study-overview\/module-1-cluster-detection-and-initial-investigation-2\/wgs-tree\/","title":{"rendered":"Arbre du SGE"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong>Jour&nbsp;14&nbsp;: Jeudi&nbsp;21 mai&nbsp;2020&nbsp; <\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">En examinant les rapports sommaires hebdomadaires du SGE de PulseNet Canada, vous remarquez qu\u2019une mise \u00e0 jour a \u00e9t\u00e9 apport\u00e9e \u00e0 la grappe d\u2019infection \u00e0 <em>Salmonella <\/em>Newport d\u00e9tect\u00e9e ant\u00e9rieurement en Ontario (2005NEWWGS-1ON). La grappe comprend maintenant un total de neuf isolats, provenant de la Colombie\u2011Britannique (n&nbsp;=&nbsp;2), de l\u2019Ontario (n&nbsp;=&nbsp;6) et de l\u2019Alberta (n&nbsp;=&nbsp;1).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Maintenant qu\u2019il s\u2019agit d\u2019une grappe touchant plusieurs provinces, le code de la grappe a \u00e9t\u00e9 modifi\u00e9 comme suit&nbsp;: 2005NEWWGS-1ON-MP. La mention \u00ab&nbsp;MP&nbsp;\u00bb a \u00e9t\u00e9 ajout\u00e9e \u00e0 la fin du code de grappe pour indiquer que cette grappe touche de multiples provinces.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Afin d\u2019\u00e9valuer cette grappe de fa\u00e7on plus approfondie, vous d\u00e9cidez d\u2019examiner la liste des cas pour obtenir plus de renseignements et vous demandez \u00e0 PulseNet Canada de tenir une r\u00e9union rapide pour examiner l\u2019arbre du SGE pour cette grappe.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Arbre du SGE<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Vous rencontrez PulseNet Canada qui vous communique l\u2019arbre du SGE ci-dessous pour les neuf cas. Neuf cas confirm\u00e9s d\u2019infection \u00e0 <em>Salmonella<\/em> Newport ont \u00e9t\u00e9 signal\u00e9s en Alberta (n&nbsp;=&nbsp;1), en Colombie-Britannique (n&nbsp;=&nbsp;2) et en Ontario (n&nbsp;=&nbsp;6). Les neuf cas sont g\u00e9n\u00e9tiquement li\u00e9s par le s\u00e9quen\u00e7age du g\u00e9nome entier, l\u2019analyse wgMLST r\u00e9v\u00e9lant de 0 \u00e0 6 diff\u00e9rences d\u2019all\u00e8les. Ce degr\u00e9 de variation indique que tous ces cas ont \u00e9t\u00e9 expos\u00e9s \u00e0 la m\u00eame souche sp\u00e9cifique de <em>Salmonella<\/em>. Ces donn\u00e9es sont conformes au principe biologique sous-jacent selon lequel les souches g\u00e9n\u00e9tiquement identiques ou tr\u00e8s similaires sont plus susceptibles de provenir d\u2019une source commune et fournissent donc des preuves solides qu\u2019il s\u2019agit d\u2019une \u00e9closion de source commune.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter\"><a href=\"https:\/\/outbreaktools.ca\/wp-content\/uploads\/2021\/07\/WGS-tree.png\"><img loading=\"lazy\" decoding=\"async\" width=\"636\" height=\"732\" src=\"https:\/\/outbreaktools.ca\/wp-content\/uploads\/2021\/07\/WGS-tree.png\" alt=\"Text description: WGS tree illustrating genetic relatedness of nine cases. Cases are all genetically related by 0-5.6 wgMLST allele differences.\" class=\"wp-image-4215\" srcset=\"https:\/\/outbreaktools.ca\/wp-content\/uploads\/2021\/07\/WGS-tree.png 636w, https:\/\/outbreaktools.ca\/wp-content\/uploads\/2021\/07\/WGS-tree-261x300.png 261w\" sizes=\"auto, (max-width: 636px) 100vw, 636px\" \/><\/a><figcaption class=\"wp-element-caption\">Description&nbsp;: Arbre du SGE illustrant la parent\u00e9 g\u00e9n\u00e9tique des neuf cas. Les cas sont tous g\u00e9n\u00e9tiquement li\u00e9s et pr\u00e9sentent de 0 \u00e0 5,6 diff\u00e9rences d\u2019all\u00e8les \u00e0 l\u2019analyse wgMLST.<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><em>Question&nbsp;1-4&nbsp;: Quels facteurs pourraient \u00eatre pris en compte dans l\u2019\u00e9valuation des grappes par SGE aux fins du suivi?<\/em><\/strong><\/p>\n\n\n\n<div data-wp-context=\"{ &quot;autoclose&quot;: false, &quot;accordionItems&quot;: [] }\" data-wp-interactive=\"core\/accordion\" role=\"group\" class=\"wp-block-accordion is-layout-flow wp-block-accordion-is-layout-flow\">\n<div data-wp-class--is-open=\"state.isOpen\" data-wp-context=\"{ &quot;id&quot;: &quot;accordion-item-1&quot;, &quot;openByDefault&quot;: false }\" data-wp-init=\"callbacks.initAccordionItems\" data-wp-on-window--hashchange=\"callbacks.hashChange\" class=\"wp-block-accordion-item has-base-2-color has-contrast-background-color has-text-color has-background has-link-color wp-elements-488660c6362bb271a27ec0032583ff80 is-layout-flow wp-block-accordion-item-is-layout-flow\">\n<h3 class=\"wp-block-accordion-heading has-base-2-color has-contrast-background-color has-text-color has-background has-link-color has-medium-font-size wp-elements-fb0b1838a976c8c6925b46e331698b58\"><button aria-expanded=\"false\" aria-controls=\"accordion-item-1-panel\" data-wp-bind--aria-expanded=\"state.isOpen\" data-wp-on--click=\"actions.toggle\" data-wp-on--keydown=\"actions.handleKeyDown\" id=\"accordion-item-1\" type=\"button\" class=\"wp-block-accordion-heading__toggle\" style=\"padding-top:var(--wp--preset--spacing--10);padding-right:var(--wp--preset--spacing--10);padding-bottom:var(--wp--preset--spacing--10);padding-left:var(--wp--preset--spacing--10)\"><span class=\"wp-block-accordion-heading__toggle-title\">R\u00e9ponse<\/span><span class=\"wp-block-accordion-heading__toggle-icon\" aria-hidden=\"true\">+<\/span><\/button><\/h3>\n\n\n\n<div inert aria-labelledby=\"accordion-item-1\" data-wp-bind--inert=\"!state.isOpen\" id=\"accordion-item-1-panel\" role=\"region\" class=\"wp-block-accordion-panel is-layout-flow wp-block-accordion-panel-is-layout-flow\">\n<p class=\"has-base-2-color has-contrast-background-color has-text-color has-background has-link-color wp-elements-96f8d55b550b075012cfdd981a03ce9f wp-block-paragraph\" style=\"padding-top:0;padding-right:var(--wp--preset--spacing--10);padding-bottom:0;padding-left:var(--wp--preset--spacing--10)\">Plusieurs facteurs peuvent \u00eatre pris en compte lors de l\u2019\u00e9valuation d\u2019une grappe d\u2019infection \u00e0&nbsp;<em>Salmonella<\/em>, notamment&nbsp;:<\/p>\n\n\n\n<ul style=\"margin-left:var(--wp--preset--spacing--10);padding-right:var(--wp--preset--spacing--10);padding-bottom:0;padding-left:var(--wp--preset--spacing--20)\" class=\"wp-block-list\">\n<li>la fr\u00e9quence du s\u00e9rotype;<\/li>\n\n\n\n<li>le nombre de cas dans la grappe;<\/li>\n\n\n\n<li>l\u2019intervalle des all\u00e8les et la ramification;<\/li>\n\n\n\n<li>les profils d\u00e9mographiques des cas;<\/li>\n\n\n\n<li>les dates de l\u2019isolement;<\/li>\n\n\n\n<li>la pr\u00e9sence d\u2019un isolat non clinique dans la grappe;<\/li>\n\n\n\n<li>comment les isolats de la grappe sont-ils apparent\u00e9s entre eux et \u00e0 tous les autres isolats dans la base de donn\u00e9es de PulseNet Canada (p. ex. comment la grappe actuelle est-elle li\u00e9e \u00e0 des \u00e9closions pr\u00e9c\u00e9demment r\u00e9solues?)<\/li>\n<\/ul>\n\n\n\n<p class=\"has-base-2-color has-contrast-background-color has-text-color has-background has-link-color wp-elements-84f9d13895cc102a5c339e6aabcf2cda wp-block-paragraph\" style=\"padding-top:0;padding-right:var(--wp--preset--spacing--10);padding-bottom:var(--wp--preset--spacing--20);padding-left:var(--wp--preset--spacing--10)\">Pendant l\u2019\u00e9valuation de cette grappe, vous utilisez l\u2019outil d\u2019\u00e9valuation des grappes par SGE de l\u2019ASPC. Apr\u00e8s avoir examin\u00e9 l\u2019arbre du SGE, vous d\u00e9cidez d\u2019examiner la&nbsp;<a href=\"https:\/\/outbreaktools.ca\/fr\/case-study-overview\/module-1-cluster-detection-and-initial-investigation-2\/line-lists\/module-1-lab-line-list\/\">liste des cas<\/a>&nbsp;de laboratoires fournie par PulseNet Canada afin de recueillir plus de d\u00e9tails et vous guider dans votre&nbsp;<a href=\"https:\/\/outbreaktools.ca\/fr\/case-study-overview\/module-1-cluster-detection-and-initial-investigation-2\/wgs-cluster-assessment-tool\/\">\u00e9valuation de cette grappe<\/a>.<\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>OUTILS<\/strong><\/p>\n\n\n\n<ul style=\"padding-left:var(--wp--preset--spacing--20)\" class=\"wp-block-list\">\n<li><strong>&nbsp;<\/strong><a href=\"\/fr\/case-study-overview\/module-1-cluster-detection-and-initial-investigation-2\/wgs-cluster-assessment-tool\/\">Outil d\u2019\u00e9valuation des grappes par SGE de l\u2019Agence de la sant\u00e9 publique du Canada<\/a><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>&nbsp;<\/strong><strong>LECTURES COMPL\u00c9MENTAIRES<\/strong><\/p>\n\n\n\n<ul style=\"padding-left:var(--wp--preset--spacing--20)\" class=\"wp-block-list\">\n<li><a href=\"\/fr\/background\/laboratory-methods-and-surveillance\/#wgs\">Surveillance et m\u00e9thodes de laboratoire \u2013 S\u00e9quen\u00e7age du g\u00e9nome entier (SGE)<\/a><\/li>\n\n\n\n<li><a href=\"\/fr\/background\/laboratory-methods-and-surveillance\/#clsn\">Surveillance et m\u00e9thodes de laboratoire \u2013 R\u00e9seau des laboratoires de surveillance du Canada (RLSC)<\/a><\/li>\n\n\n\n<li><a href=\"\/fr\/background\/outbreak-identification\/\">D\u00e9tection des \u00e9closions<\/a><\/li>\n<\/ul>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-columns is-not-stacked-on-mobile is-layout-flex wp-container-core-columns-is-layout-3a88641f wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"\/fr\/case-study-overview\/module-1-cluster-detection-and-initial-investigation-2\/nesp-report\/\">Retour<\/a><\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-buttons is-content-justification-right is-layout-flex wp-container-core-buttons-is-layout-bf881693 wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"\/fr\/case-study-overview\/module-1-cluster-detection-and-initial-investigation-2\/line-lists\/\">Suivant <\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Jour&nbsp;14&nbsp;: Jeudi&nbsp;21 mai&nbsp;2020&nbsp; En examinant les rapports sommaires hebdomadaires du SGE de PulseNet Canada, vous remarquez qu\u2019une mise \u00e0 jour a \u00e9t\u00e9 apport\u00e9e \u00e0 la grappe d\u2019infection \u00e0 Salmonella Newport d\u00e9tect\u00e9e ant\u00e9rieurement en Ontario (2005NEWWGS-1ON). La grappe comprend maintenant un total de neuf isolats, provenant de la Colombie\u2011Britannique (n&nbsp;=&nbsp;2), de l\u2019Ontario (n&nbsp;=&nbsp;6) et de l\u2019Alberta [&hellip;]<\/p>\n","protected":false},"author":33,"featured_media":0,"parent":4075,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-4087","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/outbreaktools.ca\/fr\/wp-json\/wp\/v2\/pages\/4087","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/outbreaktools.ca\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/outbreaktools.ca\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/outbreaktools.ca\/fr\/wp-json\/wp\/v2\/users\/33"}],"replies":[{"embeddable":true,"href":"https:\/\/outbreaktools.ca\/fr\/wp-json\/wp\/v2\/comments?post=4087"}],"version-history":[{"count":35,"href":"https:\/\/outbreaktools.ca\/fr\/wp-json\/wp\/v2\/pages\/4087\/revisions"}],"predecessor-version":[{"id":8378,"href":"https:\/\/outbreaktools.ca\/fr\/wp-json\/wp\/v2\/pages\/4087\/revisions\/8378"}],"up":[{"embeddable":true,"href":"https:\/\/outbreaktools.ca\/fr\/wp-json\/wp\/v2\/pages\/4075"}],"wp:attachment":[{"href":"https:\/\/outbreaktools.ca\/fr\/wp-json\/wp\/v2\/media?parent=4087"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}