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Our people-our expertise: Dr Sanmarié Schlebusch

Our people-our expertise

Dr Sanmarié Schlebusch

Qualifications | Research interests | Publications | Presentations | Awards | Grants and funding | Memberships

Dr Sanmarié Schlebusch is an experienced clinical microbiologist. She is currently the Medical Director Microbiology, Virology, and Genomics at the Public and Environmental Health Reference Laboratories (PEHRL), Pathology Queensland, and the designated person responsible for clinical governance of PEHRL, including the Queensland Public Health and Infectious diseases REference Genomics (Q-PHIRE Genomics) service. She is also a Clinical Microbiologist at Pathology Queensland's Central laboratory and both Vice Chair and Board Director for NATA.

Previously Sanmarié was the Director of Microbiology at Mater Pathology in Brisbane, where she led the clinical validation and NATA accreditation for microbial whole genome sequencing, the first such accreditation achieved in Queensland.

Dr Schlebusch is internationally recognised for her pioneering of innovative technologies in clinical microbiology, including clinical metagenomics (RCPA PathWay, 114). She is well-published and has been involved in several major research projects. She was amongst the first intake of clinical microbiologists accredited by the Royal College of Pathologists of Australasia to supervise and report on microbial genomics in laboratories, including pathogen identification, characterisation and phylogeny.

Sanmarié is currently undertaking research on the effects of antibiotics on the gut microbiome using a metagenomic approach. She further contributes to translational medicine and research as senior lecturer with the University of Queensland.

See more information about Dr Sanmarié Schlebusch at:

Qualifications

  • Doctor of Philosophy, University of Queensland (PhD)
  • Graduate of the Australian Institute of Company Directors
  • Associate Fellow of the Australasian College of Health Services Management (AFCHSM)
  • Graduate Certificate in Business, Southern Cross University, Australia (GradCertBus)
  • Fellow of the Royal College of Pathologists of Australasia (FRCPA)
  • Australian Medical Council Certificate, Australian Medical Council
  • Bachelor of Medicine and Bachelor of Surgery, University of Pretoria, South Africa (MBChB)

Research interests and expertise

Dr Schlebusch is currently undertaking research with the University of Queensland: Assessing the effects of antibiotics on the gut microbiome – a metagenomic approach. 

The Gut and its microbiome in the Fight against Superbug Threats (GaimitFaST) research, which included patients from the MERINO trials (https://clinicaltrials.gov/ct2/show/NCT02437045) and patients admitted to the Royal Brisbane Hospital intensive care unit (ICU).

The human gut contains a vast array of micro-organisms that play an essential role in human health and disease. The use of antimicrobials has a detrimental effect on gut microbiota and increased risk for infection or colonisation with resistant organisms. The gastro-intestinal tract is a major reservoir for colonisation with multi-drug resistant pathogens. This study utilised whole genome sequencing on faecal samples or rectal swabs from hospitalised patients with a focus on different groups (no antibiotics, piperacillin-tazobactam or meropenem treatment, or other antibiotics), to describe the relative microbial diversity in each patient sample set collected over time and compared between groups. In addition, changes to key organisms and antimicrobial resistance genes was assessed. This work will inform decisions around antibiotic usage and have implications for preventing antimicrobial resistance transfer. The project also involves enhancing laboratory methodology, biostatistical pipelines, and clinical interpretation of metagenomic sequencing to support utilisation in healthcare.

This is a multi-site collaborative research project, which includes PEHRL as a collaborating site.

See more information at: https://clinical-research.centre.uq.edu.au/profile/1143/sanmarie-schlebusch

Publications

 

Schlebusch S. (2024). Assessing the effects of antibiotics on the gut microbiome - a metagenomic approach. UQ eSpace. DOI: 10.14264/cec9391

Nhu NTK, Phan M, Hancock SJ, Peters KM, Alvarez-Fraga L, Forde BM, Andersen SB, Miliya T, Harris PNA, Beatson SA, Schlebusch S, Bergh H, Turner P, Brauner A, Westerlund-Wikstrom B, Irwin AD, Schembri MA. (2024). High-risk Escherichia coli clones that cause neonatal meningitis and association with recrudescent infection. eLife. DOI: 10.7554/eLife.91853

Stewart AG, Harris PNA, Graham RMA, Jennison AV, Schlebusch S, Harris-Brown T, Paterson DL, Forde BM. (2024). Differences in antimicrobial resistance gene abundance and microbial diversity of the gut microbiome in patients on antibiotics enrolled in a clinical trial. Pathology, 56(S.1). DOI: 10.1016/j.pathol.2023.12.137

Howard-Jones AR, Mahar J, Proudmore K,, Butel-Simoes G, Eden J, Neave MJ, Mileto P, Hueston L, Freeman K,. Ellem J, Caly L, Sikazwe C, Levy A, Thomas A, Taylor C, Kurucz N, Smyth K, Jennison A, Moore P, Wright R, Mee PT, Feldman R, Dwyer D, O'Sulliuvan MV, Mahoney AA, Warner MS, Papanicolas L, Schlebusch S, Lim CK, Baird R, Speers D, Williams DT, Currie BT, Kok J. (2024). Diagnostic and phylogenetic perspectives of the 2023 Murray Valley encephalitis virus outbreak in Australia. The Lancet. DOI: 10.2139/ssrn.4714415

Nhu NTK, Phan M, Hancock SJ, Peters KM, Alvarez-Fraga, Forde BM, Andersen SB, Miliya T, Harris PNA, Beatson SA, Schlebusch S, Bergh H, Turner P, Brauner A, Westerlund-Wikstrom B, Irwin AD, Schembri MA, (2023). High-risk Escheria coli clones that cause neonatal meningitis and association with recrusdescent infection. medRxiv. DOI: 10.1101/2023.10.05.23296362

Stewart A, Schlebusch S, Vlack S, McMahon J, Sullivan M, Pyke A, Hajkowicz, (2023). First case of mpox diagnosed in Queensland, Australia: clinical and molecular aspects. Medical Journal of Australia. DOI: 10.5694/mja2.51842

Palou T, Wilmot M, Duchene S,  Porter A, Kemoi J, Suarkia D, Andersson P, Watt A, Sherry N, Seemann T, Sait M, Turharus C, Nguyen S, Schlebusch S, Thompson C, McMahon J, Vaccher S, Lin C, Esoram D, Howden BP, Susapu M, (2022). Genomic characterisation reveals a dominant lineage of SARS-CoV-2 in Papua New Guinea. Virus Evolution, 8(1). DOI: 10.1093/ve/veac033

Schlebusch S, Graham RMAJennison AV, Lassig-Smith MM, Harris PNA, Lipman J, Cuiv PO, Paterson DL, (2022). Standard rectal swabs as a surrogate sample for gut microbiome monitoring in intensive care. BMC Microbiology, 22. DOI: 10.1186/s12866-022-02487-0

Ahmed W, Bivins A, Smith WFM, Metcalfe S, Stephens M, Jennison AV, Moore FAJ, Bourke J, Schlebusch S, McMahon J, Hewitson G, Nguyen S, Barcelon J, Jackson G, Mueller JF, Ehret J, Hosegood I, Tian W, Wang H, Yang L, Bertsch P, Tynan J, Thomas KV, Bibby K, Graber TE, Ziels R, Simpson SL, (2022). Detection of the Omicron (B.1.1.529) variant of SARS-CoV-2 in aircraft wastewater. Science of the Total Environment, 820. DOI: 10.1016/j.scitotenv.2022.153171 

Eustace MB, Sud A, Thompson C, Scheblusch S, Horvath RL. (2022). Responding to the COVID-19 pandemic in real time: coordinating a local hospital response using whole genome sequencing of SARS-CoV-2. Medical Journal of Australia, 217(10). DOI: 10.5694/mja2.51762 

Smoll NR, Taylor C, Martin R, Wheatley S, Moore P, Finger M, Moore F, Schlebusch S, Khandaker G, (2021). SARS-CoV-2 public health investigation in an aged care facility and challenges with serological screening in low pre-test probability settings.  Communicable Diseases Intelligence, 45. DOI: 10.33321/cdi.2021.45.42

Brischetto A, Schooneveldt J, Schlebusch S, (2021). Evaluation of direct antimicrobial susceptibility testing using positive blood culture broth in an Australian laboratory. Pathology. DOI: 10.1016/j.pathol.2021.03.013

Pyke AT, Nair N, van den Hurk A, Burtonclay P, Nguyen S, Barcelon J, Kistler C, Schlebusch S, McMahon J, Moore F, (2021). Replication Kinetics of B.1.351 and B.1.1.7 SARS-CoV-2 Variants of Concern Including Assessment of a B.1.1.7 Mutant Carrying a Defective ORF7a Gene. Viruses, 13. DOI: 10.3390/v13061087

Stehlik P, Alcorn K, Jones A, Schlebusch S, Wattiaux A, Henry F, (2021). Repeat testing for SARS-COV-2: Persistence of viral RNA is common, and clearance is slower in older age groups. Medical Journal of Australia, 214(10) 468-470. DOI: 10.1101/2020.08.27.20183483 

O'Toole Á, Hill V, Pybus OG et al. (2021) Tracking the international spread of SARS-CoV-2 lineages B.1.1.7 and B.1.351/501Y-V2 [version 1; peer review: 1 approved]. Wellcome Open Res 2021, 6:121. DOI: 10.12688/wellcomeopenres.16661.1

Stewart AG, Satlin MJ, Schlebusch S, Isler B, Forde BM, Paterson DL, Harris PNA, (2020). Completing the Picture - Capturing the Resistome in Antibiotic Clinical Trials. DOI: 10.1093/cid/ciaa1877

Pyke AT, Choong K, Moore F, Schlebusch S, Taylor C, Hewitson G, McMahon J, Neelima Nair, Moore P, Finger M, Burtonclay P, Wheatley S, (2020). A Case of Japanese Encephalitis with a Fatal Outcome in an Australian Who Traveled from Bali in 2019. Tropical Medicine and Infectious Disease, 5(3) 133. DOI: 10.3390/tropicalmed5030133

Walczak A, Wilks K, Shakhovskoy R, Baird T, Schlebusch S, Taylor C, Reid D, Choong K, (2020). COVID-19 in a complex obstetric patient with cystic fibrosis. Infection, Disease & Health. ISSN 2468-0451. DOI: 10.1016/j.idh.2020.07.002

Moyniham KM, McGarvey T, Barlow A, Heney C, Gibbons K, Clark JE, Schlebusch S, Luregn J, (2020). Testing for Common Respiratory Viruses in Children Admitted to Pediatric Intensive Care: Epidemiology and Outcomes. Pediatric Critical Care Medicine, 21(6) e333-e341. DOI: 10.1097/PCC.0000000000002302

Arulkumaran N, Routledge M, Schlebusch S, Lipman J, Conway Morris A, (2020) Antimicrobial-associated harm in critical care: a narrative review. Intensive Care Medicine. DOI: 10.1007/s00134-020-05929-3

 

For publications prior to commencement at FSS see: https://www.researchgate.net/scientific-contributions/15383730_Sanmarie_Schlebusch

Presentations

July 2024: Taking a shotgun approach to the fight against antimicrobial resistance. Australian Society for Microbiology Annual Scientific Meeting 2024.

November 2023: Metagenomics Case Presentation. In: Communicable Diseases Genomics Network Metagenomics webinar.

December 2022: SARS-CoV-2 genomics (“COVID Genomics”) Update. In: Pathology Queensland Staff Forum [online].

November 2022: Swiss cheese and report authorisation. In: Communicable Diseases Genomics Network Microbial Genomics Reporting webinar.

July 2022: Omicron BA.4 and BA.5. In: The Royal Australian College of Physicians (RACP) - COVID-19 now: vaccines, antiviral treatments, variants [webinar].

April 2022: The application of sequencing to the COVID response. In: The Royal College of Pathologists of Australia (RCPA)- Microbiology Molecular Workshop [hybrid].

October 2020: SARS-Co-V-2 genomics Queensland. In: The McCormack Infection Meeting, online, Queensland.

November 2019: Invited speaker, The gut microbiome and emergence of antimicrobial resistance. In: National Antimicrobial Resistance Forum 2019, Brisbane, Qld.

September 2019: Invited speaker, New microbial diagnostics – clinical metagenomics. In: Short Course in Critical Infection 2019, Brisbane Qld.

August 2019: Invited speaker, Metagenomics in Healthcare. In: Pathology grand rounds, Pathology Queensland, Brisbane Qld.

Awards

  • Betty McGrath Fellowship, Mater Foundation, 2016 - 2018.

Memberships and Committees

  • Chair of the Medical Advisory Committee, Public and Environmental Health Reference Laboratories, Pathology Queensland.
  • Deputy Chair Communicable Disease Genomics Network (CDGN).
  • Co-chair CDGN Metagenomics Working Group.
  • Member of the: 
    • Australian Society for Microbiology (MASM).
    • Australian Society for Antimicrobials.
    • Queensland Infection Clinical Network (QICN) Steering Committee.
    • Human Ethics Committee, Coronial and Public Health Sciences, Pathology Queensland.
    • Queensland Government Gene Technology Contact Group.
    • Pathology Queensland Central Institutional Biosafety Committee.
    • RCPAQAP Molecular Infectious Diseases Advisory Committee.

Dr Sanmarié Schlebusch
Medical Director Microbiology, Virology, and Genomics for Public and Environmental Health
phone: +61 1800 000 377