一起食物中毒事件中产独特肠毒素表型的金黄色葡萄球菌病原学分析
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(宁波市疾病预防控制中心,浙江 宁波 315010)

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叶硕 男 主管技师 研究方向为细菌基因组学E-mail:Yes@nbcdc.org.cn通信作者:┣┣(中)通信作者┫┫宋启发 男 主任技师 研究方向为细菌基因组学E-mail:songqf@nbcdc.org.cn

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宁波市自然科学基金项目资助(2013A610246)


Etiological study on an outbreak caused by enterotoxin A, B, D and E producing Staphylococcus aureus
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(Ningbo Center for Disease Control and Prevention,Zhejiang Ningbo 315010,China)

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    摘要:

    对一起疑似为金黄色葡萄球菌所导致的食物中毒事件进行葡萄球菌肠毒素检测,结合金黄色葡萄球菌病原学分析,为明确食物中毒诊断提供依据。方法 根据流行病学调查,采用ELISA方法对可疑食物进行葡萄球菌肠毒素检测,同时对可疑食物和患者呕吐物进行金黄色葡萄球菌分离,运用Vitek2 Compact全自动细菌鉴定仪和血浆凝固酶试验鉴定为金黄色葡萄球菌,采用脉冲场凝胶电泳(PFGE)对病原菌进行同源性分析,以ELISA方法对检出的金黄色葡萄球菌菌株进行肠毒素检测,用PCR方法对肠毒素基因进行分型。结果 食物和患者样品中分别分离出2和11株金黄色葡萄球菌,PCR方法及ELISA方法对肠毒素分型结果显示,其中12株同时存在SEA、SEB、SED、SEE 4种肠毒素及相关基因,PFGE聚类分析显示,其中12株产肠毒素金黄色葡萄球菌具有高度同源性。结论 本起食物中毒事件为具有独特肠毒素表型的金黄色葡萄球菌导致,在金黄色葡萄球菌中毒实验室调查过程中,肠毒素检测结合病原菌溯源分析可以为相关公共卫生事件提供科学依据。

    Abstract:

    To detect staphylococcal enterotoxins (SEs) in combination with Staphylococcus aureus (S.aureus) in an investigation of a suspected staphylococcal food poisoning (SFP) event.Methods According to epidemiological investigation, SEs were detected in the suspected food using ELISA and strains from food and patients' vomits were isolated. The presumptive isolates were identified using Vitek2 Compact and coagulase test. The identified isolates were further analyzed for the excretion of SEs and the typing of SE genes using ELISA and PCR. Pulsed-field gel electrophoresis (PFGE) was conducted for clustering analysis of the identified isolates. Results 2 and 11 S.aureus isolates were recovered from food and patients, respectively. The results of PCR and ELISA assay showed that 12 out of 13 isolates harbored enterotoxin genes of SEA, SEB, SED, SEE and expressed them simultaneously. PFGE results suggested 12 enterotoxigenic S.aureus isolates were highly homologous. Conclusion The SFP incident discussed here was caused by a S.aureus strain with unique enterotoxin phenotype. During laboratory investigation of SFP incidents, SEs detection combined with pathogen source analysis could provide reliable scientific information for such public health events.

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叶硕,杨元斌,沈玄艺,章丹阳,宋启发.一起食物中毒事件中产独特肠毒素表型的金黄色葡萄球菌病原学分析[J].中国食品卫生杂志,2016,28(3):301-305.

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  • 收稿日期:2016-01-13
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  • 在线发布日期: 2016-06-02
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