2016年广西壮族自治区食源性沙门菌的耐药性与耐药谱研究
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(广西壮族自治区疾病预防控制中心,广西 南宁 530028)

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曾献莹 女 技师 研究方向为食源性致病菌E-mail:342442133@qq.com通信作者:李秀桂 男 主任技师 研究方向为食源性致病菌E-mail:xglgxcdc@163.com

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广西壮族自治区疾病预防控制中心青年科技工作者科研课题(桂疾控[2015]199号)


Antibiotic resistance of foodborne Salmonella isolates in Guangxi in 2016
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(Guangxi Center for Disease Prevention and Control, Guangxi Nanning 530028, China)

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    摘要:

    目的 了解广西壮族自治区食源性沙门菌耐药状况,建立广西壮族自治区食源性沙门菌耐药性数据库。方法 对2016年从广西壮族自治区各市县收集的分离自食品的70株沙门菌和分离自腹泻患者的234株沙门菌采用微量肉汤法对8类14种抗生素进行耐药性试验,开展耐药谱研究。结果 所有沙门菌菌株均对亚胺培南敏感,对其余13种抗生素产生不同程度的耐药。70株食品来源的沙门菌对四环素耐药率最高(45.71%,32/70);234株腹泻患者来源的沙门菌对氨苄西林耐药率最高(70.94%,166/234),其次为四环素(70.09%,164/234)。腹泻患者来源沙门菌对氨苄西林、氨苄西林/舒巴坦、四环素、萘啶酸、头孢噻肟和头孢唑啉的耐药率均高于食品分离株,差异有统计学意义(P<0.05)。2种来源的沙门菌耐药谱广泛,共同耐药谱为ACTT/S(耐氨苄西林-氯霉素-四环素-甲氧苄啶/磺胺甲噁唑)。结论 广西壮族自治区食源性沙门菌耐药状况不容乐观,特别是对青霉素类、氯霉素类、磺胺类、四环素类抗生素严重耐药,提示应对其加强监测,建立科学的防控策略。

    Abstract:

    Objective To understand the antibiotic resistance of foodborne Salmonella in Guangxi, so as to provide scientific evidence for the treatment of Salmonella infections. Methods Seventy strains of Salmonella from food and 234 from patients collected in 2016 in Guangxi were tested for susceptibility to 14 antibiotics of 8 groups by minimum inhibitory concentration(MIC). Resistance patterns were compared and analyzed. Results The Salmonella isolates from food and patients were all sensitive to imipenem (IPM) but resistant to the other 13 antibiotics different levels. The 70 strains from food showed the highest resistance to tetracycline(TET,45.71%,32/70). Among the 234 clinical isolates, resistance was most frequently observed in ampicillin (AMP,70.94%,166/234),followed by tetracycline (70.09%,164/234). The resistance to ampicillin, ampicillin/sulbactam (AMS), tetracycline, nalidixic acid (NAL), cefotaxime(CTX) and cefazolin (CFZ) was statistically different between food and clinical isolates (P<0.05). The Salmonella isolates of both sources showed broad antibiotic resistance spectrum. The common pattern was resistance to ACTT/S(ampicillin-chloramphenico l-tetracycline-trimethoprim/sulfamethoxazole). Conclusion The result indicated that the Salmonella strains isolated in Guangxi are highly resistant to a variety of drugs particularly penicillins, chloramphenicol, sulfonamides and tetracycline. This suggested the demand for enhanced monitoring and establishing scientific prevention and control strategy.

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曾献莹,吕素玲,杜悦,韦程媛,瞿聪,李秀桂.2016年广西壮族自治区食源性沙门菌的耐药性与耐药谱研究[J].中国食品卫生杂志,2018,30(1):22-27.

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  • 收稿日期:2017-11-29
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  • 在线发布日期: 2018-04-02
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