一起由金黄色葡萄球菌引起食物中毒的实验室诊断
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(新疆维吾尔自治区疾病预防控制中心,新疆 乌鲁木齐 830002)

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马鑫 女 副主任医师 研究方向为食品卫生E-mail:369819211@qq.com

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Laboratory diagnosis of a food poisoning caused by Staphylococcus aureus
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(Center for Disease Prevention and Control of Xinjiang Uygur Autonomous Region,Xinjiang Urumqi 830002,China)

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    摘要:

    目的 对一起食物中毒进行相关样品的实验室检测,针对分离病原菌进行分子分型溯源和耐药分析。方法 对可疑食品(冰激凌、牛奶)样品、患者呕吐物和粪便标本使用国家标准或其他方法进行沙门菌、志贺菌、致泻大肠埃希菌、金黄色葡萄球菌、单核细胞增生李斯特菌、蜡样芽胞杆菌和诺如病毒检测。对检出的金黄色葡萄球菌进行肠毒素检测、脉冲场凝胶电泳(PFGE)分型和抗生素敏感性检测。结果 从生产冰激凌剩余牛奶及冰激凌样品中检出金黄色葡萄球菌12株,患者呕吐物和粪便标本中检出4株,菌株均产生A+C+E混合型肠毒素,PFGE显示患者呕吐物、粪便、中毒同批冰激凌样品、生产冰激凌用牛奶中检出的金黄色葡萄球菌菌株同源性为100.0%;药敏结果显示,这16株菌株均对青霉素和红霉素耐药。结论 本起事件是由冰激凌加工点使用了被金黄色葡萄球菌污染且产生大量肠毒素的牛奶生产冰激凌所致。建议监管部门加强对农村食品小作坊、牛奶供应站等生产经营场所的监管,预防类似事件的发生。

    Abstract:

    Objective Laboratorial detection were performed on a case of a food poisoning. Meanwhile, pulse field gel electrophoresis (PFGE) and antimicrobial susceptibility testing were carried out for pathogens obtained. Methods Suspected milk and ice cream, vomitus and feces specimens were tested for Salmonella, Shigella, diarrheogenic Escherichia coli, Staphylococcus aureus, Listeria monocytogenes, Bacillus cereus, and Norovirus in accordance with the method of national food safety standard and others. Analysis of enterotoxins, PFGE and antimicrobial susceptibility testing of Staphylococcus aureus isolates were performed. Results Totally, twelve strains of Staphylococcus aureus from milk and ice cream specimens, four strains from the vomitus and the fecal specimens of the patient were cultured. All these strains were found to be able to produce type A, C, and E enterotoxins. Further molecular subtyping by PFGE analysis showed that these strains produced indistinguishable pulsotypes. Moreover, these strains were resistant to penicillin and erythromycin. Conclusion This food poisoning outbreak was associated with the milk contaminated with Staphylococcus aureus stains and produced large amounts of enterotoxin, and the ice cream processing centers used the contaminated milk.It is recommended that the supervision department should strengthen the supervision of the food producers especially in rural areas and milk supply stations in order to prevent the outbreaks of similar incident.

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马鑫,李方,苏静,刘万里.一起由金黄色葡萄球菌引起食物中毒的实验室诊断[J].中国食品卫生杂志,2019,31(1):84-88.

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  • 收稿日期:2018-11-16
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  • 在线发布日期: 2019-03-22
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