2014—2018年北京市人源性肠致病性大肠埃希菌耐药特征及分子特征研究
作者:
作者单位:

(1.北京市疾病预防控制中心 食物中毒诊断溯源技术北京市重点实验室,北京 100013;2.北京市预防医学研究中心,北京 100013)

作者简介:

王丽丽 女 主管技师 研究方向为食源性疾病 E-mail:wangll4585@163.com通信作者:┣┣(中)通信作者┫┫陈倩 女 主任技师 研究方向为病原微生物实验室检测 E-mail:cchenqian@263.net

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基金项目:

科技部“食品安全关键技术研发”重点专项项目(2017YFC1601400)


Antimicrobial resistance and molecular characteristics of enteropathogenic Escherichia coli from diarrheal patients in Beijing from 2014 to 2018
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Affiliation:

(1.Beijing Key Laboratory of Diagnostic and Traceability Technologies for Food Poisoning, Beijing Centers for Disease Prevention and Control, Beijing 100013, China;2.Beijing Centers for Disease Preventive Medical Research, Beijing 100013, China)

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    摘要:

    目的 了解北京市门诊腹泻病例肠致病性大肠埃希菌(enteropathogenic Escherichia coli,EPEC)分离株抗生素敏感性情况及分子分型特征。方法 采用微量肉汤稀释法对2014—2018年北京市门诊腹泻病例EPEC分离株进行8类14种抗生素敏感性检测。参照PulseNet中非O157大肠埃希菌脉冲场凝胶电泳(PFGE)分型方法,对不同区县不同采样时间分离的菌株采用随机抽样原则,对140株菌基因组经限制性内切酶Xba Ⅰ酶切后进行分子分型和聚类分析。结果 2014—2018年北京市门诊腹泻病例EPEC分离株总耐药率为84.8%(391/461),氨苄西林、四环素、甲氧苄啶/磺胺甲噁唑耐药率较高,分别为66.4%(294/443)、54.0%(249/461)、45.6%(210/461)。461株菌分为200种耐药谱,耐3类及3类以上抗生素的菌株数达249株(54.0%),有1株菌对7类12种抗生素耐药。常见耐药谱为萘啶酸耐药,占4.3%(20/461)。环丙沙星、萘啶酸、四环素、亚胺培南耐药率和耐药谱种类呈逐年缓慢上升趋势。其中140株菌共产生136种PFGE带型,带型分布较为分散,无优势带型,菌株之间的相似系数为53.3%~100.0%。结论 2014—2018年北京市腹泻病例EPEC 耐药情况严重,耐药谱复杂广泛,多重耐药菌株及耐药谱种类呈逐年增多趋势。菌株的基因型呈多态性分布。

    Abstract:

    Objective To investigate the antibiotic sensitivity and molecular typing characteristics of enteropathogenic Escherichia coli (EPEC) isolates in out-patient diarrhea cases in Beijing. Methods 461 strains were tested for drug susceptibility. Random sampling principle was adopted for strains isolated at different time in and counties, and 140 strains were characterized by pulsed field gel electrophoresis (PFGE). Results The total drug resistance rate of 461 EPEC strains was 84.8%(391/461). Ampicillin, tetracycline, and methylbenzidine/sulfamethoxazole had higher drug tolerance rates of 66.4% (294/443), 54.0% (249/461) and 45.6% (210/461), respectively. 461 strains were divided into 200 resistance spectrums. 54.0% (249/461) of the isolates were resistant to 3 or more kinds of antibiotics, and 1 strain was resistant to 12 antibiotics. Common resistance spectrum was only resistant to nalidixic, accounting for 4.3%(20/461). Ciprofloxacin, nalidixic, tetracycline, imipenem resistance rates and types of drug resistance spectrum were slowly increasing year by year. 140 strains produced 136 PFGE patterns, and there was no dominant pattern. The similarity coefficient was 53.3% to 100.0%. Conclusion The resistance of EPEC isolated from diarrhea patients in Beijing was serious, the spectrum of resistance was complex, and the variety of multiple resistant strains and resistance spectrum increased yearly. PFGE patterns showed diversity.

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王丽丽,张寻,陈倩.2014—2018年北京市人源性肠致病性大肠埃希菌耐药特征及分子特征研究[J].中国食品卫生杂志,2019,31(4):371-374.

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  • 收稿日期:2019-06-11
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  • 在线发布日期: 2019-09-16
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