4起副溶血性弧菌食源性疾病暴发事件分离株病原学特征和溯源分析
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(1.淄博市疾病预防控制中心,山东 淄博 255026;2.山东省疾病预防控制中心,山东 济南 250014)

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吴莹 女 主管技师 研究方向为微生物检验 E-mail:1263219929@qq.com

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山东省医药卫生科技发展计划(2017WS562,2018WS304)


Virulence gene detection and traceability analysis of 4 Vibrio parahaemolyticus food poisoning incidents
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(1.Zibo Center for Disease Prevention and Control, Shandong Zibo 255026, China;2.Shandong Center for Disease Prevention and Control, Shandong Ji'nan 250014, China)

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    摘要:

    目的 分析2019年淄博市4起副溶血性弧菌食源性疾病暴发事件分离株的病原学特征。方法 采用血清学分型、毒力基因检测(tlh、tdh、trh)、微量肉汤稀释法药敏试验和脉冲场凝胶电泳(pulsed field gel electrophoresis,PFGE)对11株分离株进行分析。结果 9株患者分离株血清型鉴定为O3∶K6型,毒力基因均为tlh+tdh+trh-;2株环境分离株血清型分别为O8∶K22和O1∶K32型,毒力基因均为tlh+tdh-trh-。11株分离株全部对头孢唑林耐药,部分菌株对氨苄西林和甲氧苄啶/磺胺甲噁唑耐药。其中,2株对3种抗生素均耐药,对其他抗生素均敏感。经PFGE聚类分析,同一暴发事件中患者分离株高度相关。结论 4起暴发事件的患者分离株均为流行株O3∶K6型,均携带tdh基因,部分菌株出现多重耐药情况,同一暴发事件的分离株之间同源性高,提示可能为同源暴发,应加强对副溶血性弧菌污染源头的监管力度,减少食源性疾病的发生。

    Abstract:

    Objective To analyze the etiological characteristics of strains isolated from Vibrio parahaemolyticus food poisoning incidents occurred in Zibo in 2019. To analyze the etiological characteristics of strains isolated from Vibrio parahaemolyticus food poisoning incidents occurred in Zibo in 2019.Methods Serotyping and virulent genes (tlh,tdh,trh)were detected by real-time fluorescent polymerase chain reaction, antibiotic sensitivity was examined by broth microdilution method and pulsed field gel electrophoresis(PFGE) were applied to Vibrio parahaemolyticus. Serotyping, virulent genes (tlh,tdh,trh)were detected by real-time fluorescent polymerase chain reaction, antibiotic sensitivity was examined by broth microdilution method and pulsed field gel electrophoresis(PFGE) were applied to study these strains of Vibrio parahaemolyticus.Results The 9 strains collected from patients were all pandemic O3∶K6, and the virulence genes were tlh+tdh+trh-. The 2 strains collected from environmental samples were O8∶K22 and O1∶K32, and the virulence genes were all tlh+tdh-trh-. All strains were resistant to cefazolin, and partially resistant to ampicillin and trimethoprim/sulfametho-xazole. There were 2 strains even showed multiple resistance to these three antibiotics, while all strains were sensitive to the other antibiotics. The PFGE homology from the same incident was high. The 9 strains collected from patients were all pandemic O3∶K6, and the virulence genes were tlh+tdh+trh-. The 2 strains collected from environmental samples were O8∶K22 and O1∶K32, and the virulence genes were all tlh+tdh-trh-. All strains were resistant to cefazolin, and partially resistant to ampicillin and trimethoprim/sulfametho-xazole. There are 2 strains even showed multiple resistance to these three antibiotics, while all strains were sensitive to the other antibiotics. The PFGE homology isolated from the same incident was high.Conclusion The strains collected from patients in the 4 incidents were all pandemic O3∶K6 and the virulence genes were tdh+, some of which showed multi-antibiotic resistance, and the isolates from the same outbreak had high homology suggesting that they had been exposed to the same pollution source. The supervision of pollution sources should be strengthened to reduce the occurrence of foodborne diseases. The strains collected from patients in the 4 incidents were all pandemic O3∶K6 and the virulence genes were tdh+, some of which showed multi-antibiotic resistance, the isolates from the same outbreak had high homology. Suggesting that they had been exposed to the same pollution source. The supervision of pollution sources should be strengthened to reduce the occurrence of foodborne diseases.

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吴莹,王银平,李心朋,刘军.4起副溶血性弧菌食源性疾病暴发事件分离株病原学特征和溯源分析[J].中国食品卫生杂志,2021,33(4):422-425.

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  • 收稿日期:2021-01-05
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  • 在线发布日期: 2021-07-21
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