广西鼠伤寒沙门菌1,4,[5],12∶i∶-耐药性及分子分型特征研究
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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 主管技师 研究方向为食源性致病菌 E-mail: 342442133@qq.com 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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广西壮族自治区卫生健康委员会自筹经费科研课题(Z20190120)


The drug resistance and molecular characteristics of Salmonella typhimurium 1,4,[5],12∶i∶- in Guangxi
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(Guangxi Center for Disease Prevention and Control, Guangxi Nanning 530028, China)

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    摘要:

    目的 通过研究2018年广西壮族自治区食源性鼠伤寒沙门菌单相变体1,4,[5],12∶i∶-(S.1,4,[5],12∶i∶-)耐药情况和分子分型特征,建立广西壮族自治区食源性S.1,4,[5],12∶i∶-数据库。 方法 对来自病例监测和食品监测分离的124株S.1,4,[5],12∶i∶-用微量肉汤稀释法进行药敏试验,用脉冲电场凝胶电泳(PFGE)进行分子分型。结果 124株S.1,4,[5],12∶i∶-均对亚胺培南敏感,对另外13种抗生素产生不同程度的耐药,对四环素耐药率最高(96.8%,120/124),其次为氨苄西林(95.2%,118/124),三重及以上耐药率为26.6%(33/124)。47.1% S.1,4,[5],12∶i∶-分离株具有氨苄西林、氯霉素、磺胺类、四环素(ACSuT)多重耐药。PFGE结果分为104种带型,相似度为72.9%~100%,优势带型为JPXX01.GX0114(5株)和JPXX01.GX0294(4株),均来源于食源性疾病监测。结论 广西壮族自治区S.1,4,[5],12∶i∶-耐药情况不容乐观,特别对青霉素类和四环素类耐药严重。S.1,4,[5],12∶i∶-分子型别呈高度散发状态,及时对S.1,4,[5],12∶i∶-进行分子溯源,可以提高广西壮族自治区在散发病例中识别潜在的食源性S.1,4,[5],12∶i∶-暴发事件的能力。

    Abstract:

    Objective Establishing the database of food-borne Salmonella typhimurium 1,4,[5],12∶i∶- and monophasic variant in Guangxi Zhuang Autonomous Region by investigating the drug resistance and molecular typing characteristics of the isolates in 2018. Methods 124 strains of S.1,4,[5],12∶i∶- from clinic samples and food samples were tested for drug sensitivity by minimum inhibitory concentration (MIC), and molecular typing by pulsed field gel electrophoresis (PFGE). Results One hundred and twenty four strains of S.1,4,[5],12∶i∶- were all sensitive to imipenem, but resistant to the other 13 antibiotics at different levels. The resistance rate to tetracycline was the highest (96.8%, 120/124), followed by ampicillin (95.2%, 118/124). Multidrug resistant (MDR) rate was 26.6% (33/124), and 47.1% S.1,4,[5],12∶i∶- isolates were multi-resistant to ACSuT. The S.1,4,[5],12∶i∶- strains were differentiated into 104 Xba I PFGE patterns with similarity of 72.9%-100%, and the dominant patterns were JPXX01.GX0114 (5 isolates) and JPXX01.GX0294 (4 isolates), all of which came from foodborne disease surveillance. Conclusion The result indicated that the S.1,4,[5],12∶i∶- isolates in Guangxi were highly resistant to penicillins and tetracyclines and drug resistance situation was not optimistic, S.1,4,[5],12∶i∶- PFGE pattern were highly sporadic. It is necessary to trace the molecular origin of the isolated strains on time, which can improve ability to identify potential food-borne S.1,4,[5],12∶i∶- outbreak events in sporadic cases.

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曾献莹,吕素玲,瞿聪,蓝兰,谭冬梅,李秀桂.广西鼠伤寒沙门菌1,4,[5],12∶i∶-耐药性及分子分型特征研究[J].中国食品卫生杂志,2021,33(5):558-565.

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  • 收稿日期:2021-06-25
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  • 在线发布日期: 2021-10-14
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