2022年中国大陆31省市食品中沙门菌耐药性特征分析
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1.南方医科大学;2.北京联合大学;3.山东第二医科大学;4.国家食品安全风险评估中心

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Antimicrobial resistance characteristic analysis of Salmonella recovered from Foods in 31 provinces of Mainland China, 2022
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1.Southern Medical University;2.Beijing Union University;3.Shandong Second Medical University;4.National Health Commission Key Laboratory of Food Safety Risk Assessment of Health,National Center for Food Safety Risk Assessment;5.School of Public Health,Southern Medical University,Guangzhou,Guangdong

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    摘要:

    目的 了解2022年中国31个省、直辖市和自治区食品中沙门菌分离株耐药性及黏菌素可转移耐药基因mcr的携带情况。方法 采用微量肉汤稀释法测定575株食源性沙门菌对11类17种抗菌药物的敏感性,采用PCR检测受试菌株中mcr基因的携带情况,并对mcr基因PCR阳性菌株开展全基因组测序和生物信息学分析。结果 575株沙门菌中耐药菌株占比84.70% (487/575),测试菌株对萘啶酸(NAL)耐药率最高,为58.61% (337/575),发现耐亚胺培南(IPM)和耐替加环素(TGC)沙门菌各1株。多重耐药率达61.39% (353/575),同时耐受抗菌药物种类最高为10类。共存在147种耐药谱,优势耐药谱为SAM-CT-AMP-NAL,占比28.57% (42/147)。不同样品来源的沙门菌耐药率具有统计学差异,冻生鸡肉沙门菌分离株耐药率最高,为95.51% (85/89)。河北和黑龙江来源的分离株耐药率较高,均为100%。检出6株mcr-1基因阳性沙门菌,检出率为1.04% (6/575),2株来自湖北,另外4株分别来自河北、安徽、辽宁和山东的食品样品,均为多重耐药株,主要携带aac(6')-laa、mcr-1.1、fosA3等耐药基因,质粒复制子类型主要为IncI2、IncP1和IncHI2等。结论 2022年我国大陆食品中沙门菌分离株整体耐药水平较高,多重耐药现象严重,耐药谱复杂,存在携带mcr基因的多重耐药菌株,应该引起足够重视。

    Abstract:

    Objective To understand the antimicrobial resistance and the mobile colistin resistance gene mcr carrying status of Salmonella isolates recovered from foods in mainland China in 2022. Methods Broth microdilution method was used for testing the antimicrobial susceptibility of 575 Salmonella isolates against 17 antimicrobial compounds which belong to 11 categories, and mcr genes were detected by PCR for all tested isolates, followed by whole genome sequencing and bioinformatics analysis in terms of the mcr gene PCR positive isolates. Results The resistant strains accounted for 84.70% (487/575) of the 575 Salmonella isolates and the resistance rate of the tested strains to nalidixic acid was the highest (58.61%, 337/575). We found one Salmonella strain resistant to imipenem and another one to tigecycline. The rate of multi-drug resistance of all isolates was 61.39% (353/575), and some isolates could be concurrent resistant to as much as 10 classes of antimicrobials. There were 147 kinds of antimicrobial resistance spectrums, and the dominant resistance spectrum was SAM-CT-AMP-NAL, accounting for 28.57% (42/147). The antimicrobial resistance rates of Salmonella from different sample sources were significant statistically, with the highest resistance rate (95.51%, 85/89) of Salmonella isolates from frozen raw chickens. Salmonella isolates recovered from both Hebei and Heilongjiang province got a 100% resistance rate. Six Salmonella strains recovered from Hubei, Hebei, Anhui, Liaoning and Shandong provinces and harboring mcr-1 gene were detected with a detection rate of 1.04% (6/575), all of them were multi-drug resistant strains. The predominant resistance genes among these mcr-harboring Salmonella isolates were aac (6')-laa, mcr-1.1, fosA3 and so on, and the main plasmid replicon types were IncI2, IncP1 and IncHI2, respectively. Conclusion The Salmonella isolated from foods in mainland China in 2022 got an overall high level of antimicrobial resistance, with serious phenomenon of multi-drug resistance and complex antimicrobial resistance spectrums. In addition, there were also some isolates with multi-drug resistance while carrying mcr gene, which should be given sufficient attention.

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  • 收稿日期:2024-03-24
  • 最后修改日期:2024-06-27
  • 录用日期:2024-07-01
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