基于全基因组测序的鼠伤寒沙门菌食源性疾病暴发事件分离株分子特征研究
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1.铜川市疾病预防控制中心;2.西安交通大学医学部公共卫生学院

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陕西省卫生科研基金项目(2018E007)


Whole genome sequencing was used for the pathogen molecular characterization of Salmonella typhimurium during a foodborne disease outbreak
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School of Public Health, HealthScienceCenter, Xi’an Jiaotong University

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    摘要:

    目的 分析一起鼠伤寒沙门菌引起的食源性疾病暴发事件,通过实验室检测和相似性分析研究病原菌的分子特征,为临床诊疗、事件溯源和防控提供科学依据。方法 对采集样本采用FilmArray多重PCR系统筛查检测,利用质谱鉴定、血清分型鉴定病原菌;对分离菌株进行抗生素药敏试验、脉冲场凝胶电泳(PFGE)分析、全基因组测序;比对沙门菌 MLST获得序列型别(ST)、cgMLST、rMLST并进行聚类分析;分析分离株的耐药基因和毒力因子。结果 共分离沙门菌15株,其中可疑食物来源3株,病人粪便来源12株,血清型鉴定结果均为鼠伤寒沙门菌;PFGE指纹图谱呈两种带型,病人粪便来源12株与可疑食物来源株2株为同一带型,相似度为100%,另1株可疑食物来源株带型与其他带型相似度为88.89%;15株分离株MLST均为ST19型,rST-138396(new)型,cgMLST核心基因组位点差异为1~15个,wgMLST核心基因组位点差异为1~395个;15株分离菌耐药谱为:氨苄西林-氨苄西林/舒巴坦-头孢唑林-头孢替坦-阿米卡星-庆大霉素-妥布霉素-左氧氟沙星-呋喃妥英-链霉素-萘啶酸-四环素-氯霉素;菌株基因组携带13种相关耐药基因、271种已知的毒力基因。结论 本次食源性疾病暴发事件由共同来源的、具有相同分子分型特征的鼠伤寒沙门菌污染食物引起。该事件分离的菌株能够产生超广谱β-内酰胺酶,对13种抗菌药物耐药,为严重的多重耐药鼠伤寒沙门菌。

    Abstract:

    Objective To analyze an outbreak of foodborne disease caused by Salmonella typhimurium, and to study the molecular characteristics of the pathogen through laboratory detection and similarity analysis, so as to provide scientific basis for clinical diagnosis and treatment, incident traceability, prevention and control. Methods The collected samples were screened and detected by the FilmArray multiplex PCR system, and the pathogens were identified by mass spectrometry and serotyping. Antibiotic susceptibility tests, pulsed field gel electrophoresis (PFGE), and whole genome sequencing were performed on the isolated strains. Sequence type (ST), cgMLST, and rMLST were obtained by comparing the MLST of Salmonella and performing cluster analysis. The isolates were studied for genes that are related to drug resistance and virulence. Results A total of 15 Salmonella strains were isolated, including 3 from suspected food sources and 12 from the patient's feces, and all of them were Salmonella typhimurium. The PFGE pattern showed two patterns, 12 strains from stool and 2 strains from suspected food had the same pattern, the similarity was 100%, and the similarity of the other one strain from suspected food was 88.89%. The 15 isolates were categorized into either ST19 or rST-138396 (new) type. The cgMLST and wgMLST core genome loci varied from 1 to 15 and 1 to 395, respectively. The drug resistance spectrum of 15 isolates was as follows: Ampicillin-Ampicillin/Sulbactam-Cefazolin-Cefotetan-Amikacin-Gentamicin-Tobramycin-Levofloxacin-Furatoin-Streptomycin-Nalidixic Acid-Tetracycline-Chloramphenicol; The genome of the strains contained 13 related drug resistance genes and 271 known virulence genes. Conclusion This foodborne disease outbreak was caused by Salmonella typhimurium from the same source and with the same molecular typing characteristics. The isolated Salmonella typhimurium was capable of producing extended-spectrum β-lactamases and was resistant to 13 antimicrobials, indicating that it was a severe multi-drug resistant strain.

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  • 收稿日期:2024-04-02
  • 最后修改日期:2024-09-13
  • 录用日期:2024-10-22
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