北京某区一起疑似金黄色葡萄球菌肠毒素中毒分析
作者:
作者单位:

1.北京市顺义区疾病预防控制中心,北京 101300;2.北京市顺义区疾病预防控制中心微生物感染性疾病检测工作站,北京 101300;3.中国疾病预防控制中心传染病预防控制所,北京 102206

作者简介:

李湛 女 微生物检验技术主管技师 研究方向为病源微生物 E-mail:lz19940509@sina.com

通讯作者:

李颖 男 副主任技师 研究方向为微生物检验 E-mail:liying19830805@126.com

中图分类号:

R155

基金项目:

首都卫生发展科研专项(2024-2G-7106)


Analysis of a suspected Staphylococcus aureus enterotoxin poisoning in a district of Beijing
Author:
Affiliation:

1.Beijing Shunyi District Center for Disease Control and Prevention, Beijing101300, China;2.Microbiological Infectious Disease Detection Workstation, Beijing Shunyi District Center for Disease Control and Prevention, Beijing101300, China;3.Institute of Infectious Disease Prevention and Control, Chinese Center for Disease Control and Prevention, Beijing102206, China

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    摘要:

    目的 通过实验室检测及全基因组测序,分析一起金黄色葡萄球菌肠毒素(SEs)中毒,为应对此类食源性暴发事件提供经验。方法 采集可疑受污染食品、病例肛拭子和环境涂抹样本,采用金黄色葡萄球菌5种肠毒素(SEA、SEB、SEC、SED、SEE)的酶联免疫吸附实验(ELISA)检测及肠毒素基因(sea、seb、sec、sed、see)荧光PCR方法检测;对分离株进行耐药表型检测和全基因组测序并构建进化树。结果 3件可疑受污染的食品未检出SEs。荧光PCR检测3件可疑污染食品的增菌液结果都为nuc+/seb+。从3件可疑受污染食品中共分离到9株seb+金黄色葡萄球菌,其中从食品1中分离到2株t78型和1株t437型,食品2和食品3中分离到的菌株均为t437型,同一spa分型菌株具有相同耐药表型。从1件环境涂抹中分离出2株5种肠毒素基因均为阴性的金黄色葡萄球菌,均为t571型。由9株食品分离株和2株环境分离株构建cgSNP进化树,显示形成3个独立且遗传关系较远分支。9株食品分离株产毒培养后ELISA肠毒素检测结果为SEB阳性。结论 本起事件为可疑SEB中毒事件,全基因组测序可提供较为全面的生物信息数据以应对此类事件。

    Abstract:

    Objective To provide experience for the response to Staphylococcus aureus enterotoxin (SEs) poisoning outbreak, lab test and whole genome sequencing (WGS) technology was used to analyze a SEs poisoning outbreak.Methods Suspected contaminated food, anal swabs and environmental smear samples in this event was collected. enzyme-linked immunosorbent assay (ELISA) for five SEs (SEA, SEB, SEC, SED, SEE), and real time PCR for genes of SEs (seasebsecsedsee) were performed. Drug resistance phenotype and WGS were performed in Staphylococcus aureus strains isolated from samples, and a cgSNP evolutionary tree was constructed.Results SEs were negative for three suspected contaminated foods. Real time PCR for enrichment solution of the three suspected contaminated foods were all nuc+/seb+, and 9 isolates of seb+ S. aureus were isolated from three suspicious contaminated foods, among which two isolates of type t78 and one isolate of type t437 from food 1, and the isolates from food 2 and food 3 were all type t437, with the same spa typing isolates having the same drug-resistant phenotype. Two isolates of S. aureus were isolated from one environmental smear, which negative for five SEs genes and presenting the same type t571. Three independent and genetically distant branches were formed in a cgSNP evolutionary tree constructed based on nine food isolates and two environmental isolates of S. aureus. Nine food isolates were positive for SEB by ELISA.Conclusion This incident is a suspected SEB intoxication, and whole genome sequencing may provide more comprehensive bioinformatic data to respond to such incidents.

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李湛,黄振洲,李首飞,康颖,闫爱霞,王苗,王园园,王洛桐,张茂俊,王凤双,李颖.北京某区一起疑似金黄色葡萄球菌肠毒素中毒分析[J].中国食品卫生杂志,2024,36(8):910-915.

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  • 收稿日期:2023-06-30
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  • 在线发布日期: 2024-11-13
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