食物中毒相关金黄色葡萄球菌病原学分析
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1.南岸区疾病预防控制中心;2.重庆医科大学

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2023年重庆市公共卫生重点专科(学科)建设经费


Pathogenetic analysis of Staphylococcus aureus associated with food poisoning
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1.Chongqing Nanan District Center for Diseases Control and Prevention;2.Chongqing Medical University

Fund Project:

2023 key Disciplines On Public Health Construction in Chongqing

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    摘要:

    目的 对重庆市南岸区两起食物中毒事件进行病原检测,为此类事件的处置和判定提供依据。方法 对病例和从业人员肛拭子、食品加工环境样及留样食品进行病原分离和鉴定,对分离株进行肠毒素检测、药物敏感性试验,开展全基因组测序,以获取分离株携带的毒力及耐药基因,并进行多位点序列分型及单核苷酸多态性分析。结果 从8份病例肛拭子、1份环境样以及1份留样食品中分离到10株金黄色葡萄球菌,两起事件分别分离菌株4株、6株。同一事件金黄色葡萄球菌产相同的肠毒素、耐药谱相同,分别产SEA、SEE(均携带毒力基因sea)及产SEA、SEB、SEE(均携带毒力基因sea、seb),耐药谱分别为PEN-ERY及PEN,耐药谱为PEN-ERY的分离株除1株未携带相关耐药基因blaZ外,其余分离株均携带相关耐药基因blaZ和erm(A),耐药谱为PEN的分离株均携带相关耐药基因blaZ。MLST分析同一事件同源性100%,分别为ST30型 ,ST59型。同一事件单核苷酸多态性分析高度同源。结论 这两起事件均是由金黄色葡萄球菌污染引起的食物中毒事件,对青霉素均耐药,基于全基因组测序,对菌株进行多位点序列分型和单核苷酸多态性分析,可用于金黄色葡萄球菌引起的聚集性事件同源性分析。

    Abstract:

    Pathogen detection was carried out in two food poisoning incidents in Nanan District, Chongqing City, to provide a basis for disposal and determination of such incidents. Pathogens were isolated and identified from anal swabs of cases and practitioners, samples of the food processing environment and retained food. The isolates were subjected to enterotoxin detection and drug sensitivity tests, and whole genome sequencing was performed to obtain virulence and resistance genes carried by the isolates, as well as multilocus sequence typing and single nucleotide polymorphism analysis. Ten strains of S. aureus were isolated from anal swabs of eight cases, one environmental sample, and one retained food sample, of which four and six strains were isolated from two incidents, respectively. In the same incident, S. aureus produced the same enterotoxin with the same resistance profile.Pathogens producing enterotoxin SEA, SEE both carried the virulence gene sea and Pathogens producing enterotoxin SEA, SEB, SEE both carried the virulence genes sea and seb. the resistance profiles were PEN-ERY and PEN respectively. The isolates with resistance profiles PEN-ERY , all carried the associated resistance genes blaZ and erm(A) except for one isolate that did not carry the associated resistance gene blaZ, whereas the isolates with resistance profiles PEN all carried the associated resistance gene blaZ. MLST analysis showed 100% homozygosity for the same event, ST30 type , ST59 type respectively. Single nucleotide polymorphism analysis of the same event was highly homologous. Therefore, these two events were both food poisoning events caused by S. aureus contamination, which were resistant to penicillin. Based on whole genome sequencing, multi-locus sequence typing and single nucleotide polymorphism analysis of the strains can be used for homology analysis of aggregation events caused by S. aureus.

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  • 收稿日期:2024-08-22
  • 最后修改日期:2025-04-17
  • 录用日期:2025-04-22
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