鄂尔多斯市一起食物中毒事件中沙门菌耐药及同源性分析
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作者单位:

1.鄂尔多斯市疾病预防控制中心,内蒙古 鄂尔多斯 017010;2.东胜区疾病预防控制中心, 内蒙古 鄂尔多斯 017000

作者简介:

贾媛 女 主管技师 研究方向为微生物检验 E-mail:jiayuan0975@163.com
刘春玲 女 主治医师 研究方向为食品检验与分析 E-mail:2421756904@qq.com

通讯作者:

杨春燕 女 副主任技师 研究方向为微生物检验 E-mail:315284893@qq.com

中图分类号:

R155

基金项目:

鄂尔多斯市重点传染病病原溯源分析及耐药性研究(2021YY社213-68)


Drug resistance and homology analysis of Salmonella in a food poisoning incident in Ordos City
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Affiliation:

1.Ordos Center for Disease Control and Prevention, Inner Mongolia Ordos 017010, China;2.Dongsheng District Center for Disease Control and Prevention, Inner Mongolia Ordos 017000, China

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    摘要:

    目的 了解鄂尔多斯市一起食物中毒事件中沙门菌的血清型、耐药状况及同源性,为食物中毒事件调查溯源提供科学依据。方法 对来自食物中毒事件中的腹泻患者及他们共同的就餐环境、就餐食物中检出的沙门菌采用实时荧光定量PCR的方法进行血清分型、微量肉汤稀释法进行药敏试验、脉冲场凝胶电泳试验和全基因组测序进行同源性分析。结果 成功分离培养到沙门菌12株(来自2份蛋黄酱,1份打蛋器涂抹拭子,9名患者的粪便),经血清分型鉴定为肠炎沙门菌,且12株肠炎沙门菌均为多重耐药株,其耐药谱为STR-AMP-AMS-NAL-CIP-CT;12株肠炎沙门菌同源性大于80%。结论 引起本次食物中毒的肠炎沙门菌均为多重耐药,且来自食品、厨具及患者的肠炎沙门菌具有高度的同源性,可判断该起食物中毒事件是由患者食用了被肠炎沙门菌污染的蛋黄酱引起。

    Abstract:

    Objective To understand the serotype, drug resistance status, and homology of Salmonella in the food poisoning incident, and provide scientific basis for investigating and tracing the source of the food poisoning incident.Methods Real time fluorescent quantitative PCR was used for serotyping of Salmonella from diarrhea patients in food poisoning events, their common dining environment and food samples, micro broth dilution method was used for drug sensitivity test, pulsed field gel electrophoresis test and whole genome sequencing for homology analysis.Results Twelve strains of Salmonella were successfully isolated and cultured (including 2 food samples, 1 kitchen utensil sample and feces from 9 patients), which were identified as Salmonella enterica by serum typing. All 12 strains of Salmonella enterica were multidrug-resistant strains, with the predominant resistance being STR-AMP-AMS-NAL-CIP-CT; The homology of 12 strains of Salmonella enteritidis is greater than 80%.Conclusion The Salmonella enterica that caused the food poisoning in this case are all multidrug-resistant, and the Salmonella enterica from food, kitchen utensils and patients have a high degree of homology, indicating that the food poisoning incident was caused by this food.

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贾媛,刘春玲,杨春燕,张迪,肖洪涛,赵龙.鄂尔多斯市一起食物中毒事件中沙门菌耐药及同源性分析[J].中国食品卫生杂志,2024,36(11):1209-1213.

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  • 收稿日期:2024-08-04
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  • 在线发布日期: 2025-03-14
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