山东省动物源性产志贺毒素大肠埃希菌菌型和耐药特征分析
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1.甘肃省张掖市甘州区疾病预防控制中心;2.西藏自治区疾病预防控制中心;3.中国疾病预防控制中心传染病预防控制所;4.山东省疾病预防控制中心;5.山东省精神卫生中心

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山东省自然科学基金面上项目(ZR2022MH318),山东省医药卫生科技项目( 202312051013 )


Characterization and drug resistance of Shiga toxin-producing Escherichia coli derived from animals in Shandong provinceWang Qin1, DeJi YuZhen2, Yang Xi3, Sun Wenkui4, Zhang yuanqing5, Hou Peibin4, Xiong Yanwen3,Hu Bin4
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1.Disease Prevention and Control center of Ganzhou District, Zhangye City, Gansu Province;2.Xizang 3.Autonomous 4.Region Center for Disease Control and Prevention;5.National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention;6.Shandong Provincial Center for Disease Prevention and Contro;7.Shandong Mental Health Center

Fund Project:

Natural Science Foundation of Shandong Province (ZR2022MH318); Shandong Province Medical and Health Technology Project (202312051013)

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    摘要:

    【】目的 了解山东省动物源性产志贺毒素大肠埃希菌(Shiga toxin-producing Escherichia coli,STEC)的分子特征和耐药特征,为STEC感染风险评估及监测提供依据。方法 对山东省2017-2018年分离鉴定的140株牛和羊来源STEC菌株,采用微量肉汤稀释法测定其对15类27种抗生素的最小抑菌浓度,采用双纸片协同试验进行超广谱β-内酰胺酶(Extended spectrum beta-lactamases,ESBLs)检测;对所有菌株进行全基因组测序并基于全基因组序列进行O:H血清型、志贺毒素亚型和耐药相关基因分析,构建最大似然法的Core Gene SNP系统进化树。结果 140株STEC组成46种不同O:H血清型,其中O157:H7占12.86%(18/140);共检出2种stx1亚型和8种stx2亚型,以stx1c+stx2b亚型为主,其次是stx2k新亚型。16株菌(11.43%)对至少一种抗生素耐药,4株(2.86%)为多重耐药。牛和羊来源的STEC对四环素耐药率最高(8.57%,12/140),其次是复方新诺明(6.43%,9/140),3株为产ESBLs菌株;所有菌株对美罗培南和阿米卡星均敏感;共检出10类29种耐药相关基因,包括β-内酰胺酶类耐药基因blaEC、blaCTX、blaTEM和blaOXA,并首次从STEC中检出磷霉素耐药基因fosA7。140株STEC形成了38个簇,每个簇包含了相同的血清型和ST型,血清型为O113:H4 ST10型的菌株为优势簇。

    Abstract:

    【】 Objective To understand the characteristic and antibiotic resistance traits of Shiga toxin-producing Escherichia coli (STEC) derived from animal in Shandong province, providing a basis for the risk assessment and surveillance of STEC infection,Constructing a Core Gene SNP phylogenetic tree using maximum likelihood method. Methods A total of 140 STEC strains were isolated from cattle and sheep from 2017 to 2018 in Shandong. These strains were tested for the minimal inhibitory concentrations (MICs) of 27 types of antibiotics in 15 categories using the microbroth dilution method. The detection of extended spectrum beta-lactamases (ESBLs) was conducted by using the double-disk synergy test. Whole genome sequencing was performed, the O:H serotyping, Shiga toxin subtyping and antibiotic resistance gene were analysis. Results The 140 STEC strains constituted 46 O:H serotypes, with O157:H7 accounting for 12.86% (18/140). Two stx1 subtypes and 8 stx2 subtypes were detected, and stx1c+stx2b was the most common subtype, followed by the novel stx2k. Sixteen strains (11.43%) were resistant to at least one antibiotic, and 4 strains (2.86%) were multi-drug resistant. The highest resistance rate to tetracycline was observed in the cattle- and sheep-derived STEC strains (8.57%, 12/140), followed by trimethoprim-sulfamethoxazole (6.43%, 9/140), with 3 strains were ESBLs-producing strains. All strains were sensitive to meropenem and amikacin. A total of 10 categories of 29 antibiotic resistance genes were detected, including the β-lactamase resistance genes blaEC, blaCTX, blaTEM and blaOXA, and fosfomycin resistance gene fosA7 was identified for the first time in STEC. 140 STEC strains formed 38 clusters, each containing the same serotype and ST type, with the O113: H4 ST10 serotype strain being the dominant cluster. Conclusion Cattle and sheep in Shandong Province carry multiple drug-resistant strains with various resistance genes, as well as highly pathogenic O157:H7 strains. It is necessary to strengthen the management of cattle and sheep feces and pathogen monitoring.

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  • 收稿日期:2024-12-18
  • 最后修改日期:2025-02-24
  • 录用日期:2025-03-23
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