山东省动物源性产志贺毒素大肠埃希菌血清型和耐药特征分析
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1.甘肃省张掖市甘州区疾病预防控制中心,甘肃 张掖 734000;2.西藏自治区疾病预防控制中心,西藏 拉萨 850000;3.中国疾病预防控制中心传染病预防控制所,北京 102206;4.山东省疾病预防控制中心,山东 济南 250014;5.山东省精神卫生中心,山东 济南 250014

作者简介:

王琴 女 主管检验师 研究方向为病原微生物检验 E-mail:810054356@qq.com
德吉玉珍 女 主管检验师 研究方向为微生物检验 E-mail:dejiyuzhen@163.com

通讯作者:

胡彬 女 主任技师 研究方向为食源性致病菌分子流行病学和耐药性 Email:wubz9670@126.com

中图分类号:

R155

基金项目:

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 Province
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1.Disease Prevention and Control Center of Ganzhou District, Zhangye City, Gansu Zhangye 734000, China;2.Xizang Autonomous Region Center for Disease Control and Prevention, Xizang Lhasa 850000, China;3.National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China;4.Shandong Provincial Center for Disease Prevention and Control, Shangdong Ji’nan, 250014, China;5.Shandong Mental Health Center, Shangdong Ji’nan, 250014, China

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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(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(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45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1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25种耐药相关基因,包括β-内酰胺酶类耐药基因blaECblaCTX、blaTEMblaOXA,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,血清型为O113:H4型的菌株为优势簇。结论 山东省牛和羊携带的STEC菌株以非O157为主,具有高度多样性,存在fosA7新耐药基因型及携带多种耐药基因的多重耐药菌株,应加强牛羊粪便管理和病原菌监测。

    Abstract:

    Objective To understand the characteristics and antibiotic resistance profiles of Shiga toxin-producing Escherichia coli (STEC) derived from animals in Shandong Province, providing a basis for the risk assessment and surveillance of STEC infection.Methods A total of 140 STEC strains were isolated from cattle and sheep from 2017 to 2018 in Shandong Province. These strains were tested for the minimal inhibitory concentrations 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. The O:H serotyping, Shiga toxin subtyping and antibiotic resistance gene were analysis based on whole genome sequences. The core gene SNP phylogenetic tree was constructed using the maximum likelihood method.Results The 140 STEC strains constituted 45 O:H serotypes, with O157:H7 accounting for 12.86% (18/140). Two stx1 subtypes and eight 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 25 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, with the O113:H4 serotype strain being the dominant cluster.Conclusion STEC strains carried by cattle and sheep in Shandong Province are predominantly non-O157 serogroups and exhibit high diversity. The novel fosA7-resistant gene and multidrug-resistant isolates were identified. It is essential to strengthen the management of cattle and sheep feces and enhance monitoring of pathogenic bacteria.

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王琴,德吉玉珍,杨茜,孙文魁,张元晴,侯配斌,熊衍文,胡彬.山东省动物源性产志贺毒素大肠埃希菌血清型和耐药特征分析[J].中国食品卫生杂志,2025,37(3):216-223.

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  • 收稿日期:2024-12-18
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  • 在线发布日期: 2025-06-25
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