2013—2024年温州地区克罗诺杆菌感染的流行病学及菌株分子特征分析
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作者单位:

温州市疾病预防控制中心(温州市卫生监督所),浙江 温州 325000

作者简介:

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

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R155

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Epidemiology and molecular characterization of Cronobacter spp. isolated from 2013 to 2024 in Wenzhou
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Wenzhou Center for Disease Control and Prevention (Wenzhou Health Supervision Institute), Zhejiang Wenzhou 325000, China

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    摘要:

    目的 了解和掌握温州地区腹泻患者克罗诺杆菌感染状况及其菌株分子流行特征,为该地区克罗诺杆菌引发的食源性疾病防控提供科学依据。方法 2013—2024年对温州地区食源性疾病腹泻患者样本,开展克罗诺杆菌检测并对分离的菌株进行菌种鉴定、分子血清分型、全基因组测序,并进行聚类分析,同时分析毒力、耐药相关基因携带情况。结果 在1 816份样本中,共检出21株克罗诺杆菌,总分离率达到1.16%。年龄分布上,18~60岁年龄段占比38.10%,<1岁占比33.33%。发病时间上,春季检出占比38.10%,夏季占比33.33%。分离菌株中,阪崎克罗诺杆菌14株,占总菌株数的66.67%。阪崎克罗诺杆菌可分为4个血清型及1个未分型,其中Csak O1为主要血清;丙二酸盐克罗诺杆菌分为2个血清型,以Cmal O2为主要血清型。21株克罗诺杆菌经鉴定,共分为10个ST型和8个克隆群(CC),其中CC7和CC4为主要克隆群,ST4型和ST201型为主要ST型。21株菌株的基因注释结果显示,均携带17个与运动、与黏附和侵袭性等相关的基因。此外,共筛选出15个耐药基因,多数菌株携带11~14个耐药基因。结论 在温州地区由克罗诺杆菌引发的食源性腹泻病例中,需重点关注婴儿群体的克罗诺杆菌感染问题。Csak O1和Cmal O1为主要血清型,CC4、CC7为主要克隆群,ST4型、ST201型为主要ST型。

    Abstract:

    Objective To understand and master the infection status and molecular epidemiological characteristics of Cronobacter spp. in diarrhea patients in Wenzhou, and to provide a scientific basis for the prevention and control of foodborne diseases caused by Cronobacter spp. in this region.Methods From 2013 to 2024, stool samples were collected from diarrhea patients with foodborne diseases in Wenzhou and tested for Cronobacter spp. Isolated Cronobacter strains underwent species identification, molecular serotyping, and whole-genome sequencing. Bioinformatics analyses were performed to assess genetic relatedness through cluster analysis, as well as to detect the presence of virulence-associated genes and antimicrobial resistance genes.Results A total 21 strains of Cronobacter spp. were detected in 1 816 samples, with a total isolation rate of 1.16%. In terms age distribution, the proportion of patients aged 18-60 years was 38.10%, and the proportion of patients under 1 year old was 33.33%. In terms of seasonal distribution, the detection rate in spring accounted for 38.10%, and that in summer accounted for 33.33%. Among the isolated strains, there were 14 strains of Cronobacter sakazakii, accounting for 66.67% of the total number of strains. Cronobacter sakazakii could be divided into 4 serotypes and 1 untyped strain, among which Csak O1 was the main serotype; Cronobacter malonaticus was divided into 2 serotypes, with Cmal O2 as the main serotype. After identification, the 21 strains of Cronobacter spp. were divided into 10 ST types and 8 clonal complexes (CC), among which CC7 and CC4 were the main clonal complexes, and ST4 and ST201 were the main ST types. The gene annotation results of the 21 strains showed that all of them carried 17 genes related to motility, adhesion and invasiveness, etc. In addition, a total of 15 drug resistance genes were screened out, and most of the strains carried 11-14 drug resistance genes.Conclusion In cases of foodborne diarrhea caused by Cronobacter spp. in Wenzhou, attention should be focused on Cronobacter spp. infections in infants. Csak O1 and Cmal O1 are the main serotypes, CC4 and CC7 are the main clonal complexes, and ST4 and ST201 are the main ST types.

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李毅,章乐怡,胡玉琴,洪程基,谢爱蓉,邵潘驰,李海燕,楼辉煌.2013—2024年温州地区克罗诺杆菌感染的流行病学及菌株分子特征分析[J].中国食品卫生杂志,2025,37(6):526-533.

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  • 收稿日期:2025-03-09
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  • 在线发布日期: 2025-10-10
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