Serological, drug resistance spectrum and molecular typing analysis of Salmonella in patients with foodborne diarrhea in Wenzhou City from 2017 to 2021
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1.Zhejiang Chinese Medical University, Zhejiang Hangzhou 310053, China;2.Wenzhou Center for Disease Control and Prevention, Zhejiang Wenzhou 325000, China

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R155

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    Abstract:

    Objective To provide scientific basis for the prevention and control of foodborne diseases and clinical treatment, the serological, drug resistance and molecular typing characteristics of Salmonella isolated from patients with foodborne diarrhea in Wenzhou City was investigated.Methods A total of 567 Salmonella strains isolated from foodborne diarrhea cases in Wenzhou City from 2017 to 2021 were sorted out and serotyped. The susceptibility tests to 15 antimicrobial agents were performed using the broth microdilution method. Pulsed field gel electrophoresis (PFGE) was used for molecular typing.Results Among the 567 patients of Salmonella, 326 were male and 241 were female, accounting for 57.5% and 42.5%, respectively. Most of them were children under 6 years old, and 119 strains were isolated, accounting for 21.0%. Next was the elderly over 60 years old, 111 strains of Salmonella were isolated, accounting for 19.6%. The 567 isolates of Salmonella were divided into 50 serotypes, among which the top two serotypes were Salmonella typhimurium (33.5%, 190/567) and Salmonella enteritidis (23.6%, 134/567). The results showed that the resistance rate to ampicillin was the highest (73.5%, 417/567). It was followed by tetracycline (63.3%, 359/567). Salmonella typhimurium had the highest resistance to tetracycline (84.2%, 160/190), and Salmonella enteritidis had the highest resistance to nalidixic acid (95.5%, 128/134) among 15 antibiotics. Among 567 strains of Salmonella, 178 kinds of drug resistance spectrum were found, the rate of multiple drug resistance was 62.6%and the highest proportion was AMP-AMS-CFZ-CT-NAL. The 201 strains of Salmonella typhimurium and the monophasic varieties of Salmonella typhimurium produced 70 band types. The band types varied greatly and the similarity was between 1.5% and 100%. One hundred and twenty-seven strains of Salmonella enteritidis obtained a total of 32 band types with the similarity between 35.8% and 100%. Fifty strains of Salmonella london obtained a total of 24 band types by PFGE, and the similarity was between 40.0% and 100%.Conclusion Foodborne Salmonella strains isolated in Wenzhou displayed diverse serotypes, varying degrees of drug resistance, and multi-drug resistance. To effectively prevent and control foodborne diseases caused by Salmonella, enhancing monitoring of Salmonella among foodborne diarrhea patients was essential. Timely understanding of Salmonella serotype distribution trends and drug resistance patterns in the region, followed by appropriate measures, was imperative.

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LIN Qiange, ZHANG Leyi, HU Yuqin, SUN Guiqin, LI Yi. Serological, drug resistance spectrum and molecular typing analysis of Salmonella in patients with foodborne diarrhea in Wenzhou City from 2017 to 2021[J].中国食品卫生杂志,2024,36(7):788-796.

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History
  • Received:July 19,2023
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  • Online: October 23,2024
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