赵红庆, 徐萍, 周声安, 胡守奎. 耐甲氧西林金黄色葡萄球菌不同来源株耐药性及流行特征分析[J]. 疾病监测, 2017, 32(7): 603-608. DOI: 10.3784/j.issn.1003-9961.2017.07.018
引用本文: 赵红庆, 徐萍, 周声安, 胡守奎. 耐甲氧西林金黄色葡萄球菌不同来源株耐药性及流行特征分析[J]. 疾病监测, 2017, 32(7): 603-608. DOI: 10.3784/j.issn.1003-9961.2017.07.018
ZHAO Hong-qing, XU Ping, ZHOU Sheng-an, HU Shou-kui. Analysis of epidemiological characteristics and drug resistance of methicillin-resistant Staphylococcus aureus strains with different sources[J]. Disease Surveillance, 2017, 32(7): 603-608. DOI: 10.3784/j.issn.1003-9961.2017.07.018
Citation: ZHAO Hong-qing, XU Ping, ZHOU Sheng-an, HU Shou-kui. Analysis of epidemiological characteristics and drug resistance of methicillin-resistant Staphylococcus aureus strains with different sources[J]. Disease Surveillance, 2017, 32(7): 603-608. DOI: 10.3784/j.issn.1003-9961.2017.07.018

耐甲氧西林金黄色葡萄球菌不同来源株耐药性及流行特征分析

Analysis of epidemiological characteristics and drug resistance of methicillin-resistant Staphylococcus aureus strains with different sources

  • 摘要: 目的 探索耐甲氧西林金黄色葡萄球菌(MRSA)在动物食品、动物临床及人医临床中的分布和流行情况,对其耐药情况进行研究分析,为控制MRSA的感染和临床用药提供理论支持。方法 对采集安徽省不同地区动物食品、动物临床及人医临床的标本进行分离培养。采用法国生物梅里埃公司的Vitek全自动微生物分析系统,对分离菌株进行细菌鉴定和药敏试验;应用聚合酶链反应(PCR)方法检测mecA基因;应用脉冲场凝胶电泳(PFGE)对MRSA进行脉冲电泳,BioNumerics软件进行聚类分析。结果 从安徽省淮北、合肥和马鞍山地区共采集动物性食品450份、动物临床标本90份、人医临床标本150份。共分离MRSA 82株,其中动物性食品MRSA(Food-MRSA)14株、动物临床MRSA(La-MRSA)23株、人医临床MRSA(Hu-MRSA)45株,分离培养率为3.1%、30.0%和25.6%;不同来源的MRSA菌株对万古霉素、达福普丁和利奈唑胺100%敏感;对青霉素和苯唑西林100%耐药;对头孢唑啉、红霉素、克林霉素、四环素、庆大霉素、左氧氟沙星、利福平、甲氧嘧啶和氨苄西林有不同程度的耐药,但不同来源MRSA间无差异。82株不同来源的MASA经PFGE分型可分为49个型别,同源性较低。结论 动物临床标本和人医临床标本的MRSA的分离培养率显著高于动物食品的分离率,不同来源的MRSA在药物敏感性方面差异无统计学意义。PFGE 和聚类分析显示,安徽省不同地区不同来源的MRSA其亲缘关系较远,显示其菌株来源的多克隆特征。

     

    Abstract: Objective To understand the distributions and drug resistance of methicillin-resistant Staphylococcus aureus (MRSA) strains isolated from animal food samples, animal clinical samples and human clinical samples, and provide theoretical support for the control of MRSA infection and clinical treatment. Methods Animal food samples, animal clinical samples and human clinical samples were collected from different areas of Anhui province for MRSA isolation and culture. The identification and drug susceptibility testing were done using Vitek auto-microbiological analysis system. The mecA was detected with PCR, and pulsed-field gel electrophoresis (PFGE) and homology analysis of MRSA with software BioNumerics were conducted. Results A total of 690 samples of 3 kinds of samples, including 450 animal food samples, 90 animal clinical samples and 150 human clinical samples, were collected from Huaibei, Hefei and Maanshan of Anhui and 82 MRSA strains were isolated, including 14 strains from animal food samples (3.1%), 23 strains from animal clinical samples (30.0%) and 45 strains from human clinical samples (25.6%). The drug susceptibility test indicated that all the 82 isolates were sensitive to vancomycin, linezolid and dalfopristin, but resistant to penicillin and oxacillin, and all the isolates had different resistances to cefazolin, erythrocin, clindamycin, tetracycline, gentamicin, levofloxacin, rifampicin, sulfamethoxydiazine and ampicillin, the differences among the isolates with different sources were not significant. PFGE results showed that the 82 isolates had 49 PFGE patterns, indicating that they shared low homologies. Conclusion The isolation rates of MRSA in animal clinical samples and human clinical samples were higher than that in animal food samples. The differences in drug susceptibility among the isolates with different sources had no significance. PFGE and homology analysis showed that all the isolates had weak genetic relationship, indicating polyclonal characteristics of the isolates.

     

/

返回文章
返回