杨元斌, 高红, 章丹阳, 闫鹏, 沈玄艺, 宋启发. 浙江省宁波市多重耐药肯塔基沙门菌的检出及病原学分析[J]. 疾病监测, 2018, 33(6): 510-514. DOI: 10.3784/j.issn.1003-9961.2018.06.015
引用本文: 杨元斌, 高红, 章丹阳, 闫鹏, 沈玄艺, 宋启发. 浙江省宁波市多重耐药肯塔基沙门菌的检出及病原学分析[J]. 疾病监测, 2018, 33(6): 510-514. DOI: 10.3784/j.issn.1003-9961.2018.06.015
Yang Yuanbin, Gao Hong, Zhang Danyang, Yan Peng, Shen Xuanyi, Song Qifa. Etiology of multi-drug resistant Salmonella Kentucky isolates from retail chicken and a patient in Ningbo[J]. Disease Surveillance, 2018, 33(6): 510-514. DOI: 10.3784/j.issn.1003-9961.2018.06.015
Citation: Yang Yuanbin, Gao Hong, Zhang Danyang, Yan Peng, Shen Xuanyi, Song Qifa. Etiology of multi-drug resistant Salmonella Kentucky isolates from retail chicken and a patient in Ningbo[J]. Disease Surveillance, 2018, 33(6): 510-514. DOI: 10.3784/j.issn.1003-9961.2018.06.015

浙江省宁波市多重耐药肯塔基沙门菌的检出及病原学分析

Etiology of multi-drug resistant Salmonella Kentucky isolates from retail chicken and a patient in Ningbo

  • 摘要: 目的 研究浙江省宁波市市售鸡肉与腹泻患者粪便中分离到的多重耐药肯塔基沙门菌的分子分型及耐药谱特征。方法 采用经典血清学方法鉴定肯塔基沙门菌的血清学分型。微量肉汤稀释法检测肯塔基沙门菌对12种抗生素的敏感性。脉冲场凝胶电泳(PFGE)分析不同来源的2株肯塔基沙门菌的分子分型特征。聚合酶链式反应(PCR)检测菌株的耐药基因gyrAblaCTX-M14-likeblaCTX-M15-likeblaTEMblaOXA结果 2株不同来源的肯塔基沙门菌耐药谱完全相同,均对9种抗生素耐药,为多重耐药沙门菌,且均为ESBLs表型阳性。2株肯塔基沙门菌双酶切(XbaⅠ与BlnⅠ) PFGE分型指纹图完全相同,具有相同PFGE分型。喹诺酮耐药基因gyrA发生83、87位氨基酸密码子点突变;ESBLs决定基因blaCTX-M14-likeblaCTX-M15-likeblaTEM均阳性,blaOXA阴性。结论 在宁波市售鸡肉样品和临床腹泻患者粪便样品中检出含环丙沙星高水平耐药在内的多重耐药肯塔基沙门菌,PFGE分子型别一致,说明该型多重耐药肯塔基沙门菌已造成散发病例感染。应该加强多重耐药肯塔基沙门菌在禽类养殖业与健康人群中传播的监测。必须规范禽类养殖业对于禽用抗生素的合理使用,防止出现更多的多重耐药沙门菌。

     

    Abstract: Objective To understand the molecular characteristics and drug resistance pattern of Salmonella Kentucky isolated from retail chicken and a diarrhea patient's stool in Ningbo. Methods The S. Kentucky strains were identified with standard serum agglutination method. The susceptibility of the strains to 12 antibiotics was tested by using micro broth dilution method. Pulsed field gel electrophoresis (PFGE)was performed to compare the molecular characteristics of the isolates. PCR was used to detect the drug resistance genes,gyrA,blaCTX-M14-like,blaCTX-M15-like,blaTEM and blaOXA. Results Two strains of S. Kentucky isolated from different sources were all resistant to 9 antibiotics and multi-drug resistant Salmonella. The PFGE finger printing of the 2 isolates digested by 2 enzymes (XbaⅠ and BlnⅠ)were exactly the same. The quinolone-resistant gene gyrA contained mutations at codon 83 and 87,with substitutions of serine to phenylalanine and aspartate to glycine, respectively. The extended spectrum β-lactamases phenotype determining genes blaCTX-M14-like,blaCTX-M15-like and blaTEM were all positive,while blaOXA was negative. Conclusion Super ciprofloxacin resistant S. Kentucky strain was detected from retail chicken and a diarrhea patient's stool in Ningbo,which shared the same PFGE pattern,indicating the multi-drug resistant S. Kentucky had caused a sporadic case. Surveillance for super ciprofloxacin resistant S. Kentucky should be performed in the poultry farm and healthy population. More strict supervision should be carried out for rational use of antibiotics in the poultry farms to prevent multi-drug resistant of Salmonella.

     

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