2021-2023年甘肃省天水市沙门菌耐药性及基因组特征分析

Analysis on drug resistance and genome characteristics of Salmonella isolates in Tianshui city, Gansu, 2021−2023

  • 摘要:
    目的  分析甘肃省天水市食品和腹泻患者来源沙门菌耐药性及基因组特征,为沙门菌的监测和防治提供依据。
    方法  对甘肃省天水市2021—2023年分离到的32株沙门菌,采用微量肉汤稀释法进行对13类29种抗菌药物的药敏试验;利用全基因组测序及生信分析技术对沙门菌基因组进行血清型、序列型(ST)、耐药基因、毒力基因及系统发育关系分析。
    结果  32株沙门菌属6个血清群,分为15种血清型,16种ST型,肠炎沙门菌(21.88%,7/32)、鼠伤寒沙门菌单项缺失变体(15.60%,5/32)和印第安纳沙门菌(15.60%,5/32)为流行血清型,ST型以ST11、ST34和ST17为主;测试菌株对氨苄西林、四环素、链霉素和氨苄西林/舒巴坦的耐药率高,依次为75.00%、65.63%、65.63%和62.50%,多重耐药沙门菌占75.00%(24/32);32株菌共注释出12类66种耐药基因,携带率在50.00%以上的耐药基因有:aac(6')-Iaa、aph(3'')-Ibaph(6)-Idtet(A)sul2gyrA p.S83F、 gyrA p.D87N、parC p.T57S和parC p.S80R是喹诺酮类耐药决定区突变的主要类型;32株沙门菌携带172种毒力基因,沙门菌毒力岛和菌毛毒力因子相关基因携带率普遍较高;基于32株菌的核心基因组多位点序列分型构建系统发育进化关系可将不同血清型和ST型的菌株分开,相同ST型、血清型的菌株聚在一起。
    结论  天水市沙门菌遗传进化关系呈现多样性,多重耐药现象严重,且携带的耐药基因和毒力基因种类丰富。

     

    Abstract:
    Objective To investigate the drug resistance and genomic characteristics of Salmonella isolates from the foods and diarrhea patients in Tianshui, Gansu province, and provide evidence for surveillance and prevention of Salmonella.
    Methods A total of 32 Salmonella strains were isolated in Tianshui from 2021 to 2023. The antimicrobial susceptibility testing to 13 classes of antibiotics including 29 kinds of compounds were conducted with broth micro-dilution method; and genomic characterization were analyzed for serotypes, sequence types(ST), resistance genes, virulence genes and phylogenetic relationship.
    Results  In all 32 Salmonella isolates, there were 6 serogroups and 15 serotypes,16 ST types, S. Enteritidis (21.88%, 7/32), S. Typhimurium monophasic variant (15.60%, 5/32) and Salmonella Indiana (15.60%, 5/32) were the predominant serotypes, ST11, ST34 and ST17 were the predominant sequence types; Salmonella showed high rates of resistance to ampicillin(75.00%), streptomycin(65.63%), tetracycline(65.63%) and ampicillin/sulbactam (62.50%), the proportion of multidrug resistant isolates was 75.00% (24/32). The 32 strains of Salmonella carried 66 different resistant genes which belong to 12 categories, the carriage rates of the resistance genes above 50.00% were aac(6')-Iaa, aph(3'')-Ib, aph(6)-Id, tet(A) and sul2, the mutations of gyrA p.S83F, gyrA p.D87N, parC p.T57S and parC p.S80R of QRDRs were the predominant mutation types; the 32 strains of Salmonella carried 172 kinds of virulence genes and showed high rates of the virulence genes relevant to Salmonella pathogenicity island and fimbrial virulence factor; the strains of different serotypes and ST types could be distinguished by the core genome multi-locus sequence typing method, and strains with the same ST types clustered together.
    Conclusion The Salmonella strains isolated from the foods and the clinical settings in Tianshui showed genetic evolutionary diversity, had serious multidrug resistance, and carried abundant resistant genes and virulence genes.

     

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