罗铭, 王鲁彦, 周昶宇, 侯心娇, 凌誌穗, 温渝健, 莫宗鑫, 夏樱花, 吴炎农, 闫梅英. 广西壮族自治区玉林市健康人携带单相鼠伤寒沙门菌耐药及分子遗传特征研究[J]. 疾病监测, 2023, 38(6): 714-721. DOI: 10.3784/jbjc.202303070086
引用本文: 罗铭, 王鲁彦, 周昶宇, 侯心娇, 凌誌穗, 温渝健, 莫宗鑫, 夏樱花, 吴炎农, 闫梅英. 广西壮族自治区玉林市健康人携带单相鼠伤寒沙门菌耐药及分子遗传特征研究[J]. 疾病监测, 2023, 38(6): 714-721. DOI: 10.3784/jbjc.202303070086
Luo Ming, Wang Luyan, Zhou Changyu, Hou Xinjiao, Ling Zhisui, Wen Yujian, Mo Zongxin, Xia Yinghua, Wu Yannong, Yan Meiying. Antimicrobial resistance and molecular genetic characteristics of monophasic Salmonella Typhimurium carried by healthy population in Yulin, Guangxi Zhuang Autonomous Region[J]. Disease Surveillance, 2023, 38(6): 714-721. DOI: 10.3784/jbjc.202303070086
Citation: Luo Ming, Wang Luyan, Zhou Changyu, Hou Xinjiao, Ling Zhisui, Wen Yujian, Mo Zongxin, Xia Yinghua, Wu Yannong, Yan Meiying. Antimicrobial resistance and molecular genetic characteristics of monophasic Salmonella Typhimurium carried by healthy population in Yulin, Guangxi Zhuang Autonomous Region[J]. Disease Surveillance, 2023, 38(6): 714-721. DOI: 10.3784/jbjc.202303070086

广西壮族自治区玉林市健康人携带单相鼠伤寒沙门菌耐药及分子遗传特征研究

Antimicrobial resistance and molecular genetic characteristics of monophasic Salmonella Typhimurium carried by healthy population in Yulin, Guangxi Zhuang Autonomous Region

  • 摘要:
      目的  了解广西壮族自治区玉林市健康人携带的单相鼠伤寒沙门菌的耐药情况及菌株间的同源性。
      方法  对2021—2022年分离自健康饮食从业人群的147株单相鼠伤寒沙门菌进行血清学鉴定,采用微量肉汤稀释法进行16种药物的敏感性试验,应用脉冲场凝胶电泳(PFGE)进行分子分型及聚类分析,同时进行全基因组测序及多位点序列分型分析。
      结果  单相鼠伤寒沙门菌普遍耐药,耐药菌株占98.64%,对链霉素的耐药率最高(96.60%),其次为氨苄西林和四环素(均为91.16%)。 多重耐药率高达85.71%,主要耐药谱为氨苄西林–链霉素–四环素三重耐药。 147株菌分为132种PFGE带型,研究发现成簇菌株存在,但菌株基因组遗传差异较大。核心基因组进化树分析提示存在3起聚集。 多位点序列分型显示,序列型ST34占绝对优势(96.60%)。
      结论  玉林市健康人携带单相鼠伤寒沙门菌耐药严重,菌株具有明显的遗传多样性,存在潜在暴发风险,提示应加强重点人群健康监测及暴露危险因素的调查,降低该耐药新血清型沙门菌扩散风险。

     

    Abstract:
      Objective  To understand the drug resistance and phylogenetic characteristics of monophasic Salmonella Typhimurium isolated from healthy population in Yulin, Guangxi Zhuang autonomous region.
      Methods  A total of 147 strains of monophasic S. Typhimurium were isolated from healthy people engaged in food process from 2021 to 2022 for serotyping and drug susceptibility test to 16 antimicrobial agents using micro-broth dilution method. Molecular subtyping and cluster analysis were performed by pulse-field gel electrophoresis (PFGE). Whole genome sequencing and multi locus sequence typing were performed to explore the genetic characteristics of the strains.
      Results  The drug resistance of monophasic S. Typhimurium was common. The drug resistant strains accounted for 98.64%. The resistance of monophasic S. Typhimurium to streptomycin was highest (96.60%), followed by ampicillin (91.16%) and tetracycline (91.16%). The multi-drug resistant rate was 85.71%, and the main drug resistant profile was resistant to ampicillin, streptomycin and tetracycline simultaneously. A total of 132 PFGE patterns were identified in 147 strains, and some clusters were observed, but the strains in the clusters showed high genetic diversities in genomes. The phylogenetic tree based on core genome showed three potential clonal clusters in 147 strains. Multi locus sequence typing showed that ST34 was the predominant type, accounting for 96.60% of all strains.
      Conclusion  The drug resistance of monophasic S. Typhimurium carried by healthy population in Yulin was serious. The strains had high genetic diversity, indicating the potential for outbreaks. The study results suggest that health monitoring and risk factor identification should be further strengthened to reduce the spread of emerging serotype of Salmonella with high antimicrobial resistance.

     

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