白莉, 汪永禄, 金东, 白雪梅, 周海健, 刘燕, 陶勇, 石志峰, 叶长芸, 徐建国. 37株枸橼酸杆菌的耐药性及PFGE分型分析[J]. 疾病监测, 2009, 24(5): 315-318. DOI: 10.3784/j.issn.1003-9961.2009.05.004
引用本文: 白莉, 汪永禄, 金东, 白雪梅, 周海健, 刘燕, 陶勇, 石志峰, 叶长芸, 徐建国. 37株枸橼酸杆菌的耐药性及PFGE分型分析[J]. 疾病监测, 2009, 24(5): 315-318. DOI: 10.3784/j.issn.1003-9961.2009.05.004
BAI Li*, WANG Yong-lu, JIN Dong, BAI Xue-mei, ZHOU Hai-jian, LIU Yan, TAO Yong, SHI Zhi-feng, YE Chang-yun, XU Jian-guo.. Study on drug resistance and molecular characteristics of Citrobacter[J]. Disease Surveillance, 2009, 24(5): 315-318. DOI: 10.3784/j.issn.1003-9961.2009.05.004
Citation: BAI Li*, WANG Yong-lu, JIN Dong, BAI Xue-mei, ZHOU Hai-jian, LIU Yan, TAO Yong, SHI Zhi-feng, YE Chang-yun, XU Jian-guo.. Study on drug resistance and molecular characteristics of Citrobacter[J]. Disease Surveillance, 2009, 24(5): 315-318. DOI: 10.3784/j.issn.1003-9961.2009.05.004

37株枸橼酸杆菌的耐药性及PFGE分型分析

Study on drug resistance and molecular characteristics of Citrobacter

  • 摘要: 目的了解食品及患者来源的37株枸橼酸杆菌的耐药性、毒力基因携带及PFGE的分型情况。方法运用K-B法选择15种抗生素进行药敏试验;以PCR方法检测志贺样毒素(Istx1/I和Istx2/I)、紧密素基因(Ieae/I)及溶血素(Ihly/I)4种毒力基因;用脉冲场凝胶电泳(pulse field gel electrophoresis,PFGE)方法进行同源性分析。结果37株枸橼酸杆菌中,25株为杨氏枸橼酸杆菌,11株为弗劳地枸橼酸杆菌,1株为布雷克氏枸橼酸杆菌。分离菌株对大多数抗生素敏感,但对头孢噻吩100%耐药。其毒力基因检测均为阴性。PFGE结果发现不同菌株带型差异较大。其中5株食品来源,1株为人来源的杨氏枸橼酸杆菌同为MAS007型,具有流行病学相关性。 结论该地区枸橼酸杆菌主要以杨氏枸橼酸杆菌为主;部分菌株具有多重耐药,应加强菌株的耐药性监测;脉冲场凝胶电泳对枸橼酸杆菌有较好的分型能力,有助于分析追踪疫情和来源;患者可能存在食源性感染,应引起疾控部门的重视。

     

    Abstract: ObjectiveTo investigate the drug resistance, the virulence genes and the pulse field gel electrophoresis (PFGE) patterns of 37 strains of Citrobacter isolated from diarrhea patients and food. MethodsThe Kirby-Bauer disk diffusion test was conducted for Citrobacter isolates to test their resistance to 15 antibiotics; the detection of virulence genes (stx1, stx2, hly and eaeA ) of these isolates was performed by routine PCR assay. Homology analysis was performed by PFGE. ResultsAmong 37 strains of Citrobacter, 25 strains were C. youngae, 11 strains were C. freundii and 1 strain was C. braakii. These Citrobacter isolates were sensitive to most antibiotics, but resistant to cephalothin (100%). The results of virulence genes detection were negative for all the isolates. PFGE analysis revealed that the 37 strains belonged to 29 different patterns. The patterns of 6 strains of C. youngae (5 from food, 1 from patient) were same (MAS007), which had epidemiological link. ConclusionThe predominating strains of Citrobacter was C. youngae in the area surveyed. Some of the Citrobacter isolates were multi-drug resistant. PFGE is effective for the subtyping of ICitrobacter/I strains, which is favorable for the tracing of epidemic source. Diarrhea patients might have food borne infection of ICitrobacter/I, and more attention should be paid to it.

     

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