沈丽珍, 徐斐, 余玲玲, 张晓春, 陈素菜. 浙江省温州地区志贺菌流行菌株的血清分型及耐药性分析[J]. 疾病监测, 2009, 24(5): 334-336. DOI: 10.3784/j.issn.1003-9961.2009.05.008
引用本文: 沈丽珍, 徐斐, 余玲玲, 张晓春, 陈素菜. 浙江省温州地区志贺菌流行菌株的血清分型及耐药性分析[J]. 疾病监测, 2009, 24(5): 334-336. DOI: 10.3784/j.issn.1003-9961.2009.05.008
SHEN Li-zhen*, XU Fei, YU Ling-ling, ZHANG Xiao-chun, CHEN Su-cai. Serotyping and drug resistance of Shigella circulated in Wenzhou, Zhejiang province[J]. Disease Surveillance, 2009, 24(5): 334-336. DOI: 10.3784/j.issn.1003-9961.2009.05.008
Citation: SHEN Li-zhen*, XU Fei, YU Ling-ling, ZHANG Xiao-chun, CHEN Su-cai. Serotyping and drug resistance of Shigella circulated in Wenzhou, Zhejiang province[J]. Disease Surveillance, 2009, 24(5): 334-336. DOI: 10.3784/j.issn.1003-9961.2009.05.008

浙江省温州地区志贺菌流行菌株的血清分型及耐药性分析

Serotyping and drug resistance of Shigella circulated in Wenzhou, Zhejiang province

  • 摘要: 目的调查志贺菌在浙江省温州地区流行的主要血清型和耐药性。方法收集临床分离的志贺菌株进行生化鉴定、血清学分型和抗生素敏感性试验。结果116株志贺菌中28 株为宋内志贺菌,占24.1%;80 株为福氏志贺菌,占68.9%(包括4 株福氏变异株,占总数的3.5%),痢疾志贺菌7株占6.0%,鲍氏志贺菌1株占0.9%。宋内志贺菌对抗菌药物的敏感率依次为氟喹诺酮类(萘啶酸为14.4%)100%、第三、四代头孢为92.9%,对复方新诺明、萘啶酸、氨苄西林呈高耐药性。福氏志贺菌对诺氟沙星、环丙沙星、莫西沙星、洛美沙星、左氟沙星的敏感率为80%左右;对三、四代头孢的敏感率为97%,但头孢噻肟的敏感率仅为22.3%。鲍氏志贺菌出现严重耐药,只有亚胺培南和美洛匹宁敏感,其他均耐药。结论温州地区志贺菌感染以福氏志贺菌和宋内志贺菌为主,福氏志贺菌中以福氏4c型为主, 其次为血清2a 型和2b型。福氏志贺菌对各种抗生素耐药性有增高趋势;并出现严重耐药菌株,必须引起临床重视。

     

    Abstract: ObjectiveTo investigate the serotype and drug resistance of IShigella/I circulated in Wenzhou. MethodsBiochemical identification, serotyping and drug susceptibility test were conducted for the clinical isolates of Shigella strains. ResultsAmong 116 strains of Shigella isolated, 28 strains were IShigella sonnei /I(24.1%), 80 strains were Shigella flexneri(68.9%), including 4 straims of variant of IShigella flexneri/I (3.5%), 7 strains were Shigella dysenteriae(6.0%), 1 strain was Shigella boydii(0.9%). Shigella sonnei was sensitive to following antibiotics: fluoroquinolones (100%) and cephaloglycine and cephalexin (92.9%), but was highly resistant to cotrimoxazole, nalidixic acid and ampicillin. For IShigella flexneri,/I the sensitive rates to norfloxacin, ciprofloxacin, moxifloxacin, lomefloxacin and levofloxacin were about 80%, the sensitive rates to cephaloglycine and cephalexin were 97%, but the sensitive rate to cefotamine was only 22.3%. Shigella boydii was highly drug resistant, which was only sensitive to imipenem and meropenem. ConclusionThe predominate strains to cause Shigella infection in Wenzhou were Shigella flexneri and IShigella sonnei,of Shigella flexneri/I, serotype 4c was predominated, followed by 2a and 2b. The resistant rates of Shigella flexneri to all antibiotics were on the increase and the drug resistant strain had emerged, which should be pay more attention to.

     

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