徐秋琼, 李柏生, 余泳红, 单桂花. 广州市一起非O1/O139群霍乱弧菌食物中毒分离株的病原特征分析[J]. 疾病监测, 2017, 32(2): 149-152. DOI: 10.3784/j.issn.1003-9961.2017.02.016
引用本文: 徐秋琼, 李柏生, 余泳红, 单桂花. 广州市一起非O1/O139群霍乱弧菌食物中毒分离株的病原特征分析[J]. 疾病监测, 2017, 32(2): 149-152. DOI: 10.3784/j.issn.1003-9961.2017.02.016
XU Qiu-qiong, LI Bai-sheng, YU Yong-hong, SHAN Gui-hua. Etiological characteristics of Vibrio cholerae non-O1/O139 strains isolated from a food poisoning in Guangdong[J]. Disease Surveillance, 2017, 32(2): 149-152. DOI: 10.3784/j.issn.1003-9961.2017.02.016
Citation: XU Qiu-qiong, LI Bai-sheng, YU Yong-hong, SHAN Gui-hua. Etiological characteristics of Vibrio cholerae non-O1/O139 strains isolated from a food poisoning in Guangdong[J]. Disease Surveillance, 2017, 32(2): 149-152. DOI: 10.3784/j.issn.1003-9961.2017.02.016

广州市一起非O1/O139群霍乱弧菌食物中毒分离株的病原特征分析

Etiological characteristics of Vibrio cholerae non-O1/O139 strains isolated from a food poisoning in Guangdong

  • 摘要: 目的 了解2014年广州市某工厂发生的一起非O1/O139群霍乱弧菌食物中毒分离株的耐药特性及分子特征。方法 对分离到的6株非O1/O139群分离株进行生化鉴定、血清学鉴定、药物敏感性实验、毒力相关基因检测和脉冲场凝胶电泳(PFGE)分子分型分析。结果 6株分离株经生化鉴定、血清学鉴定为非O1/O139群。药物敏感性分析显示,6株分离株均对氨苄西林、头孢克肟、头孢拉定、阿米卡星、妥布霉素、庆大霉素和多粘菌素B耐药,对诺氟沙星、环丙沙星、复方新诺明、呋喃唑酮、四环素、吡哌酸、红霉素和氯霉素敏感。毒力基因聚合酶链反应检测结果显示,所有菌株均携带毒力表达调控基因(toxR)和溶血素基因(hlyA),未检出霍乱肠毒素基因(ctxA)、毒力协同调节菌毛基因(tcpA)和肠毒素基因(ST);5株病例分离株和1株冷柜内壁分离株经限制性内切酶NotⅠ消化后的PFGE图谱为同一型别。结论 此次食物中毒的病原体为非O1/O139群霍乱弧菌,具有共同的遗传特征,菌株出现了多重耐药,提示应加强该类菌株的监测,防止大范围扩散或暴发流行。

     

    Abstract: Objective To investigate the drug resistance and molecular characteristics of Vibrio cholera non-O1/O139 strains isolated from a food poisoning in a factory in Guangzhou,Guangdong province in 2014. Methods Biochemical identification, serological identification, drug susceptibility test, virulence-associated gene detection and PFGE molecular typing on six V. choleraenon-O1/O139 strains isolated from a food poisoning in Guangzhou were conducted. Results The biochemical identification and serological identification results indicated that the six strains were all V. cholera non-O1/O139 strains; the drug susceptibility analysis showed that the 6 strains were resistant to ampicillin, cefixime, cefradine, amikacin, tobramycin, gentamycin and polymyxin B, but sensitive to norfloxacin, ciprofloxacin, cotrimoxazole, furazolidone, tetracycline, pipemidic acid, erythromycin and chloramphenicol; The PCR detection of virulence gene showed that all the strains were positive for toxR and hlyA genes, but negative for ctxA, tcpA and ST genes; and the PFGE molecular typing of the strains digested by NotⅠshowed that five strains isolated from the cases and one strain isolated from the inner wall of a refrigerator were in the same type. Conclusion The pathogen of this food poisoning was V. cholera non-O1/O139, which shared common genetic characteristics; and the strains were multi drug resistant. It is suggested to guide the clinical medication based on drug susceptibility test results to reduce the drug resistant strains.

     

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