2023-2024年四川省德阳市人源性沙门菌血清型分布及耐药特征分析

Analysis on serotype distribution and drug resistance of Salmonella isolated from humans in Deyang, Sichuan, 2023–2024

  • 摘要:
    目的 了解四川省德阳市人源性沙门菌的血清型分布、耐药特征和耐药基因携带情况,为该地区人源性沙门菌的流行监测、科学防控和抗菌药物使用提供依据。
    方法  对2023-2024年德阳市国家致病菌识别网监测收集的76株人源性沙门菌进行血清学鉴定、药物敏感性试验及全基因组测序,使用PubMLST数据库进行多位点序列分型(MLST),使用ResFinder4.7.2进行耐药基因分析,使用KSNP 4.1进行全基因组单核苷酸多态性(SNP)建树。
    结果  76株沙门菌分属于11种血清型,优势血清型为鼠伤寒沙门菌(59.21%)和肠炎沙门菌(18.42%)。76株沙门菌对氨苄西林耐药率最高(65.79%),其次为链霉素(57.89%)和四环素(50.00%),最主要的耐药谱型为氯霉素-复方新诺明-四环素-链霉素-氨苄西林(10.53%)。MLST共分析得出13种序列型(ST),主要型别为ST34(31.58%)、ST19(26.32%)和ST11(18.42%),并在德阳市首次发现ST8333型沙门菌。基于全基因组测序数据分析得到76株沙门菌共携带13类66种耐药基因,其中主要有编码氨基糖苷类耐药基因 aac (6')- Iaa(100.00%)、aph(3'')-Ib(55.26%)和aph(6)-Id(53.95%),以及编码β﹣内酰胺类耐药基因 blaTEM -1B(56.58%)、编码磺胺类耐药基因sul2(47.37%)。
    结论  德阳市人源性沙门菌中,鼠伤寒沙门菌和肠炎沙门菌为优势血清型,以ST34、ST19和ST11型为主导,菌株携带耐药基因呈多样性,表现出多重耐药特征,在今后的防控工作中需要引起重视。通过全基因组测序技术对德阳市沙门菌进行耐药基因追踪,可有效提升该病原菌耐药性监测的精准度,为制定精准科学防控策略提供实验室依据。

     

    Abstract:
    Objective To understand the serotype distribution, drug resistance, and drug resistance gene carriage of human-sourced Salmonella isolates in Deyang, Sichuan province, and provide evidence for the epidemiological surveillance, effective prevention and control of Salmonella infection, and rational use of antibiotics in clinical treatment of the infections.
    Methods A total of 76 human-sourced Salmonella isolates, which were collected by Chinese Pathogen Identification Net in Deyang from 2023 to 2024, were used for serological identification, drug susceptibility testing, and whole-genome sequencing. The multilocus sequence typing (MLST) was performed by using PubMLST database, the drug resistance genes were analyzed by using ResFinder 4.7.2, and the whole-genome single nucleotide polymorphism (SNP)-based phylogenetic trees were constructed by using KSNP 4.1.
    Results The 76 Salmonella isolates belonged to 11 serotypes, with the predominant serotypes being S. Typhimurium (59.21%) and S. Enteritidis (18.42%). The highest resistance rate was observed to ampicillin (65.79%), followed by streptomycin (57.89%) and tetracycline (50.00%). The most common resistance phenotype was chloramphenicol–sulfamethoxazole/trimethoprim–tetracycline–streptomycin–ampicillin (10.53%). The MLST identified 13 sequence types (STs), predominated by ST34 (31.58%), ST19 (26.32%), and ST11 (18.42%). ST8333 Salmonella was detected in Deyang for the first time. Whole-genome sequencing analysis revealed that the 76 isolates carried 66 drug resistance genes belonging to 13 categories. The predominant genes included aminoglycoside resistance genes aac(6')-Iaa (100.00%), aph(3'')-Ib (55.26%), and aph(6)-Id (53.95%), β-lactam resistance gene bla_TEM-1B (56.58%), and sulfonamide resistance gene sul2 (47.37%).
    Conclusion S. Typhimurium and S. Enteritidis were the predominant serotypes of human-sourced Salmonella in Deyang, with ST34, ST19, and ST11 as the main STs. The isolates carried diverse resistance genes and exhibited multi-drug resistance, which warrants close attention in future prevention and control. Whole-genome sequencing can be used to accurately track resistance genes of Salmonella in Deyang for the effective improvement of the precise drug resistance surveillance and the development of targeted and scientific prevention and control strategies.

     

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