改良MLVF与MLVA及PFGE对医院流行耐甲氧西林金黄色葡萄球菌分型研究

Comparison of modified multi-locus VNTR fingerprinting with multi-locus variable number tandem repeat analysis and pulsed-field gel electrophoresis for differentiating hospital clonal methicillinresistant Staphylococcus aureus isolates

  • 摘要: 目的 旨在建立一种操作简便、分型分辨率高以及成本低的耐甲氧西林金黄色葡萄球菌(MRSA)分子分型方法,对多位点可变数量串联重复序列指纹法(MLVF)进行了方法学改良及分型能力比对评估。方法 应用42株MRSA参考菌株对改良MLVF分型能力进行验证;应用116株东北三省六家医院的MRSA临床菌株对改良MLVF、脉冲场凝胶电泳(PFGE)及多位点可变数量串联重复序列分析(MLVA)进行了方法学比对。结果 改良MLVF对42株参考菌株分型率为100%;改良MLVF、PFGE和MLVA分别将116株临床菌株分成28个型(simpson's多样性系数SID=0.855),28个型(SID=0.854)和27个型(SID=0.816)。改良MLVF在区分国内最主要流行克隆CC239和其他克隆方面分辨率优于MLVA。改良MLVF在分群水平上与PFGE分型一致性(adjusted Rand’s ,AR系数0.989)优于MLVA(AR指数0.765)。结论 改良MLVF具有分辨率高、与金标准PFGE分型一致性好、操作简单、高通量、费用低的优点,适合常规实验室对MRSA进行分子分型,为常规感控工作及分子流行病学研究提供有力工具。

     

    Abstract: OBJECTIVE In the present study, we modified multilocus variable number tandem-repeats fingerprinting (MLVF) and evaluated the classification ability of modified MLVF, in order to establish a methicillin-resistant Staphylococcus aureus (MRSA) genotyping method with easy operation, high discrimination power and low cost. METHODS The capacity of modified MLVF was evaluated against 42 MRSA reference strains, and we compared the modified MLVF with pulsed field gel electrophoresis (PFGE) and variable number tandem repeat sequence analysis (MLVA) on 116 strains collected from six hospitals in northeast China. RESULTS The discriminatory ability of the modified MLVF was 100% against the 42 reference strains. Modified MLVF, PFGE and MLVA divided the 116 clinical strains into 28 types (Simpson's diversity index SID=0.855), 28 types (SID=0.854) and 27 types (SID=0.816), respectively. Modified MLVF had better performance than MLVA in distinguishing between the most popular clone ST239 and other clones. The consistency between modified MLVF and PFGE at clone cluster level (adjusted Rand's index, AR =0.989) was superior to MLVA (AR index =0.765). CONCLUSION The improved MLVF has the advantages of high discrimination power, high consistency with the golden standard PFGE typing, simple operation, high throughput and low cost. It is suitable for the conventional hospital laboratories to conduct molecular typing of MRSA and provides a powerful tool for regular infection control and molecular epidemiological study.

     

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