邢台市食源性腹泻患者沙门菌血清型分布及耐药与分子分型特征

Serotypes, drug resistance and molecular typing characteristics of Salmonella strains isolated from foodborne diarrhea patients in Xingtai City

  • 摘要: 目的 本研究旨在探讨2022-2024年邢台市食源性腹泻患者分离的沙门菌耐药性及分子分型特征。方法 从食源性腹泻患者中分离出41株沙门菌,采用玻片凝集试验进行血清型别的鉴定,微量肉汤稀释法测定最低抑菌浓度以分析耐药性,脉冲场凝胶电泳(PFGE)技术结合BioNumerics 7.6软件确定分子分型。结果 血清学分型结果显示,41株沙门菌分布于11个血清型,肠炎为优势型(占29.27%),其次为鼠伤寒(占24.39%)。对氨苄西林、四环素和萘啶酸耐药率较高,分别达73.17%、68.29%和53.66%,对美罗培南敏感率为97.56%。多重耐药现象普遍,82.93%(34/41)的菌株呈现耐药,其中68.29%(28/41)为多重耐药菌(MDROs)。PFGE分子分型得到38种带型,相似度为22.40%~97.30%,且呈离散分布,提示菌株间同源性低,可能存在多个不同的传染源。结论 邢台地区食源性腹泻沙门菌血清型分布广泛,耐药率高且多重耐药现象严重,PFGE型别多样,反映本地可能存在抗菌药物选择性压力及多样化的污染来源。需加强沙门菌耐药性监测及食品安全管控,指导临床合理用药。

     

    Abstract: OBJECTIVE To explore the drug resistance and molecular typing characteristics of Salmonella strains isolated from the patients with foodborne diarrhea in Xingtai City between 2022 and 2024. METHODS Totally 41 strains of Salmonella were collected from the patients with foodborne diarrhea, the serotypes were identified by slide agglutination test, the minimum inhibitory concentrations (MICs) were determined by microbroth dilution method so as to analyze the drug resistance. The molecular types were confirmed through pulsed-field gel electrophoresis (PFGE) combined with BioNumerics 7.6 software. RESULTS The result of serological typing showed that totally 11 serotypes were involved among the 41 strains of Salmonella, the enteritis (29.27%) was the predominant serotype, followed by the mouse typhus (24.39%). The drug resistance rates to ampicillin, tetracycline and nalidixic acids were 73.17%, 68.29% and 53.66%, respectively; the drug susceptibility rate to meropenem was 97.56%. There was widespread multi-drug resistance, 82.93% (34/41) of the strains were drug-resistant, and 68.29%(28/41) of the strains were multidrug-resistant organisms (MDROs). Totally 38 types of banding patterns were obtained by PFGE molecular typing, with the similarity ranging between 22.40% and 97.30%; and showed a discrete distribution, indicating that the homology among the strains was low and there might be multiple infection sources. CONCLUSIONS There is widespread of serotypes of Salmonella isolated from the foodborne diarrhea patients in Xingtai area, the drug resistance rates are high, and the multi-drug resistance is severe. The PFGE types are diversified, indicating that there might be pressure on selection of antibiotics and diversified contamination sources. It is necessary to strengthen the drug resistance surveillance of Salmonella and food safety control and provide guidance for reasonable clinical use of drugs.

     

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