血流感染洋葱伯克霍尔德菌多位点序列分型研究

Multilocus sequence typing of Burkholderia cepacia from bloodstream infections

  • 摘要: 目的 探讨血流感染洋葱伯克霍尔德菌的同源性,以便更好地控制短时间内洋葱伯克霍尔德菌引起的院内感染。方法 对医院2013年5-6月分离的15株血流感染洋葱伯克霍尔德菌的菌株应用多位点序列分型方法(MLST),聚合酶链式反应(PCR)扩增atpD、gltB、gyrB、recA,lepA、phaCtrp B 7个管家基因片段,测序结果与MLST数据库中的数据比对分析,获得菌株各管家基因的编号和ST型,研究其同源性。结果 15株菌中,13株菌的7个管家基因完全相同,同时gyrB管家基因出现新的序列型,为新的序列型(ST)。15株洋葱伯克霍尔德菌被分为3个基因型,分别为ST482、ST608和一个新的ST序列,来自神经外科的13株菌为同一个ST型。结论 医院短时间内洋葱伯克霍尔德菌引起的血流感染属医院感染暴发,神经外科的13株菌为同一ST型。其中13株菌的ST型不仅相同且是新的ST型,与另外两科室的菌株不同。MLST在洋葱伯克霍尔德菌的分子生物学分型中的应用,表现出了较高的分辨率,对医院洋葱伯克霍尔德菌血流感染暴发的调查有重要意义。

     

    Abstract: OBJECTIVE To investigate the homology of Burkholderia cepacia from bloodstream infections, so as to better control of nosocomial infections caused by B.cepacia in a short period of time. METHODS A total of 15 strains of B.cepacia from bloodstream infections isolated from the hospital from May 2013 to Jun. 2013 were carried out by the multilocus sequence typing method (MLST), and 7 housekeeping gene fragments of atpD, gltB, gyrB, recA, lepA, phaC and trpB were amplified by PCR. The sequencing results were compared with the MLST database to obtain the housekeeping gene numbers and sequence types, and their homology was analyzed. RESULTS The 7 housekeeping genes in thirteen of fifteen strains were the same. Meanwhile gyrB housekeeping gene had a new sequence type as a new ST. The 15 strains of B.cepacia were divided into 3 genotypes, which were ST482, ST608 and a new ST sequence. The 13 strains from the department of neurosurgery had the same ST. CONCLUSION The bloodstream infection caused by B.cepacia in a short time is a nosocomial infection outbreak. The 13 strains from the department of neurosurgery had the same ST, and the ST of the 13 strains is not only the same, but also the a new type ST, which is different from the strains of the other two departments. The application of MLST in molecular typing of B.cepacia shows a high resolution, so it is important to investigate the outbreak of nosocomial bloodstream infections caused by B.cepacia in the hospital.

     

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