镇江地区2018年不同来源副溶血性弧菌毒力基因及耐药性分析
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镇江市科技计划社会发展项目(SH2019057)


Studies on Pathogens, Virulence Genes and Drug Resistance of Vibrio Parahaemolyticus from Different Sources in Southern Jiangsu
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    摘要:

    摘要:目的:分析镇江地区2018年不同来源副溶血性弧菌的检出、毒力基因分布及耐药性。 方法:对2018年食品风险监测中要求的食品和疾病病例进行副溶血性弧菌病原学检测,用荧光定量PCR法对副溶血性弧菌菌株进行毒力基因tlh、tdh、trh检测,用微量肉汤稀释法进行15种抗菌药物最低抑菌浓度(MIC)测定。 结果:食品、疾病患者样本的检出率分别为60.00%(21/35)和1.48%(9/608),差异有统计学意义(χ2=241.82,P<0.01)。30株副溶血性弧菌tlh基因均阳性,食品来源菌株(食品株)tdh基因和trh基因均为阴性;疾病来源菌株(疾病株)tdh基因和trh基因的检出率分别为88.89%和11.11%。食品株和疾病株对头孢唑啉、氨苄西林和红霉素的耐药率较高,食品株分别为100.00%、66.67%和66.67%,疾病株分别为100.00%、88.89%和88.89%;疾病株和食品株的多重耐药率分别为77.78%和52.38%,多重耐药谱均以氨苄西林+头孢唑啉+红霉素为主。 结论:镇江地区食品和疾病样本中副溶血性弧菌的检出率存在明显差异,疾病株的毒力基因、耐药率及多重耐药性高于食品株,多重耐药谱相对单一。

    Abstract:

    Abstract: Objective To analyze the detection status, virulence gene distribution and drug resistance of Vibrio parahaemolyticus from different sources in Zhenjiang area in 2018. Methods Pathogenic detection of Vibrio parahaemolyticus was performed on food and disease cases which required in the food risk monitoring in 2018, all strains identified as Vibrio parahaemolyticus were detected virulence genes(tlh, tdh, trh) by fluorescence quantitative PCR, and 15 antibiotic resistance experiments were conducted on the strains by micro-broth dilution method. Results The positive detection rate of food samples was 60.00%, the positive detection rate of patient samples was 1.48%, the difference was statistically significant (χ2=241.82, P<0.01); The tlh gene of 30 Vibrio parahaemolyticus strains were all positive, the tdh gene and trh gene of the food source strains (food strains) were all negative; The disease source strains (disease strains) were positive for 88.89% tdh gene and 11.11% trh gene. The resistance rate of food strains and disease strains to cefazoline, ampicillin and erythromycin were higher, with food strains 100.00, 66.67, and 66.67 % respectively, and disease strains were 100.00, 88.89, and 88.89 % respectively. The multiple drug resistance of disease strains was higher than that of food strains, the multiple drug resistance rate of disease strains was 77.78%, and that of food strains was 52.38%. AMP-CFZ-ERY was the main multiple drug resistance spectrum. Conclusion The detection rate of Vibrio parahaemolyticus from different sources was significantly different. Vibrio parahaemolyticus was one of the main pathogenic bacteria leading to food-borne diseases in the region. All food strains in this region did not carry virulence genes, and disease strains carried tdh and trh virulence genes. The resistance of disease strains to ampicillin and erythromycin was higher than that of food strains, and the multi-drug resistance was also higher than that of food strains. The multi-drug resistance spectrum of the two isolates was relatively single.

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许金凤,曹文婷,张潇丹,巢秀琴,宋寅生,徐虹.镇江地区2018年不同来源副溶血性弧菌毒力基因及耐药性分析[J].临床检验杂志,2020,(1):70-72

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  • 收稿日期:2019-06-08
  • 最后修改日期:2020-02-07
  • 录用日期:2020-02-05
  • 在线发布日期: 2020-04-20
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