首页|2020-2021年河南省洛阳市肯塔基沙门菌的耐药水平及分子流行病学特征

2020-2021年河南省洛阳市肯塔基沙门菌的耐药水平及分子流行病学特征

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目的 研究河南省洛阳市肉鸡供应链与腹泻患者粪便中分离到的肯塔基沙门菌(Salmonella Kentucky)的耐药水平及流行特征,为制定肯塔基沙门菌防控策略提供科学依据.方法 对2020-2021年洛阳市监测的19株肯塔基沙门菌,进行14种抗生素的药物敏感性试验,全基因组测序进行多位点序列分型和耐药基因识别,采用脉冲场凝胶电脉(PFGE)及全基因组分析菌株的分子流行病学特征.结果 19株肯塔基沙门菌中的16株来源于肉鸡养殖与屠宰环节,3株来源于腹泻患者粪便.菌株对环丙沙星、庆大霉素的耐药率均为100.00%,对氨苄西林、四环素、氯霉素的耐药率均为94.74%,对头孢噻肟、阿奇霉素的耐药率分别为84.21%和68.42%.全基因组测序显示,19株肯塔基沙门菌均为ST198型,所有菌株发生染色体上喹诺酮耐药决定区(QRDR)gyrA和parC双突变,突变类型有gyrA(ASP87Asn、Ser83Phe),parC(Thr57Ser、Ser80Ile、Ser395Asn、Ala469Ser 和 Thr620Ala),52.63%的菌株检出质粒介导的耐药基因(PMQR)QnrS1,β-内酰胺类耐药基因以blaCTX-M-55(68.42%)和blaTEM-1(26.32%)为主,大环内酯类耐药基因mphA、Mrx检出率为78.95%和89.47%.耐药基因的广泛检出与其高耐药表型一致.PFGE聚类分析及全基因组系统进化树结果显示,鸡源与人源部分菌株高度同源.结论 本市肉鸡供应链与腹泻患者粪便中检出的肯塔基沙门菌均为ST198型,耐药率高,并携带相关的耐药基因,鸡源与人源部分菌株同源性高,可能已造成散发病例感染,应加强多重耐药肯塔基沙门菌在禽类养殖业中的监测.
Drug resistance and molecular epidemiology of Salmonella Kentucky in Luoyang,Henan,2020-2021
Objective To investigate the drug resistance profile and molecular epidemiological characteristics of Salmonella Kentucky strains isolated from the feces of broiler supply chain and diarrhea patients in Luoyang City,Henan Province,so as to provide a scientific basis for the development of prevention and control strategies.Methods Drug susceptibility testing of 14 antibiotics was conducted on 19 strains of Salmonella Kentucky from Luoyang City between 2020 and 2021.Whole genome sequencing was used for multi-locus sequence typing and identification of resistance genes.PFGE and whole genome were used for the molecular epidemiological analysis.Results Out of the 19 strains sixteen were from the broiler breeding and slaughtering process,and there were from the feces of diarrhea patients.All strains were 100.00%resistant to ciprofloxacin and gentamicin,with high resistant rate of 94.74%to ampicillin,tetracycline and chloramphenicol.Resistance rate to cefotaxime and azithromycin were 84.21%and 68.42%,respectively.All strains belonged to ST198,with double mutations of gyrA and parC in the quinolone resistance determining region(QRDR)on the chromosome.The types of mutations were gyrA(ASP87Asn,Ser83Phe),parC(Thr57Ser,Ser80Ile,Ser395Asn,Ala469Ser and Thr620Ala).Plasmid-mediated resistance gene(PMQR)QnrS1 was detected in 52.63%of the strains.β-lactam resistance genes were dominated by blacrx-M-55(68.42%)and blaTEM-1(26.32%).The detection rates of macrolide resistance genes mphA and Mrx were in 78.95%and 89.47%of the strains,respectively.The high detection of resistance genes was consistent with their high resistance phenotypes.PFGE clustering analysis and genome-wide phylogenetic tree showed high homology between some chicken and human origin strains Conclusions The Salmonella Kentucky strains isolated are all ST198 type,exhibit high drug resistance,and carry relevant resistance genes.There is significant homology between some chicken and human strains,suggesting potential disseminated of infections.Enhanced monitoring of multi-drug-resistant Salmonella Kentucky in poultry farming is recommended.

Salmonella KentuckyDrug resistance testMolecular epidemiologyWhole genome sequencingMolecular typingPFGE

路立立、炊慧霞、李会、韩琳、杨晓燕、杨璐、兰子君、潘奕鸥、朱鑫、张秀丽

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洛阳市疾病预防控中心,河南洛阳 471000

河南省疾病预防控制中心

肯塔基沙门菌 耐药试验 全基因组测序 分子分型

河南省医学科技攻关计划(联合共建)项目

LHGJ20230637

2024

河南预防医学杂志
河南省预防医学会

河南预防医学杂志

影响因子:0.409
ISSN:1006-8414
年,卷(期):2024.35(7)