首页|2010-2021年深圳市ST314肯塔基沙门菌遗传特征和耐药分析

2010-2021年深圳市ST314肯塔基沙门菌遗传特征和耐药分析

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目的 了解深圳市ST314肯塔基沙门菌流行情况、遗传特性及耐药特征。方法 对2010-2021年深圳市疾病预防控制中心食源性疾病监测网络收集的14株ST314肯塔基沙门菌全基因组测序进行系统发育进化分析、耐药基因及质粒检测;采用微量肉汤法稀释法进行药物敏感性实验。结果 共收集57株肯塔基沙门菌,14株为ST314。ST314肯塔基沙门菌全球系统发育树显示,深圳分离株与越南和泰国等东南亚国家的分离株聚集分布在clade 314。2上,且深圳本地菌株间单核苷酸多态性距离较大,说明为散发。在ST314肯塔基沙门菌基因组检测到9类共17个耐药基因/突变,携带3种产超广谱β-内酰胺酶基因,包括blblaCTX。M-24(14。3%,2/14)、blaCTX-M-55(7。1%,1/14)、blacTX-M-130(14。3%,2/14),均位于质粒上。关于喹诺酮类的耐药因子,在基因组中鉴定出2种质粒介导的喹诺酮耐药基因:qnrB6(71。4%,10/14)和 aac(6')Ib-cr(78。6%,11/14),一 种喹诺酮耐药决定区突变 T57 S(100%,14/14)。深圳市ST314肯塔基沙门菌的多重耐药率为92。86%(13/14),对四环素和复方新诺明的耐药率最高(100%,14/14),其次是氯霉素(92。86%,13/14)、头孢噻肟和氨苄西林(78。57%,11/14)、环丙沙星和萘啶酸(71。43%,10/14),对氨苄西林-舒巴坦的耐药率最低(21。43%,3/14)。结论 ST314是深圳市肯塔基沙门菌中的第二大流行的ST型,主要从食品中分离,尤其是禽类;ST314为散发感染,基因组呈现高度的遗传保守型。ST314肯塔基沙门菌耐药十分严重,尤其是喹诺酮耐药决定区突变、喹诺酮耐药基因共同介导的喹诺酮类耐药和质粒介导的头孢类耐药问题突出。
Genetic characterization and drug resistance analysis of Salmonella Kentucky ST314 in Shenzhen in 2010-2021
OBJECTIVE To understand the prevalence,genetic characteristics and drug resistance features of Salmonella Kentucky ST314 in Shenzhen.METHODS Whole genome sequencing of 14 strains of Salmonella Kentucky ST314 collected from 2010-2021 by the Foodborne Disease Surveillance Network of Shenzhen Center for Disease Control and Prevention for phylogenetic evolutionary analysis,drug resistance gene and plasmid detection;drug susceptibility experiments were performed by micro-broth dilution method.RESULTS A total of 57 strains of Salmonella Kentucky were collected from the foodborne disease surveillance network,14 of which were ST314.The Shenzhen isolates were clustered with isolates from Southeast Asian countries such as Vietnam and Thailand on clade 314.2,and the single nucleotide polymorphism distance between local strains in Shenzhen was large,indicating dissemination.In this study,a total of 17 drug resistance genes/mutations in 9 categories were detected in the genome of Salmonella Kentucky ST314,carrying 3 extended spectrum beta-lactamases(ESBLs),including blaCTX-M-24(14.3%,2/14),blaCTX-M-55(7.1%,1/14),and blaCTXM-130(14.3%,2/14),all located on plasmids.Regarding quinolone resistance factors,two plasmid-mediated quinolone resistance(PMQR)genes were identified in the genome:qnrB6(71.4%,10/14)and aac(6')Ib-cr(78.6%,11/14),a quinolone resistance quinolone resistance-determining regions(QRDR)mutation T57 S(100%,14/14).The multi-drug resistance rate of Salmonella Kentucky ST314 in Shenzhen was 92.86%(13/14)with the highest rate of resistance to tetracycline and cotrimoxazole(100%,14/14),followed by chloramphenicol(92.86%,13/14),cefotaxime and ampicillin(78.57%,11/14),ciprofloxacin and nalidixic acid(71.43%,10/14),and ampicillin-sulbactam had the lowest resistance rate(21.43%,3/14).CONCLUSION ST314 is the second most prevalent ST type among Salmonella Kentucky in Shenzhen,mainly isolated from food,especially poultry;phylogenetic analysis suggests that ST314 is a disseminated infection and the genome shows a highly genetically conserved phenotype.Drug resistance of Salmonella Kentucky ST314 is very serious,especially QRDR mutation,PMQR gene co-mediated quinolone resistance and plasmid-mediated cephalosporin resistance are prominent and deserve extensive attention.

Salmonella Kentucky ST314whole genome sequencingdrug resistancedrug resistance gene

郜晨曦、佘艺颖、罗苗苗、岳芝娇、姜伊祥、胡璐璐、蔡锐、江敏、吴双、石晓路、李迎慧、邱亚群、扈庆华

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山西医科大学公共卫生学院,太原 030001

南华大学,衡阳 421001

深圳市疾病预防控制中心,深圳 518000

ST314型肯塔基沙门菌 全基因组测序 耐药性 耐药基因

深圳市引进高层次医学团队项目深圳市医学重点学科(公共卫生重点专科)项目&&中央级公益性科研院所基本科研业务费专项中国医科院项目

SZSM202311015SZXK064KCXFZ2020020110061902020-PT330-006

2024

卫生研究
中国疾病预防控制中心

卫生研究

CSTPCD北大核心
影响因子:0.761
ISSN:1000-8020
年,卷(期):2024.53(2)
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