首页|121株金黄色葡萄球菌临床分离株的分子流行病学及遗传学特征

121株金黄色葡萄球菌临床分离株的分子流行病学及遗传学特征

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目的 研究临床分离的金黄色葡萄球菌株的分子及遗传学特征。方法 收集中国科学技术大学附属第一医院及安徽中医药大学第一附属医院2018-2019年临床检出的非重复金黄色葡萄球菌121株,检测其δ溶血、mecA基因、Agr系统分型、Spa分型等,并对mec A基因阳性菌株进行SCCmec分型。结果 121株金黄色葡萄球菌中有甲氧西林耐药菌株(MRSA)67株,甲氧西林敏感菌株(MSSA)54株;MRSA菌株主要携带Ⅲ型SCCmec元件(18,26。86%)和Ⅳ型SCCmec元件(24,35。82%);Agr系统主要为Ⅰ型和Ⅱ型;121株临床菌株中共有Spa类型54种,最为常见的是t437(15,12。40%)和t034(9,7。44%);在12株δ溶血阴性的金黄色葡萄球菌中有11株(91。67%)为MRSA菌株,δ溶血阴性的金黄色葡萄球菌携带的Agr系统类型主要为Ⅱ型(50。00%),携带的SCCmec元件主要为Ⅱ型(占58。33%),δ溶血阴性的金黄色葡萄球菌中共有Spa类型8种,最为常见的是t18363(41。67%)。结论 本研究阐述了医院分离的金黄色葡萄球菌分子及遗传学特征信息,有助于追踪医院内流行性金黄色葡萄球菌株的出现、传播,并提供对临床感染控制策略。
Molecular epidemiological and genetic characteristics of 121 clinical isolates of Staphylococcus aureus
OBJECTIVE To study the molecular and genetic characteristics of clinical isolates of Staphylococcus au-reus.METHODS A total of 121 non-replicated S.aureus strains clinically detected in the First Affiliated Hospital of University of Science and Technology of China and the First Affiliated Hospital of Anhui University of Chinese Medicine from 2018-2019 were collected,their δ-hemolysis,mec A gene,Agr type and Spa type were detected,and mec A gene-positive strains were subjected to SCCmec typing.RESULTS Among 121 S.aureus strains,67(55.37%)were methicillin-resistant(MRSA)and 54(44.63%)were methicillin-susceptible(MSSA).The MRSA strains mainly carried type Ⅲ SCCmec(18,26.86%)and type Ⅳ SCCmec elements(24,35.82%).The Agr sys-tem were mainly type Ⅰ and type Ⅱ.In addition,there were 54 Spa types among the 121 clinical strains,the most common being t437(15,12.40%)and t034(9,7.44%).Of the 12 δ-hemolytic negative S.aureus strains,11(91.67%)were MRSA strains.δ-hemolytic negative S.aureus carried predominantly type Ⅱ(50.00%)Agr system and type Ⅱ(58.33%)SCCmec elements.There are 8 types of Spa in δ-hemolytic negative S.aureus,and the most common one was t18363(41.67%).CONCLUSION The study described information on the molecular and genetic characteristics of hospital isolates of S.aureus,which could help to track the emergence and spread of epidemic S.aureus strains in hospitals and provide strategies for clinical infection control.

Staphylococcus aureusMolecularGenetic characterizationInfection control

何倩、常文娇、黄开泉、张士杰

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安徽中医药大学第一附属医院医院感染管理科,安徽合肥 230031

中国科学技术大学附属第一医院检验科,安徽合肥 230001

安徽中医药大学第一附属医院医院临床研究实验中心,安徽合肥 230031

金黄色葡萄球菌 分子流行病学 遗传学特征 感染控制

国家自然科学基金资助项目国家自然科学基金资助项目安徽省自然科学基金资助项目

81903895818020661908085QC90

2024

中华医院感染学杂志
中华预防医学会 中国人民解放军总医院

中华医院感染学杂志

CSTPCD北大核心
影响因子:1.885
ISSN:1005-4529
年,卷(期):2024.34(3)
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