文章摘要
李柏生,谭海玲,柯碧霞,何冬梅,柯昌文,张永慧.广东省2014年食源性副溶血弧菌病原学特征分析[J].中华流行病学杂志,2015,36(11):1283-1287
广东省2014年食源性副溶血弧菌病原学特征分析
Etiologic characteristics of food-borne Vibrio parahaemolyticus strains isolated in Guangdong, 2014
收稿日期:2015-03-17  出版日期:2015-11-13
DOI:10.3760/cma.j.issn.0254-6450.2015.11.020
中文关键词: 副溶血弧菌  病原学特征  脉冲场凝胶电泳  多位点序列分型
英文关键词: Vibrio parahaemolyticus  Etiologic characteristic  Pulsed field gel electrophoresis  Multi locus sequence typing
基金项目:广东省医学科学研究基金(A2014090); 广东省科技计划项目(2014A020219004)
作者单位E-mail
李柏生 511430 广州, 广东省疾病预防控制中心病原微生物检验所  
谭海玲 511430 广州, 广东省疾病预防控制中心病原微生物检验所  
柯碧霞 511430 广州, 广东省疾病预防控制中心病原微生物检验所  
何冬梅 511430 广州, 广东省疾病预防控制中心病原微生物检验所  
柯昌文 511430 广州, 广东省疾病预防控制中心病原微生物检验所  
张永慧 511430 广州, 广东省疾病预防控制中心病原微生物检验所 zyh@cdcp.org.cn 
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中文摘要:
      目的 了解2014年广东省食源性副溶血弧菌分离株的血清型别、抗生素敏感性、毒力基因携带情况以及分子分型特征。方法 对60株副溶血弧菌分离株进行血清分型、抗生素敏感性试验及检测耐热直接溶血素基因(tdh)和耐热相关溶血素基因(trh),并进行脉冲场凝胶电泳(PFGE)和多位点序列(MLST)分型。结果 60株分离株可分为13个血清型,主要型别为O3:K6、O4:K8、O1:K36和O4:KUT;对氨苄西林、磺胺复合物和头孢噻吩的耐药率分别为100.0%、43.3%和28.3%,有56.7%(34/60)的菌株对2类及以上抗生素同时耐药,2株菌对3类抗生素同时耐受。毒力基因PCR检测发现,有63.3%(38/60)的分离株为tdh+trh-菌株,仅1株为tdh+trh+菌株。分子分型显示,经NotⅠ酶消化后,60株副溶血弧菌可产生48个PFGE谱型,可分为3个聚类(Cluster A、B和C)。其中Cluster B的菌株主要分离自食源性疾病监测中心散发病例,血清型以O3:K6为主,PFGE谱型的相似度在62.6%~100.0%;Cluster C主要是由4株O4:K8型菌株组成,谱型相似度为56.7%~62.5%。60株菌MLST分型可分为26个ST型,其中33株菌为ST-3型,主要是O3:K6和O1:K36菌株;4株O4:K8菌株聚集成另一个不同于ST-3型的相对优势的菌群。结论 2014年广东省副溶血弧菌菌型多样性可能是疾病高发的原因之一,O4:K8型菌株的分子特征与其他优势血清型别明显不同,应高度警惕该型菌株引起暴发的可能。
英文摘要:
      Objective To investigate the serotypes, antimicrobial resistance, virulence genes and molecular characteristics of food-borne Vibrio parahaemolyticus isolated in Guangdong province in 2014. Methods Sixty V. parahaemolyticus strains were tested in this study. The serotyping and antibiotic resistance test were conducted, while the tdh and trh gens of the strains were detected with conventional PCR, and pulsed field gel electrophoresis (PFGE) and multiple locus sequence typing (MLST) were conducted too. Results The 60 strains belonged to 13 serotypes, the major serotypes included O3:K6, O4:K8, O1:K36 and O4:KUT. The antibiotic resistance test indicated the isolates were highly resistant to ampicillin (100.0%), sulfonamides (43.3%) and cefalotin (28.3%). Up to 56.7%(34/60) of the strains were resistant to two or more antibiotics, and 2 strains showed resistance to three antibiotics. The virulence gene detection indicated that 63.3% (38/60) of the strains carried tdh+trh-, while only 1 strain carried tdh+trh+. The 60 strains digested by NotⅠbelonged to 48 different PFGE patterns and 3 clusters. The cluster B included the strains isolated from sporadic food borne cases with serotype of O3:K6 and similarity of 62.6%-100.0%. The cluster C included O4:K8 strains with the PFGE pattern similarity of 56.7%-62.5%. The MLST indicated that the 60 strains had 26 sequence types (STs). The ST-3 was predominant, including 33 strains (serotypes O3:K6 and O1:K36). The four O4:K8 strains formed another predominant colony, which was different from ST-3. Conclusion The etiologic characteristics of V. parahaemolyticus varied, which might be one of the reasons for high incidence of food-borne V. parahaemolyticus infection in Guangdong. The molecular characteristics of O4:K8 strain were different from the other predominant serotypes. Close attention should be paid to the possible outbreak caused by O4:K8 strain in this area.
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