北京市顺义区2起产气荚膜梭菌食物中毒病原学分析
作者:
作者单位:

(1.北京市顺义区疾病预防控制中心,北京 101300;2.河北北方学院, 河北 张家口 075000;3.中国疾病预防控制中心传染病预防控制所,北京 102206)

作者简介:

张爽 女 主管检验师 研究方向为病原微生物 E-mail:43761191@qq.com 张茂俊 女 研究员 研究方向为病原微生物 E-mail:zhangmaojun@icdc.cn

通讯作者:

中图分类号:

基金项目:

“十三五”科技部重大专项(2018ZX10712-001)


Analysis of the pathogenic characteristics of two food poisoning events caused by Clostridium perfringens in Shunyi District, Beijing
Author:
Affiliation:

(1.Shunyi District Center for Disease Control and Prevention, Beijing 101300, China;2.Hebei North University, Hebei Zhangjiakou 075000, China;3.National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China)

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    目的 研究2起食物中毒事件中分离到的产气荚膜梭菌(Clostridium perfringens,CP)的病原学特征。方法 采集2起食物中毒事件涉及的病例、厨师、烹饪用具和可疑食品等标本或样品,并对其进行常见病毒和细菌的实时荧光定量聚合酶链式反应(real-time PCR)初筛及细菌分离培养。计数标本或样品中CP数量,并对分离到的CP菌株进行毒力基因、脉冲场凝胶电泳(pulsed field gel electrophoresis,PFGE)和耐药性检测。结果 经过real-time PCR和细菌分离培养,在部分病例标本以及食品和涂抹样品中检出CP,其他常见病毒和细菌均为阴性。大部分病例粪便标本的CP计数结果大于1.0×106 CFU/g。10株CP分离菌株均携带毒力基因;菌株PFGE分为7个带型,其中第一起事件有3株为同一带型,第二起有2株为同一带型;菌株对亚胺培南、甲硝唑、头孢曲松和青霉素敏感,6株对克林霉素耐药、1株中介,6株对氯霉素中介。结论 PCR可应用于CP毒力基因的快速筛查,PFGE也可辅助判定CP引起的食物中毒事件,同时应加强对CP的日常监测和其耐药性的防范。

    Abstract:

    Objective To investigate the pathogenic characteristics of Clostridium perfringens isolated from two diarrhea outbreaks. Methods Samples and specimens of patients, chefs, cooking utensils and suspicious foods involved in 2 diarrhea outbreaks were collected. The real-time polymerase chain reaction (PCR), bacteria isolation and culture were performed on the samples. The number of CPs in the specimens was counted. Toxicity genes, pulsed-field gel electrophoresis (PFGE) and drug resistance detection were performed on the isolated CP strains. Results After real-time PCR and bacterial isolation, CP was detected in some patients specimens, food and smear samples, and other common viruses and bacteria were negative. In most cases, the CP count of the specimens exceeded 1.0×106 CFU/g. The 10 strains of CP isolated were all carrying toxin-producing genes. The PFGE fingerprints of the 10 strains were divided into 7 bands, of which 3 were the same band in the first outbreak, and 2 bands were the same in the second outbreak. Those strains were sensitive to imipenem, metronidazole, ceftriaxone and penicillin. Six strains were resistant to clindamycin, one strain was intermediated, and six strains were intermediated to chloramphenicol. Conclusion PCR could be used for rapid screening of CP virulence genes. PFGE could also help determine food poisoning events caused by CP. At the same time, the daily monitoring of CP and the prevention of its drug resistance should be strengthened.

    参考文献
    相似文献
    引证文献
引用本文

张爽,贾巧玲,李颖,王园园,荆红波,马红梅,张茂俊.北京市顺义区2起产气荚膜梭菌食物中毒病原学分析[J].中国食品卫生杂志,2020,32(4):456-460.

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2020-04-20
  • 最后修改日期:
  • 录用日期:
  • 在线发布日期: 2020-08-30
  • 出版日期:
《中国食品卫生杂志》邮寄地址与联系方式变更通知
关闭