中山市540株腹泻病例沙门菌血清型分布和耐药分析
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(中山市疾病预防控制中心,广东 中山 528403)

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袁展红 女 副主任技师 研究方向为微生物检验 E-mail:timberlog@163.com

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Serotype distribution and drug resistance analysis of 540 Salmonella spp. isolated from diarrhea cases from Zhongshan City
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(Zhongshan Center for Disease Control and Prevention, Guangdong Zhongshan 528403,China)

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    摘要:

    目的研究2016—2017年中山市腹泻病例沙门菌血清型分布和耐药性。方法 对2016—2017年中山市腹泻病例沙门菌监测分离的540株菌株进行血清学分型,并采用微量肉汤稀释法进行药敏试验。结果 540株沙门菌涵盖59种血清型,两年有22种共同血清型,优势血清型为鼠伤寒沙门菌单相变体(41.9%,226/540)、肠炎沙门菌(13.1%,71/540)、鼠伤寒沙门菌(9.3%,50/540)和斯坦利沙门菌(9.3%,50/540),共占菌株总数的73.5%(397/540)。药敏结果显示沙门菌对氨苄西林、氨苄西林/舒巴坦和四环素的耐药率均>50.0%,对头孢类抗生素的耐药性差异较大,头孢唑啉、头孢噻肟、头孢他啶和头孢西丁的耐药率分别为34.1%(184/540)、25.7%(139/540)、12.2%(66/540)和1.5%(8/540);所有菌株均对亚胺培南敏感,斯坦利沙门菌对6种抗生素敏感;菌株多重耐药率达65.4%(353/540),4种优势血清型中鼠伤寒沙门菌单相变体、肠炎沙门菌、鼠伤寒沙门菌、斯坦利沙门菌的多重耐药率分别为82.7%(187/226)、56.3%(40/71)、72.0%(36/50)、16.0%(8/50)。结论 中山市腹泻病例沙门菌血清型呈生物多样性,菌株多重耐药率较高,其中鼠伤寒沙门菌单相变体耐药情况最严重,应引起重视。

    Abstract:

    Objective To study the serotype distribution and drug resistance of Salmonella isolates from diarrhea cases in Zhongshan City from 2016 to 2017. Methods Serotype of 540 strains of Salmonella spp. was determined from diarrhea cases monitored and isolated in Zhongshan City from 2016 to 2017. Furthermore, broth microdilution method was used for drug sensitivity test. Results 540 Salmonella strains isolated in Zhongshan City from 2016 to 2017 covered 59 serotypes and there were 22 common serotypes. Among them, the dominant serotypes were monophasic variant of S.Typhimurium (41.9%, 226/540), S.Enteritidis (13.1%, 71/540), S.Typhimurium (9.3%, 50/540) and S.Stanley (9.3%, 50/540), accounting for 73.5%(397/540) of the total strains. Drug susceptibility test showed that the resistance rate of Salmonella to ampicillin, ampicillin/sulbactam and tetracycline was higher than 50.0%. However, resistance to cephalosporins varies considerably. The drug resistance rates of cefazolin, cefotaxime, ceftazidime and cefoxitin were 34.1%(184/540), 25.7%(139/540), 12.2%(66/540) and 1.5%(8/540), respectively. In addition, all Salmonella strains were sensitive to imipenem, while S.Stanley was sensitive to six antibiotics. The multiple drug resistance rate was 65.4%(353/540). The multidrug resistance rates of the 4 dominant serotypes of monophasic variant of S.Typhimurium, S.Enteritidis, S.Typhimurium and S.Stanley were 82.7%(187/226), 56.3%(40/71), 72.0%(36/50) and 16.0%(8/50) respectively. And there was significant difference in the rate of multiple drug resistance (P<0.05).Conclusion Salmonella isolates from diarrhea cases in Zhongshan City show biodiversity. Salmonella has a high rate of multiple drug resistance, among which monophasic variant of S.Typhimurium is the most serious strain, which should be paid attention to.

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袁展红,郑悦康,吴灿权,刘绮明,仇绮琳,杨淑欢.中山市540株腹泻病例沙门菌血清型分布和耐药分析[J].中国食品卫生杂志,2020,32(2):134-138.

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  • 收稿日期:2019-12-24
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  • 在线发布日期: 2020-05-01
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