基于WGS对肠炎沙门菌进行遗传多样性及耐药分析
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四川省疾病预防控制中心

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四川省“十四五”生命健康重大科技专项重大传染病监测预警与应对(2022ZDZX0017)


Genetic Diversity and Antimicrobial Resistance Analysis of Salmonella enterica Serovar Enteritidis Based on Whole Genome Sequencing
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Sichuan Provincial Center for Disease Control and Prevention

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    目的 了解2020-2021年四川省食源性疾病主动监测肠炎沙门菌遗传多样性及耐药特征,比较耐药预测表型与药敏检测结果的一致性,为基于WGS的暴发预警和耐药预测提供参考依据。 方法 以2020-2021年四川省食源性疾病主动监测分离的222株肠炎沙门菌为研究对象,开展全基因组测序分析,利用Snippy软件分析菌株单核苷酸多态性并构建系统发育树,利用ResFinder软件进行耐药基因注释和耐药表型预测。采用微量肉汤稀释法测定菌株对15种抗生素的最小抑菌浓度。结果 四川省222株肠炎沙门菌中214株为Ⅱ群菌株,Ⅰ群和Ⅲ群菌株各4株。共识别26起疑似聚集性事件,主要为小型点源聚集事件。Ⅰ、Ⅲ群菌株对所有药物均敏感,Ⅱ群菌株对不同药物耐药情况不同,约78.5%为多重耐药菌。除多粘菌素E外,耐药表型预测结果与药敏检测结果有较强的一致性。结论 四川省食源性疾病主动监测SE主要为Ⅱ群菌株,Ⅱ群菌株被进一步分为SC-A和SC-B两个优势型及四个非优势型,具有较高的遗传多样性。基于WGS的单核苷酸多态性分型能从肠炎沙门菌监测中发现病例的关联性和聚集性,为启动流行病学调查提供依据。大部分常用药物的耐药预测与表型检测结果一致性较高,但对含两种以上抗生素的复方药物和CT的耐药预测还需进一步优化。

    Abstract:

    Objective To understand the genetic diversity and antimicrobial resistance characteristics of Salmonella enterica Serovar Enteritidis (SE) isolated from foodborne disease surveillance in Sichuan Province from 2020 to 2021, and to compare the consistency between the predicted phenotype of antimicrobial resistance and the results of antimicrobial susceptibility test, so as to provide reference for outbreak warning and antimicrobial resistance prediction based on WGS. Method A total of 222 strains of SE isolated from foodborne disease surveillance from 2020 to 2021 were analyzed by WGS, the single nucleotide polymorphism (SNP) of the strains were analyzed by snippy, and a phylogenetic tree was constructed. Using ResFinder to annotate determinants and predict antimicrobial resistance. The minimum inhibitory concentration (MIC) of the strains against 15 antibiotics was determined with a micro broth dilution method. Rerults 214 of 222 strains of SE were Group II, 4 strains each in Group I and Group III. A total of 26 suspected aggregation events were identified, mainly small point source aggregation events. Antimicrobial susceptibility tests showed that Group Ⅰ and Ⅲ of SE were susceptible to all antimicrobials tested. The Group Ⅱ of SE had different resistance to 15 kinds of antibiotics, and about 78.5% were multi-drug resistant. The predicted results for some drugs are highly consistent with the phenotype, except polymyxin. Conclusion SE strains isolated from foodborne disease surveillance in Sichuan province were mainly belonged to serogroup Ⅱ strains, which were further divided into two dominant types, SC-A and SC-B, and four non-dominant types, with high genetic diversity. Single nucleotide polymorphism typing based on WGS can detect the association and cluster of cases from SE monitoring, and provide a basis for initiating epidemiological investigations. The resistance prediction for most ordinary drug was highly consistent with the phenotype tests, but the resistance prediction of compound drugs containing more than two antibiotics and extraordinary drugs still needs to be optimized.

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  • 收稿日期:2025-01-13
  • 最后修改日期:2025-05-19
  • 录用日期:2025-07-07
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