食物中毒相关金黄色葡萄球菌病原学分析
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作者单位:

1.重庆市南岸区疾病预防控制中心微生物检验科,重庆 401336;2.重庆医科大学,重庆 404100

作者简介:

李彩云 女 主管技师 研究方向为卫生检验 E-mail:1026693605@qq.com

通讯作者:

宗华 男 硕士研究生 研究方向为卫生检验学 E-mail:1302421779@qq.com

中图分类号:

R155

基金项目:

2023年重庆市公共卫生重点专科(学科)建设经费


Pathogenetic analysis of Staphylococcus aureus associated with food poisoning
Author:
Affiliation:

1.Chongqing Nanan District Center for Diseases Control and Prevention, Chongqing 401336, China;2.Chongqing Medical University, Chongqing 404100, China

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    摘要:

    目的 分析重庆市南岸区两起食物中毒来源的金黄色葡萄球菌的耐药特征、分子特征及同源性。方法 对病例和从业人员肛拭子、食品加工环境样及留样食品进行病原分离和鉴定,对分离株进行肠毒素检测、毒力基因检测(qPCR)、药物敏感性试验,开展全基因组测序,以获取分离株携带的毒力及耐药基因,并进行多位点序列分型及单核苷酸多态性分析。结果 从8份病例肛拭子、1份环境样本及1份留样食品中分离到10株金黄色葡萄球菌,A和B事件分别分离菌株4株、6株。同一事件金黄色葡萄球菌肠毒素型别相同、耐药谱相同,产SEA、SEE的菌株qPCR结果为seaseb、sec、sed阳性基因注释结果识别到毒力基因sea,产SEA、SEB、SEE的菌株,qPCR及基因注释结果均为毒力基因sea、seb阳性,耐药谱分别为PEN-ERY及PEN,耐药谱为PEN-ERY的分离株除1株未携带相关耐药基因blaZ外,其余分离株均携带相关耐药基因blaZerm(A),耐药谱为PEN的分离株均携带相关耐药基因blaZ,携带的质粒复制子主要为rep16、rep19、rep5a。MLST分析同一事件同源性100%,分别为ST30型和ST59型。同一事件单核苷酸多态性分析高度同源。结论 这两起事件均是由金黄色葡萄球菌污染引起的食物中毒事件,需要进一步加强对餐饮企业的宣传教育及管理,金黄色葡萄球菌对青霉素均耐药,基于全基因组测序,对菌株进行多位点序列分型和单核苷酸多态性分析,可用于金黄色葡萄球菌引起的聚集性事件同源性分析。

    Abstract:

    Objective Analysis of the antimicrobial resistance characteristics, molecular characteristics, and homology of Staphylococcus aureus, the source of two cases of food poisoning in Nan’an District, Chongqing Municipality.Methods Pathogens were isolated and identified from anal swabs of cases and practitioners, samples of the food processing environment and retained food. The isolates were subjected to enterotoxin detection, virulence gene detection(qPCR), antimicrobial susceptibility testing, and whole genome sequencing was performed to obtain virulence and resistance genes carried by the isolates and to perform multilocus sequence typing and single nucleotide polymorphism analysis.Results Ten S. aureus strains were isolated from anal swabs of eight cases, one environmental sample, and one retained food sample, of which four and six strains were isolated from A and B incidents, respectively. In the same incident, S. aureus produced the same enterotoxin with the same resistance profile. Using the qPCR method, the virulence genes of the S.aureus strains producing SEA and SEE were identified; the results showed that sea, seb, sec, and sed were positive. Using the gene annotation technique, the S.aureus producing SEA and SEE were discovered to have the virulence gene sea. By using qPCR and gene annotation approaches, it was demonstrated that the virulence genes sea and seb were positive for strains producing SEA, SEB, and SEE. the resistance profiles were PEN-ERY and PEN respectively. The isolates with resistance profiles PEN-ERY, all carried the associated resistance genes blaZ and erm(A)except for one isolate that did not carry the associated resistance gene blaZ, whereas the isolates with resistance profiles PEN all carried the associated resistance gene blaZ. The plasmid replicons carried by the isolates were mainly rep16, rep19, rep5a. MLST analysis showed 100% homozygosity for the same incident, and MLST typing of S. aureus for the two incidents was ST30 type and ST59 type respectively. Single nucleotide polymorphism analysis of the same incident was highly homologous.Conclusion Therefore, these two events were both food poisoning events caused by S. aureus contamination. it is necessary to further strengthen the education and management of restaurants. S. aureus strains were resistant to penicillin. Based on whole genome sequencing, multilocus sequence typing and single nucleotide polymorphism analysis of the strains can be used for homology analysis of aggregation incidents caused by S. aureus.

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李彩云,周思雨,冯莉,罗益,车甜田,殷静,李施慧,宗华.食物中毒相关金黄色葡萄球菌病原学分析[J].中国食品卫生杂志,2025,37(5):481-487.

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  • 收稿日期:2024-08-22
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  • 在线发布日期: 2025-08-20
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