一起由产气荚膜梭菌引起的食源性疾病暴发事件的病原学分析
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作者单位:

张家港市疾病预防控制中心,江苏 张家港 215600

作者简介:

徐兰 女 主任技师 研究方向为微生物检验 E-mail: 576405935@qq.com

通讯作者:

施菊萍 女 主任技师 研究方向为微生物检验 E-mail: 2924917317@qq.com

中图分类号:

R155

基金项目:

江苏省卫生健康委科研课题(Ym2023077);苏州市“科教兴卫”青年科技项目(KJXW2023066)


Pathogen characterization of a Clostridium perfringens associated foodborne disease outbreak
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Zhangjiagang Center for Disease Control and Prevention, Jiangsu Zhangjiagang 215600, China

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    摘要:

    目的 掌握一起食源性疾病暴发事件中分离得到的产气荚膜梭菌病原学特征,提高该类食源性疾病暴发事件处置的准确性和可靠性。方法 用实时荧光聚合酶链式反应(RT-PCR)对样品进行快速筛查,根据筛查结果进行常规细菌分离培养、质谱分析和生化鉴定,对分离得到的菌株进行毒素基因和耐药性检测,并用脉冲场凝胶电泳(PFGE)进行分子分型检测。结果 在10份病例肛拭子和1份食品烤肉中检出产气荚膜梭菌。11株产气荚膜梭菌菌株均检出毒素基因,其中9株为cpa+/cpe+,2株为cpa+/cpe-;菌株通过PFGE图谱进行聚类分析,分为2个PFGE带型,其中从烤肉中分离出的1株菌株和病例肛拭子中分离出的8株产气荚膜梭菌菌株的PFGE图谱相似度为100%,另外两株菌株的相似度为94.70%,整体相似度为70.90%;11株菌株均对哌拉西林、头孢曲松、亚胺培南、青霉素、克林霉素和氯霉素敏感,3株菌株对甲硝唑耐药。结论 结合病例临床症状、现场流行病学调查资料和实验室病原学检测结果进行分析,提示本次事件是一起由产气荚膜梭菌感染引起的食源性疾病暴发事件,今后应加强对产气荚膜梭菌的监测,控制其耐药性的发展。

    Abstract:

    Objective To determine the molecular characteristics of the outbreak associated Clostridium perfringens, and to contribute to improved future outbreak management.Methods Real-time fluorescence polymerase chain reaction (RT-PCR) was used for rapid screening of samples. Conventional bacterial isolation was performed on RT-PCR positive samples, and mass spectrometry analysis, and biochemical identification were conducted for identification. Virulence genes detection, antimicrobial susceptibility testing were conducted on confirmed C. perfringens isolates. Molecular typing was carried out using pulsed field gel electrophoresis (PFGE).Results C. perfringens was detected in 10 rectal swabs and 1 food sample (barbecued meat). All 11 C. perfringens were positive for virulence gene detection, with 9 isolates being cpa+/cpe+ and 2 being cpa+/cpe-. PFGE-based cluster analysis identified two PFGE patterns. One isolate from the barbecued meat and eight from the rectal swabs belonged to the same pattern which were identical, while two other isolates from another pattern showed a similarity of 94.7%. While all isolates were sensitive against piperacillin, ceftriaxone, imipenem, penicillin, clindamycin, and chloramphenicol, three isolates demonstrated resistance against metronidazole.Conclusion Based on clinical symptoms, epidemiological investigation, and laboratory testing, it is suggested that this foodborne disease outbreak was caused by Clostridium perfringens. Enhanced surveillance of Clostridium perfringens is needed to monitor the emergence and dissemination of antimicrobial resistance in this species.

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徐兰,吴鹏程,钱惠芬,施菊萍,樊飞,刘芳,史一帆,冯娴.一起由产气荚膜梭菌引起的食源性疾病暴发事件的病原学分析[J].中国食品卫生杂志,2025,37(12):1184-1189.

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  • 收稿日期:2025-01-02
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  • 在线发布日期: 2026-04-27
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