2023—2024年上海市宝山区食源性腹泻病例感染空肠弯曲菌的分子流行病学分析
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作者单位:

宝山区疾病预防控制中心(宝山区卫生健康监督所),上海 201901

作者简介:

胡永迪 女 主管医师 研究方向为传染病控制 E-mail: 1184893456@qq.com
张旭 男 主管技师 研究方向为实验室检测与生物信息 E-mail: 654923375@qq.com

通讯作者:

沈隽卿 女 副主任技师 研究方向为实验室检测 E-mail: 33143248@qq.com

中图分类号:

R155

基金项目:

宝山区卫生健康委优青(育才)计划资助(BSWSYC-2025-28),上海市宝山区医学重点专科A类项目(BSZK-2023-A20)


Molecular epidemiology of Campylobacter jejuni infections in foodborne diarreal cases in Baoshan District, Shanghai City from 2023 to 2024
Author:
Affiliation:

Baoshan District Center for Disease Control and Prevention (Baoshan District Health Supervision Institute), Shanghai 201901, China

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    摘要:

    目的 了解上海市宝山区食源性腹泻病例空肠弯曲菌的分子分型以及血清分型的分布情况,探究不同菌株间的遗传进化关系。方法 对2023—2024年上海市宝山区肠道门诊腹泻病例中分离到的68株空肠弯曲菌样本信息,进行统计学分析,基于全基因组测序结果分析MLST分型、CC克隆群、HS血清分型和核心基因组单核苷酸多态性遗传进化分析。结果 宝山区人源感染空肠弯曲菌春夏检出率较高,可疑食品为肉与肉制品。共检测到46种ST型,归入16个CC群,以CC464最常见(13.23%),其次为CC574(11.76%)和CC45(10.29%)。HS分型以HS2、HS8/17和HS5/31为主。核心基因组分析发现4组菌株两两间SNP差异≤5个,基于流行病学调查提示存在相关菌株高度关联。结论 本地人群空肠弯曲菌呈多克隆分布,春夏检出率较高,可疑食品主要为肉与肉制品。因空肠弯曲菌存在短链条传播事件,将基因组测序技术用于常规监测中的快速分型与聚集识别,有助于及时溯源并支撑食品安全与腹泻病的精准防控。

    Abstract:

    Objective To characterize the molecular epidemiology of Campylobacter jejuniC. jejuni infections in foodborne diarreal cases in Baoshan District, Shanghai, and to explore the genetic evolutionary relationships among C. jejuni isolates.Methods Statistical and genomic analyses were performed on 68 C. jejuni isolates obtained from diarrheal cases at intestinal outpatient clinics in Baoshan District between 2023 and 2024. Based on whole-genome sequencing data, multilocus sequence typing (MLST), clonal complex (CC) analysis, heatstable serotyping (HS), and core-genome single-nucleotide polymorphism (SNP) phylogenetic analysis were conducted.Results The detection rate of C. jejuni was higher in spring and summer, with meat and meat products identified as the suspected food vehicles. A total of 46 sequence types (STs) were identified, which clustered into 16 clonal complexes (CCs). The most prevalent CC was CC464, followed by CC574, and CC45. The predominant HS types were HS2, HS8/17, and HS5/31. Core-genome analysis revealed four pairs of isolates ≤5 SNP differences, and epidemiological investigation demonstrated a high degree of relatedness among these strains.Conclusion C. jejuni infections in the local population exhibit a higher detection rate in spring and summer, with meat and meat products as the primary suspected sources. Molecular epidemiology of these isolates shows a polyclonal distribution with evidence of short-chain transmission events. Integrating genomic sequencing into routine surveillance for rapid typing and cluster identification facilitates timely traceability and supports precise prevention and control of foodborne diseases.

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胡永迪,张旭,高雅,姚利利,何平,金敏,沈隽卿.2023—2024年上海市宝山区食源性腹泻病例感染空肠弯曲菌的分子流行病学分析[J].中国食品卫生杂志,2026,38(5):435-441.

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  • 收稿日期:2025-10-30
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  • 在线发布日期: 2026-08-10
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