Prat S, Fernández A, Fica A, Fernández J, Alexandre M, Heitmann I
Instituto de Salud Pública, Subdepartamento de Microbiología y Unidad de Desarrollo, Santiago, Chile.
Rev Panam Salud Publica. 2001 Jan;9(1):7-12. doi: 10.1590/s1020-49892001000100004.
Since 1994 an extensive epidemic of infections with Salmonella enteritidis (S. enteritidis) has affected Chile. In order to understand the diversity of infective sources, the possible origin of the epidemic, and the epidemiological relationships between clinical, food, and poultry isolates, we carried out phage typing of three groups of samples: 1) 310 S. enteritidis clinical samples collected between 1975 and 1996, 2) 47 food isolates obtained during S. enteritidis outbreaks, and 3) 27 strains isolated in surveillance studies of poultry-raising establishments. With the clinical samples, a total of 13 phage types were identified, 2 isolates could not be typed, and 1 was considered atypical. The phage types that were identified most frequently were 1 (56.8%) and 4 (31.3%), trailed by type 8 (4.8%) and type 28 (1.9%). Over time and in different regions of the country there were major changes in the distribution of the phage types. In the first years of collection the only phage types registered were 8 and 28, which disappeared around 1980 and then began reappearing sporadically in 1996. With the gradual S. enteritidis expansion that started in 1988, in the central and southern areas of the country phage type 4 began to appear; that type had not been found before in Chile. In 1991 in the northern area of the country phage type 1 began to predominate; it was another type that had not been reported before in Chile. In the food isolates the only phage types identified were 1 and 4, which were also the most common in the poultry isolates. Phage typing of S. enteritidis has proved to be useful in guiding the epidemiological analysis of the infections caused by this pathogen.
自1994年以来,一场由肠炎沙门氏菌(S. enteritidis)引发的大规模感染疫情影响了智利。为了解感染源的多样性、疫情的可能起源以及临床、食品和家禽分离株之间的流行病学关系,我们对三组样本进行了噬菌体分型:1)1975年至1996年间收集的310份肠炎沙门氏菌临床样本;2)在肠炎沙门氏菌疫情爆发期间获得的47份食品分离株;3)在家禽养殖场监测研究中分离出的27株菌株。在临床样本中,共鉴定出13种噬菌体类型,2株分离株无法分型,1株被认为是非典型的。最常鉴定出的噬菌体类型是1型(56.8%)和4型(31.3%),其次是8型(4.8%)和28型(1.9%)。随着时间的推移以及在该国不同地区,噬菌体类型的分布发生了重大变化。在收集样本的最初几年,记录到的唯一噬菌体类型是8型和28型,它们在1980年左右消失,然后在1996年开始零星再现。随着始于1988年的肠炎沙门氏菌的逐渐扩散,在该国中部和南部地区,4型噬菌体开始出现;该类型此前在智利未曾发现。1991年,在该国北部地区,1型噬菌体开始占主导地位;这是另一种此前在智利未报告过的类型。在食品分离株中,鉴定出的唯一噬菌体类型是1型和4型,这也是在家禽分离株中最常见的类型。事实证明,肠炎沙门氏菌的噬菌体分型有助于指导对该病原体引起的感染进行流行病学分析。