Cheong Hee Jin, Lee Yeon Joo, Hwang In Sook, Kee Sae Yoon, Cheong Hye Won, Song Joon Young, Kim Jun Man, Park Yong Ho, Jung Ji-Hun, Kim Woo Joo
Department of Internal Medicine, Korea University Medical College, Seoul, Korea.
J Korean Med Sci. 2007 Oct;22(5):773-8. doi: 10.3346/jkms.2007.22.5.773.
Non-typhoidal Salmonella (NTS) is an important commensal microorganism. The purpose of this study was to determine the epidemiological relation between NTS isolates from livestock and NTS isolates from human by analyzing antimicrobial susceptibilities and performing molecular typing. We determined the serotypes of 36 human clinical isolates and 64 livestock isolates, performed antimicrobial susceptibility testing against 8 antibiotics, and determined the molecular types of isolated NTS spp. by pulsed field gel electrophoresis (PFGE). In human isolates, S. enteritidis was the most common serotype (17 isolates; 47.2%) and S. typhimurium the second most (8 isolates; 22.2%). In livestock isolates, S. typhimurium was the most common serotype (15 isolates; 23.44%), and S. enteritidis was the second most (14 isolates; 21.88%). Ampicillin and tetracycline resistance were 50% (32/64 isolates) each among broiler-chicken NTS isolates. No human or livestock NTS isolates showed resistance to ciprofloxacin, TMP-SMX, or ceftriaxone. However, 19.4% (7/36) and 46.8% (30/64) of the human and livestock NTS isolates were resistant to nalidixic acid (MIC > or = 16 mg/mL), respectively. The presence of the three identical PFGE molecular types from human and broiler-chicken NTS isolates suggests the possibility of transmission from livestock to humans.
非伤寒沙门氏菌(NTS)是一种重要的共生微生物。本研究的目的是通过分析抗菌药敏性并进行分子分型,确定家畜源NTS分离株与人类源NTS分离株之间的流行病学关系。我们确定了36株人类临床分离株和64株家畜分离株的血清型,对8种抗生素进行了药敏试验,并通过脉冲场凝胶电泳(PFGE)确定了分离出的NTS菌的分子类型。在人类分离株中,肠炎沙门氏菌是最常见的血清型(17株;47.2%),鼠伤寒沙门氏菌次之(8株;22.2%)。在家畜分离株中,鼠伤寒沙门氏菌是最常见的血清型(15株;23.44%),肠炎沙门氏菌次之(14株;21.88%)。肉鸡NTS分离株中氨苄青霉素和四环素耐药率均为50%(32/64株)。没有人类或家畜NTS分离株对环丙沙星、复方新诺明或头孢曲松耐药。然而,分别有19.4%(7/36)和46.8%(30/64)的人类和家畜NTS分离株对萘啶酸耐药(MIC≥16mg/mL)。人类和肉鸡NTS分离株中存在三种相同的PFGE分子类型,提示存在从家畜传播给人类的可能性。