Gamboa-Coronado María del Mar, Mau-Inchaustegui Silvia, Rodríguez-Cavallini Evelyn
Laboratorio de Investigación en Bacteriología Anaerobia y Centro de Investigación en Enfermedades Tropicales, Facultad de Microbiología, Universidad de Costa Rica, Ciudad Universitaria Rodrigo Facio, San Pedro de Montes de Oca 2060, San José, Costa Rica.
Rev Biol Trop. 2011 Dec;59(4):1479-85.
Clostridium perfringens, a Gram positive, spore-forming anaerobe, is widely distributed in nature. Based upon their production of four major toxins alpha, beta, epsilon and iota, C. perfringens is classified into five toxinotypes (A-E). Some strains produce an enterotoxin (CPE), encoded by the cpe gene, which causes diarrhea in humans and some animals. C. perfringens strains that had been previously isolated and been kept at -80 degrees C were analyzed for the presence of toxin genes and for antimicrobial resistance: 20 from soils, 20 from animal, 20 from human origin and 21 from food non related to outbreaks. According to PCR results, all strains were classified as C. perfringens type A, since only alpha toxin gene was detected, while cpe was detected in two strains (2.5%) isolated from food, as it has been described in other world regions. Antibiotic resistance to at least one antibiotic was detected in 44% of the strains, 41% was resistant to clindamycin, 25% to chloramphenicol, 22% to penicillin and 20% to metronidazole. Soils strains showed the highest resistance percentages to almost all antibiotics. Multiresistance (to three or more antibiotic groups) was detected in the strains from soil (40%), human origin (30%), food (14%) and animal origin (5%). The high resistance rates found may be explained by the widespread use of antimicrobials as growth promoters in plants and animals; also these resistant strains may act as reservoir of resistance genes that may be transferred between bacteria in different environments.
产气荚膜梭菌是一种革兰氏阳性、形成芽孢的厌氧菌,广泛分布于自然界。根据其产生的四种主要毒素α、β、ε和ι,产气荚膜梭菌被分为五个毒素型(A - E)。一些菌株产生由cpe基因编码的肠毒素(CPE),可导致人类和一些动物腹泻。对先前分离并保存在-80℃的产气荚膜梭菌菌株进行毒素基因检测和抗菌药物耐药性分析:20株来自土壤,20株来自动物,20株来自人类,21株来自与疫情无关的食品。根据PCR结果,所有菌株均被归类为A型产气荚膜梭菌,因为仅检测到α毒素基因,而在从食品中分离的两株菌株(2.5%)中检测到了cpe,正如在世界其他地区所描述的那样。44%的菌株检测到对至少一种抗生素耐药,41%对克林霉素耐药,25%对氯霉素耐药,22%对青霉素耐药,20%对甲硝唑耐药。土壤菌株对几乎所有抗生素的耐药率最高。在来自土壤(40%)、人类(30%)、食品(14%)和动物(5%)的菌株中检测到多重耐药(对三种或更多抗生素组耐药)。发现的高耐药率可能是由于在植物和动物中广泛使用抗菌药物作为生长促进剂;此外,这些耐药菌株可能充当耐药基因的储存库,这些基因可能在不同环境中的细菌之间转移。