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[基于表型分析和微阵列的临床健康奶牛乳区乳样中耐甲氧西林金黄色葡萄球菌(MRSA)和甲氧西林敏感金黄色葡萄球菌(MSSA)抗生素耐药性基因分型]

[Phenotyping and microarray based genotyping of the antibiotic resistance of MRSA and MSSA from quarter milk samples of clinically healthy dairy cows].

作者信息

Schlotter Katharina, Hotzel Helmut, Ehricht Ralf, Pfeffer Martin, Monecke Stefan, Donat Karsten

机构信息

Tiergesundheitsdienst der Thüringer Tierseuchenkasse, Jena.

出版信息

Berl Munch Tierarztl Wochenschr. 2013 Jan-Feb;126(1-2):37-45.

Abstract

The aim of this investigation was the comprehensive characterization of the in vitro antibiotic resistance profile and of the detectable resistance determinants in a systematic sampling of Staphylococcus aureus isolates from raw milk from clinically healthy cows. Quarter milk samples from all asymptomatic, milk producing cows from 34 Thuringian dairy herds were taken twice (n = 10421 and 10 417 respectively) and investigated bacteriologically. 189 out of the 1902 detected Staphylococcus aureus isolates were selected and established in terms of their resistance pattern using DNA-microarray analysis and agar diffusion test (AVID 1998) for the determination of the genotypic and phenotypic resistance, respectively. 135 isolates (71.4%) did not carry any resistance gene represented on the array. The penicillin resistance gene blaZ was found in 21 isolates (11.1%), which were tested resistant to penicillin by agar diffusion test. Only four isolates (2.1%) harboured the methicillin resistance gene mecA and were thus defined as methicillin-resistant Staphylococcus aureus (MRSA). They belonged to the clonal complex CC398 and possessed, beside mecA, also tetracycline resistance genes. Other resistance markers were very rare, with macrolide and aminoglycoside resistance genes being found in only one isolate (0.5%) each. On one hand, the present survey shows the (still) limited antimicrobial resistance of Staphylococcus aureus isolated from clinically healthy dairy cows. On the other hand, the study demonstrates that MRSA can be detected in raw milk in small quantities, but these strains show only few additional resistance properties.

摘要

本研究的目的是对从临床健康奶牛的原料奶中系统采样获得的金黄色葡萄球菌分离株的体外抗生素耐药谱和可检测到的耐药决定因素进行全面表征。从图林根州34个奶牛场的所有无症状产奶牛中采集乳房乳样,共采集两次(分别为n = 10421和10417),并进行细菌学检测。在检测到的1902株金黄色葡萄球菌分离株中,选取189株,分别采用DNA微阵列分析和琼脂扩散试验(AVID 1998)确定其耐药模式,以分别测定基因型和表型耐药性。135株分离株(71.4%)未携带微阵列上显示的任何耐药基因。在21株分离株(11.1%)中发现了青霉素耐药基因blaZ,这些分离株通过琼脂扩散试验检测对青霉素耐药。只有4株分离株(2.1%)携带甲氧西林耐药基因mecA,因此被定义为耐甲氧西林金黄色葡萄球菌(MRSA)。它们属于克隆复合体CC398,除mecA外,还拥有四环素耐药基因。其他耐药标记非常罕见,大环内酯类和氨基糖苷类耐药基因仅在1株分离株(0.5%)中被发现。一方面,本次调查显示从临床健康奶牛分离出的金黄色葡萄球菌的抗菌耐药性(仍然)有限。另一方面,该研究表明,在原料奶中可以检测到少量的MRSA,但这些菌株仅表现出很少的其他耐药特性。

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