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从西班牙一家与家畜养殖场有关的人类身上分离出的金黄色葡萄球菌的分子特征,检测到携带mecC基因的耐甲氧西林金黄色葡萄球菌CC130:一例人畜共患病病例?

Molecular characterization of Staphylococcus aureus isolated from humans related to a livestock farm in Spain, with detection of MRSA-CC130 carrying mecC gene: A zoonotic case?

作者信息

Benito Daniel, Gómez Paula, Aspiroz Carmen, Zarazaga Myriam, Lozano Carmen, Torres Carmen

机构信息

Área Bioquímica y Biología Molecular, Universidad de La Rioja, 26006 Logroño, Spain.

Unidad de Microbiología. Hospital Royo Villanova, Zaragoza, Spain.

出版信息

Enferm Infecc Microbiol Clin. 2016 May;34(5):280-5. doi: 10.1016/j.eimc.2015.03.008. Epub 2015 May 11.

Abstract

OBJECTIVES

To conduct a study of Staphylococcus aureus carriage in members of a livestock-farmer's family with different degrees of animal contact, and to characterize the recovered isolates.

METHODS

Nasal samples from 11 members of the family were taken in three sampling periods (every six months) (n=31), and 9 skin samples from superficial lesions were also obtained in 5 of them. Samples were analyzed for S. aureus susceptible (MSSA) and resistant to methicillin (MRSA). S. aureus isolates were tested for antibiotic-resistance phenotype and genotype and for the detection of virulence and IEC-system genes. Molecular typing of isolates was also performed (spa- and multilocus-sequence typing).

RESULTS

Eighteen S. aureus isolates were recovered (1 MRSA and 17 MSSA) in the 40 samples analyzed. S. aureus was detected in nasal and skin samples of 7/11 and 4/5 of tested humans, respectively. The MRSA strain was detected in the skin lesion of a farmer with high animal contact, and carried the mecC gene, and was typed as ST130-CC130-t843. The 17 MSSA isolates were ascribed to 9 different spa-types and sequence types included in the clonal complexes CC22, CC30, CC45, CC121, and in the livestock-associated lineages CC9 and CC133. Six strains harbored eta or tsst-1 genes. Three of 18 strains lacked the immune-evasion-cluster (IEC) genes (MRSA-ST130, MSSA-ST1333, and MSSA-ST133), and the remaining isolates were ascribed to IEC type-A or -B.

CONCLUSIONS

Animal-associated S. aureus lineages were detected in samples of the farmer's family, highlighting the detection of MSSA-CC133 and mecC-MRSA-ST130.

摘要

目的

对一个与家畜养殖户有不同程度动物接触的家庭中的成员进行金黄色葡萄球菌携带情况的研究,并对分离出的菌株进行特征分析。

方法

在三个采样期(每六个月一次)采集该家庭11名成员的鼻拭子样本(n = 31),其中5名成员还采集了9份浅表损伤处的皮肤样本。对样本进行金黄色葡萄球菌敏感(甲氧西林敏感金黄色葡萄球菌,MSSA)和耐甲氧西林(耐甲氧西林金黄色葡萄球菌,MRSA)分析。对金黄色葡萄球菌分离株进行抗生素耐药表型和基因型检测以及毒力和IEC系统基因检测。还对分离株进行分子分型(spa分型和多位点序列分型)。

结果

在分析的40份样本中分离出18株金黄色葡萄球菌(1株MRSA和17株MSSA)。在7/11的受试人类鼻拭子样本和4/5的受试人类皮肤样本中检测到金黄色葡萄球菌。在一名与动物有高度接触的农民的皮肤损伤处检测到MRSA菌株,该菌株携带mecC基因,分型为ST130-CC130-t843。17株MSSA分离株归为9种不同的spa型,序列类型包括克隆复合体CC22、CC30、CC45、CC121以及家畜相关谱系CC9和CC133。6株菌株携带eta或tsst-1基因。18株菌株中有3株缺乏免疫逃避簇(IEC)基因(MRSA-ST130、MSSA-ST1333和MSSA-ST133),其余分离株归为IEC A型或B型。

结论

在养殖户家庭样本中检测到与动物相关的金黄色葡萄球菌谱系,突出了MSSA-CC133和mecC-MRSA-ST130的检测。

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