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[2009 - 2011年河南省分离的伤寒沙门菌和副伤寒沙门菌的耐药特征及分子分型]

[Characteristics of drug resistance and molecular type of Salmonella typhi and Salmonella paratyphi isolated in Henan province, 2009-2011].

作者信息

Zhao Jiayong, Xie Zhiqiang, Mu Yujiao, Su Jia, Xia Shengli, Huang Xueyong, Xu Bianli

机构信息

Henan Provincial Center for Disease Control and Prevention, Zhengzhou 450016, China.

出版信息

Zhonghua Liu Xing Bing Xue Za Zhi. 2016 Jan;37(1):111-4. doi: 10.3760/cma.j.issn.0254-6450.2016.01.024.

Abstract

OBJECTIVE

To investigate the antibiotic resistance and pulsed field gel electrophoresis (PFGE) patterns of clinical isolates of Salmonella (S.) typhi and S. paratyphi in Henan province during 2009-2011.

METHODS

According to molecular typing and Salmonella K-B drug susceptibility test method published by international PulseNet bacterial infectious disease monitoring network and USA Clinical and Laboratory Standards Institute (CLSI), the drug susceptibility and PFGE molecule characteristics of 78 S. typhi and S. paratyphi strains isolated from sentinel hospitals in Henan were analyzed.

RESULTS

The 78 strains of S. typhi and S. paratyphi were resistant to 13 kinds of antibiotics, in which 62 were multidrug resistant (79.5%), 4 were resistant to 2-3 kinds of antibiotics (5.1%), 41 were resistant to 5-8 kinds of antibiotics (52.6%), 14 were resistant to 9-10 kinds of antibiotics (17.9%), 3 were resistant to 11-12 kinds of antibiotics (3.8%). The resistant rate to cephalosporins, quinolones and other 3 kinds of antibiotic showed an increase trends. Seventy two strains of S. typhi and S. paratyphi could be divided 14 molecular patterns by digestion with XbaⅠ and PFGE, each pattern contains 1-47 strains which shared the similarity of 66.03%-100.00%.

CONCLUSIONS

The drug resistance of clinical isolates of S. typhi and S. paratyphi was serious in Henan. The PFGE patterns showed diversity, but the predominant patterns could be still found. The PFGE patterns of some strains were associated with their drug resistance.

摘要

目的

调查2009 - 2011年河南省伤寒沙门菌和副伤寒沙门菌临床分离株的耐药性及脉冲场凝胶电泳(PFGE)图谱。

方法

按照国际PulseNet细菌传染病监测网络及美国临床和实验室标准协会(CLSI)公布的分子分型及沙门菌K - B药敏试验方法,对从河南哨点医院分离的78株伤寒沙门菌和副伤寒沙门菌进行药敏及PFGE分子特征分析。

结果

78株伤寒沙门菌和副伤寒沙门菌对13种抗生素耐药,其中62株为多重耐药(79.5%),4株对2 - 3种抗生素耐药(5.1%),41株对5 - 8种抗生素耐药(52.6%),14株对9 - 10种抗生素耐药(17.9%),3株对11 - 12种抗生素耐药(3.8%)。对头孢菌素、喹诺酮类及其他3种抗生素的耐药率呈上升趋势。72株伤寒沙门菌和副伤寒沙门菌经XbaⅠ酶切及PFGE可分为14种分子型别,每种型别含1 - 47株,相似度为66.03% - 100.00%。

结论

河南省伤寒沙门菌和副伤寒沙门菌临床分离株耐药情况严重。PFGE图谱具有多样性,但仍可发现优势型别。部分菌株的PFGE型别与其耐药性相关。

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