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韩国仁川人和动物中传播的高水平耐环丙沙星空肠弯曲菌分离株

High-Level Ciprofloxacin-Resistant Campylobacter jejuni Isolates Circulating in Humans and Animals in Incheon, Republic of Korea.

作者信息

Kim J S, Lee M Y, Kim S J, Jeon S-E, Cha I, Hong S, Chung G T, Huh M-J, Kang Y-H, Yoo C-K, Kim J

机构信息

Division of Enteric Diseases, Center for Infectious Diseases, Korea National Institute of Health, Cheongju-si, Chungcheongbuk-do, Korea.

Incheon Institute of Public Health and Environment Research, Jung-gu, Incheon, Korea.

出版信息

Zoonoses Public Health. 2016 Nov;63(7):545-554. doi: 10.1111/zph.12262. Epub 2016 May 28.

Abstract

Campylobacter jejuni is one of the major causative pathogens of outbreaks or sporadic cases of diarrhoeal diseases worldwide. In this study, we compared the phenotypic and genetic characteristics of C. jejuni isolates of human and food-producing animal origins in Korea and examined the genetic relatedness between these two groups of isolates. Regardless of isolation source, all C. jejuni isolates harboured four virulence genes, cadF, cdtB, ciaB and racR, whereas the wlaN and virB11 genes were more frequently observed in human isolates. Antimicrobial susceptibility testing showed that the majority of C. jejuni isolates displayed high-level resistance to fluoroquinolone (95.2%) or tetracycline (76.2%) antibiotics, and 12.4% of isolates exhibited multidrug resistance (more than three classes of antibiotics tested). Pulsed-field gel electrophoresis (PFGE) of all Campylobacter isolates revealed 51 different SmaI-PFGE patterns and six major clusters containing both human and animal isolates. These results indicate that genetically diverse strains of C. jejuni with antimicrobial drug-resistance and virulence properties have prevailed in Incheon. Nevertheless, some particular populations continue to circulate within the community, providing the evidence for an epidemiological link of C. jejuni infections between humans and food-producing animals. Therefore, the continued monitoring and surveillance of C. jejuni isolates of human and food-producing animal origins are required for public health and food safety.

摘要

空肠弯曲菌是全球腹泻病暴发或散发病例的主要致病病原体之一。在本研究中,我们比较了韩国人类和产肉动物源空肠弯曲菌分离株的表型和遗传特征,并研究了这两组分离株之间的遗传相关性。无论分离源如何,所有空肠弯曲菌分离株均携带四个毒力基因,即cadF、cdtB、ciaB和racR,而wlaN和virB11基因在人类分离株中更常见。抗菌药敏试验表明,大多数空肠弯曲菌分离株对氟喹诺酮类(95.2%)或四环素类(76.2%)抗生素表现出高水平耐药,12.4%的分离株表现出多重耐药(对三种以上测试抗生素类别耐药)。所有弯曲菌分离株的脉冲场凝胶电泳(PFGE)显示出51种不同的SmaI-PFGE图谱以及包含人类和动物分离株的六个主要簇。这些结果表明,具有抗菌药物耐药性和毒力特性的基因多样的空肠弯曲菌菌株在仁川占主导地位。然而,一些特定菌群在社区内持续传播,这为人类和产肉动物之间空肠弯曲菌感染的流行病学联系提供

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