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肠炎沙门氏菌Mbandaka克隆ST413在波兰成功传播的十五年及其公共卫生后果。

Fifteen years of successful spread of Salmonella enterica serovar Mbandaka clone ST413 in Poland and its public health consequences.

作者信息

Hoszowski Andrzej, Zając Magdalena, Lalak Anna, Przemyk Paweł, Wasyl Dariusz

机构信息

Department of Microbiology, National Veterinary Research Institute, Puławy, Poland.

District Sanitary and Epidemiological Station, Bielsko-Biała, Poland.

出版信息

Ann Agric Environ Med. 2016 Jun 2;23(2):237-41. doi: 10.5604/12321966.1203883.

Abstract

In the 1990s, Salmonella enterica serovar (S.) Mbandaka occurred in feed and poultry in Poland. In the following years, the serovar also gained epidemiological importance in other EU countries. The objectives of current study were to evaluate the genetic relationship of contemporary S. Mbandaka with isolates originating from the beginning of the epidemics, and to assess the contribution of poultry as the source of infections in humans. Seventy S. Mbandaka isolated mainly in 2009 - 2010 from humans, poultry, food, and feed were typed with API ID32 (®), MIC, plasmid profiling, PFGE, and MLST. PCR and sequencing were used to identify plasmid mediated quinolone and cephalosporin resistance mechanisms. Six biochemical profiles were identified and 59 of S. Mbandaka proved to be susceptible to the applied antimicrobials. Eight strains carried plasmids and a few of them were positive for blaCMY-2 and qnrS1 genes. Two clusters of 15 XbaI-PFGE profiles with similarity of 77.5% were found. The first cluster, gathered 7 profiles involving historical isolates and several contemporary non-human S. Mbandaka. The predominant profile in the second cluster consisted of 28 human and 1 broiler isolate. MLST analysis showed sequence type ST413 occurring among all tested isolates. The identification of close genetic relationships between S. Mbandaka of human and poultry origin indicates animals as a primal human infection route. Despite Salmonella control programmes, the S. Mbandaka ST413 clone has been circulating for several years in Poland. Salmonella control polices in food production chain should be continuously updated to target serovars of major epidemiological importance. Resistance noted in S. Mbandaka to such antimicrobials as fluoroquinolones and cephalosporins may hinder public health.

摘要

20世纪90年代,波兰的饲料和家禽中出现了肠炎沙门氏菌班达卡血清型(S. Mbandaka)。在随后的几年里,该血清型在其他欧盟国家也具有了流行病学重要性。本研究的目的是评估当代S. Mbandaka与疫情初期分离株之间的遗传关系,并评估家禽作为人类感染源的作用。对2009 - 2010年主要从人类、家禽、食品和饲料中分离出的70株S. Mbandaka进行了API ID32(®)分型、最小抑菌浓度(MIC)测定、质粒图谱分析、脉冲场凝胶电泳(PFGE)和多位点序列分型(MLST)。采用聚合酶链反应(PCR)和测序来鉴定质粒介导的喹诺酮和头孢菌素耐药机制。鉴定出六种生化谱型,59株S. Mbandaka对所应用的抗菌药物敏感。八株携带质粒,其中一些对blaCMY - 2和qnrS1基因呈阳性。发现了两个由15个XbaI - PFGE图谱组成的聚类,相似度为77.5%。第一个聚类包含7个图谱,涉及历史分离株和一些当代非人类S. Mbandaka。第二个聚类中的主要图谱由28株人类分离株和1株肉鸡分离株组成。MLST分析表明,所有测试分离株中均出现序列型ST413。人类和家禽来源的S. Mbandaka之间密切遗传关系的鉴定表明动物是人类感染的主要途径。尽管实施了沙门氏菌控制计划,但S. Mbandaka ST413克隆在波兰已传播数年。食品生产链中的沙门氏菌控制政策应不断更新,以针对具有主要流行病学重要性的血清型。S. Mbandaka对氟喹诺酮和头孢菌素等抗菌药物的耐药性可能会对公共卫生造成阻碍。

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