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美国爱荷华州一年内市售肉中金黄色葡萄球菌的流行情况及分子特征。

Prevalence and molecular characterization of Staphylococcus aureus in commercially available meat over a one-year period in Iowa, USA.

机构信息

Department of Epidemiology, University of Iowa College of Public Health, 145N. Riverside Drive, Iowa City, IA, 52242, United States; Center for Emerging Infectious Diseases, University of Iowa College of Public Health, 2501 Crosspark Rd, Coralville, IA, 52241, United States.

Kent State University, College of Public Health, Department of Biostatistics, Environmental Health Sciences and Epidemiology, 750Hilltop Drive, Kent, OH, 44242, United States.

出版信息

Food Microbiol. 2017 Aug;65:122-129. doi: 10.1016/j.fm.2017.01.015. Epub 2017 Feb 9.

Abstract

Methicillin-resistant Staphylococcus aureus (MRSA) is a leading cause of infectious disease morbidity and mortality. Previous studies have confirmed the presence of S. aureus, including MRSA, on raw meat products. We investigated the prevalence and molecular epidemiology of S. aureus and MRSA in commercially-distributed antibiotic-free and conventional raw meat products (n = 3290) purchased in 8 Iowa retail stores weekly for a period of one year. Isolates were characterized using spa typing, and PCR was used to detect the presence of the Panton-Valentine leukocidin (PVL) and mecA genes. Quantitation of S. aureus on meat products was carried out one week per month. The prevalence of S. aureus on meat samples was 27.8% (913/3290). Compared to antibiotic-free meat samples, higher prevalence of both MRSA and methicillin-susceptible S. aureus (MSSA) were found in conventional meat samples. Among the S. aureus isolates, 18 were PVL-positive (1.9%) and 41 (4.5%) carried mecA. Phenotypic oxacillin resistance was observed for 17.1% (41/239) of the isolates tested, while 23% (55/239) were multi-drug resistant. A total of 132 spa types were detected from 913 contaminated meat samples. Overall, t002 was the most common spa type identified (137; 15.0%). The number of colony-forming units (CFU) per 10 g meat ranged from 2 to 517 (median: 8 CFU per 10 g of meat; mean: 28) with the highest bacterial load observed on turkey samples. These data reinforce the need to consider meat products as potential vehicles of S. aureus transmission from farm into human households, and the potential need for public health intervention programs pre and post-slaughter in meat processing facilities.

摘要

耐甲氧西林金黄色葡萄球菌(MRSA)是传染性疾病发病率和死亡率的主要原因。先前的研究已经证实了生肉产品上存在金黄色葡萄球菌,包括耐甲氧西林金黄色葡萄球菌。我们调查了在爱荷华州的 8 家零售商店每周购买一次的商业分布的无抗生素和常规生肉产品(n=3290)中金黄色葡萄球菌和耐甲氧西林金黄色葡萄球菌的流行率和分子流行病学。使用 spa 分型对分离株进行了特征描述,并用 PCR 检测了杀白细胞素(PVL)和 mecA 基因的存在。每月对肉产品进行一次金黄色葡萄球菌定量。肉样中金黄色葡萄球菌的检出率为 27.8%(913/3290)。与无抗生素的肉样本相比,常规肉样本中发现耐甲氧西林金黄色葡萄球菌和甲氧西林敏感金黄色葡萄球菌(MSSA)的检出率更高。在金黄色葡萄球菌分离株中,18 株为 PVL 阳性(1.9%),41 株携带 mecA。17.1%(41/239)的分离株表现出表型性耐氧西林,而 23%(55/239)为多药耐药。从 913 份污染肉样本中检测到 132 种 spa 型。总体而言,t002 是最常见的 spa 型(137;15.0%)。每 10g 肉中的菌落形成单位(CFU)数量为 2 至 517(中位数:每 10g 肉 8 CFU;平均值:28),在火鸡样本中观察到的细菌负荷最高。这些数据强化了将肉产品视为金黄色葡萄球菌从农场传播到人类家庭的潜在载体的必要性,并且需要在屠宰前和屠宰后在肉类加工设施中开展公共卫生干预计划。

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