Wang Y, Guo S, Zhao C N, Xu X W
Department of Gastroenterology, Beijing Children's Hospital; Faculty of Digestive Diseases, Capital Medical University; National Clinical Research Center for Digestive Diseases, Beijing 100045, China.
Zhonghua Er Ke Za Zhi. 2017 Apr 2;55(4):294-297. doi: 10.3760/cma.j.issn.0578-1310.2017.04.012.
To learn the colonization of in local healthy children and to investigate the colonization rate and toxin types of at different ages. From September 2014 to January 2015 in a case observational study, healthy children's fecal specimens from the health care department of Beijing Children's Hospital were collected. The children were divided into four groups according to age: <1 year old(=53), 1-<3 years old(=50), 3-<6 years old(=50) and 6-<14 years old(=50) respectively. Polymerase chain reaction (PCR) was used to detect Clostridium difficile toxin genes including tcdA, tcdB, binary toxin CDT (cdtA and cdtB), and toxin regulatory genes including tcdC, tcdD and tcdE. And then the positive samples were sequenced. Measurement data were compared by using test and rank sum test, while, enumeration data were compared using chi-square test. Fifteen (7.4%) specimens were positive for Clostridium difficile toxin genes in 203 stool specimens. Of the 15 positive specimens, eight(53.3%) were tcdA(+) tcdB(-)(A(+) B(-)), four were A(+) B(+) , 3(20.0%) were A(-)B(+) , the binary toxin-positive specimens were not detected. TcdC, tcdD, tcdE positive specimens were 8, 6 and 11, respectively. Gene mutations were not found in positive samples by DNA sequencing. In the 15 positive samples, four (7.5%) specimens were in <1 year old group; four (8.0%) specimens were in 1-<3 years old group; one(2.0%) specimen was in 3-<6 years old group; and 6(12.0%) specimens were in 6-<14 years old group. The colonization rate had no significance in different age groups. The colonization rate of Clostridium difficile in healthy children was 7.4%. And toxigenic can be detected in all age groups.
了解难辨梭菌在当地健康儿童中的定植情况,并调查不同年龄段难辨梭菌的定植率及毒素类型。在2014年9月至2015年1月进行的一项病例观察研究中,收集了北京儿童医院保健科健康儿童的粪便标本。根据年龄将儿童分为四组:分别为<1岁(n = 53)、1 - <3岁(n = 50)、3 - <6岁(n = 50)和6 - <14岁(n = 50)。采用聚合酶链反应(PCR)检测难辨梭菌毒素基因,包括tcdA、tcdB、二元毒素CDT(cdtA和cdtB),以及毒素调节基因,包括tcdC、tcdD和tcdE。然后对阳性样本进行测序。计量资料采用t检验和秩和检验进行比较,计数资料采用卡方检验进行比较。203份粪便标本中,15份(7.4%)难辨梭菌毒素基因呈阳性。在15份阳性标本中,8份(53.3%)为tcdA(+)tcdB(-)(A(+)B(-)),4份为A(+)B(+),3份(20.0%)为A(-)B(+),未检测到二元毒素阳性标本。tcdC、tcdD、tcdE阳性标本分别为8份、6份和11份。DNA测序未在阳性样本中发现基因突变。在15份阳性样本中,<1岁组有4份(7.5%)标本;1 - <3岁组有4份(8.0%)标本;3 - <6岁组有1份(2.0%)标本;6 - <14岁组有6份(12.0%)标本。不同年龄组的定植率无显著性差异。健康儿童难辨梭菌的定植率为7.4%。且所有年龄组均可检测到产毒难辨梭菌。