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原料奶、挤奶设备和乳品加工工人中的单核细胞增生李斯特菌:分子特征及抗菌药物耐药模式。

Listeria monocytogenes in raw milk, milking equipment and dairy workers: Molecular characterization and antimicrobial resistance patterns.

机构信息

Department of Food Control, Faculty of Veterinary Medicine, Zagazig University, Zagazig City 44511, Sharkia, Egypt.

Department of Zoonoses, Faculty of Veterinary Medicine, Zagazig University, Zagazig City 44511, Sharkia, Egypt.

出版信息

J Glob Antimicrob Resist. 2017 Sep;10:264-270. doi: 10.1016/j.jgar.2017.07.008. Epub 2017 Jul 21.

Abstract

OBJECTIVES

The aim of this study was to evaluate the genetic relatedness and patterns of antimicrobial resistance amongst L. monocytogenes isolated from raw milk, milking equipment, and hand swabs from workers in dairy farms.

METHODS

A total of 300 samples of raw milk, milking equipment, and hand swabs were collected from four dairy farms to examine the presence of Listeria species. Suspected isolates were further identified by VITEK-2 system and Polymerase Chain Reaction (PCR). Antimicrobial susceptibility of the L. monocytogenes isolates was determined, and genotyping analysis was performed by enterobacterial repetitive intergenic consensus-polymerase chain reaction (ERIC-PCR).

RESULTS

Listeria spp. was isolated from 79 (26.3%) of the 300 samples, including 29 (36.7%), 32 (40.5%), and 18 (22.8%) isolates found in raw milk, milking equipment, and hand swabs, respectively. L. monocytogenes was the most common isolated (87.3%) species, while the remaining Listeria isolates were L. innocua (12.7%). Among the 69 L. monocytogenes isolates, 42 (60.8%) showed the mutual presence of hlyA, prfA, inlA, and inlB virulence-associated genes. L. monocytogenes isolates from raw milk, milking equipment, and hand swabs showed high genetic relatedness. The potentially virulent L. monocytogenes isolates were most frequently resistance to tetracycline and clindamycin (81%, each) followed by rifampicin (71.4%), whereas, antimicrobial susceptibility was most frequently observed for ampicillin, levofloxacin, moxifloxacin, linezolid, and tigecycline (100%, each). Furthermore, 88% of L. monocytogenes isolates showed multidrug-resistance.

CONCLUSIONS

The findings of this study show that the contamination of dairy farms with L. monocytogenes is relatively high, and highlight the emergence of multi-drug resistant L. monocytogenes in dairy farms. However, ampicillin is a good choice for treatment of listeriosis in the study area.

摘要

目的

本研究旨在评估从奶牛场的生奶、挤奶设备和工人手拭子中分离出的单核细胞增生李斯特菌的遗传相关性和耐药模式。

方法

从四个奶牛场采集了 300 份生奶、挤奶设备和手拭子样本,以检查李斯特菌属的存在。疑似分离株通过 VITEK-2 系统和聚合酶链反应(PCR)进一步鉴定。对单核细胞增生李斯特菌分离株的药敏性进行了测定,并通过肠杆菌重复基因间一致性聚合酶链反应(ERIC-PCR)进行了基因分型分析。

结果

从 300 份样本中分离出 79 份(26.3%)李斯特菌属,其中生奶、挤奶设备和手拭子中分别检出 29(36.7%)、32(40.5%)和 18(22.8%)株。最常见的分离菌是单核细胞增生李斯特菌(87.3%),其余李斯特菌分离株为无害李斯特菌(12.7%)。在 69 株单核细胞增生李斯特菌分离株中,42 株(60.8%)同时存在 hlyA、prfA、inlA 和 inlB 毒力相关基因。生奶、挤奶设备和手拭子中的单核细胞增生李斯特菌分离株遗传相关性较高。潜在毒力的单核细胞增生李斯特菌分离株对四环素和克林霉素的耐药性最为常见(各 81%),其次是利福平(71.4%),而对氨苄西林、左氧氟沙星、莫西沙星、利奈唑胺和替加环素的耐药性最为常见(各 100%)。此外,88%的单核细胞增生李斯特菌分离株表现出多药耐药性。

结论

本研究结果表明,奶牛场的单核细胞增生李斯特菌污染相对较高,并突出了奶牛场中多药耐药单核细胞增生李斯特菌的出现。然而,氨苄西林是研究区域李斯特菌病治疗的一个不错选择。

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