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巴西分离的都柏林沙门氏菌菌株的遗传多样性、抗微生物耐药性、质粒图谱及Vi抗原频率

Genetic diversity, anti-microbial resistance, plasmid profile and frequency of the Vi antigen in Salmonella Dublin strains isolated in Brazil.

作者信息

Vilela F P, Frazão M R, Rodrigues D P, Costa R G, Casas M R T, Fernandes S A, Falcão J P, Campioni F

机构信息

Faculdade de Odontologia de Ribeirão Preto - USP, Ribeirão Preto, SP, Brasil.

Departamento de Análises Clínicas, Toxicológicas e Bromatológicas, Faculdade de Ciências Farmacêuticas de Ribeirão Preto - USP, Ribeirão Preto, SP, Brasil.

出版信息

Zoonoses Public Health. 2018 Feb;65(1):e34-e43. doi: 10.1111/zph.12407. Epub 2017 Sep 24.

Abstract

Salmonella Dublin is strongly adapted to cattle causing enteritis and/or systemic disease with high rates of mortality. However, it can be sporadically isolated from humans, usually causing serious disease, especially in patients with underlying chronic diseases. The aim of this study was to molecularly type S. Dublin strains isolated from humans and animals in Brazil to verify the diversity of these strains as well as to ascertain possible differences between strains isolated from humans and animals. Moreover, the presence of the capsular antigen Vi and the plasmid profile was characterized in addition to the anti-microbial resistance against 15 drugs. For this reason, 113 S. Dublin strains isolated between 1983 and 2016 from humans (83) and animals (30) in Brazil were typed by PFGE and MLVA. The presence of the capsular antigen Vi was verified by PCR, and the phenotypic expression of the capsular antigen was determined serologically. Also, a plasmid analysis for each strain was carried out. The strains studied were divided into 35 different PFGE types and 89 MLVA-types with a similarity of ≥80% and ≥17.5%, respectively. The plasmid sizes found ranged from 2 to >150 kb and none of the strains studied presented the capsular antigen Vi. Resistance or intermediate resistance was found in 23 strains (20.3%) that were resistant to ampicillin, ciprofloxacin, chloramphenicol, imipenem, nalidixic acid, piperacillin, streptomycin and/or tetracycline. The majority of the S. Dublin strains studied and isolated over a 33-year period may descend from a common subtype that has been contaminating humans and animals in Brazil and able to cause invasive disease even in the absence of the capsular antigen. The higher diversity of resistance phenotypes in human isolates, as compared with animal strains, may be a reflection of the different anti-microbial treatments used to control S. Dublin infections in humans in Brazil.

摘要

都柏林沙门氏菌对牛具有很强的适应性,可引发肠炎和/或全身性疾病,死亡率很高。然而,它偶尔也能从人类中分离出来,通常会导致严重疾病,尤其是在患有潜在慢性病的患者中。本研究的目的是对从巴西人和动物中分离出的都柏林沙门氏菌菌株进行分子分型,以验证这些菌株的多样性,并确定从人和动物中分离出的菌株之间可能存在的差异。此外,除了对15种药物的抗微生物耐药性外,还对Vi荚膜抗原的存在和质粒图谱进行了表征。因此,对1983年至2016年间从巴西人(83株)和动物(30株)中分离出的113株都柏林沙门氏菌菌株进行了脉冲场凝胶电泳(PFGE)和多位点可变数目串联重复序列分析(MLVA)分型。通过聚合酶链反应(PCR)验证Vi荚膜抗原的存在,并通过血清学方法确定荚膜抗原的表型表达。此外,还对每个菌株进行了质粒分析。所研究的菌株分别分为35种不同的PFGE型和89种MLVA型,相似度分别≥80%和≥17.5%。发现的质粒大小范围为2至>150 kb,所研究的菌株均未呈现Vi荚膜抗原。在23株(20.3%)菌株中发现了耐药或中介耐药,这些菌株对氨苄西林、环丙沙星、氯霉素、亚胺培南、萘啶酸、哌拉西林、链霉素和/或四环素耐药。在33年期间研究和分离的大多数都柏林沙门氏菌菌株可能源自一个共同的亚型,该亚型一直在巴西感染人和动物,即使在没有Vi荚膜抗原的情况下也能引起侵袭性疾病。与动物菌株相比,人类分离株中耐药表型的多样性更高,这可能反映了巴西用于控制人类都柏林沙门氏菌感染的不同抗微生物治疗方法。

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