Li B S, Chen L J, Ke B X, Lin J M, Xu L Q, Tan H L, He D M, Liang Y H, Ke C W, Zhang Y H
Microbiology Department, Guangdong Provincial Center for Disease Control and Prevention, Guangzhou 511430, China.
Microbiology Department, Liuzhou Prefecture Center for Disease Control and Prevention, Liuzhou 545007, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2017 Nov 10;38(11):1541-1545. doi: 10.3760/cma.j.issn.0254-6450.2017.11.021.
To investigated the etiologic characteristics of strains causing outbreaks and sporadic cases in some areas of Guangdong province and Guangxi Zhuang Autonomous Region during 2014-2016. Fourteen strains isolated from outbreaks and 6 strains from sporadic cases from Guangdong and Liuzhou of Guangxi Zhuang Autonomous Region were tested for antimicrobial resistance and analyzed by pulsed-field gel electrophoresis (PFGE). Six typical strains were selected for whole genome sequencing typing and compared with 51 strains isolated both at home and abroad from NCBI genome database. The antibiotic resistance test indicated the isolates had high resistance rate to ampicillin, tetracycline, gentamicin, trimethoprim/sulfamethoxazole and nalidixic acid, while sensitive to azithromycin, chloromycetin and imipenem. PFGE showed high similarity (93.2%) among the strains isolated from different areas. The whole genome sequencing analysis also revealed that all the typical strains were clustered into a same evolution branch, close to some strains from Korea. The strains isolated from some areas of Guangdong and Guangxi Zhuang Autonomous Region showed high resistance to commonly used antibiotics, but they were sensitive to azithromycin, chloramphenicol and imipenem. The isolates in this study also showed similar PFGE patterns and close phylogenic evolution.
为调查2014 - 2016年期间广东省部分地区及广西壮族自治区引起暴发和散发病例的菌株的病原学特征。对从广东省及广西壮族自治区柳州市的暴发疫情中分离出的14株菌株和散发病例中分离出的6株菌株进行了药敏试验,并采用脉冲场凝胶电泳(PFGE)进行分析。选取6株典型菌株进行全基因组测序分型,并与从NCBI基因组数据库中获取的国内外分离出的51株菌株进行比较。药敏试验表明,分离株对氨苄西林、四环素、庆大霉素、甲氧苄啶/磺胺甲恶唑和萘啶酸耐药率较高,而对阿奇霉素、氯霉素和亚胺培南敏感。PFGE显示不同地区分离的菌株间具有较高的相似性(93.2%)。全基因组测序分析还显示,所有典型菌株聚为同一进化分支,与韩国的一些菌株亲缘关系较近。从广东省部分地区及广西壮族自治区分离出的菌株对常用抗生素耐药率较高,但对阿奇霉素、氯霉素和亚胺培南敏感。本研究中的分离株还显示出相似的PFGE图谱和相近的系统发育进化关系。