Hu Yujie, He Yingying, Bai Yao, Li Fengqin, Xu Jin
Key Laboratory of Food Safety Risk Assessment of Health, China National Center for Food Safety Risk Assessment, Beijing 100021, China.
Wei Sheng Yan Jiu. 2017 Jul;46(4):538-545.
Research were carried out to determine the antimicrobial resistance and mechanism of Salmonella isolates recovered from retail chicken carcasses in Beijing in summer, 2013.
Broth microdilution method were used for antimicrobial susceptibility testing to obtain the minimal inhibitory concentration( MICs)against 11 antimicrobial compounds which belongs to 8 categories and 166 Salmonella strains isolated from 33 retail chicken carcasses in Beijing in summer, 2013 were tested. Cephalosporin resistant isolates were evaluated by ESBLs confirmation test, also resistance mechanism analysis was subjected to ciprofloxacin and cefotaxime co-resistant Salmonella isolates.
High level antimicrobial resistance and complicated mechanism existed among Salmonella recovered from retail chicken carcasses in Beijing in summer, 2013. In order to protect public health, tendency and further mechanism on antimicrobial resistance and transmissibility should be described deeply by on-going surveillance and research, while rational drug use regulatory managements should be carried out in the overall process of chicken production, slaughtering, transportation and marketing, as well as clinical treatment for human Salmonella infections.
对2013年夏季从北京零售鸡肉胴体中分离出的沙门氏菌进行研究,以确定其耐药性及耐药机制。
采用肉汤微量稀释法进行药敏试验,以获得对11种抗菌化合物的最低抑菌浓度(MICs),这11种抗菌化合物属于8类,对2013年夏季从北京33个零售鸡肉胴体中分离出的166株沙门氏菌进行了检测。对头孢菌素耐药菌株进行ESBLs确证试验,并对环丙沙星和头孢噻肟联合耐药的沙门氏菌菌株进行耐药机制分析。
94.6%的分离株对至少一种抗菌药物耐药,58.4%被鉴定为多重耐药菌株。耐药率最高的是对萘啶酸的耐药率为92.2%,其次是氨苄西林(48.8%)、氨苄西林-舒巴坦(44.0%)、四环素(44.0%)。有27种耐药谱,其中萘啶酸耐药谱(NAL)和萘啶酸-氨苄西林-舒巴坦耐药谱(NAL-AMP-SAM)占主导。从47株头孢噻肟耐药菌株中总共分离出41株ESBLs阳性菌株,其中包括38株环丙沙星耐药菌株。对38株环丙沙星和头孢噻肟联合耐药且ESBLs阳性的沙门氏菌分离株进行喹诺酮类和β-内酰胺类耐药基因检测,结果表明这些菌株存在喹诺酮耐药决定区/质粒介导的喹诺酮耐药/超广谱β-内酰胺酶(QRDRs/PMQR/ESBLs)耐药机制。在37株分离株中鉴定出gyrA和parC基因的点突变,38株检测菌株均含有PMQR基因,如qnrB、qnrS、oqxAB和aac(6')-Ib-cr基因,且有少量突变,同时检测到CTX-M型(n = 35)、TEM型(n = 20)、OXA型(n = 36)β-内酰胺酶。
2013年夏季从北京零售鸡肉胴体中分离出的沙门氏菌存在高水平耐药且耐药机制复杂。为保护公众健康,应通过持续监测和研究深入描述耐药性及传播性的趋势和进一步机制,同时在鸡肉生产、屠宰、运输和销售的全过程以及人类沙门氏菌感染的临床治疗中应进行合理用药监管。