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零售食品中产气荚膜梭菌食物中毒的流行病学研究。

Epidemiological studies on Clostridium perfringens food poisoning in retail foods.

作者信息

Ghoneim N H, Hamza D A

出版信息

Rev Sci Tech. 2017 Dec;36(3):1025-1032. doi: 10.20506/rst.36.3.2734.

Abstract

Clostridium perfringens is an important anaerobic pathogen causing food-borne gastrointestinal (GI) diseases in humans and animals. Meat and meat products are the most common vehicles of C. perfringens type A food poisoning. Contamination of meat by the intestinal contents of slaughtered animals may serve as an important source of this pathogen to the food supply. One hundred and fifty-five non-outbreak food samples were obtained from meat and retail food and examined for the presence of C. perfringens. Multiplex polymerase chain reaction assay to determine the toxin genotype of C. perfringens isolates, and extraction and purification of C. perfringens enterotoxin from enterotoxin gene (cpe)-positive isolates were carried out. The homogeneity of the purified enterotoxin was demonstrated by polyacrylamide gel electrophoresis. In addition, stool samples were collected from 150 persons who had been in contact with animals, and enzyme-linked immunosorbent assays were carried out for the qualitative determination of C. perfringens enterotoxin in the stool samples. The results demonstrated that approximately 2.6% of the tested meat and retail meat samples were contaminated with cpe-positive C. perfringens. The recommended laboratory criteria used to implicate C. perfringens in food-borne disease should involve the detection of C. perfringens enterotoxin production or the presence of the cpe gene in foods or faeces, or in the suspected C. perfringens isolates. In the present study some isolates such as tuna contained the enterotoxin gene although they had a low count of C. perfringens.

摘要

产气荚膜梭菌是一种重要的厌氧病原体,可导致人和动物发生食源性胃肠道疾病。肉类和肉制品是A型产气荚膜梭菌食物中毒最常见的传播媒介。屠宰动物的肠道内容物污染肉类可能是该病原体进入食物供应的重要来源。从肉类和零售食品中采集了155份非暴发食品样本,检测产气荚膜梭菌的存在情况。采用多重聚合酶链反应分析法确定产气荚膜梭菌分离株的毒素基因型,并从产肠毒素基因(cpe)阳性分离株中提取和纯化产气荚膜梭菌肠毒素。通过聚丙烯酰胺凝胶电泳证明纯化肠毒素的同质性。此外,从150名接触过动物的人员中采集粪便样本,进行酶联免疫吸附测定以定性检测粪便样本中产气荚膜梭菌肠毒素。结果表明,约2.6%的受试肉类和零售肉类样本被cpe阳性产气荚膜梭菌污染。用于认定产气荚膜梭菌与食源性疾病有关的推荐实验室标准应包括检测产气荚膜梭菌肠毒素的产生,或食品、粪便或疑似产气荚膜梭菌分离株中cpe基因的存在情况。在本研究中,一些分离株如金枪鱼,尽管产气荚膜梭菌数量较少,但仍含有肠毒素基因。

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