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产 ESBL 耐药菌的分子多样性:来自动物源食品和人类患者。

Molecular Diversity of ESBL-Producing from Foods of Animal Origin and Human Patients.

机构信息

Department of Food Hygiene and Food Technology, Veterinary Faculty, Universidad de León, ES24071 León, Spain.

Department of Clinical Microbiology, Complejo Asistencial Universitario de León (CAULE), ES24071 León, Spain.

出版信息

Int J Environ Res Public Health. 2020 Feb 18;17(4):1312. doi: 10.3390/ijerph17041312.

Abstract

Dissemination of enterobacteria that produce extended spectrum β-lactamases (ESBL) throughout the food chain has become an important health concern. This work aimed to evaluate the occurrence of ESBL-producing bacteria in foods of animal origin and to investigate the similarities between food and human isolates. The presence of beta-lactam-resistant Enterobacteriaceae was analyzed in 108 food samples, isolating 10 strains of , one strain of , and one of isolates were compared to a group of 15 strains isolated from human patients by antibiotic susceptibility testing, characterization of ESBL genes (, ,), multilocus sequence typing (MLST) and pulse-field gel electrophoresis (PFGE). Nineteen (14 clinical and five food) isolates carried , 14 (six clinical and eight food) carried , and three (one clinical and two food) carried gen. MLST analysis revealed the prevalence of ST131 among the clinical strains, which grouped together in a PFGE cluster. Food isolates showed higher diversity and two of them (ST57) grouped with clinical strains, whereas another two belonged to clonal groups with virulence potential (ST59). In conclusion, the results showed that foods of animal origin must be regarded as a reservoir of ESBL-producing bacteria of clinical relevance, which might spread through the food chain.

摘要

肠杆菌科在食物链中广泛传播,产生超广谱β-内酰胺酶(ESBL),这已成为一个重要的健康问题。本研究旨在评估动物源食品中 ESBL 产生菌的发生情况,并研究食品与人类分离株之间的相似性。本研究分析了 108 份食品样本中耐β-内酰胺肠杆菌科的存在情况,共分离出 10 株 、1 株 和 1 株 ,将这 11 株菌与从人类患者中分离的 15 株菌(14 株临床分离株和 1 株食品分离株)进行比较,通过抗生素药敏试验、ESBL 基因(、、)特征分析、多位点序列分型(MLST)和脉冲场凝胶电泳(PFGE)进行比较。19 株(14 株临床分离株和 5 株食品分离株)携带 、14 株(6 株临床分离株和 8 株食品分离株)携带 、3 株(1 株临床分离株和 2 株食品分离株)携带 。MLST 分析显示,临床分离株中 ST131 较为流行,可在 PFGE 聚类中聚集。食品分离株显示出更高的多样性,其中 2 株(ST57)与临床株聚集在一起,而另外 2 株则属于具有潜在毒力的克隆群(ST59)。综上所述,这些结果表明,动物源食品必须被视为具有临床相关性的 ESBL 产生菌的储存库,这些菌可能通过食物链传播。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d22c/7068493/045a09ce12e1/ijerph-17-01312-g001.jpg

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