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[从即食食品中培养的耐甲氧西林金黄色葡萄球菌分离株的抗菌耐药性、毒力因子及分子特征]

[Antimicrobial resistance, virulence factors, and molecular characterization of methicillin-resistant Staphylococcus aureus isolates cultured from ready-to-eat foods].

作者信息

Wang Wei, Bi Lei, Li Xinli, Li Fengqin, Wang Ying, Li Hui, Bai Yao, Liu Jiangshan, Zhao Jianyun, Xu Jin

机构信息

Key Laboratory of Food Safety Risk Assessment of Ministry of Health, China National Center for Food Safety Risk Assessment, Beijing 100021, China.

Zibo Central Hospital, Zibo 255036, China.

出版信息

Wei Sheng Yan Jiu. 2020 Jan;49(1):56-62. doi: 10.19813/j.cnki.weishengyanjiu.2020.01.010.

Abstract

OBJECTIVE

To understand the antimicrobial resistance, virulence factors, and molecular characterization of MRSA isolates cultured from ready-to-eat(RTE) foods from several provinces in China.

METHODS

Totally, 397 S. aureus isolates were collected from RTE foods from several provinces in China, in 2017. The mecA gene was amplified to detect the MRSA strains among all 397 isolates by a polymerase chain reaction(PCR) method. Furthermore, the antimicrobial susceptibility and virulence factors of the MRSA isolates were detected by broth microdilution method and PCR, respectively, while the molecular characterization of all MRSA isolates were analyzed by pulsed-field gel electrophoresis(PFGE).

RESULTS

In total, 32 MRSA isolates were identified from 397 isolates. All 32 MRSA isolates were resistant to penicillin, oxacillin and cefoxitin. Meanwhile, 78. 1%, 65. 6%, 53. 1, 28. 1% and 12. 5% of the 32 MRSA isolates showed resistant to erythromycin, clindamycin, tetracycline, chloramphenicol, and ciprofloxacin, respectively. Resistance rates to gentamicin and trimethoprim-sulfamethoxazole of all MRSA isolates were less than 10%. Eleven drug resistant spectrums were identified and 29 out of 32 MRSA isolates were identified as multi-drug resistant(MDR) isolates and two isolates were found to resistant to 9 antimicrobial agents tested in this study. Of all, 27 MRSA isolates were detected to harboring 13 virulence genes with sel-q(56. 3%), sel-k(43. 8%), seb(28. 1%) and sec(18. 8%) genes being the top four frequently detected. Besides, the result also showed that two or more virulence genes could be detected in one MRSA isolate. Finally, all 32 MRSA were identified to have 26 PFGE patterns and no dominant PFGE patterns were found in this study.

CONCLUSION

An overall high level antimicrobial resistance was found among RTE associated MRSA in China in 2017, so was the MDR condition. Virulence genes could be frequently detected in RTE associated MRSA isolates. The PFGE patterns of RTE associated MRSA showed wide distribution characteristics.

摘要

目的

了解从中国多个省份即食(RTE)食品中培养的耐甲氧西林金黄色葡萄球菌(MRSA)分离株的耐药性、毒力因子及分子特征。

方法

2017年从中国多个省份的即食食品中总共收集了397株金黄色葡萄球菌分离株。通过聚合酶链反应(PCR)方法扩增mecA基因以检测所有397株分离株中的MRSA菌株。此外,分别采用肉汤微量稀释法和PCR检测MRSA分离株的抗菌药物敏感性和毒力因子,同时通过脉冲场凝胶电泳(PFGE)分析所有MRSA分离株的分子特征。

结果

从397株分离株中总共鉴定出32株MRSA分离株。所有32株MRSA分离株均对青霉素、苯唑西林和头孢西丁耐药。同时,32株MRSA分离株中分别有78.1%、65.6%、53.1%、28.1%和12.5%对红霉素、克林霉素、四环素、氯霉素和环丙沙星耐药。所有MRSA分离株对庆大霉素和甲氧苄啶-磺胺甲恶唑的耐药率均低于10%。鉴定出11种耐药谱,32株MRSA分离株中有29株被鉴定为多重耐药(MDR)分离株,2株对本研究中检测的9种抗菌药物耐药。总共检测到27株MRSA分离株携带13种毒力基因,其中sel-q(56.3%)、sel-k(43.8%)、seb(28.1%)和sec(18.8%)基因是检测频率最高的前四位。此外,结果还表明在一株MRSA分离株中可检测到两种或更多种毒力基因。最后,所有32株MRSA被鉴定出有26种PFGE图谱,本研究中未发现优势PFGE图谱。

结论

2017年中国即食相关MRSA总体呈现高水平抗菌药物耐药性,多重耐药情况也是如此。在即食相关MRSA分离株中可频繁检测到毒力基因。即食相关MRSA的PFGE图谱呈现广泛分布特征。

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