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健康成年人群中的携带状态以及分离菌株的表型和基因型特性。

carriage state in healthy adult population and phenotypic and genotypic properties of isolated strains.

作者信息

Chmielowiec-Korzeniowska Anna, Tymczyna Leszek, Wlazło Łukasz, Nowakowicz-Dębek Bożena, Trawińska Beata

机构信息

Laboratory of Environmental and Occupational Hazards, University of Life Sciences, Lublin, Poland.

出版信息

Postepy Dermatol Alergol. 2020 Apr;37(2):184-189. doi: 10.5114/ada.2020.94837. Epub 2020 May 5.

Abstract

INTRODUCTION

At present, infections induced by staphylococci, especially methicillin-resistant (MRSA) are one of key therapeutic and epidemiological problems.

AIM

The assessment of carrier state occurrence among a healthy adult population as well as determination of phenotypic and genotypic properties of the isolated strains.

MATERIAL AND METHODS

The study included 100 healthy individuals. Material for bacteriological evaluation was collected from the posterior pharyngeal wall and tonsils, nasal vestibule and the skin of anterior nares using a sterile swab. The isolates identified as were analysed further, towards slime-forming capacity and the presence of genes mecA and nuc.

RESULTS

The analysis included 300 samples obtained from the posterior vault of the pharynx and tonsils, nasal vestibule and the skin of nares. Pharyngeal and vestibular carriage was determined in 20% of the examined adults, whereas in 11 people with recognized positive throat colonization, the concurrent presence of golden staph was detected in the vestibule of the nose and on the skin, in the nose region. Identification process indicated the occurrence of strains defective in synthesis (5% of isolates) and lack of the gene (11% of examined isolates). The PCR technique used to screen for the presence of the gene, did not confirm it in any of the strains under study. All the isolates had the gene encoding the thermostable nuclease .

CONCLUSIONS

a pervasive pathogen in community settings with constantly changing trends.

摘要

引言

目前,葡萄球菌引起的感染,尤其是耐甲氧西林金黄色葡萄球菌(MRSA)感染,是关键的治疗和流行病学问题之一。

目的

评估健康成年人群中携带者状态的发生率,并确定分离菌株的表型和基因型特性。

材料与方法

该研究纳入了100名健康个体。使用无菌拭子从咽后壁、扁桃体、鼻前庭和鼻前皮肤采集用于细菌学评估的材料。对鉴定为金黄色葡萄球菌的分离株进一步分析其形成黏液的能力以及mecA和nuc基因的存在情况。

结果

分析了从咽后壁和扁桃体、鼻前庭和鼻腔皮肤获得的300份样本。在20%的受检成年人中检测到咽部和前庭携带情况,而在11名已确认咽部定植阳性的人中,在鼻前庭和鼻区皮肤同时检测到金黄色葡萄球菌。鉴定过程表明存在合成缺陷菌株(占分离株的5%)以及缺乏nuc基因的菌株(占受检分离株的11%)。用于筛查mecA基因存在情况的PCR技术在任何研究菌株中均未得到证实。所有分离株都有编码耐热核酸酶的nuc基因。

结论

金黄色葡萄球菌在社区环境中是一种普遍存在且趋势不断变化的病原体。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89e7/7262795/ba3424b30b15/PDIA-37-40514-g001.jpg

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