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中国深圳一家三级医院中产CTX-M/CMY的粪便携带情况。

Stool carriage of CTX-M/CMY-producing in a Chinese tertiary hospital in Shenzhen, China.

作者信息

Wang Jing, Dong Zi-Han, Zhou Xian-Yuan, Ma Qin-Chun, Wang Zhen-Yu, Lin Dachuan, Huang Ying-Feng, Zhang Chi, Jiao Xinan, Li Deng, Li Qiuchun

机构信息

Jiangsu Key Laboratory of Zoonosis/Jiangsu Co-Innovation Center for Prevention and Control of Important Animal Infectious Diseases and Zoonoses, Yangzhou University, Yangzhou, China.

Institute of Medical Sciences, School of Public Health, Xinjiang Medical University, Urumqi, China.

出版信息

Front Cell Infect Microbiol. 2025 Mar 13;15:1544757. doi: 10.3389/fcimb.2025.1544757. eCollection 2025.

Abstract

Salmonellosis, caused by non-typhoidal , is a common foodborne gastrointestinal infection. Third-generation cephalosporins are recommended as the first-line treatment for infections. Our study aimed to investigate the molecular epidemiology, antimicrobial resistance, and the transmission of extended-spectrum β-lactamases (ESBL) genes in 96 clinical isolates collected between 2020 and 2022 at a tertiary hospital in Shenzhen, China. We performed antimicrobial susceptibility testing and whole-genome sequencing to identify serotypes, multilocus sequence typing, antimicrobial resistance genes in these isolates, and the genetic structures of the / genes. Seventeen serotypes were identified, with . 4,[5],12:i:- (37.5%) being the most common, followed by . Enteritidis (15.63%), . Typhimurium (14.58%), London (7.29%), and Rissen (5.21%). MLST analysis revealed 19 distinct sequence types (STs), with ST34 being the most prevalent (36.46%), followed by ST11 (15.63%) and ST19 (13.54%). Antimicrobial resistance testing showed those isolates had high levels of resistance to ampicillin (72.92%) and tetracycline (71.88%), with 70.83% of isolates as multidrug-resistant (MDR). Three genes ( , and ) and were identified among 18 cefotaxime-resistant strains, of which one and 12 isolates successfully transferred or to C600 via conjugation, respectively. The / -carrying contigs in nine isolates ranged from 2,156 to 164,862 bp, were located either on the chromosome (n=1) or plasmids (IncI1, IncK1, IncA/C) (n=9), and the / genes were associated with IS. Our study demonstrates the diversity of MDR serotypes in clinical isolates, and highlights the role of plasmids and mobile genetic elements in the horizontal transfer of / , emphasizing the need for continuous surveillance of in clinical samples.

摘要

非伤寒沙门氏菌引起的沙门氏菌病是一种常见的食源性胃肠道感染。第三代头孢菌素被推荐作为此类感染的一线治疗药物。我们的研究旨在调查2020年至2022年期间在中国深圳一家三级医院收集的96株临床沙门氏菌分离株的分子流行病学、抗菌药物耐药性以及超广谱β-内酰胺酶(ESBL)基因的传播情况。我们进行了抗菌药物敏感性测试和全基因组测序,以鉴定这些分离株的血清型、多位点序列分型、抗菌药物耐药基因以及ESBL/AmpC基因的遗传结构。共鉴定出17种沙门氏菌血清型,其中4,[5],12:i:-(37.5%)最为常见,其次是肠炎沙门氏菌(15.63%)、鼠伤寒沙门氏菌(14.58%)、伦敦沙门氏菌(7.29%)和里森沙门氏菌(5.21%)。多位点序列分型分析显示有19种不同的序列类型(STs),其中ST34最为普遍(36.46%),其次是ST11(15.63%)和ST19(13.54%)。抗菌药物敏感性测试表明,这些分离株对氨苄西林(72.92%)和四环素(71.88%)具有较高水平的耐药性,70.83%的分离株为多重耐药(MDR)。在18株对头孢噻肟耐药的菌株中鉴定出三种ESBL基因(CTX-M、SHV和TEM)以及AmpC基因,其中一株和12株分离株分别通过接合成功将CTX-M或TEM转移至大肠埃希菌C600。9株分离株中携带ESBL/AmpC的重叠群长度在2156至164862 bp之间,位于染色体(n = 1)或质粒(IncI1、IncK1、IncA/C)(n = 9)上,且ESBL/AmpC基因与插入序列相关。我们的研究证明了临床分离株中多重耐药沙门氏菌血清型的多样性,并突出了质粒和可移动遗传元件在ESBL/AmpC水平转移中的作用,强调了对临床样本中沙门氏菌进行持续监测的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2e9/11966408/ee9d8ab42145/fcimb-15-1544757-g001.jpg

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