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[通过流行病学指标对从东京食物中毒暴发中分离出的肠炎沙门氏菌34型噬菌体进行特征分析]

[Characterization of Salmonella ser. enteritidis phage type 34 isolated from food poisoning outbreaks in Tokyo by epidemiological makers].

作者信息

Kusunoki J, Kai A, Yanagawa Y, Takahashi M, Shingaki M, Obata H, Itho T, Ohota K, Kudoh Y, Nakamura A

机构信息

Department of Microbiology, Tokyo Metropolitan Research Laboratory of Public Health.

出版信息

Kansenshogaku Zasshi. 1996 Jul;70(7):702-9. doi: 10.11150/kansenshogakuzasshi1970.70.702.

Abstract

Since 1989, outbreaks of Salmonella ser. Enteritidis food poisoning has dramatically increased in Tokyo, and a total of 95 outbreaks has been reported between 1989 and 1993. As the results of examination of phage type by the method of Ward, et al., strains isolated from 31 (32.6%) of 95 outbreaks were phage type 34 which is a very rare type in Europe and America. To characterize these unique strains of phage type (PT) 34, 302 isolates obtained from patients and vehicle foods of the outbreaks, eggs and environments in Tokyo were examined for plasmid DNA profiles and antimicrobial resistance patterns. Plasmid DNA was extracted by the Kado's method, and analysed by agalose gel electrophoresis. Antimicrobial susceptibility was tested for CP, TC, SM, KM, ABPC, NA, SXT, FOM and NFLX by the K-B disc method. The strains of PT 34 were further subdivided to 4 types by plasmid profile and antibiogram. The prevalent pattern of PT 34 strains was type plasmid profile which carried 2 different plasmids (> 250 and 60 kb) and was streptomysin-resistant. A total of 28 (90.3%) of 31 outbreaks were found to be caused by this specific type of Salmonella ser. Enteritidis. Several kinds of egg-related foods were suspected for the vehicles of transmission among 12 outbreaks. Especially, in 5 outbreaks, this specific type (type B plasmid profile and streptomysin resistant) of Salmonella ser. Enteritidis strains were isolated both from patients and incriminated food which were cooked with eggs. The phase type of Salmonella ser. Enteritidis strains isolated from raw egg and poultry or environmental specimens from poultry farm showed that the prevailing phage types were almost the same as those of foods poisoning outbreaks. This strongly suggests that these foods may be considered as a source of infection in Salmonella ser. Enteritidis outbreaks.

摘要

自1989年以来,东京沙门氏菌肠炎血清型食物中毒的爆发显著增加,1989年至1993年期间共报告了95起爆发事件。通过沃德等人的方法对噬菌体类型进行检测的结果显示,从95起爆发事件中的31起(32.6%)分离出的菌株为噬菌体34型,这在欧美是一种非常罕见的类型。为了表征这些独特的噬菌体34型(PT)菌株,对从爆发事件的患者和载体食品、东京的鸡蛋及环境中获得的302株分离株进行了质粒DNA图谱和抗菌药物耐药模式检测。质粒DNA采用加多氏方法提取,并通过琼脂糖凝胶电泳进行分析。采用K-B纸片法对头孢哌酮(CP)、四环素(TC)、链霉素(SM)、卡那霉素(KM)、氨苄青霉素(ABPC)、新霉素(NA)、复方新诺明(SXT)、磷霉素(FOM)和诺氟沙星(NFLX)进行抗菌药敏试验。PT 34菌株根据质粒图谱和抗菌谱进一步细分为4种类型。PT 34菌株的流行模式是携带2种不同质粒(>250 kb和60 kb)且对链霉素耐药的质粒图谱类型。在31起爆发事件中,共有28起(90.3%)被发现是由这种特定类型的沙门氏菌肠炎血清型引起的。在12起爆发事件中,几种与鸡蛋相关的食品被怀疑是传播媒介。特别是,在5起爆发事件中,从患者和用鸡蛋烹饪的涉案食品中均分离出了这种特定类型(B型质粒图谱且对链霉素耐药)的沙门氏菌肠炎血清型菌株。从生鸡蛋、家禽或家禽养殖场环境标本中分离出的沙门氏菌肠炎血清型菌株的噬菌体型显示,流行的噬菌体型与食物中毒爆发事件中的几乎相同。这有力地表明,这些食品可能被视为沙门氏菌肠炎血清型爆发事件的感染源。

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