Thomson C J, Jesudason M V, Balaji V, Malathi B, Mukundan U, Amyes S G
Department of Medical Microbiology, University of Edinburgh Medical School, UK.
Epidemiol Infect. 1998 Aug;121(1):67-76. doi: 10.1017/s0950268898001010.
The prevalence of Vibrio cholerae in drinking water, lakes and sewage outfalls during July and August 1996 in Vellore, India was determined. Drinking water samples were collected on single occasions from 12 sites in different geographic areas of the town where cholera had been reported. Samples of water, plankton and sediment were collected from fixed sites at three lakes on three occasions separated by at least 3 days during the course of the study. Samples from open sewers were taken from two representative sites in four areas of the town. Bacteria isolated from samples were identified by standard biochemical tests and isolated strains of V. cholerae tested for their ability to agglutinate O1 and O139 antisera. Water samples from lakes were also tested for the presence of V. cholerae O1 and O139 by fluorescent antibody staining. Non-O1, non-O139 strains of V. cholerae were detected in 41% of drinking water samples and 100% of water, sediment and plankton samples from the test lakes. Eighty-seven per cent of open sewers sampled contained viable non-O1, non-O139 V. cholerae. Fluorescent antibody staining gave positive results for V. cholerae O1 and O139 for all water samples from the three lake sites. Strains of Aeromonas spp. were isolated from 58% of drinking water samples and from 66% of sediment, 77% of plankton and 55% of water samples from lakes. All open sewers sampled contained Aeromonas spp. PCR amplification employing specific primers demonstrated that none of the non-agglutinating V. cholerae isolates contained the ctx operon. The non-O1, non-O139 V. cholerae isolates showed different patterns of antibiotic resistance to ampicillin, ciprofloxacin, chloramphenicol, tetracycline and trimethoprim.
对1996年7月和8月印度韦洛尔地区饮用水、湖泊及污水排放口处霍乱弧菌的流行情况进行了测定。从该城镇不同地理区域曾报告过霍乱的12个地点一次性采集饮用水样本。在研究过程中,分三次从三个湖泊的固定地点采集水样、浮游生物和沉积物样本,每次采集时间间隔至少3天。从城镇四个区域的两个代表性地点采集露天下水道样本。通过标准生化试验对样本中分离出的细菌进行鉴定,并对分离出的霍乱弧菌菌株检测其凝集O1和O139抗血清的能力。还通过荧光抗体染色检测湖泊水样中霍乱弧菌O1和O139的存在情况。在41%的饮用水样本以及试验湖泊中100%的水样、沉积物和浮游生物样本中检测到非O1、非O139霍乱弧菌菌株。所采集的露天下水道样本中,87%含有存活的非O1、非O139霍乱弧菌。对来自三个湖泊地点的所有水样进行荧光抗体染色,结果显示霍乱弧菌O1和O139呈阳性。从58%的饮用水样本以及66%的湖泊沉积物样本、77%的浮游生物样本和55%的水样中分离出气单胞菌属菌株。所有采集的露天下水道样本中均含有气单胞菌属菌株。采用特异性引物进行PCR扩增表明,所有不凝集的霍乱弧菌分离株均不含有ctx操纵子。非O1、非O139霍乱弧菌分离株对氨苄青霉素、环丙沙星、氯霉素、四环素和甲氧苄啶呈现出不同的抗生素耐药模式。