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奶牛养殖工作场所肠球菌基因型多样性和抗生素耐药性OA

Genotypic diversity and antibiotic resistance of Enterococcus in dairy farming workplaces

中文摘要英文摘要

[背景]在奶牛集约化养殖模式下,肠球菌可经由粪便、土壤、水体、空气及养殖工具等多种媒介在动物与养殖人员之间传播,对公共卫生构成潜在威胁. [目的]阐明新疆地区奶牛养殖场中粪肠球菌与屎肠球菌在养殖人员、奶牛及环境中的流行分布与耐药特征,评估其跨宿主传播风险. [方法]于 2024年 5月至 2025年 1月,选取新疆 11家规模化奶牛养殖场,共采集 317份样品,包括养殖人员粪便(130份)、奶牛粪便(154份)及环境样本(33份).对样本中的粪肠球菌和屎肠球菌进行分离鉴定与药敏试验,并采用多位点序列分型(MLST)分析其分子特征. [结果]共分离获得 183株肠球菌,其中粪肠球菌 66株、屎肠球菌 117株.三种来源样品的粪肠球菌分离率存在统计学差异(χ2=29.21,P=0.003).三种来源屎肠球菌分离率也存在统计学差异(χ2=45.32,P=0.003).耐药性分析显示,粪肠球菌对多类抗生素的耐药率高于屎肠球菌.利福平在所有来源中耐药率均较高(50.00%~81.25%),且在不同来源间差异具有统计学意义(χ2=8.03,P=0.024).多重耐药菌株占 69.10%,其中屎肠球菌的多重耐药构成在不同来源间差异存在统计学意义(χ2=27.19,P=0.014),且检出 1株耐受 8类药物的"超级耐药"株.MLST分型揭示肠球菌具有较高的遗传多样性.粪肠球菌以 ST472和 ST227为主,其优势型分布在不同来源间差异存在统计学意义(P=0.003).屎肠球菌主要聚类于 CC94(以 ST94为中心)与CC17(以ST22为中心)两大克隆复合群. [结论]耐药肠球菌在养殖人员、动物与环境之间存在交互传播.应从"同一健康"(One Health)理念为指导,制定标准化养殖规程,阻断耐药菌株及流行克隆株的传播链,并加强抗菌药物的合理使用,从源头控制耐药性蔓延.

[Background]Under intensive dairy farming conditions,Enterococcus spp.can be transmitted between animals,farm workers,and the environment via multiple vectors such as feces,soil,water,air,and farming equipment,posing a potential threat to public health. [Objective]To elucidate the prevalence,distribution,and antimicrobial resistance profiles of En-terococcus faecalis(E.faecalis)and Enterococcus faecium(E.faecium)among farm workers,dairy cattle,and the farm environment in Xinjiang,and to assess the risk of their cross-host transmission. [Methods]From May 2024 to January 2025,a total of 317 samples were collected from 11 large-scale dairy farms in Xinjiang,China,including feces from farm workers(n=130)and dairy cattle(n=154),and environmental samples(n=33).E.faecalis and E.faecium were isolated and identi-fied,followed by antimicrobial susceptibility testing and multilocus sequence typing(MLST)to analyze their molecular characteristics. [Results]A total of 183 Enterococcus isolates were obtained(66 E.faecalis and 117 E.faecium isolated).The isolation rates of both species showed statistically significant differences among the three sources(χ2=29.21,P=0.003).Antimicrobial resistance analysis revealed that E.faecalis generally exhibited higher resistance rates across multiple antibiotic classes than E.faecium.High resistance to rifampicin was observed across all sources(50.00%-81.25%),with statistical variation among origins(χ2=8.03,P=0.024).Multidrug-resistant strains accounted for 69.10%of the isolates.Multidrug resistance patterns in E.faecium varied significantly by source(χ2=27.19,P=0.014),and one isolate displayed resistance to eight antibiotic classes.MLST indicated high genetic diversity;E.faecalis was dominated by ST472 and ST227 of which the distrubution was significantly different among sources,while E.faecium primarily clustered into clonal complexes CC94(centered on ST94)and CC17(centered on ST22). [Conclusion]Resistant Enterococcus strains exhibit cross-transmission among farm workers,animals,and the environment.Under the"One Health"framework,standardized farming protocols and prudent antimicrobial use are essential to disrupt the transmission chain of resistant clones and mitigate the spread of antimicrobial resistance at its source.

卫香楠;胥婉婷;吴建勇;李富业;陈阳贵;黄佳;王福龙;金纪国;武凡;马熙骁;王召杰;王星宇

新疆医科大学公共卫生学院/新疆医科大学医学科学研究所,新疆 乌鲁木齐 830017新疆医科大学公共卫生学院/新疆医科大学医学科学研究所,新疆 乌鲁木齐 830017新疆医科大学公共卫生学院/新疆医科大学医学科学研究所,新疆 乌鲁木齐 830017新疆医科大学公共卫生学院/新疆医科大学医学科学研究所,新疆 乌鲁木齐 830017乌鲁木齐市疾病预防控制中心,新疆 乌鲁木齐 830052新疆维吾尔自治区疾病预防控制中心,新疆 乌鲁木齐 830002新疆维吾尔自治区疾病预防控制中心,新疆 乌鲁木齐 830002新疆医科大学公共卫生学院/新疆医科大学医学科学研究所,新疆 乌鲁木齐 830017新疆医科大学公共卫生学院/新疆医科大学医学科学研究所,新疆 乌鲁木齐 830017新疆医科大学公共卫生学院/新疆医科大学医学科学研究所,新疆 乌鲁木齐 830017新疆医科大学公共卫生学院/新疆医科大学医学科学研究所,新疆 乌鲁木齐 830017新疆医科大学公共卫生学院/新疆医科大学医学科学研究所,新疆 乌鲁木齐 830017

医药卫生

粪肠球菌屎肠球菌抗生素耐药性多位点序列分型

Enterococcus faecalisEnterococcus faeciumantimicrobial resistancemultilocus sequence typing

《环境与职业医学》 2026 (5)

582-590,9

新疆维吾尔自治区自然科学基金重点项目(2023D01D06)新疆维吾尔自治区第三批"天山英才"青年拔尖人才-青年科技创新人才项目(2024TSYCCX0083)自治区研究生科研创新项目(XJ2025G152)

10.11836/JEOM25441

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