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温州市食源性沙门菌分子特征及耐药与毒力基因分析OA

Molecular characteristics and profiles of antibiotic resistance and virulence genes in foodborne Salmonella isolates from Wenzhou

中文摘要英文摘要

目的 分析2023-2024年温州市食源性沙门菌的血清型分布、分子分型特征、耐药表型及耐药-毒力基因谱,为临床合理用药及食源性疾病防控、溯源提供科学依据.方法 收集温州市12所监测定点医院分离的沙门菌菌株,经微生物质谱仪完成复核鉴定,采用玻片凝集法进行血清学分型;筛选不同血清型、不同分离时段的代表性菌株,采用微量肉汤稀释法开展药敏试验,并进行高通量全基因组测序,基于测序数据分别完成管家基因多位点序列分型(MLST)与核心基因组多位点序列分型(cgMLST),并筛查、分析菌株携带的耐药基因与毒力基因.结果 共获得421株沙门菌(43种血清型),优势血清型依次为鼠伤寒沙门菌(153株,36.34%)、肠炎沙门菌(77株,18.29%)、伦敦沙门菌(50株,11.88%).对275株代表性菌株开展药敏检测,多重耐药率达68.36%,其中72株可耐受7类及以上抗菌药物,占26.18%,菌株对氨苄西林、四环素耐药率最高,分别为68.73%、55.64%.基于275株菌株核心基因组构建系统进化树,结果显示,鼠伤寒沙门菌遗传多样性高,与其单相变种分属独立进化簇;肠炎沙门菌整体亲缘关系紧密,伦敦沙门菌遗传距离较远;275株菌共携带10大类毒力基因,分为5种毒力谱型.185株3种优势血清型菌株共检出95种耐药基因,所有菌株均携带氨基糖苷类耐药基因,其中139株(75.14%)携带β-内酰胺类基因,blaTEM-1型是该类别中最主要亚型(48.65%).结论 温州市食源性沙门菌以鼠伤寒、肠炎、伦敦沙门菌为优势血清型,多重耐药情况突出,耐药基因及毒力基因携带率高,防控需聚焦优势血清型的耐药与毒力特性.

Objective To analyze the serotype distribution,molecular typing characteristics,antimicrobial resist-ance phenotypes,and antimicrobial resistance-virulence gene profiles of foodborne Salmonella strains isolated in Wenzhou from 2023 to 2024,and to provide a scientific basis for rational drug use in clinical practice and for the prevention,control,and source tracing of foodborne diseases.Methods Salmonella strains isolated from 12 designated surveillance hospitals in Wenzhou were collected.The strains were re-identified using a microbial mass spectrometer and serotyped by slide agglutination.Representative strains of different serotypes and from different isolation periods were selected for antimicrobial susceptibility testing by the broth microdilution method and high-throughput whole-genome sequencing.Based on the sequencing data,housekeeping-gene multilocus sequence typing(MLST)and core-genome multilocus sequence typing(cgMLST)were performed,and the antimicrobial resistance genes and virulence genes carried by the strains were screened and analyzed.Results A total of 421 Salmonella strains belonging to 43 serotypes were obtained.The predominant serotypes,in descending order,were Salmonella Typhimurium(153 strains,36.34%),Salmonella Enteritidis(77 strains,18.29%),and Salmonella London(50 strains,11.88%).Antimicrobial susceptibility testing was performed on 275 representative strains,with a multidrug resistance rate of 68.36%.Among them,72 strains were resistant to seven or more classes of antimicrobial agents,accounting for 26.18%.The highest resistance rates were observed for ampicillin and tetracycline,at 68.73%and 55.64%,respectively.A phylogenetic tree was constructed based on the core genomes of the 275 strains.The results showed that Salmonella Typhimurium had high genetic diversity and formed an evolutionary cluster separate from its monophasic variant;Salmonella Enteritidis strains were generally closely related,whereas Salmonella London showed relatively large genetic distances.The 275 strains collectively carried 10 major catego-ries of virulence genes and were classified into five virulence profiles.A total of 95 antimicrobial resistance genes were detected in 185 strains of the three predominant serotypes.All strains carried aminoglycoside resistance genes,and 139 strains(75.14%)carried β-lactam resistance genes,among which the blaTEM-1 was the predominant subtype(48.65%).Conclusion The predominant serotypes of foodborne Salmonella in Wenzhou were Salmonella Typhi-murium,Salmonella Enteritidis,and Salmonella London.Multidrug resistance was prominent,and the carriage rate of antimicrobial resistance genes and virulence genes were high.Prevention and control efforts should focus on the antimicrobial resistance and virulence characteristics of the predominant serotypes.

章乐怡;李海燕;楼辉煌;杨雪佳;胡玉琴;刘雪薇;蔡圆圆;李毅

温州市疾病预防控制中心(温州市卫生监督所)微生物检验所,浙江温州 325000温州市疾病预防控制中心(温州市卫生监督所)微生物检验所,浙江温州 325000温州市疾病预防控制中心(温州市卫生监督所)微生物检验所,浙江温州 325000德阳市中心血站检验科,四川德阳 618000温州市疾病预防控制中心(温州市卫生监督所)微生物检验所,浙江温州 325000温州市疾病预防控制中心(温州市卫生监督所)微生物检验所,浙江温州 325000温州市疾病预防控制中心(温州市卫生监督所)微生物检验所,浙江温州 325000温州市疾病预防控制中心(温州市卫生监督所)微生物检验所,浙江温州 325000

医药卫生

沙门菌食源性致病菌全基因组测序耐药基因毒力基因

Salmonellafoodborne pathogenic bacteriawhole genome sequencing(WGS)antimicrobial resist-ance genevirulence gene

《中国感染控制杂志》 2026 (9)

1321-1329,9

浙江省疾病预防控制科技项目(2026JKY240)

10.12138/j.issn.1671-9638.20264309

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