摘要:
目的 分析山东省动物粪便中非O157产志贺毒素大肠埃希菌(STEC)的菌株特征及耐药状况.方法 于2015—2016年,采用方便抽样方法在山东省微山县、莱州市共采集1022份新鲜动物粪便标本,共分离到24株非O157 STEC.通过血清凝集实验进行血清分型,采用微量肉汤稀释法进行药物敏感性试验,后采用双纸片协同试验进行超广谱β-内酰胺酶(ESBLs)检测.采用PCR方法检测耐药基因.采用PFGE进行分子分型并采用多位点序列分型(MLST)确定等位基因谱及菌株序列型.使用CLC Sequence Viewer及Conting Express生物信息软件分析不同ST序列群及菌株间的进化关系.结果 24株非O157型STEC菌株中23株来自猪粪,1株来自牛粪;毒力基因均为stx 2型;对磺胺异(恶)唑耐药的菌株较多,为22株,对复方磺胺异(恶)唑和萘啶酸耐药的菌株均为18株,对氯霉素耐药菌株为13株,对四环素耐药菌株为19株.存在多重耐药现象,耐药谱为:磺胺异(恶)唑-四环素-复方磺胺异(恶)唑-萘啶酸-氯霉素,对头孢吡肟和亚胺培南均为敏感.ESBLs确证实验表明,有4株非O157型STEC产ESBLs.PCR检测7种耐药基因,4种四环素类耐药基因(tetA、tetB、tetC、tetD)均有检出, ESBLs类耐药基因(blaSHV-1、bla CTX-M、bla TEM)均为阴性.24株菌分成15个PFGE型别,其聚类结果比较分散,无优势PFGE型别.MLST型别有11种,其中ST540、ST5133型别的菌株最多,各为4株菌,聚类为1个MLST基因组.结论 山东省部分地区在动物粪便中检出的非O157 STEC血清型比较分散,对常见的抗生素耐药率比较高,具有明显的分子多态性,应重点加强对这类菌株的监测和管理.%Objective To understand the infection status,characteristics and drug resistance of non-O157 Shiga toxin-producing E. coli (STEC) in animal feces in Shandong Province. Methods From 2015 to 2016,convient sampling method was used to collect 1 022 fresh feces of animals in Weishan county and Laizhou city, and 24 non-O157 STEC were isolated. The serotypes of non-O157 STEC strains were confirmed through serum agglutination test. The susceptibility was explored through the antimicrobial sensitivity experiments. ESBLs activity was confirmed by double-disc diffusion. PCR method was used to detect the resistance genes.PFGE typing was operated to assess the relatedness and variability of the strains. The multi-locus sequence typing (MLST) was adopted to get the allelic profile and ST sequence of strains. Analysis was made on the evolutionary relationship between different ST groups was made through CLC Sequence Viewer and Counting Express.Results A total of 24 non-O157 STEC were isolated from animal feces. 23 strains were from pig feces, and 1 strain was from cow feces, and the serotypes were more dispersed. All of the 24 strains carried s tx 2 genes. The highest resistance rate was sulfamethoxazole(22 strains),the mount of cotrimoxazole and nalidixic acid was 18 strains,chloramphenicol was 13 strains, tetracycline was 19,and there was a phenomenon of multiple drug resistance.The drug resistance spectrum was sulfamethoxazole tetracycline-compound novammin-naphthidine-chloramphenicol. All strains were sensitive to cefepime and imipenem.The ESBLs confirmatory test showed that 4 strains of non O157 STEC produced beta lactamase.PCR detected 7 resistance genes,and 4 tetracycline resistance genes(Tet A,Tet B, tetC and tetD)were detected.The beta lactamase resistance genes(blaSHV-1,bla CTX-M,bla TEM)were all negative.24 strains were divided into 15 PFGE types,and their clustering results were more dispersed and no dominant PFGE type. There were 11 kinds of MLST types, most of them are ST540 and ST5133 types, each of which was 4 strains,and clustered into 1 MLST genomes.Conclusion The serotypes of non-O157 STEC in animal feces O157 STEC were dispersed, and the resistant rate to common antibiotic was high. MLST typing results presents obvious polymorphism.Surveillance and manage ment of these strains should be strengthened.