2017—2020年江苏省无锡市沙门菌的血清型与耐药性研究

目的 分析2017—2020年江苏省无锡市沙门菌报告病例的血清型特点和抗生素耐药性流行特征及变化趋势。方法 收集分离自 2017—2020年无锡市食源性疾病哨点监测医院腹泻病例（住院和门诊患者）标本中的216株沙门菌菌株,采用玻片凝集法对216株菌进行血清型鉴定及分析,并采用微量肉汤稀释法检测沙门菌对13种抗生素的药物敏感性。结果 216株沙门菌分为42种血清型,优势血清型分别为肠炎沙门菌28.70%（62/216）占比,鼠伤寒沙门菌26.39%（57/216）。耐药性分析结果显示,216株沙门菌对美洛培南、阿米卡星、阿奇霉素和头孢他啶高度敏感,高敏菌株占比均高于90%;所有沙门菌对氨苄西林的耐药率最高,达到68.06%,对美洛培南的耐药率最低,仅0.46%;沙门菌在2017—2020年对氨苄西林的耐药率呈逐年增高的趋势,且每年沙门菌分离株对氨苄西林耐药性最高;共130株菌株产生了多重耐药性（60.19%）,耐药菌株数最多的耐药谱为AMP-TET-STR,占比5.56%（12/216）,优势耐药谱不明显。结论 无锡市沙门菌的流行血清型以肠炎沙门菌和鼠伤寒沙门菌为主,且沙门菌耐药性形势严峻,应该尽快建立高效的管控机制, 加强药敏监测, 优化治疗方案, 避免抗生素滥用。     

2021年贵州省食源性疾病主动监测分离沙门菌耐药及分型特征

目的 了解2021年贵州省食源性疾病主动监测分离沙门菌的血清型、耐药和分子分型特征。方法 对全省2021年食源性疾病主动监测腹泻病例中分离的164株沙门菌采用玻片凝集法进行血清学分型，采用微量肉汤稀释法测定菌株对14种抗生素的最小抑菌浓度（MIC）值，采用脉冲场凝胶电泳（PFGE）进行分子分型。结果 164株沙门菌可分为25种血清型，优势血清型为鼠伤寒沙门菌（76，46.34%）、肠炎沙门菌（25，15.24%）和爪哇安纳沙门菌（15，9.15%）。164株沙门菌耐药率为100%，多重耐药率达86.59%；其中对氨苄西林、四环素和萘啶酸耐药率较高，分别为95.12%（156/164）、78.05%（128/164）和63.41%（104/164）。72株鼠伤寒沙门菌PFGE聚类分析后共分为58种指纹图谱，24株肠炎沙门菌有12种指纹图谱，15株爪哇安纳沙门菌有3种指纹图谱。结论 贵州省腹泻患者沙门菌血清型种类较多，多重耐药现象严重，PFGE指纹图谱表现出遗传多样性。应加强对沙门菌的耐药监测，尤其是优势血清型鼠伤寒沙门菌的临床用药。     

2016—2020年辽宁省沙门菌耐药性及分子分型研究

目的 分析辽宁省2016—2020年食源性疾病监测中沙门菌分离株的耐药情况及分子分型特征,为沙门菌引起感染性腹泻的防控、临床抗生素使用提供可靠科学依据。方法 对辽宁省2016—2020年临床腹泻病例分离的90株沙门菌进行血清学鉴定,应用脉冲场凝胶电泳（PFGE）进行分子分型,采用BioNumeries 7.6软件对菌株间的相似度进行聚类分析,采用微量肉汤稀释法进行药物敏感性检测。结果 90株沙门菌分为13种血清型,以肠炎沙门菌和鼠伤寒沙门菌为主。PFGE聚类分析得到54种带型,各带型间相似度为51.4%～100%,每种带型包含1～10株菌,同一血清型菌株的PFGE带型相似度较高,且存在多次聚集现象。药敏结果显示90株沙门菌呈现36种耐药谱,氨苄西林耐药率最高（66.7%,60/90）,其次为萘啶酸（62.2%,56/90）,头孢西丁全部敏感。多重耐药率达48.9%(44/90),其中鼠伤寒沙门菌和肠炎沙门菌多重耐药率分别为87.5%和45.8%。结论 辽宁省沙门菌引起腹泻病例呈散发态势,菌株多重耐药趋势明显,且耐药率较高,耐药谱广泛,应进一步加强分子溯源及耐药性监测。     

免疫磁珠法检测食品中的沙门菌及分离菌株的耐药性

为检测沙门菌在本市食品中的污染和耐药情况,采集各类食品样品303件,经增菌后通过特异的免疫磁珠（IMS）吸附并接种XLD平板分离沙门菌.分离的菌株按年度分成2组,分别以改良K-B法测试对28种抗生素的耐药性.在303件样品中检出87件阳性,总阳性率28.71%.分离到的112株沙门菌以德比、肠炎血清型占优势.肉类制品的阳性率40.20%（82/204）明显高于其它食品,共分离出107株沙门菌（107/112,95.54%）.菌株耐药率在2年中有显著改变的抗生素有环丙沙星、复方新诺明、妥布霉素、二甲胺四环素、氯霉素和链霉素.耐10种以上抗生素的多重耐药株有12株（12/112,10.71%）,有4株头孢哌酮耐药株.IMS用于食品中沙门菌的分离效果较好.结果显示耐环丙沙星和多重耐药菌株的增多说明加强食源性沙门菌耐药监测的重要性。     

青岛市屠宰场整鸡中沙门菌污染水平定量检测及耐药性分析

目的调查青岛市规模化肉鸡屠宰场屠宰后整鸡样品中沙门菌的污染及抗生素耐药谱分布状况。方法2014年10~12月在青岛市选择2家规模化肉鸡屠宰场,采用胴体漂洗法定量检测3次共采集的141份屠宰后整鸡样品中沙门菌,根据Kauffmann-White表对沙门菌菌株进行血清学鉴定,应用微量肉汤稀释法检测菌株对11种抗生素的耐药性。结果整鸡样品沙门菌总体污染率为74.5%(105/141),污染水平3.6~1 100 MPN/100 g,中位数为43 MPN/100 g;共分离355株沙门菌,血清型分布为肠炎沙门菌220株,印第安纳沙门菌88株和阿贡纳沙门菌19株,以及其他型28株。355株沙门菌分离株的总体耐药率为90.4%(321/355),萘啶酸(NAL)耐药率最高(88.7%,315/355)。220株肠炎沙门菌中219株(99.5%)耐药,6株(2.7%)为多重耐药株,优势耐药谱为奈啶酸(156株)。88株印第安纳沙门菌均耐药,85株为多重耐药株,优势耐药谱为庆大霉素-氯霉素-环丙沙星-萘啶酸-氨苄西林-青霉烷砜/氨苄西林-头孢他啶-头孢噻肟-复方新诺明。19株阿贡纳沙门菌除1株对奈啶酸耐药外,其余18株对所测试11种抗生素均敏感。结论青岛市肉鸡屠宰场沙门菌污染率较高,血清型以肠炎沙门菌、印第安纳沙门菌和阿贡纳沙门菌为主。沙门菌总体耐药率较高,并呈现多重耐药性趋势。     

中山市540株腹泻病例沙门菌血清型分布和耐药分析

目的研究2016—2017年中山市腹泻病例沙门菌血清型分布和耐药性。方法对2016—2017年中山市腹泻病例沙门菌监测分离的540株菌株进行血清学分型,并采用微量肉汤稀释法进行药敏试验。结果 540株沙门菌涵盖59种血清型,两年有22种共同血清型,优势血清型为鼠伤寒沙门菌单相变体(41.9%,226/540)、肠炎沙门菌(13.1%,71/540)、鼠伤寒沙门菌(9.3%,50/540)和斯坦利沙门菌(9.3%,50/540),共占菌株总数的73.5%(397/540)。药敏结果显示沙门菌对氨苄西林、氨苄西林/舒巴坦和四环素的耐药率均50.0%,对头孢类抗生素的耐药性差异较大,头孢唑啉、头孢噻肟、头孢他啶和头孢西丁的耐药率分别为34.1%(184/540)、25.7%(139/540)、12.2%(66/540)和1.5%(8/540);所有菌株均对亚胺培南敏感,斯坦利沙门菌对6种抗生素敏感;菌株多重耐药率达65.4%(353/540),4种优势血清型中鼠伤寒沙门菌单相变体、肠炎沙门菌、鼠伤寒沙门菌、斯坦利沙门菌的多重耐药率分别为82.7%(187/226)、56.3%(40/71)、72.0%(36/50)、16.0%(8/50)。结论中山市腹泻病例沙门菌血清型呈生物多样性,菌株多重耐药率较高,其中鼠伤寒沙门菌单相变体耐药情况最严重,应引起重视。     

上海市禽肉中沙门菌流行特征、耐药分析和定量风险评估

目的 了解上海市禽肉中沙门菌污染及耐药情况,并定量评估其风险。方法 应用微生物风险评估的方法,通过危害识别、危害特征描述、暴露评估和风险特征4个步骤对禽肉中沙门菌进行风险评估。危害识别和危害特征描述资料来源于公开发表的文献、报告,结合沙门菌污染和禽肉消费量数据,应用Beta-Poisson剂量-反应模型和蒙特卡洛模拟进行暴露评估、风险特征描述。结果 上海市市售禽肉中沙门菌检出率为13.0%（68/522）,78.2%（43/55）的沙门菌为耐药菌株,对氨苄西林、四环素和氨苄西林-舒巴坦的耐药率超过30%,多重耐药率达43.6%（24/55）。每次因食用禽肉发生沙门菌感染的概率为8.32×10^-5,每年因禽肉中沙门菌感染而致病的人数预期为25 339例,其中耐药菌株感染人数19 815例,多重耐药菌株感染人数11 048例。敏感度分析显示影响较大的是初始污染浓度、每份消费量以及两项交叉污染参数。结论 上海市禽肉中沙门菌耐药水平较高,多重耐药程度严重,存在相对较高的健康风险。交叉污染是其致病风险的重要因素。     

赣州市食源性腹泻患者分离沙门菌耐药性和分子分型特征研究

目的 了解赣州市食源性沙门菌耐药性和分子分型特征,建立赣州市食源性沙门菌耐药性和分子指纹图谱数据库,为临床合理用药和食源性沙门菌病的暴发溯源提供科学依据。方法 对赣州市2020—2022年食源性疾病主动监测中分离的136株沙门菌进行血清分型、药物敏感性试验、全基因组测序（WGS）和脉冲场凝胶电泳（PFGE）,并进行耐药基因注释和图谱聚类分析。结果 赣州市食源性沙门菌对STR耐药率最高（83.09%）,其次为TET（78.68%）和AMP（76.47%）;多重耐药菌株占76.47%,耐药谱型广泛,主要流行耐药谱型为AMP-TET-CHL-STR-SXT;WGS预测出7种类别共61种耐药基因,以氨基糖苷类耐药基因携带率（99.19%）最高,大环内酯类（8.87%）最低;136株沙门菌以鼠伤寒变种和鼠伤寒为优势血清型,经PFGE分子分型分为98种带型。结论 赣州市食源性沙门菌耐药状况严重,耐药基因携带率高且基因型多样,PFGE分子型别呈多态性,优势血清型别可能引起暴发流行,应加强监测和研究。     

2021年广西腹泻病人来源的鼠伤寒沙门菌及其单相变种比较分析

目的 通过研究比较2021年广西壮族自治区腹泻病人来源的鼠伤寒沙门菌及其单相变体1，4，［5］，12∶i∶-（S.1，4，［5］，12∶i∶-）流行特征与耐药情况，更好地了解鼠伤寒沙门菌及其单相变体多重耐药克隆的流行病学及其在传播的潜力。方法 对来自病例监测分离的276株鼠伤寒沙门菌用血清凝集方法进行第一次分型，当第二项鞭毛抗原诱导三次后依然不凝集，再用多重PCR的方法进行第二次分型，用微量肉汤稀释法进行药敏试验。结果 经多重PCR确认为鼠伤寒沙门菌单相变体的有201株（72.8%），鼠伤寒沙门菌75株。鼠伤寒沙门菌对磺胺类药物、氯霉素的耐药率显著高于鼠伤寒沙门菌单相变体（P<0.05）。鼠伤寒沙门菌单相变体对氨苄西林、头孢噻肟、萘啶酸、庆大霉素、四环素5种抗生素的耐药率显著高于鼠伤寒沙门菌（P<0.05）。两种沙门菌对3类及以上抗生素耐药率达到79%以上，共同多重优势耐药谱为耐氨苄西林、氯霉素、甲氧苄啶/磺胺甲唑和四环素。结论 鼠伤寒沙门菌单相变体已经超过鼠伤寒沙门菌成为广西壮族自治区腹泻病人中最优势的血清型。两种沙门菌耐药情况不容乐观，特别是多重耐药菌株的快速增加。需要有针对性地加强对食源性鼠伤寒沙门菌和鼠伤寒沙门菌单相变体进行耐药监测，揭示其耐药性的潜在决定因素，并展开有效的干预措施。     

2020年贵阳市城区部分集贸市场即食食品微生物污染情况调查

目的 了解集贸市场即食食品微生物污染情况,分析食源性沙门菌菌株生物学特征,评价食品卫生状况及致病风险。方法 随机选取人群消费较集中的5家大型集贸市场,按照国家食品安全标准对其售卖的即食食品进行食品微生物检测,同时对沙门菌血清型、抗生素耐药性及PFGE聚类进行分析。结果 131份即食食品中大肠菌群检出率62.59%（82/131）,并检出了沙门菌、蜡样芽孢杆菌、金黄色葡萄球菌等致病微生物。沙门菌血清型多样,其PFGE图谱较分散,菌株出现多重耐药。结论 即食食品卫生状况普遍较差,生肉食品中检测出沙门菌,容易与即食食品发生交叉污染而引发食源性疾病,应加强即食食品及生肉制品的管理。     

Formation of cereulide and enterotoxins by Bacillus cereus in fermented African locust beans

Afitin, iru and sonru are three spontaneously fermented African locust bean Benin condiments. The fermentation processes are exothermic, with temperatures mostly being above 40 °C. A total of 19 predominant Bacillus cereus isolates from afitin, iru and sonru, were investigated. The enterotoxin genes nhe (A, B, C) were present in all 19 isolates, the hbl (A, C, D) in one (afitin), and the cytK gene in three isolates (afitin). Levels of cytotoxicity to Vero cells and NheA production in BHI-broth was within the range of known diarrheal outbreak strains. Autoclaved cooked African locust beans inoculated with emetic (cereulide producing) B. cereus Ba18H2/RIF supported growth at 25, 30 and 40 °C with highly different maximum cereulide productions of 6 ± 5, 97 ± 3 and 0.04 ± 0.02 μg/g beans, respectively (48 h). For non-autoclaved cooked beans inoculated with 2, 4 and 6 log₁₀B. cereus Ba18H2/RIF spores/g beans, cereulide production was 5 ± 4, 64 ± 8 and 69 ± 34 μg/g beans, respectively at 24 h, while it was 70 ± 43, 92 ± 53 and 99 ± 31 μg/g at 48 h of fermentation at 30 °C. Even though high toxin levels were observed, to date there are no known reports on diarrhea or vomiting due to the consumption or afitin, iru and sonru in Benin, which also according to the present study is likely to be expected from the low levels of cereulide produced at 40 °C.     

Frequency of DLK1 c.639C>T polymorphism and the analysis of MEG3/DLK1/PEG11 cluster expression in muscle of swine raised in Poland

DLK1 — (Drosophila like element 1) is a paternally expressed gene, associated with the callipyge phenotype in sheep. In a present study we designed a new real-time PCR alleleic discrimination assay for genotyping of a silent C/T mutation (c.639C>T) in DLK1 gene in swine. The DLK1 c.639C>T mutation was highly polymorphic in all breeds analyzed and C allele was predominant in Landrace and Duroc while T allele was more frequent in Pietrain and Pu?awska breed. Moreover, we analyzed mRNA expression of DLK1 and adjacent genes — MEG3 and PEG11 in muscles of swines of different breeds raised in Poland. We did not observe significantly different expression of DLK1, MEG3 or PEG11 mRNA in any of analyzed breeds. We also attempted to assess the effect of DLK1 (c.639C>T) on the expression of genes in callipyge locus but did not find significant differences between animals with alternate genotypes (C/C and T/T homozygotes).     

Assessment of the microbiological safety of salad vegetables and sauces from kebab take-away restaurants in the United Kingdom

The purpose of this study was to establish the microbiological safety of salad vegetables and sauces served in kebab take-away restaurants. Comparison with published microbiological guidelines revealed that 4.7% of 1213 salad vegetable samples were of unsatisfactory microbiological quality due to Escherichia coli and/or Staphylococcus aureus levels at ≥10² cfu g⁻¹. Another 0.3% of salad samples were of unacceptable quality due to S. aureus at ≥10⁴ cfu g⁻¹ (2 samples) or the presence of Salmonella Kentucky (1 sample). Cucumber was the most contaminated salad vegetable with regards to unsatisfactory levels of E. coli (6.0%) or S. aureus (4.5%). Five percent of 1208 sauce samples were of unsatisfactory microbiological quality due to E. coli, S. aureus at ≥10² cfu g⁻¹ and/or Bacillus cereus and other Bacillus spp. at ≥10⁴ cfu g⁻¹. A further 0.6% of sauce samples were of unacceptable quality due to Bacillus spp. (Bacillus subtilis, Bacillus pumilus, Bacillus licheniformis) at ≥10⁵ cfu g⁻¹ or the presence of Salmonella Agbeni (1 sample). More samples of chilli sauce (8.7%) were of unsatisfactory or unacceptable microbiological quality than any other sauce types. The results emphasize the need for good hygiene practices in kebab take-away restaurants handling these types of ready-to-eat products.     

Real-time PCR von Enterobacter sakazakii in Säuglingsanfangsnahrung

Enterobacter sakazakii represents a rare opportunistic pathogen that causes a high mortality rate. Especially newborns are infected by contaminated infant formula. To reduce this risk, the EU directive 2073/2005 demands for the absence of the pathogen in 30 ×10 g infant formula. We describe a PCR-/real-time PCR that specifically detected 32 E. sakazakii strains among 21 species of Enterobacteriaceae as well as contaminated specimens among 30 different brands of infant formula. This real-time PCR, performed after a selective enrichment of E. sakazakii, reduces the working time by 1 to 3 days in comparison to the detection methods recommended by the US Food and Drug Administration (FDA) and ISO/DTS 22964 that is still under revision. In contrast to the latter procedure, we detected contaminated specimens of infant formula by the use of the procedure described in this report and the FDA method.

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Zusammenfassung: Enterobacter sakazakii repr?sentiert einen seltenen opportunistischen Erreger, der Infektionen mit hoher Mortalit?tsrate hervorruft. Insbesondere Neugeborene erkranken durch kontaminierte Anfangsnahrung. Zur Risikominimierung fordert die EU-Verordnung 2073/2005 die Abwesenheit des Erregers in 30 ×10 g S?uglingsanfangsnahrung. Ein PCR-/Real-Time PCR-Verfahren wird beschrieben, das zun?chst mit 32 E. sakazakii -St?mmen und weiteren 20 Arten der Enterobacteriaceen geprüft und anschlie?end zur Untersuchung 30 unterschiedlicher Marken von S?uglingsanfangsnahrung verwendet wurde. Nach der Selektivanreicherung führt das Real-Time PCR-Verfahren zu einer Ersparnis von 1 bis 3 Arbeitstagen beim Nachweis von E. sakazakii im Vergleich zum Verfahren der amerikanischen Food and Drug Administration (FDA) und dem noch in Bearbeitung befindlichen Verfahren ISO/DTS 22964. Im Gegensatz zur letztgenannten Untersuchungsmethode erfolgten mehrere Positivnachweise mit dem hier beschriebenen Verfahren und dem der FDA.

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Eingegangen: 18. Januar 2007     

Arsenic content of some edible mushroom species

The arsenic contents of 162 fruit body samples of 37 common edible mushroom taxa were analyzed. The samples were gathered from different habitats of Hungary (mainly from mountains) between 1984 and 1999. The arsenic content of the samples was measured by the inductively coupled plasma spectrometry method. Very low [lower than 0.05 mg/kg dry matter (DM)] concentrations were found in the samples of 13 taxa, while higher (or very high) contents were quantified in other common taxa (the highest arsenic content was recorded in the fruit body of Laccaria amethysthea at 146.9 mg/kg DM). The species of eight genera (Agaricus, Calvatia, Collybia, Laccaria, Langermannia, Lepista, Lycoperdon, Macrolepiota) belong to the so-called accumulating taxa, and this tendency is evident on all habitats. This arsenic accumulation capability is found in two orders of Basidiomycetes (Agaricales and Gasteromycetales), which is to say this phenomenon occurs in the families Agaricaceae, Tricholomataceae and Gasteromycetaceae. The accumulating taxa found all have a saprotrophic type of nutrition; arsenic accumulation is not detectable in xilophagous or in mycorrhizal species. The consumption of the accumulating species found has only a low toxicological risk for three reasons: the consumed fresh fruit bodies contain about a tenfold lower arsenic level than the dried ones, the majority of arsenic occurs not in poisonous inorganic, but in less dangerous (or not poisonous) organic forms, and the frequency of consumption is low.     

Effect of Zataria multiflora Boiss. essential oil and nisin on Salmonella typhimurium and Staphylococcus aureus in a food model system and on the bacterial cell membranes

The effects of different concentrations of Zataria multiflora Boiss. essential oil (EO: 0, 5, 15 and 30 μl 100 ml⁻¹) and nisin (N: 0, 0.25 and 0.5 μg ml⁻¹), temperatures (T: 25 and 8 °C), and storage times (up to 21 days) on growth of Salmonella typhimurium and Staphylococcus aureus in a commercial barley soup were evaluated in a factorial design study. The growth of S. typhimurium was significantly (P < 0.05) decreased by EO concentrations and their combinations with N concentrations at 8 °C. For S. aureus, the viable count was significantly (P < 0.05) inhibited by EO and N concentrations and their combinations, incubated at both storage temperatures. The mechanism of the antimicrobial action of EO, N, and their combinations against cell membranes of the tested organisms were also studied by measurement of the release of cell constituents and by the electronic microscopy observations of the cells. The significant increase of the cell constituents’ release of both organisms was observed as a result of treatments with EO and EO in combination with N. Electronic microscopy observations revealed that the cell membranes of S. typhimurium treated by EO and EO in combination with N were significantly damaged, while cells treated with only N looked similar to untreated cells. The electron micrographs of treated cells of S. aureus with EO, N, and their combination also showed important morphological damages and disrupted membranes.     

Thermal inactivation of Bacillus cereus and Clostridium perfringens vegetative cells and spores in pork luncheon roll

The aim of this study was to design a thermal treatment(s) for pork luncheon roll, which would destroy Bacillus cereus and Clostridium perfringens vegetative cells and spores. B. cereus and C. perfringens vegetative and spore cocktails were used to inoculate luncheon meat. Samples were subjected to different temperatures and removal times. The decimal-reduction times (D-values) were calculated by linear regression analysis (D = -1/slope of a plot of log surviving cells versus time). The log(10) of the resulting D-values were plotted against their corresponding temperatures to calculate (-1/slope of the curve) the thermal resistance (z-values) of each cocktail. The D-values for vegetative cells ranged from 1 min (60 degrees C) to 33.2 min (50 degrees C) for B. cereus and from 0.9 min (65 degrees C) to 16.3 min (55 degrees C) for C. perfringens. The D-values for B. cereus spores ranged from 2.0 min (95 degrees C) to 32.1 min (85 degrees C) and from 2.2 min (100 degrees C) to 34.2 min (90 degrees C) for C. perfringens. The z-values were calculated to be 6.6 and 8.5 degrees C for B. cereus vegetative and spores, respectively, and 7.8 and 8.4 degrees C for C. perfringens vegetative cells and spores, respectively. The D-values of B. cereus and C. perfringens suggest that a mild cook of 70 degrees C for 12s and 1.3 min would achieve a 6 log reduction of B. cereus and C. perfringens vegetative cells, respectively. The equivalent reduction of B. cereus and C. perfringens spores would require the pork luncheon meat to be heated for 36 s at 105 and 110 degrees C, respectively. The results of this study provide the thermal inactivation data necessary to design a cooking protocol for pork luncheon roll that would inactivate B. cereus and C. perfringens vegetative cells and spores. The data may also be used in future risk assessment studies.