高级检索
王少玲, 吴捷, 刁保卫, 崔志刚, 王衍德, 朱建华, 黄昌和, 马焱. 霍乱疫情分离株流行菌型及耐药性分析[J]. 中国公共卫生, 2012, 28(1): 79-81. DOI: 10.11847/zgggws2012-28-01-33
引用本文: 王少玲, 吴捷, 刁保卫, 崔志刚, 王衍德, 朱建华, 黄昌和, 马焱. 霍乱疫情分离株流行菌型及耐药性分析[J]. 中国公共卫生, 2012, 28(1): 79-81. DOI: 10.11847/zgggws2012-28-01-33
WANG Shao-ling, WU Jie, DIAO Bao-wei, . Epidemic type and antibiotic resistance of cholera strains isolated[J]. Chinese Journal of Public Health, 2012, 28(1): 79-81. DOI: 10.11847/zgggws2012-28-01-33
Citation: WANG Shao-ling, WU Jie, DIAO Bao-wei, . Epidemic type and antibiotic resistance of cholera strains isolated[J]. Chinese Journal of Public Health, 2012, 28(1): 79-81. DOI: 10.11847/zgggws2012-28-01-33

霍乱疫情分离株流行菌型及耐药性分析

Epidemic type and antibiotic resistance of cholera strains isolated

  • 摘要: 目的了解霍乱疫情分离株的流行菌型及其耐药性,为霍乱疫情的快速有效控制和临床治疗提供科学依据。方法对2008年6月海南省某地霍乱疫情采集的6株霍乱弧菌分离株进行血清学分型、噬菌体-生物分型、霍乱毒素基因检测、脉冲场凝胶电泳(PFGE)分子分型和药物敏感性试验。结果 6株菌均属埃尔托生物型霍乱弧菌,除1株为O1群小川型霍乱弧菌流行株(1c),其余5株均为O1群稻叶型霍乱弧菌流行株(1c);6株菌均具有霍乱毒素基因;PFGE分型为2个型,但聚类图谱分析相似性为100%;6株菌均对链霉素、复方新诺明、磺胺异噁唑、多粘菌素B耐药;对诺氟沙星、头孢噻肟、头孢噻吩等9种抗生素均敏感;结论该起霍乱疫情的流行菌型为O1群埃尔托霍乱弧菌稻叶型流行株(1c);诺氟沙星、头孢噻肟、头孢噻吩等可作为病例和带菌者治疗的指导用药,链霉素、复方新诺明、磺胺异噁唑、多粘菌素B则不宜使用。

     

    Abstract: ObjectiveTo assess the epidemic type and antibiotic resistance of cholere strains isolated and to provide basis for clinical treatment and prevention of cholera.MethodsSix samples from an outbreak of cholera epidemic were collected in Hainan province in June 2008 and analyzed by serotyping and phage-biotyping.The cholera toxin gene was detected with PCR according to the "Manual for the Prevention and Control of Cholera"(version 5).Pulsed field gel electrophoresis(PFGE)was used for subtyping of the isolates.The antibiotic susceptibility test of the 6 strains to 17 kinds of antibacterial was determined with improved K-B method recommended by WHO.ResultsThe 6 strains were confirmed as Vibrio cholerae El Tor biotype,with 5 strains of O1 group of Vibrio cholerae El Tor serotype Inaba 1c and 1 strains was Vibrio cholerae Ogawa(1c).The cholera toxin gene was identified in all 6 strains.The mapping of the strains were belonged to tw o pattern by PFGE and the similarity was 100%.The 6 strains were all resistant to streptomycin,sulphamethoxazole/trimethoprim,sulphafurazole,and polymyxin B.High drug susceptibility of the samples was found to 9 kinds of antibiotics such as norfloxacin,cefotaxime and cephalothin(53%,9/17).ConclusionThe bacterium type of Vibrio cholerae causing the epidemic outbreak of cholera was O1 group of Vibrio cholerae El Tor serotype Inaba 1c.Norfloxacin,cefotaxime and cephalothin could be the choice of clinical treatment for the cases and carriers of Vibrio cholerae in Hainan province.But streptomycin,sulphamethoxazole/trimethoprim,sulphafurazole,and polymyxin B could not be used.

     

/

返回文章
返回