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熊长辉, 杨梦, 徐晓倩, 王鹏, 李小英, 唐松. 疑似霍乱疫情的实验室快速诊断及分子溯源[J]. 中国公共卫生, 2022, 38(8): 1062-1065. DOI: 10.11847/zgggws1136896
引用本文: 熊长辉, 杨梦, 徐晓倩, 王鹏, 李小英, 唐松. 疑似霍乱疫情的实验室快速诊断及分子溯源[J]. 中国公共卫生, 2022, 38(8): 1062-1065. DOI: 10.11847/zgggws1136896
XIONG Chang-hui, YANG Meng, XU Xiao-qian, . Rapid pathogen detection and molecular tracing: a laboratory analysis on a cholera epidemic[J]. Chinese Journal of Public Health, 2022, 38(8): 1062-1065. DOI: 10.11847/zgggws1136896
Citation: XIONG Chang-hui, YANG Meng, XU Xiao-qian, . Rapid pathogen detection and molecular tracing: a laboratory analysis on a cholera epidemic[J]. Chinese Journal of Public Health, 2022, 38(8): 1062-1065. DOI: 10.11847/zgggws1136896

疑似霍乱疫情的实验室快速诊断及分子溯源

Rapid pathogen detection and molecular tracing: a laboratory analysis on a cholera epidemic

  • 摘要:
      目的   对一起疑似霍乱疫情患者进行实验室快速诊断、病原分离、毒力基因检测及溯源分析。
      方法  2018年10月21日,对某境外旅行团8名有疑似霍乱疫情腹泻症状人员及13名共同暴露者共采集的21份样本,利用FilmArray多病原快速检测平台和荧光PCR进行快速检测,采用VITEK-2全自动微生物鉴定仪对分离培养出的不同菌落进行生化鉴定,采用荧光PCR检测分离鉴定病原菌毒力基因情况,采用脉冲场凝胶电泳(PFGE)对分离鉴定出的病原菌进行溯源分析。
      结果  采集的21份样本中有11份样本检出副溶血弧菌特异性核酸片段且分离到副溶血弧菌,其余10份样本未检出其他病原菌特异性核酸片段且未分离到病原菌。11株副溶血弧菌经PFGE分析提示引起这次疫情的是来源于同一克隆株副溶血弧菌。
      结论  实验室多种检测方法的有机结合对霍乱、副溶血弧菌等感染引腹泻疫情病例的实验室快速诊断、病原鉴定及疫情溯源具有重要意义。

     

    Abstract:
      Objective  To report rapid pathogen isolation and identification, virulence gene detection and pathogen tracing for a suspected cholera epidemic.
      Methods  Four stool and four anal swab specimens were collected from 8 diarrhea patients in an overseas tour group and 13 anal swab specimens were also collected from 13 other members of the tour group on October 21, 2018. Rapid detections of the specimens were conducted with Filmarray system and real-time PCR rapid identification and culture methods were used, respectively, for the specimens. VITEK-2 automatic microbial identification instrument and pulsed field gel electrophoresis (PFGE) typing were used for bio-identification of the isolated strains. Virulence genes were analyzed with real-time PCR.
      Results  Vibrio parahemolyticus (VP) was isolated from 11 of the specimens. Molecular typing of PFGE showed that the 11 VP stains were highly homologous, indicating that the epidemic was resulted from the infection of a same VP strain.
      Conclusion  Combined utilization of multiple laboratory detections is of important value for rapid diagnosis, pathogen identification and tracing in epidemiological investigation on cholera epidemics.

     

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