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上海5家宠物医院环境不动杆菌的耐药性检测及一株皮特不动杆菌的测序分析
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上海市科技兴农项目(2022-02-08-00-12-F01175)


Drug resistance of Acinetobacter spp. in the environments of five pet hospitals in Shanghai and sequencing of an Acinetobacter pittii strain
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    摘要:

    【背景】不动杆菌属(Acinetobacter)细菌是医院感染常见的条件致病菌,其耐药菌株的出现对公众的健康构成了严重的威胁。【目的】了解上海市宠物医院环境中不动杆菌属的流行现状及耐药性。【方法】从上海市5个区的5家宠物医院采集环境样品,经细菌分离、纯化后利用细菌鉴定质谱仪鉴定分离株种属,并通过微量肉汤稀释法检测不动杆菌属分离株的最小抑菌浓度(minimum inhibitory concentration, MIC),并对其中1株耐碳青霉烯类分离菌进行基因组测序及遗传特征分析。【结果】730份环境样品共分离获得124株革兰氏阴性菌,经鉴定14株属于不动杆菌属,其中9株为鲁氏不动杆菌(A. lwoffii)。14株不动杆菌均对米诺环素敏感,但其中2株皮特不动杆菌(A. pittii)和2株鲁氏不动杆菌为碳青霉烯类多重耐药不动杆菌,5株鲁氏不动杆菌对复方新诺明耐药,1株约氏不动杆菌(A. johnsonii)对环丙沙星耐药。基因组测序结果表明,碳青霉烯类多重耐药皮特不动杆菌携带NDM-1OXA-500OXA-727等相关耐药基因,多位点序列分型(multilocus sequence typing, MLST)结果表明分离株为ST1037型,单核苷酸多态性(single nucleotide polymorphism, SNP)分析该菌株与来源于浙江省的临床尿液分离株A. pittii AP43的进化距离最近。【结论】上海市5家宠物医院环境中的不动杆菌分离株耐药率较低(<40%),存在多重耐药现象(5株不动杆菌分别耐≥3种药物)且皮特不动杆菌携带多种耐药基因。

    Abstract:

    [Background] Acinetobacter spp. are common opportunistic pathogens of hospital infection, and the emergence of drug-resistant strains of Acinetobacter poses a serious threat to public health. [Objective] To understand the prevalence and drug resistance of Acinetobacter spp. in the pet hospital environments in Shanghai. [Methods] Environmental samples were collected from pet hospitals in Shanghai, and the isolated strains were identified by a mass spectrometer for bacterial identification. The minimum inhibitory concentration (MIC) was determined by the broth dilution method, and then the genome sequence and genetic characteristics of a carbapenem-resistant isolate were analyzed. [Results] A total of 124 strains of Gram-negative bacteria were isolated from 730 environmental samples, and 14 strains were identified as Acinetobacter spp., of which 9 strains were A. lwoffii. All the 14 Acinetobacter strains were sensitive to minocycline. Two A. pittii strains and two A. lwoffii strains demonstrated multidrug resistance to carbapenems. Five A. lwoffii strains were resistant to sulfamethoxazole trimethoprim, and one A. johnsonii strain was resistant to ciprofloxacin. The results of genome sequencing showed that the A. pittii strain with multidrug resistance to carbapenems carried drug resistance genes such as NDM-1, OXA-500, and OXA-727. The multilocus sequence typing (MLST) results showed that the isolate was of ST1037 and the single nucleotide polymorphism (SNP) analysis revealed that the isolate was close to A. pittii AP43 isolated from clinical urine in Zhejiang. [Conclusion] The drug resistance rate of Acinetobacter spp. in the environments of five pet hospitals in Shanghai was <40%, and there was multi-drug resistance (Five Acinetobacter strains were resistant to ≥3 drugs). A. pittii carried multiple drug resistance genes.

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张玉杰,王晓旭,徐锋,沈莉萍,鞠龚讷,唐聪圣,齐新永,徐平,王建. 上海5家宠物医院环境不动杆菌的耐药性检测及一株皮特不动杆菌的测序分析[J]. 微生物学通报, 2025, 52(2): 725-735

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  • 收稿日期:2024-07-22
  • 录用日期:2024-08-16
  • 在线发布日期: 2025-02-22
  • 出版日期: 2025-02-20
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