应用实时荧光定量PCR定量检测溃疡性结肠炎肠道大肠埃希菌、乳酸杆菌及双歧杆菌属的变化

目的应用实时荧光定量PCR（RT—PCR）法对溃疡性结肠炎（ulcerative colitis,UC）患者粪便中大肠埃希菌、乳酸杆菌及双歧杆菌属的数量进行定量检测分析。方法根据细菌的16SrDNA基因序列设计大肠埃希菌、乳酸杆菌及双歧杆菌属的种属特异性引物。收集溃疡性结肠炎患者及正常对照者新鲜粪便标本各35例,从待测粪便标本中提取细菌基因组DNA,进行实时荧光定量PCR反应,定量分析不同细菌的数量。结果正常对照组与病例组粪便中细菌数量分别为大肠埃希菌（4．62±1．10;5．27±1．02）、乳酸杆菌属（4．99±0．75;4．65±0．95）、双歧杆菌属（5．07±0．95;4．93±0．99）,病例组大肠埃希菌数量明显增多（t=2．540,P=0．013）,而乳酸杆菌及双歧杆菌属数量与正常组比较差异无统计学意义（t1=0．488,P,=0．530;t2=-0．533,P：=0．596）。结论溃疡性结肠炎患者粪便中大肠埃希菌的数量较正常对照明显增多,而乳酸杆菌及双歧杆菌属的数量无明显变化,提示大肠埃希菌与溃疡性结肠炎的发病或复发有关系,而乳酸及双歧杆菌属与此病的关系有待进一步研究。     

血流感染患者大肠埃希菌产超广谱β-内酰胺酶及耐药性分析

目的分析血流感染患者大肠埃希菌产超广谱β-内酰胺酶（Extended—Spectrum Beta Lactamases,ESBLs）的现状及其耐药特征,为临床合理使用抗菌药物提供依据。方法对浙江省上虞市人民医院2011年1月至2012年12月住院患者血培养分离的96株大肠埃希菌,采用纸片扩散表型确证试验进行ESBLs检测,用K．B法做药敏试验。结果血培养的大肠埃希菌分离率2011年、2012年分别为19．48％、17．47％。大肠埃希菌产ESBLs的检出率2011年、2012年分别为60．00％、60．78％。产ESBLs菌株对多种抗菌药物的耐药率显著高于不产ESBLs菌株。无论大肠埃希菌是否产ESBLs,碳青霉烯类抗生素均具有很高的敏感率。结论血流感染患者分离的大肠埃希菌产ESBLs比率高,产ESBLs菌株对多种抗菌药物耐药性高。可经验性使用碳青霉烯类抗生素治疗大肠埃希菌所致的血流感染。     

粪便分离大肠埃希菌CRISPR系统在耐药及毒力中的作用

目的探索粪便分离大肠埃希菌成簇规律间隔短回文重复序列(clustered regularly interspaced short palindromic repeats, CRISPR)在耐药及毒力中的作用。方法收集某院2018年8-12月分离自慢性腹泻患者及健康体检者粪便样本的大肠埃希菌。采用纸片扩散法检测其药物敏感性,PCR法检测并比较分析腹泻患者及健康体检者粪便样本分离大肠埃希菌的系统发育群、耐药基因及CRISPR系统。结果共收集到142株大肠埃希菌,源于63例慢性腹泻患者(疾病组)和79例健康体检者(健康组)。药敏结果显示,氨苄西林耐药率为48.0%,其余抗菌药物敏感率为73.1%～100.0%。63株源于慢性腹泻患者粪便样本分离大肠埃希菌中CRISPR系统的检出率显著低于79株源于健康体检者(3.2%vs 46.8%,χ~2=33.538,P0.001)。在被检测的耐药基因中,63株疾病组中11株阳性(7株bla_(CTX-M-1)组、3株bla_(CTX-M-9)组和1株mcr-1),79株健康组中4株bla_(CTX-M-1)组,未携带耐药基因菌株中CRISPR系统的检出率显著高于携带耐药基因菌株(0.0%vs 29.9%,P=0.011)。43株高毒力菌株(B2群和D群)中CRISPR系统的检出率显著高于99株低毒力菌株(A群和B1群)(44.2%vs 20.2%,χ~2=8.656,P=0.003)。结论粪便分离大肠埃希菌对常用抗菌药物仍保持较高敏感性。CRISPR系统可能在粪便分离大肠埃希菌毒力及耐药基因的传播方面发挥重要作用。     

合肥地区动物源性大肠埃希菌的血清型分布与耐药性分析

目的了解安徽省合肥地区动物源性大肠埃希菌的血清型分布和耐药状况,以期筛选出菌苗株和指导临床合理用药。方法对46份疑似大肠埃希菌病病料进行细菌分离培养、生化编码鉴定和致病性测定。采用玻片凝集试验对分离到的46株致病性大肠埃希菌进行血清型鉴定。同时分别采用K-B纸片琼脂扩散法和双纸片增效法检测致病性大肠埃希菌的耐药性和ESBLs阳性菌株。结果46株致病性大肠埃希菌中,除7株细菌未能定型外,其余39株细菌分布于10个血清型,O127：K63血清型为优势血清型,占定型菌株的33．33％。46株致病性大肠埃希菌对21种抗菌药物均呈现不同程度的耐药性,15个ESBLs阳性菌株表现为多重耐药,对各种抗菌药物的耐药率均高于ESBLs阴性菌株。结论O127：K63血清型为优势血清型,可作为菌苗株。合肥地区动物源性大肠埃希菌耐药性较为严重,尤其是产ESBLs大肠埃希菌多重耐药更为突出。     

320例腹泻患者病原菌分离及流行病学分析

目的了解广州市2009年至2010年肠道门诊就诊的细菌性腹泻患者病原谱的分布情况,为制定针对重点人群肠道传染病防治策略提供依据。方法收集2009年5月至2010年5月暨南大学附属第一医院腹泻患者的粪便标本,使用卡-布运送培养基,增菌培养后,采用生化反应和氧化酶试验进行菌株鉴定,并用梅里埃API生化板条进行验证,用病原菌诊断血清进行细菌分型。结果从320份粪便标本中分离到38株菌株,其中沙门菌15株,产毒大肠埃希菌12株,致病大肠埃希菌6株,志贺菌2株,出血性大肠埃希菌、霍乱弧菌、气单胞菌各1株。0—20岁年龄段高发,以1岁以内婴幼儿为主;7—10月为发病高峰期。结论来该院肠道门诊就诊的细菌性腹泻患者,其病原体以沙门菌为主,其次为产毒大肠埃希菌。因此．广州地区细菌件腹泻的预防．廊右针对件的面向雷占人群和重占病厢莴．     

致病性大肠埃希菌血清型分布及对抗生素的敏感性分析

目的了解临床病例中致病性大肠埃希菌的主要血清型和对抗生素的敏感性。方法致病性大肠埃希菌的鉴定使用血清学的方法,药敏试验采用纸片扩散法,WHONET 5.0软件分析药敏结果。结果致病性大肠埃希菌的检出率为5.93%,共分离到7种血清型。在分离到的菌株中,ESBLs的检出率达45%。结论致病性大肠埃希菌是引起小儿腹泻的一种重要致病菌,应开展对致病性大肠埃希菌的检测,根据药敏结果选用合适药物。     

硅藻土、珍珠岩微生物限度检查方法的探讨

文章尝试对助滤剂微生物计数方法和控制菌大肠埃希菌检查法进行适用性试验,建立助滤剂微生物限度检测方法,对血液制品生产过程中添加的助滤剂进行微生物控制。具体通过采用涂布法、倾注法、薄膜过滤法、涂布（分解求和）法对珍珠岩和硅藻土进行微生物回收试验,计算各试验菌回收率;用控制菌检查法对控大肠埃希菌检查法进行确认。结果发现涂布法各试验组菌落数减去供试品对照组菌落数的值与菌液对照组菌落数的比值均在0.5～2.0范围内,微生物计数方法通过;控大肠埃希菌检查法通过。     

大肠埃希菌耐药性及其基因同源性分析

目的 研究临床分离的大肠埃希菌对常用抗生索的耐药性及其基因分型,了解其耐药性趋势与传播流行情况,为临床合理治疗大肠埃希菌引起的感染提供参考依据。方法 采用常规鉴定技术鉴定细菌;采用K—B纸片扩散法测定77株大肠埃希菌对19种药物的耐药性;K—B法鉴定产超广谱β-内酰胺酶（ESBLs）;通过脉冲场凝胶电泳（PFGE）法对其进行基因分型以确定菌株之间的亲缘关系;FINGERPRINT Ⅱ软件进行细菌基因指纹图谱分析。结果 大肠埃希菌对青霉素类、喹诺酮类药物和氨曲南的耐药性明显增高,亚胺培南和美罗培南是大肠埃希菌感染患者的首选药物;经ESBLs确证试验,ESBLs阳性率为28．60％（22／77）;产ESBLs大肠埃希菌经PFGE指纹图谱分析,除第62株和第70株相似性系数为78．27％外,其余相似度均低于70．0％;ESBLs大肠埃希菌阴性株中除少数几对菌株相似性系数较高外,其余呈散在分布,且电泳带存有6条以上的不同条带,为流行病学无关的不同克隆。结论 大肠埃希菌对常用抗生索耐药性明显增高,且呈多重耐药趋势;该研究尚不能证明存在大肠埃希菌爆发性流行感染,提示可能存在院内感染大肠埃希菌的优势克隆;PFGE基因分型方法是耐药性与流行状况分析的有效手段。     

温度与pH值对长江水系产超广谱β-内酰胺酶大肠埃希菌耐药基因转移影响分析

研究温度和pH值对长江水系中产超广谱β-内酰胺酶(Extended-Spectrum β-Lactamases,ESBL)大肠埃希菌(Escherichia coli)耐药基因转移影响规律,为今后介水疾病的预防与控制提供理论依据。采用滤膜法分离、梅里埃微生物分析系统鉴定菌株;将由长江水系分离出的产ESBL大肠埃希菌与大肠埃希菌NK5449进行接合,观察不同温度和pH值条件下接合频率变化情况;用纸片扩散法测定耐药谱;用PCR方法分析产ESBL供体菌与转移接合子β-内酰胺酶编码基因(bla),并对供、受体菌及转移接合子进行随机扩增多态性分析,判别转移接合子与供、受体菌的同源性。温度和pH值对产ESBL大肠埃希菌耐药基因水平转移影响明显,发生接合最适宜的pH值为7.1。温度对接合频率的影响具有双重性,相同条件下,某些大肠埃希菌接合频率随环境温度的降低率急剧下降,但某些大肠埃希菌的接合频率随环境温度下降有所上升。温度和pH值对产ESBL大肠埃希菌接合频率有重要影响。     

实时荧光定量PCR检测非酒精性脂肪性肝炎新西兰兔肠道内菌群的变化

目的 应用实时荧光定量-聚合酶链反应法(fluorescent real-time polymerase chain reaction,RT-PCR)法对高脂喂养诱导非酒精性脂肪性肝炎(nonalcoholic steatohepatitis,NASH)新西兰兔的粪便中大肠埃希菌、乳酸杆菌及双歧杆菌属的数量进行定量检测分析.方法 14只雄性新西兰兔随机分为模型组和对照组,分别用普通饲料和高脂饲料喂养12周,取粪便提取细菌组DNA,根据细菌的16S rDNA基因序列设计大肠埃希菌、乳酸杆菌及双歧杆菌属的种属特异性引物,进行实时荧光定量PCR反应,定量分析不同细菌的数量.结果 模型组动物病理学检测肝细胞脂肪变性,提示模型成功.对照组与模型组动物粪便中细菌数量分别为大肠埃希菌(11.48 ±1.09,7.39 ±0.81)、乳酸杆菌(4.94±0.95,5.65 ±0.91)、双歧杆菌属(4.07 ±0.97,6.45±0.90),经统计学分析表明模型组较对照组大肠埃希菌数量明显增多(t=-3.282,P =0.013),而乳酸杆菌、双歧杆菌属数量变化无统计学意义(t1=-1.204,P1=0.268;t2=0.423,P2=0.683).结论 NASH模型组粪便内大肠埃希菌数量较正常组增多,提示大肠埃希菌数量与非酒精性脂肪性肝病(Nonalcoholic fatty liver disease,NAFLD)有关,而乳酸杆菌及双歧杆菌数量无明显变化,其与NAFLD的关系有待进一步研究.     

Comparative evaluation of modified m-FC and m-TEC media for membrane filter enumeration of Escherichia coli in water.

Two media used to detect fecal coliforms in water by membrane filtration, m-FC and m-TEC, were modified and supplemented with the chromogenic substrate 5-bromo-6-chloro-3-indoyl-beta-D-glucuronide (BCIG) and were compared for quantitative recovery of Escherichia coli. Student's t test of data from 181 water samples of sewage, rivers, lakes, and wells did not demonstrate any statistically significant differences (P = 0.05) in the enumeration of E. coli with these media. Target colonies were confirmed to be E. coli at rates of 98.6 and 97.3% by using FC-BCIG and TEC-BCIG media, respectively. Glucuronidase-negative isolates of E. coli were encountered at the same frequency (6.0%) on both media. This collaborative study demonstrated that either modified basal medium could be used successfully for detection of E. coli in various nontreated waters within 24 h.     

Comparison of commercially available kits with standard methods for the detection of coliforms and Escherichia coli in foods.

Three commercially available kits that were supplemented with substrates for enzyme reactions were evaluated to determine their abilities to detect coliforms and fecal coliforms in foods. Japanese and U.S. Food and Drug Administration standard methods, as well as two agar plate methods, were compared with the three commercial kits. A total of 50 food samples from various retailers were examined. The levels of detection of coliforms were high with the commercial kits (78 to 98%) compared with the levels of detection with the standard methods (80 to 83%) and the agar plate methods (56 to 83%). Among the kits tested, the Colilert kit had highest level of recovery of coliforms (98%), and the level of recovery of Escherichia coli as determined by beta-glucuronidase activity with the Colilert kit (83%) was comparable to the level of recovery obtained by the U.S. Food and Drug Administration method (87%). Isolation of E. coli on the basis of the beta-glucuronidase enzyme reaction was found to be good. Levine's eosine methylene blue agar, which has been widely used in various laboratories to isolate E. coli was compared with 4-methylumbelliferyl-beta-D-glucuronide (MUG)-supplemented agar for isolation of E. coli. Only 47% of the E. coli was detected when eosine methylene blue agar was used; however, when violet red bile (VRB)-MUG agar was used, the E. coli detection rate was twice as high. Of the 200 E. coli strains isolated, only 2 were found to be MUG negative, and the gene responsible for beta-glucuronidase activity (uidA gene) was detected by the PCR method in these 2 strains. Of the 90 false-positive strains isolated that exhibited various E. coli characteristic features, only 2 non-E.coli strains hydrolyzed MUG and produced fluorescent substrate in VRB-MUG agar. However, the PCR did not amplify uidA gene products in these VRB-MUG fluorescence-positive strains.     

Atypical Reactions of Escherichia coli on Eosin Methylene Blue Agar

Evidence is presented that atypical reactions of Escherichia coli on eosin methylene blue agar are due to variations in pH in localized areas of the medium.     

Estimation of Escherichia coli in raw ground beef.

This study was undertaken to establish and evaluate more rapid methods of estimating Escherichia coli in ground beef than the standard most probable number (MPN) technique. Direct inoculation of and modifications to EC medium gave unreliable estimates of the presumptive E. coli count. Solid media incubated at an elevated temperature were compared to the MPN technique. Anderson and Baird-Parker's tryptone bile agar (TBA) method and prepoured plates of Endo, Levine eosin methylene blue (EMB), and violet red bile (VRBA) agars incubated at 44 degree C gave equivalent counts to the standard MPN method. Anderson and Baird-Parker TBA was the most selective solid medium for E. coli estimation, but all selective media incubated at elevated temperature reduced apparent E. coli counts by as much as 50%. Indole-producing and lactose-fermenting Enterobacteriaceae, capable of growth at elevated temperature, were tested for their growth on TBA, EMB, and VRBA at elevated temperature. TBA was selective for E. coli biotype I compared to other Enterobacteriaceae that predominate in meats. VRBA and EMB incubated at elevated temperature were not as selective as TBA, but differences in colonies could be observed between typical E. coli colonies and other Enterobacteriaceae on these media. Therefore, VRBA incubated at elevated temperature is proposed as a quality assurance screening test for presumptive E. coli in ground meat. Resuscitation techniques and prepoured plates with VRBA increased recovery levels of presumptive E. coli, but, under the conditions of this study, not to levels that represented a significant practical difference.     

Estimation of Escherichia coli in raw ground beef

This study was undertaken to establish and evaluate more rapid methods of estimating Escherichia coli in ground beef than the standard most probable number (MPN) technique. Direct inoculation of and modifications to EC medium gave unreliable estimates of the presumptive E. coli count. Solid media incubated at an elevated temperature were compared to the MPN technique. Anderson and Baird-Parker's tryptone bile agar (TBA) method and prepoured plates of Endo, Levine eosin methylene blue (EMB), and violet red bile (VRBA) agars incubated at 44 degree C gave equivalent counts to the standard MPN method. Anderson and Baird-Parker TBA was the most selective solid medium for E. coli estimation, but all selective media incubated at elevated temperature reduced apparent E. coli counts by as much as 50%. Indole-producing and lactose-fermenting Enterobacteriaceae, capable of growth at elevated temperature, were tested for their growth on TBA, EMB, and VRBA at elevated temperature. TBA was selective for E. coli biotype I compared to other Enterobacteriaceae that predominate in meats. VRBA and EMB incubated at elevated temperature were not as selective as TBA, but differences in colonies could be observed between typical E. coli colonies and other Enterobacteriaceae on these media. Therefore, VRBA incubated at elevated temperature is proposed as a quality assurance screening test for presumptive E. coli in ground meat. Resuscitation techniques and prepoured plates with VRBA increased recovery levels of presumptive E. coli, but, under the conditions of this study, not to levels that represented a significant practical difference.     

用浊度法测定发酵液中谷氨酸含量

大肠肝菌谷氨酸缺陷型只有在加有谷氨酸的培养基中才能生长,且其生长的细胞密度与谷氨酸加入量在一定浓度范围内是正相关,故可以用它作为指示菌来测定发酵液中谷氨酸的含量。     

Evaluation of the Anderson Baird-Parker direct plating method for enumerating Escherichia coli in water

The direct plating (DP) method for enumerating Escherichia coli in food was adapted for water analysis by membrane filtration and a standardized protocol was described. The DP method was found to give equal or better recoveries of E. coli than a membrane filtration method using 0·1% sodium lauryl sulphate agar; the repeatability of the DP method was markedly better. The necessity to transfer membranes from the non-selective medium tryptone soy agar (TSA) to the selective medium tryptone bile agar (TBA) after pre-incubation for 4 h was considered disadvantageous for practical purposes. A double-layer method, where the membrane filter is placed on a layer of TSA poured over TBA, with incubation in an incubator that automatically switches from 37° to 44°C after 4 h, was found to be an acceptable alternative. Recovery of E. coli and inhibition of competitive flora were equal or only slightly less than for the standard DP method.     

Evaluation of the Anderson Baird-Parker direct plating method for enumerating Escherichia coli in water

The direct plating (DP) method for enumerating Escherichia coli in food was adapted for water analysis by membrane filtration and a standardized protocol was described. The DP method was found to give equal or better recoveries of E. coli than a membrane filtration method using 0.1% sodium lauryl sulphate agar; the repeatability of the DP method was markedly better. The necessity to transfer membranes from the non-selective medium tryptone soy agar (TSA) to the selective medium tryptone bile agar (TBA) after pre-incubation for 4 h was considered disadvantageous for practical purposes. A double-layer method, where the membrane filter is placed on a layer of TSA poured over TBA, with incubation in an incubator that automatically switches from 37 degrees to 44 degrees C after 4 h, was found to be an acceptable alternative. Recovery of E. coli and inhibition of competitive flora were equal or only slightly less than for the standard DP method.     

Lower azure B methylene blue ratios in Giemsa type blood and malaria stains

Starting from ancient reports that rare samples of methylene blue were apparently sufficiently contaminated with azures to give red plasmodial and red purple nuclear chromatin in Chenzinsky type methylene blue eosin stains, it was decided to determine how little azure B would suffice for such staining in methylene blue eosin stains. The traditional 1902 Giemsa had an azure : methylene blue : eosin ratio of about 6 : 3 : 6.3 : 10; Lillie's 1943 formula had a 5 : 7 : 10 ratio. In the current series of tests 5 : 7 : 10 (I), 4 : 8 : 10 (II), 3 : 9 : 10 (III), 2 : 10 : 10 (IV), 1 : 11 : 10 (V), and 0 : 12 : 10 (VI) were used. Malaria and blood stains were better than the standard 5 : 7 : 10 (I) in III, IV and II in that order. Normal and leukemic human blood, mouse blood with Plasmodium berghei, and monkey blood with the CDC strain of Pl. falciparum were used as test materials. The staining mixtures were made from highly purified samples of azure B and methylene blue. Staining mixtures contained 12 ml 0.1% thiazin dye, 10 ml 0.1% eosin, 2 ml each of glycerol, methanol and 0.1 M phosphate buffer pH 6.5, 3 ml acetone as accelerator, and distilled water to make 40 ml; staining times of 10--30 min were used.     

Microspectrophotometric Studies of Romanowsky Stained Blood Cells. III. The Action of Methylene Blue and Azure B

The performances of two standardized Romanowsky stains (azure B/eosin and azure B/methylene blue/eosin) have been compared with each other and with a methylene blue/eosin stain. Visible-light absorbance spectra of various hematological substrates have been measured. These have been analyzed in terms of the quantities of bound azure B, methylene blue and eosin dimers and monomers, and in terms of the CIE color coordinates. It has been found that the addition of methylene blue to azure B/eosin produces little change in performance, at least using these two analytical methods. Methylene blue/eosin does not produce the purplish colorations typical of the Romanowsky effect. This is due not to differences between the spectra of methylene blue and azure B, but to the fact that methylene blue does not facilitate the binding of eosin to cellular substrates to the same extent as azure B.