嗜水气单胞菌感染现状及耐药分析

目的调查湖州市中心医院嗜水气单胞菌感染现状和耐药情况。方法采用常规方法分离,用VITEK-32全自动微生物分析仪进行菌种鉴定为嗜水气单胞菌或豚鼠气单胞菌,依据葡萄糖产气反应鉴定为嗜水气单胞菌。并根据配套药敏卡进行药敏试验。结果共分离到34株嗜水气单胞菌,主要来自痰液、胆汁、腹腔引流液或腹水。嗜水气单胞菌对哌拉西林、替卡西林、阿莫西彬克拉维酸、妥布霉素、头孢呋辛、头孢噻肟、头孢他啶、环丙沙星、复方新诺明耐药率为52．9％～73．5％。结论目前嗜水气单胞菌也呈现多重耐药现象,临床上应予以重视。     

Population dynamics of Aeromonas spp. in an urban river watershed

Density of Aeromonas spp. at one site in the Buffalo River and at four sites on its upstream tributaries was followed from June 1992–June 1993. Membrane filtration counts of Aeromonas during the summer ranged between 18 and 4000 ml⁻¹, which were one to two logs higher than faecal coliform and faecal streptococci densities. Aeromonas spp. in the Buffalo River, and faecal coliforms, faecal streptococci, and the heterotrophic plate count throughout the watershed, increased by approximately one log during summer rainstorms. However, Aeromonas spp. increased only by a factor of two during rainstorms at the upstream sites. Aeromonas spp. showed a strong positive correlation with both indicator bacteria and total suspended solids at the upstream sites during the summer but not the winter. Correlations between Aeromonas and indicator bacteria remained strong in the Buffalo River during the winter, signifying that different conditions exist in the Buffalo River and its upstream tributaries. The strong correlation between Aeromonas spp. and indicator bacteria in the Buffalo River suggest that, in the absence of media capable of the quantitative recovery of potentially pathogenic aeromonads, standard faecal coliform analyses may adequately assess public health risks from Aeromonas spp. in an urban river used for recreational purposes.     

Heterogeneity in shortgrass prairie vegetation: the role of playa lakes

Abstract. We examined the role of playa lakes in promoting regional heterogeneity on the southern High Plains. The goals of this paper were to: (1) describe vegetation types and zonation patterns within playas, (2) evaluate patterns of species distribution and abundance within and among playas, and (3) assess patterns of heterogeneity within and among playas on a portion of the southern High Plains. Perennial grasses were the most abundant species in playa vegetation. Playa vegetation exhibited distinct and repeatable vegetation zones at the majority of sites, but the number of distinct zones varied from site to site. Agropyron smithii, Buchloë dactyloides, and Panicum obtusum were the most important species of playa interior zones, and Bouteloua gracilis, Buchloë dactyloides, and Schedonnardus paniculatus were important upland species outside of playas. Species distribution and abundance were positively correlated at 38 of 40 sites. The distributions of species occurrences among sites were unimodal both locally and regionally. The degree of heterogeneity varied from playa to playa. Local heterogeneity within playas was found to increase regional heterogeneity; therefore, playas increase both local and regional heterogeneity of vegetation. Long-term monitoring will be necessary to understand the spatial and temporal response of vegetation within and among playas to stochastic climatic factors on the southern High Plains of North America.     

Serogroups, K1 antigen, and antimicrobial resistance patterns of Aeromonas spp. strains isolated from different sources in Mexico

A total of 221 strains of Aeromonas species isolated in Mexico from clinical (161), environmental (40), and food (20) samples were identified using the automated system bioMérieux-Vitek. Antisera for serogroups O1 to 044 were tested using the Shimada and Sakazaki scheme. The K1 antigen was examined using as antiserum the O7:K1C of Escherichia coli. Besides, we studied the antimicrobial patterns according to Vitek AutoMicrobic system. Among the 161 clinical strains 60% were identified as A. hydrophila, 20.4% as A. caviae, and 19.25% as A. veronii biovar sobria. Only A. hydrophila and A. veronii biovar sobria were found in food (55 and 90% respectively) and environmental sources (45 and 10% respectively). Using "O" antisera, only 42.5% (94/221) of the strains were serologically identified, 55% (121/221) were non-typable, and 2.5% (6/221) were rough strains. Twenty-two different serogroups were found, O14, O16, O19, O22, and O34 represented 60% of the serotyped strains. More than 50% of Aeromonas strain examined (112/221) expressed K1 encapsulating antigen; this characteristic was predominant among Aeromonas strains of clinical origin. Resistance to ampicillin/sulbactam and cephazolin was detected in 100 and 67% of Aeromonas strain tested for their susceptibility to antibiotics. In conclusion, antibiotic-resistant Aeromonas species that possess the K1 encapsulating antigen and represent serogroups associated with clinical syndrome in man are not uncommon among Aeromonas strains isolated from clinical, food and environmental sources in Mexico.     

Virulence and antimicrobial resistance potential of Aeromonas spp. associated with shellfish

Aeromonas spp. are associated with seafood-related outbreaks worldwide. In seafood industry, shellfish play a major role in global seafood production. With this emerging trend of shellfish consumption, shellfish-related bacterial infections are being reported frequently. Aeromonas spp. are natural contaminants found in shellfish. Although 36 species have been identified, some species including Aeromonas hydrophila, Aeromonas caviae and Aeromonas veronii biotype sobria have dragged major attention as foodborne pathogenic bacteria. The ability to elaborate a variety of virulence factors of Aeromonas spp. contributes to the pathogenic activities. Also, emerging antimicrobial resistance in Aeromonas spp. has become a huge challenge in seafood industry. Furthermore, multidrug resistance increases the risk of consumer health. Studies have supplied pieces of evidence about the emerging health risk of Aeromonas spp. isolated from seafood. Therefore, the present review was intended to highlight the prevalence, virulence and antimicrobial resistance of Aeromonas spp. isolated from various types of shellfish.     

A global metagenomic map of urban microbiomes and antimicrobial resistance

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Impact of an urban effluent on antibiotic resistance of riverine Enterobacteriaceae and Aeromonas spp

In order to evaluate the impact of an urban effluent on antibiotic resistance of freshwater bacterial populations, water samples were collected from the Arga river (Spain), upstream and downstream from the wastewater discharge of the city of Pamplona. Strains of Enterobacteriaceae (representative of the human and animal commensal flora) (110 isolates) and Aeromonas (typically waterborne bacteria) (118 isolates) were selected for antibiotic susceptibility testing. Most of the Aeromonas strains (72%) and many of the Enterobacteriaceae (20%) were resistant to nalidixic acid. Singly nalidixic acid-resistant strains were frequent regardless of the sampling site for Aeromonas, whereas they were more common upstream from the discharge for enterobacteria. The most common resistances to antibiotics other than quinolones were to tetracycline (24.3%) and beta-lactams (20.5%) for Enterobacteriaceae and to tetracycline (27.5%) and co-trimoxazole (26.6%) for Aeromonas. The rates of these antibiotic resistances increased downstream from the discharge at similar degrees for the two bacterial groups; it remained at high levels for enterobacteria but decreased along the 30-km study zone for Aeromonas. Genetic analysis of representative strains demonstrated that these resistances were mostly (enterobacteria) or exclusively (Aeromonas) chromosomally mediated. Moreover, a reference strain of Aeromonas caviae (CIP 7616) could not be transformed with conjugative R plasmids of enterobacteria. Thus, the urban effluent resulted in an increase of the rates of resistance to antibiotics other than quinolones in the riverine bacterial populations, despite limited genetic exchanges between enterobacteria and Aeromonas. Quinolone resistance probably was selected by heavy antibiotic discharges of unknown origin upstream from the urban effluent.     

深圳市儿童社区获得性肺炎细菌病原学及其耐药性

目的研究儿童社区获得性肺炎细菌病原学及其耐药性特征,指导临床合理应用抗菌药物。方法对2006年2月至2007年3月1年期间住院的5岁及5岁以下社区获得性肺炎病人,进行深部呼吸道吸引物细菌培养,并且检测分离菌株对常用抗菌药物的耐药性。结果1441例病人中,722例检出细菌共761株,分离阳性率为50．1％,分离菌依次为肺炎克雷伯菌170株（22．3％）、大肠埃希菌130株（17．1％）、肺炎链球菌89株（11．7％）、金黄色葡萄球菌63株（8．3％）及流感和副流感嗜血杆菌60株（7．9％）。耐甲氧西林金黄色葡萄球菌（MRSA）检出率为15．9％;对青霉素不敏感的肺炎链球菌（包括PISP和PRSP）检出率为84．3％;肺炎克雷伯菌、大肠埃希菌、粘质沙雷菌和阴沟肠杆菌产ESBLs的检出率分别为31．2％、46．2％、94．8％和16．8％;流感嗜血杆菌和副流感嗜血杆菌对氨苄西林的耐药率为36％和40％;铜绿假单胞菌和鲍曼复合不动杆菌对亚胺培南的耐药率分别为10．7％和13．2％。结论在深圳儿童社区获得性肺炎的分离菌中,革兰阴性菌明显多于革兰阳性菌,分离菌依次为肺炎克雷伯菌、大肠埃希菌、肺炎链球菌、金黄色葡萄球菌及流感和副流感嗜血杆菌。分离细菌对常用抗菌药物的耐药性较为严重。     

Mixing patterns in Amazon lakes

The diel mixing patterns of two small floodplain lakes, Lago Jacaretinga in the Amazon drainage, and Lago Cristalino in the Rio Negro system, were investigated during both the high-water and low-water states of the Amazon River hydrograph. Measurements included temperature, oxygen, ammonia, phosphate, and chlorophyll. In both lakes thermal stratification developed during the day and was eroded at night. During the low-water period when the lakes were shallow, nocturnal circulation extended to the lake bottom, whereas when the lakes were deeper (greater than about 5 m), circulation did not reach the bottom and an anoxic hypolimnion developed. During the low-water period, percent of oxygen concentrations were relatively high but always less than saturation. Low oxygen concentrations were observed during the high-water period. At all times nocturnal mixing supplied a significant amount of oxygen to the lake ecosystems. Nighttime upward mixing of recycled nitrogen and phosphorus also appeared to be important nutrient sources for algal productivity.     

Dispersion patterns of phytoplankton in lakes

The spatial distribution of phytoplankton is considered in relation to factors which may cause deviations from a random distribution. Such deviations may arise over a wide range of scales and attention is focused on small-scale contagion and its possible significance. Evidence is presented that contagion may occur at scales smaller than have previously been considered. Samples covering a range of volumes from 0.1 ml to 10 ml were taken from a small lake and total numbers of several phytoplankton species were counted in each sample to avoid problems arising from sub-sampling. The counts were used to calculate different indices of dispersion. All indices indicated contagion to occur at the scale being considered. Within the range examined the patch size appeared variable between species. The possible derivation and relevance of such micro-patchiness is discussed.     

城市河湖生态系统健康评价——以北京市“六海”为例

健康的城市河湖才能发挥生态环境功能,体现景观和人文价值。城市河湖健康评价是城市河湖科学管理和生态恢复的前提和基础。对城市河湖生态系统健康概念和内涵进行了探讨,建立了评价指标体系和评价模型。以北京“六海”为例,对各子湖的健康状况进行比较评价。结果表明,中海和南海处于不健康向临界转化的状态,其余4个湖均处于不健康状态;水环境质量、水生态系统结构和功能以及水滨空间结构是影响“六海”健康水平的制约因素;除南海外,各湖的健康程度都处于很差的级别。中海和南海的整体生态环境好于其余4湖,对健康和临界状态的隶属度之和接近0.6,可恢复程度处于中等水平;其余4湖对健康和临界状态的隶属度之和均小于0.3,恢复困难。对“六海”的生态恢复和科学管理提出建议:①控制点源、面源污染,改善入湖和湖水水质;②改善“六海”的水文条件;③恢复水生态系统结构和水滨空间。     

城市湖泊富营养化成因和特征*

城市湖泊的功能主要体现在旅游、如愿、洪涝调蓄排水、调节气候以及改善城市生态环境等方面。根据湖泊所处地理位置和湖泊水质退化现象,阐述了城市湖泊水体从贫营养到富营养转变的主要原因;从水质的理化指标、底质污染物含量和水生态系统等方面初步时论了城市型浅水湖泊富营养化的特征。同非城市湖泊相比:大部分城市湖泊的水体透明度下降,污染严重的湖泊还会出现水体发黑或出现水华;水质和底质的氮磷及其它污染物含量较高,水生态系统急剧退化,水生植物以浮游植物为主,藻类大量繁殖,高等水生植物不断消亡。根据综合营养度指数对我国主要城市湖泊进行分级评价的结果表明,我国城市湖泊均达到了富营养化或严重富营养化程度。     

Vegetation patterns,microtopography, and soils on a Chihuahuan desert playa

Abstract. Spatial patterns of vegetation on an ephemeral lake bed (playa) in the northern Chihuahuan desert were closely correlated with elevation. Distributions of species along a 265 m transect from the center to the edge of the playa showed abrupt boundaries at 110 m and 220 m. These boundaries seem related to the maximum elevation covered with standing water following complete flooding, and to an edaphic boundary between heavy clay soils at the center of the playa and adjacent soils. The complete turnover in species composition across this transect, with an elevation change of only 85 cm, indicates that environmental gradients resulting from flooding and soil development are steep. Vegetative patterns within the lowest part of the playa were patchy, with patch diameters ranging from 2 to 5 m. These patches appear to be produced by differences in the duration and frequency of flooding between small knolls and depressions resulting from gilgai microtopography.     

Comparison of antimicrobial resistance patterns between clinical and sewage isolates in a regional hospital in Taiwan

Aims:  To compare bacterial populations and antimicrobial resistance patterns between clinical and sewage isolates from a regional hospital in northern Taiwan. The dissemination of antibiotic-resistant bacteria from hospital compartments to the hospital sewage treatment plant was examined.
Methods and Results:  A total of 1020 clinical isolates and 435 sewage isolates were collected between July and September 2005. The percentages of Gram-negative bacteria from the clinical and sewage isolates were 87·2% and 91·0%, respectively ( P  =   0·033). Escherichia coli were the leading bacterial isolates in both groups. Antimicrobial susceptibility testing showed a significant difference ( P  <   0·001) in resistance to ampicillin (85·6% vs 94·1%), ampicillin/sulbactam (31·7% vs 55·4%), cefazolin (29·2% vs 71·5%) and cefuroxime (20·7% vs 61·9%) between clinical and sewage coliform isolates, respectively.
Conclusions:  The sewage isolates had higher antimicrobial resistance rates than the clinical isolates from the same hospital.
Significance and Impact of the Study:  The low efficacy of the hospital sewage treatment may contribute to the dissemination of multidrug resistant bacteria from this hospital compartments to the environment. Practices which limit the disposal of antimicrobial agents into the wastewater system may be the possible measure to prevent the selection of multidrug-resistant bacteria from sewage treatment plants.     

Antimicrobial resistance patterns in Enterobacteriaceae isolated from an urban wastewater treatment plant

Over 18 months, enterobacteria were isolated from the raw (189 isolates) and treated (156 isolates) wastewater of a municipal treatment plant. The isolates were identified as members of the genera Escherichia (76%), Shigella (7%), Klebsiella (12%) and Acinetobacter (4%). Antimicrobial susceptibility phenotypes were determined using the agar diffusion method for the antibiotics amoxicillin, gentamicin, ciprofloxacin, sulfamethoxazole/trimethoprim, tetracycline and cephalothin, the disinfectants hydrogen peroxide, sodium hypochlorite, quaternary ammonium/formaldehyde and iodine, and the heavy metals nickel, cadmium, chromium, mercury and zinc. Class 1 integrons were detected by PCR amplification using the primers CS5 and CS3. Compared with the raw influent, the treated wastewater presented higher relative proportions of Escherichia spp. isolates resistant to ciprofloxacin and cephalothin (P<0.0001 and P<0.05, respectively). Except for mercury, which showed a positive correlation with tetracycline and sulfamethoxazole/trimethoprim, no significant positive correlations were observed between antibiotic, disinfectant and heavy metal resistance. The variable regions of class 1 integrons, detected in c. 10% of the Escherichia spp. isolates, contained predominantly the gene cassettes aadA1/dhfrI.     

Population patterns of

In the first quantitative study of an endemic New Zealand aphid, the only known field populations of the rare Paradoxaphis plagianthiwere monitored for two years from 1999 to 2001. The species appears to be anholocyclic, persisting viviparously throughout the year on its deciduous host tree, the lowland ribbonwood (Plagianthus regius). Local aphid abundance increased rapidly in spring as new leaves appeared, but collapsed abruptly in November, probably due to dispersal and a decline in resource quality. Numbers then remained low until leaf senescence in late autumn, when they increased again to a smaller Peak. Aphids persisted on plump terminal buds for the short time in winter when host trees were completely leafless. Though several colonization events were observed in late spring, these were generally unsuccessful in establishing new populations, and local colony extinction was common. The apparent rarity of P. plagianthi suggests it could be threatened by introduced predators and competitors, or climate change.     

Diving into the unknown: identification of antimicrobial resistance hotspots in a tropical urban estuary

Antimicrobial resistance is widely studied and well-characterized from a clinical perspective. However, considerably less information is available regarding resistance in environmental settings, especially in aquatic habitats. This study presents data regarding the occurrence, distribution and the antimicrobial susceptibility profile of bacteria isolated from Guanabara Bay (GB), a heavily polluted tropical urban estuary and an important tourist attraction in Rio de Janeiro, Brazil. Water samples from sites characterized by growing degrees of pollution were analysed by culture-dependent methods, revealing the presence of multidrug-resistant bacteria and clinically relevant indicators of antimicrobial resistance, such as extended-spectrum beta-lactamases. Isolates were identified by mass spectrometry, which indicated the presence of potential human pathogens such as Aeromonas spp. and Vibrio spp. Bacteria harbouring beta-lactam resistance genes were also detected. Although GB is widely used as a recreational and fishing area, there is a substantial knowledge gap regarding the monitoring of antimicrobial resistance and the risk that exposure to these waters poses to public health. Thus, this study reveals new information that calls for better comprehension of antimicrobial resistance in aquatic environments, especially those used for recreational purposes.     

Viral dynamics and patterns of lysogeny in saline Antarctic lakes

Antarctic lakes are extreme ecosystems with microbially dominated food webs, in which viruses may be important in controlling community dynamics. A year long investigation of two Antarctic saline lakes (Ace and Pendant Lakes) revealed high concentrations of virus like particles (VLP) (0.20–1.26 × 10⁸ ml⁻¹), high VLP: bacteria ratios (maximum 70.6) and a seasonal pattern of lysogeny differing from that seen at lower latitudes. Highest rates of lysogeny (up to 32% in Pendant Lake and 71% in Ace Lake) occurred in winter and spring, with low or no lysogeny in summer. Rates of virus production (range 0.176–0.823 × 10⁶ viruses ml⁻¹ h⁻¹) were comparable to lower latitude freshwater lakes. In Ace Lake VLP did not correlate with bacterial cell concentration or bacterial production but correlated positively with primary production, while in Pendant Lake VLP abundance correlated positively with both bacterial cell numbers and bacterial production but not with primary production. In terms of virus and bacterial dynamics the two saline Antarctic lakes studied appear distinct from other aquatic ecosystems investigated so far, in having very high viral to bacterial ratios (VBR) and a very high occurrence of lysogeny in winter.     

嗜水气单胞菌对喹诺酮类药物耐药的分子机制

摘要:【目的】调查从浙、苏、皖等地水产动物中分离的23 株致病性嗜水气单胞菌的耐药谱并探索喹诺酮类抗生素耐药菌株的耐药分子机制。【方法】根据美国临床实验室标准化协会药敏判断标准(2011 版)测定23株嗜水气单胞菌耐药谱并筛选喹诺酮类抗生素耐药株;对筛选的耐药菌株和体外诱导耐药菌株的gyrA和parC基因耐药决定区进行分析;用二倍稀释法测定加入多重耐药外排泵抑制剂碳酰氰基-对-氯苯腙前后耐药菌株对恩诺沙星最小抑菌浓度的变化,同时检测喹诺酮类药物相关的外排泵基因qepA、oqxA和mdfA;并检测质粒介导的喹诺酮耐药的qnr家族基因qnrA、qnrB、qnrC、qnrD和qnrS。【结果】所有菌株都存在对5种以上药物的耐药性;39.1%(9/23)的嗜水气单胞菌对喹诺酮类药物耐药,其中55.6%(5/9)对恩诺沙星耐药。耐恩诺沙星的5株菌株均携带qnrS,而不携带qnrA、qnrB、qnrC、qnrD基因,也不携带外排泵基因qepA、oqxA和mdfA。其中耐药菌株AH19同时存在gyrA与parC基因双突变、质粒介导的耐药基因qnrS和主动外排泵三种耐药机制,菌株AH4、AH7和AH20存在gyrA与parC基因双突变和质粒介导的耐药基因qnrS两种耐药机制,AH6存在gyrA基因突变和质粒介导的耐药基因qnrS机制,体外诱导耐药菌株ATCC7966-QR相对于原始菌株ATCC7966发生了gyrA与parC基因双突变。【结论】喹诺酮类药物作用靶位的改变和质粒介导的耐药基因qnrS的存在是本研究中涉及的嗜水气单胞菌对喹诺酮类药物耐药的主要作用机制,主动外排泵机制是个别菌株存在的耐药机制。