MRSA中mecA及femB基因的检测与耐药相关性

研究femB、mecA基因在耐甲氧西林金黄色葡萄球菌(MRSA)中的表达与耐药的关系.运用PCR对MRSA的femB、mecA基因进行检测,MRSA耐药检测采用头孢西丁纸片法.40 株金黄色葡萄球菌(下简称金葡菌)通过头孢西丁纸片法,检出 30 株耐头孢西丁的菌株,通过PCR检测这 40 株金葡菌mecA基因,30 株MRSA全部为阳性, femB基因在 30 株MRSA中全部表达,而甲氧西林敏感的金黄色葡萄球菌(MSSA)的未表达.结果可见,PCR能快速准确地鉴定MRSA, mecA基因是MRSA的耐药基因,femB基因是MRSA的耐药相关基因.     

069人工接种棒状杆菌消除定植鼻腔的金黄色葡萄球菌

近年耐甲氧西林金黄色葡萄球菌(MRSA)检出率在全球范围内正逐年升高.危重病人鼻腔内携带MRSA是引起继发感染的重要危险因素,有效地消除鼻腔中携带的MRSA可预防医院内感染.通常要消除MRSA感染,临床选用万古霉素、莫匹罗星等强抗生素,但这类抗生素可引起机体肝、肾功能严重损害而限制其实际使用.因此,人们试图寻找一种非抗生素的生物法,维护鼻腔内微生态环境以消除金黄色葡萄球菌.     

社区获得性和医院获得性耐甲氧西林金黄色葡萄球菌PVL基因检测

目的 调查本地区患者各种标本中分离耐甲氧西林金黄色葡萄球菌(MRSA)的杀白细胞素(PVL)基因携带情况,为临床MRSA的治疗及流行病学调查提供合理的依据.方法 对所分离的MRSA菌株进行药敏试验分析,同时采用PCR法检测mecA基因和PVL基因,比较社区获得性MRSA (CA-MRSA)和医院获得性MRSA (HA-MRSA)之间耐药性的比较及PVL基因携带率的比较.结果 对不同来源的9l株MRSA分离株耐药性分析,CA-MRSA对环丙沙星、利福平、庆大霉素和左旋氧氟沙星的敏感性明显高于HA-MRSA.经PCR检测发现,所有菌株均携带有mecA基因,21株携带有PVL基因,其中65株HA-MRSA有仅8株携带有PVL基因,而26株CA-MRSA中有13株携带有PVL基因,携带率差异有统计学意义.结论 本地区CA-MRSA是携带PVL基因的主要菌株,HA-MRSA对抗菌药物的耐药性明显高于CA-MRSA,尚未发现对万古霉素和替考拉宁的耐药菌株.     

黄柏等中草药对MRSA的抑菌作用及其对质粒的消除作用

研究黄柏等10种中草药对耐甲氧西林金黄色葡萄球菌(MRSA)的抑菌作用及黄柏和甘草对MRSA的质粒消除作用。采用牛津杯法测定中草药对耐药性金黄色葡萄球菌的抑菌作用;逐个检出法测定黄柏和甘草对临床分离的MRSA多重耐药菌株的质粒消除作用。结果显示,在10种中草药中,黄柏和甘草对MRSA的抑制作用最好,其对MRSA的最低抑菌浓度(MIC)均是1 mg/mL,且抑菌效果在一定浓度范围内随药液浓度的增大而增强。黄柏和甘草对MRSA的质粒有消除作用,药物作用48 h后,黄柏和甘草对MRSA的质粒消除率分别为17%和12.2%。结果表明,黄柏和甘草对MRSA有显著抑制作用,且对MRSA的质粒有消除作用。     

新生儿重症监护病房内耐甲氧西林金黄色葡萄球菌感染

耐甲氧西林金黄色葡萄球菌(Methicillin-resistant Staphylococcus aureus,MRSA)是影响新生儿重症监护病房(neonatal intensive care unit,NICU)内早产儿和新生儿感染的一个常见原因。新生儿特别容易定植及感染MRSA,这可能与其生理特性和某些潜在的危险因素相关。此外,MRSA菌株的特性及其传播模式的改变也对NICU易感MRSA产生了一定的影响。尽管积极的预防措施和先进的诊疗手段已用于临床的治疗,但是MRSA仍是导致NICU发病率和死亡率较高的显著因素。     

深圳住院患儿MRSA的分子分型和耐药性

目的了解深圳住院患儿耐甲氧西林金黄色葡萄球菌(methicillin-resistant Staphylococcus aureus,MRSA)分子型别及其抗生素的耐药情况,为深圳地区和我国其他地区儿童MRSA感染的监控提供实验依据,为研究该地区儿童MRSA菌株的耐药机制提供依据。方法收集2014年1月至2015年10月深圳市儿童医院临床分离的社区获得性MRSA(community-acquired,CA-MRSA)、院内获得性MRSA(hospital-acquired,HA-MRSA)共129株,应用SCCmec、spa、MLST等方法进行分子分型及追溯同源性。结果 129株MRSA SCCmec分型中只有SCCmecⅤ型、SCCmecⅣ和未分出型别(non-typeableNT型),spa分型中t437是最主要型别,MLST分型ST59为最主要型别。两类MRSA对非β-内酰胺酶抗生素如红霉素、克林霉素耐药高达70%以上。结论深圳住院患儿MRSA中的ST59-SCCmecⅣ-t437为主要流行克隆。CA-MRSA与HA-MRSA在分子分型上无差异性。MRSA对部分非β-内酰胺酶抗生素高度耐药,暂无耐万古霉素MRSA菌株。     

1517株金黄色葡萄球菌的临床分布及药敏结果分析

目的了解金黄色葡萄球菌(Staphylococcus aureus,S.aureus)的分布及耐药率,为临床合理用药提供参考。方法对2008年1月至2013年12月从各类临床标本中分离的S.aureus进行统计分析。判断标准均按CLSI 2013年规定标准判定结果,以WHONET 5.6统计软件进行数据分析。结果共检出1 517株S.aureus,其中耐甲氧西林金黄色葡萄球菌(MRSA)669株,占44.1%;构成比居前的标本来源是皮肤分泌物(693株)、痰液(487株)及血液(70株),MRSA在其中检出率分别为30.9%、71.0%和37.0%,痰液来源中的MRSA分离率比其余两者高,差别有统计学意义(P<0.05);科室分布居前的有皮肤科(440株)、重症监护室(156株)、肿瘤科(118株)、耳鼻喉科(114株)及神经科(101株),MRSA检出率分别是27.7%、75.9%、40.4%、27.2%和69.1%,重症监护室及神经科检出的MRSA比例比其他三个科高,差异有统计学意义(P<0.05)。S.aureus对青霉素耐药严重,高达94.6%,对大环内酯类、四环素耐药率较高,均为50%以上,对喹诺酮类、庆大霉素为35%以下,对利福平及复方新诺明较敏感,未达到20%,未发现对万古霉素、利奈唑胺和替考拉宁耐药的S.aureus。结论 S.aureus感染的标本来源与分离科室不同,MRSA检出率有差别,耐药率有较大差异,临床医师应根据药敏结果选择使用抗菌药物。     

杭州地区2012～2018年耐甲氧西林金黄色葡萄球菌的分子流行病学特征及其变化趋势

耐甲氧西林金黄色葡萄球菌(methicillin-resistant Staphylococcus aureus,MRSA)是威胁全球的公共卫生问题,给社会和患者造成严重的安全威胁,因此明确MRSA耐药性和时空分布的多态性对于其感染的诊治和防控至关重要。本研究通过收集本院162株MRSA菌株,将所有菌株根据标准区分为社区获得性(community-associated) MRSA (CA-MRSA)和医院获得性(hospital-associated) MRSA (HA-MRSA),利用聚合酶链式反应(polymerase chain reaction,PCR)测定MRSA菌株的多位点序列分型(multilocus sequence typing,MLST),葡萄球菌盒式染色体序列(staphylococcal chromosome cassette mec,SCCmec)、葡萄球菌A蛋白(staphylococcal protein A,spa)基因多态性,以及杀白细胞毒素(Panton-Valentine leucocidin,PVL),分析了杭州地区不同年份(2012～2018年...     

急诊重症监护病房耐甲氧西林金黄色葡萄球菌定植与感染调查分析

目的 调查急诊重症监护病房( EICU)耐甲氧西林金黄色葡萄球菌(MRSA)定植与感染状况,为实时控制医院感染暴发流行提供参考依据.方法 对临床资料进行分析,环境卫生学监测采样方法参照卫生部《消毒技术规范》,制定干预措施.结果 6例MRSA定植和感染病例平均年龄62.5岁,原发性基础疾病重;41份环境标本和16份来自接触阳性患者的医务人员手部标本中均分离到病原菌,阳性率分别为24.39％和18.75％.结论MRSA定植是造成医院感染的源头,将仅出现定植的病例并入感染病例进行统计分析,可实时监控院内医院感染的暴发.     

24株深海链霉菌耐(嗜)盐性及抗MRSA活性的初步研究

对24深海链霉菌的耐(嗜)盐性及抗MRSA活性筛选,结果显示,耐NaCl盐浓度在10%以上的有23株,中等嗜盐菌2株,16株具有抗MRSA活性,占66.7%.表明深海链霉普遍能耐受10%以上的NaCl浓度,而且大多在高盐浓度下代谢抗MRSA活性物质.     

冬凌草甲素对金黄色葡萄球菌生物膜的抑制机制

【背景】金黄色葡萄球菌是一种常见的食源性致病菌,易在食品及加工器具表面形成生物膜,引起食品腐败和疾病的传播,威胁食品安全。【目的】研究冬凌草甲素抑制金黄色葡萄球菌生物膜形成的作用机制。【方法】使用结晶紫染色法和扫描电镜观察冬凌草甲素对金黄色葡萄球菌生物膜形成的抑制作用,刚果红平板法定性检测冬凌草甲素对细胞间多糖黏附素(polysaccharideintercellular adhesion,PIA)合成的影响,分光光度法测定冬凌草甲素对供试菌株胞外DNA (eDNA)释放量的影响,RT-PCR技术检测冬凌草甲素对供试菌株ica A、cid A、agr A和sar A基因表达量的影响。【结果】冬凌草甲素对金黄色葡萄球菌生物膜形成有较强的抑制作用;冬凌草甲素能显著抑制PIA的合成,且呈浓度剂量依赖;冬凌草甲素能抑制供试菌株e DNA的释放量,其中1/4最小抑菌浓度(minimum inhibitory concentration,MIC)的冬凌草甲素作用金黄色葡萄球菌16 h后,与对照组相比,e DNA的释放量降低了48.62%;冬凌草甲素可显著抑制金黄色葡萄球菌生物膜形成相关基因的表达,其中1/2MIC的冬凌草甲素作用金黄色葡萄球菌16 h后,ica A、cid A、agr A和sar A基因的表达量分别比对照降低了91.6%、94.7%、77.6%和70.4%。【结论】冬凌草甲素通过抑制ica A和cid A基因的表达,影响PIA的合成和eDNA的释放,进而干预生物膜的形成。     

Study of the formation of a biofilm by clinical strains of Staphylococcus aureus

A study on biofilm formation was carried out using five methicillin-sensitive [MSSA] and five methicillin-resistant [MRSA] strains of S. aureus. In each group, there were four strains isolated from patients from Kinshasa (Democratic Republic of Congo, DRC) and one reference strain. All of the strains were hydrophobic. The adherence of the bacteria to an abiotic surface was studied with the Biofilm Ring Test (BFRT?) and the crystal violet staining method (CVSM). Both techniques showed that eight of the strains formed biofilms within 2-3 h. The extent of the biofilm formed by one strain could only be observed with the CVSM. Periodate prevented the formation of biofilms and, in separate experiments, destroyed the biofilm pre-formed by the MSSA reference, but not those pre-formed by the clinical strains. Proteinase K destroyed all pre-formed biofilms. Six of the strains were icaA+; the clinical MSSA strains were not. The results also indicated different mechanisms of biofilm development between MSSA and MRSA clinical strains. The BFRT? and the CVSM are complementary techniques to study the adhesion of bacteria and the development of biofilms.     

猪源肠外致病性大肠埃希氏菌的生物膜形成能力及耐药性

[背景]猪源肠外致病性大肠埃希氏菌(extraintestinal pathogenic Escherichia coli,ExPEc)是一种严重危害养猪业的病原菌,有关其生物膜形成能力与耐药性的研究报道很少。[目的]探讨从病猪肺脏中分离鉴定的3株ExPEc的生物膜形成能力及耐药性,为从抗生物膜形成角度防治猪肠外大肠埃希氏菌病提供参考。[方法]采用96孔板结晶紫染色法结合正交实验优化猪源ExPEc分离株的生物膜形成最佳条件与成膜能力;通过扫描电镜观察各菌株生物膜的形态结构;利用PCR方法检测其携带的生物膜形成相关基因;采用微量肉汤稀释法测定抗生素对生物膜态与浮游态下猪源ExPEc分离株的最小抑菌浓度(minimum inhibitory concentration,MIC)。[结果]3株猪源ExPEc的最佳成膜条件并不一致,但在各自最佳条件下均能形成很强的生物被膜且同时携带10个生物膜形成相关基因(pgaA,pgaB,pgaC,pgaD,luxS,fimA,hipA,iha,flhC,flhD)。扫描电镜观察显示,菌株SE-1聚集后可形成片状生物膜,菌株SE-2和SE-3聚集后可形成多...     

Biofilm formation and the presence of the intercellular adhesion locus ica among staphylococci from food and food processing environments

In clinical staphylococci, the presence of the ica genes and biofilm formation are considered important for virulence. Biofilm formation may also be of importance for survival and virulence in food-related staphylococci. In the present work, staphylococci from the food industry were found to differ greatly in their abilities to form biofilms on polystyrene. A total of 7 and 21 of 144 food-related strains were found to be strong and weak biofilm formers, respectively. Glucose and sodium chloride stimulated biofilm formation. The biofilm-forming strains belonged to nine different coagulase-negative species of Staphylococcus. The icaA gene of the intercellular adhesion locus was detected by Southern blotting and hybridization in 38 of 67 food-related strains tested. The presence of icaA was positively correlated with strong biofilm formation. The icaA gene was partly sequenced for 22 food-related strains from nine different species of Staphylococcus, and their icaA genes were found to have DNA similarities to previously sequenced icaA genes of 69 to 100%. Northern blot analysis indicated that the expression of the ica genes was higher in strong biofilm formers than that seen with strains not forming biofilms. Biofilm formation on polystyrene was positively correlated with biofilm formation on stainless steel and with resistance to quaternary ammonium compounds, a group of disinfectants.     

黄颡鱼暴发性出血病病原菌的分离鉴定及其生物膜形成特性

【背景】安徽省当涂县某池塘养殖黄颡鱼发生暴发性出血病,而当前对该病的病原存在争议。【目的】确定引起黄颡鱼暴发性出血病的病原菌,并明确分离菌株的生物膜形成特性,为从抗生物膜形成角度防治病原菌感染提供参考。【方法】取濒死期黄颡鱼病变脏器分别接种EPC细胞与培养基(TSB琼脂平板和血琼脂平板)分离病原,并通过人工感染回归试验确定其致病性;采用表型鉴定与16S rRNA基因序列分析相结合的方法鉴定分离菌株,并对其生物膜形成最佳条件、成膜能力及携带的生物膜形成相关基因进行研究。【结果】从病变脏器中分离纯化到一株优势菌株(HSY-2),对黄颡鱼的半数致死量为1.05×106 CFU/mL。经形态学、生化特性和细菌16S rRNA基因测序等分析确定分离株HSY-2为简达气单胞菌。其形成生物膜的最佳条件是将细菌接种TSB培养基于30 °C培养静置96 h,可形成中等强度的生物膜。同时,分离菌株携带气单胞菌甘油-3-磷酸脱氢酶D编码基因glpD、S-核糖同型半胱氨酸裂解酶基因luxS和LuxI家族蛋白同系物编码基因ahyI三种生物膜形成相关基因,但未检测到甘露糖敏感型血凝素菌毛合成蛋白Q编码基因。【结论】本实验为进一步研究简达气单胞菌生物膜形成的调控机制打下基础,并且从抗生物膜形成角度防治简达气单胞菌感染提供了参考。     

缺失Df(3R)Espl3/TM6C基因片段影响黑腹果蝇的睡眠时间

【目的】果蝇的睡眠活动具有生物节律性, 可受到基因的调控。为了寻找影响果蝇睡眠时间的基因, 本研究对与果蝇睡眠时间相关的基因型进行了筛选。【方法】选择黑腹果蝇Drosophila melanogaster基因缺失系5601, 8904, 7061, 7146, 27327, 669, 8103, 691, 9697, 24416, 26525, 5411, 3096, 5877和7682的7日龄成虫和野生CS品系7日龄成虫为研究对象, 利用果蝇活动监测器系统（Drosophila Activity Monitoring System, DAMS）, 记录果蝇的睡眠时间, 累计计算24 h内果蝇睡眠时间, 将测得的各品系果蝇睡眠时间进行对比分析。【结果】与野生型CS品系7日龄成虫相比, 缺失Df(3R)Espl3/TM6C基因片段的 5601品系7日龄成虫睡眠时间明显缩短（P<0.001）。【结论】缺失Df(3R)Espl3/TM6C基因片段与果蝇睡眠有关。本研究结果为揭示影响果蝇睡眠时间的基因提供数据支持, 进而为研究人类睡眠提供线索。     

Evaluation of biofilm production and prevalence of the icaD gene in methicillin-resistant and methicillin-susceptible Staphylococcus aureus strains isolated from patients with nosocomial infections and carriers

Staphylococcus aureus is one of the most important etiological agents responsible for healthcare-associated infections and is capable of producing many virulence factors including biofilm. The aim of the present study was to analyze the correlation between the presence of the icaD and icaA genes and the ability to produce biofilm in vitro in 302 methicillin-resistant (MRSA) and 268 methicillin-sensitive S. aureus (MSSA) strains isolated in the Provincial Hospital in Gdansk. Presence of the icaD and icaA genes was detected by PCR and the ability to produce biofilm in vitro was measured both spectrophotometrically and via Congo Red Agar plate culture methods. We found that 91% of MRSA strains harbored the icaD gene. Moreover, all icaD-negative strains were icaA-positive. Of MRSA and MSSA strains, 47% and 69%, respectively, produced biofilm in vitro. The level of consistency between the two applied phenotypic methods was 96%. Additionally, we found that strains with the same biofilm status may be present in asymptomatic carriers and cause infections.     

黄芩素抑制金黄色葡萄球菌生物被膜的形成

细菌生物被膜的形成是导致细菌耐药和引起持续性感染的主要原因之一。本文通过检测黄芩素对金黄色葡萄球菌26112菌株（Staphylococcus aureus 26112,SA26112）多糖细胞间黏附素（polysaccharide intercellular adhesion, PIA）的合成和胞外DNA（extracellular DNA,eDNA）释放量的影响,及其对icaA和cidA基因表达量的影响,探讨黄芩素对金黄色葡萄菌生物被膜形成的抑制作用及其机制。结果显示,黄芩素能抑制SA26112生物被膜的形成,其抑杀SA26112的最低抑菌浓度和最低杀菌浓度均为0.04 mg/mL。0.16 mg/mL黄芩素和256 μg/mL环丙沙星单独作用时,均不能杀死其成熟生物被膜内的SA26112细菌,而当二者联用时则可杀死成熟生物被膜内的细菌。黄芩素能显著抑制SA26112菌株PIA的合成、eDNA的释放量及icaA和cidA基因的相对表达量。其中,0.04 mg/mL黄芩素作用SA26112菌株24 h,与对照组相比,eDNA的释放量减少97%,icaA和cidA基因的相对表达量分别减少62%和41%。上述结果表明,黄芩素能抑制SA26112菌株生物被膜的形成,其作用机制可通过降低icaA和cidA的基因表达量,进而影响PIA的合成和eDNA的释放,来抑制金黄色葡萄球菌生物被膜的形成。     

Efficacy of Indolicidin,Cecropin A (1-7)-Melittin (CAMA) and Their Combination Against Biofilm-Forming Multidrug-Resistant Enteroaggregative Escherichia coli

The present study examined the anti-biofilm efficacy of two short-chain antimicrobial peptides (AMPs), namely, indolicidin and cecropin A (1-7)-melittin (CAMA) against biofilm-forming multidrug-resistant enteroaggregative Escherichia coli (MDR-EAEC) isolates. The typical EAEC isolates re-validated by PCR and confirmed using HEp-2 cell adherence assay was subjected to antibiotic susceptibility testing to confirm its MDR status. The biofilm-forming ability of MDR-EAEC isolates was assessed by Congo red binding, microtitre plate assays and hydrophobicity index; broth microdilution technique was employed to determine minimum inhibitory concentrations (MICs) and minimum biofilm eradication concentrations (MBECs). The obtained MIC and MBEC values for both AMPs were evaluated alone and in combination against MDR-EAEC biofilms using crystal violet (CV) staining and confocal microscopy-based live/dead cell quantification methods. All the three MDR-EAEC strains revealed weak to strong biofilm-forming ability and were found to be electron-donating and weakly electron-accepting (hydrophobicity index). Also, highly significant (P < 0.001) time-dependent hydrodynamic growth of the three MDR-EAEC strains was observed at 48 h of incubation in Dulbecco’s modified Eagle’s medium (DMEM) containing 0.45% D-glucose. AMPs and their combination were able to inhibit the initial biofilm formation at 24 h and 48 h as evidenced by CV staining and confocal quantification. Further, the application of AMPs (individually and combination) against the preformed MDR-EAEC biofilms resulted in highly significant eradication (P < 0.001) at 24 h post treatment. However, significant differences were not observed between AMP treatments (individually or in combination). The AMPs seem to be an effective candidates for further investigations such as safety, stability and appropriate biofilm-forming MDR-EAEC animal models.

     

一株工业腐败物中魏氏柠檬酸杆菌的分离鉴定及产生物膜特性分析

【目的】分离和鉴定工业腐败物中高产细菌生物膜菌株,并明确该菌的部分产膜特性。【方法】通过微孔板结晶紫染色法对分离的菌株进行产膜能力评价,根据菌落形态、生理生化特性和16S rRNA序列的系统进化树分析进行菌株鉴定;同时利用扫描电子显微镜(SEM)和结晶紫染色法分别研究材料及温度对该菌产膜特性和能力的影响。【结果】筛选出一株高产细菌生物膜菌株,经鉴定该菌为魏氏柠檬酸杆菌;其在玻璃、不锈钢和聚氯乙烯(PVC)材料表面均能形成生物膜;温度条件显著影响产膜能力,在30°C时,菌株在PVC材料表面形成生物膜能力最强。【结论】工业腐败物中含有高产细菌生物膜菌株,并且产膜受附着物和温度影响。