Serotype distribution, antimicrobial resistance, and molecular characterization of group B Streptococcus isolates from Chinese pregnant woman.

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2024-12-01 Epub Date: 2023-12-20 DOI:10.1080/14767058.2023.2295805
Yifei Chen, Lin Liu, Jing Liu, Tongzhen Ji, Yang Gao, Dongmei Yang, Mohan Zhao, Yanhong Zhai, Zheng Cao
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Abstract

Objective: This study was aimed to investigate the serotypes, antibiotic susceptibilities, and multi-locus sequence type (MLST) profiles of group B Streptococcus (GBS) in the Beijing area.

Methods: Lower vaginal and rectal swabs were obtained from pregnant women of 35-37 gestational weeks (GWs) who attended the Beijing Obstetrics and Gynecology Hospital. All GBS isolates were identified with Gram staining, catalase reaction assays, and CAMP tests, followed by antibiotic susceptibility testing, serotype identification, multilocus sequence typing and erythromycin resistance gene analysis (ermB and mefE).

Results: From July 2020 to June 2022, 311 (5.17%) of 6012 pregnant women that were screened for GBS colonization were detected positive. Of the eight serotypes identified (III, Ia, Ib, IV, II, VIII, V, and NT), serotypes III (43.09%), Ia (34.08%) and Ib (17.04%) were the predominant species. In the antimicrobial susceptibility experiments, the resistant rates measured for erythromycin, clindamycin, levofloxacin, and tetracycline were 76.21%, 63.99%, 50.80%, and 81.03%, respectively, and 7.6% of GBS isolates showed inducible clindamycin in resistance (D-test phenotype). Meanwhile, the multilocus sequence typing analysis showed that sequence type 19 (ST19) (30.34%) and ST10 (18.62%) were the dominant sequence types. Among the 237 erythromycin-resistant isolates, 176 harbored ermB (128, 54.00%) or mefE (48, 20.30%) gene alone.

Conclusion: The infection rates, serotypes or MSLT distribution, and antimicrobial resistance of GBS in Beijing area were investigated, which may be applied in analyses of the epidemiological characteristics of GBS. This contributes to the basic knowledge required for successful GBS vaccine development suited for disease prevention and treatment in China, as well as the implementation of effective clinical antimicrobials.

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从中国孕妇中分离出的 B 群链球菌的血清型分布、抗菌药耐药性和分子特征。
研究目的本研究旨在调查北京地区 B 群链球菌(GBS)的血清型、抗生素敏感性和多焦点序列类型(MLST):方法:从北京妇产医院就诊的 35-37 孕周(GWs)孕妇中采集下阴道拭子和直肠拭子。通过革兰氏染色、过氧化氢酶反应试验和CAMP试验对所有GBS分离株进行鉴定,然后进行抗生素药敏试验、血清型鉴定、多焦点序列分型和红霉素耐药基因分析(ermB和mefE):从 2020 年 7 月至 2022 年 6 月,在接受 GBS 定植筛查的 6012 名孕妇中,有 311 人(5.17%)被检测出阳性。在确定的八种血清型(III、Ia、Ib、IV、II、VIII、V 和 NT)中,血清型 III(43.09%)、Ia(34.08%)和 Ib(17.04%)是主要的血清型。在抗菌药敏感性实验中,红霉素、克林霉素、左氧氟沙星和四环素的耐药率分别为76.21%、63.99%、50.80%和81.03%,7.6%的GBS分离株对克林霉素呈诱导性耐药(D-测试表型)。同时,多焦点序列分型分析表明,序列类型 19(ST19)(30.34%)和 ST10(18.62%)是主要的序列类型。在 237 个耐红霉素的分离株中,176 个单独携带 ermB(128 个,54.00%)或 mefE(48 个,20.30%)基因:结论:研究了北京地区 GBS 的感染率、血清型或 MSLT 分布以及抗菌药物耐药性,可用于分析 GBS 的流行病学特征。这为成功开发适合中国疾病预防和治疗的 GBS 疫苗以及实施有效的临床抗菌药物提供了基础知识。
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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