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External quality control survey on identification of microorganisms using matrix-assisted laser desorption/ionization time-of-flight mass spectrometry. 利用基质辅助激光解吸电离飞行时间质谱法鉴定微生物的外部质量控制调查。
Pub Date : 2024-01-01 DOI: 10.4265/jmc.29.1_49
Kazuyuki Sogawa, Azumi Fujinaga, Hajime Okumura, Makiko Kiyosuke, Syota Murata, Koji Kusaba, Kohei Uechi, Kazuki Horiuchi, Kazunari Yasuda, Masami Murakami, Tomohiro Nakayama

Matrix-assisted laser desorption/ionization time-of-flight mass spectrometry( MALDI-TOF MS) is a bacterial typing tool that was approved as a medical device in 2011. However, external accuracy control examination of bacterial typing using mass spectrometry is still only performed on a small scale. In this study, E. faecium and S. maltophilia were selected and tested according to established procedures using Score Values at 228 institutions. The Score Values for MALDI Biotyper were 2.43±0.08 for E. faecium and 2.38±0.08 for S. maltophilia; and those for VITEK MS/PRIME were 99.9±0.0 for E. faecium and S. maltophilia. These results suggest that it is useful to evaluate external accuracy control with Score Values using the procedures we have developed.

基质辅助激光解吸电离飞行时间质谱(MALDI-TOF MS)是一种细菌分型工具,于2011年被批准为医疗设备。是一种细菌分型工具,2011 年被批准为医疗设备。然而,利用质谱进行细菌分型的外部准确性控制检查仍只在小范围内进行。在本研究中,228 家机构按照既定程序使用评分值对粪肠球菌和嗜麦芽糖酵母菌进行了筛选和检测。MALDI Biotyper 的评分值为 2.43±0.08(粪大肠杆菌)和 2.38±0.08(嗜麦芽糖酵母菌);VITEK MS/PRIME 的评分值为 99.9±0.0(粪大肠杆菌)和 99.9±0.0(嗜麦芽糖酵母菌)。这些结果表明,使用我们开发的程序来评估带有评分值的外部准确度控制是非常有用的。
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引用次数: 0
Heparinoid enhances the efficacy of a bactericidal agent by preventing Cutibacterium acnes biofilm formation via quorum sensing inhibition. 肝磷脂通过抑制法定量感应阻止痤疮杆菌生物膜的形成,从而增强杀菌剂的功效。
Pub Date : 2024-01-01 DOI: 10.4265/jmc.29.1_27
Shoko Hamada, Sayaka Minami, Mitsuhiro Gomi

Cutibacterium acnes is an opportunistic pathogen in acne vulgaris. C. acnes produces autoinducer-2 (AI-2), a signaling molecule used for communication known as quorum sensing (QS). In C. acnes, QS reportedly upregulates biofilm formation leading to resistance against bactericidal agents. In this study, we analyzed how heparinoid affected QS and biofilm formation of the opportunistic pathogen C. acnes. We also verified whether heparinoid would suppress biofilm formation and enhance the efficacy of the bactericidal agent 4-isopropyl-3-methylphenol (IPMP) against C. acnes biofilms. We ran an AI-2 bioassay using Vibrio harveyi ATCC BBA-1121. Heparinoid exhibited inhibitory activity against AI-2 at concentrations of 0.003-0.005%, suggesting an AI-2 analog-derived or C. acnes culture supernatant-derived inhibition of the AI-2 activity. To evaluate how heparinoid suppresses biofilm formation in C. acnes, we completed a biofilm assay in 96-well plates. We also evaluated the bactericidal activity of IPMP against the C. acnes biofilm prepared with or without heparinoid. Heparinoid inhibited C. acnes biofilm formation and IPMP bactericidal efficacy increased upon heparinoid-mediated suppression of biofilm formation. In this study, we clarified that heparinoid inhibits the AI-2-mediated QS of C. acnes, thereby suppressing biofilm formation and increasing IPMP bactericidal efficacy, potentially suppressing acne vulgaris.

痤疮丙酸杆菌是寻常痤疮的机会性病原体。痤疮丙酸杆菌产生自身诱导因子-2(AI-2),这是一种用于交流的信号分子,被称为法定量感应(QS)。据报道,在痤疮丙酸杆菌中,QS 会上调生物膜的形成,从而导致对杀菌剂的耐药性。在这项研究中,我们分析了肝磷脂如何影响QS和机会性病原体痤疮丙酸杆菌的生物膜形成。我们还验证了肝磷脂是否会抑制生物膜的形成,并增强杀菌剂 4-异丙基-3-甲基苯酚(IPMP)对痤疮丙酸杆菌生物膜的功效。我们使用 Harveyi ATCC BBA-1121 弧菌进行了 AI-2 生物测定。肝磷脂在浓度为 0.003-0.005% 时对 AI-2 具有抑制活性,这表明 AI-2 类似物或痤疮丙酸杆菌培养上清液对 AI-2 活性具有抑制作用。为了评估肝磷脂如何抑制痤疮丙酸杆菌生物膜的形成,我们在 96 孔板中进行了生物膜检测。我们还评估了 IPMP 对含有或不含肝磷脂的痤疮丙酸杆菌生物膜的杀菌活性。肝磷脂抑制了痤疮丙酸杆菌生物膜的形成,而在肝磷脂介导的生物膜形成抑制作用下,IPMP 的杀菌效力也有所提高。在这项研究中,我们明确了肝磷脂可抑制痤疮丙酸杆菌 AI-2 介导的 QS,从而抑制生物膜的形成并提高 IPMP 的杀菌效力,从而有可能抑制寻常痤疮。
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引用次数: 0
Fungal infections and control strategies in cultured marine finfish: a minireview. 养殖的海洋鱼类中的真菌感染和控制策略:综述。
Pub Date : 2024-01-01 DOI: 10.4265/jmc.29.4_127
Mohammad Tamrin Mohamad Lal, Leong Seng Lim, Lik-Ming Lau, Elden Sai Long Chang, Asyraf Abdul Momin, Muhd Sharil Izzan Hamid

Marine fish farming served as a sustainable alternative to capture fisheries. However, it faced challenges such as disease management, water quality maintenance, and minimizing environmental impacts. Among these challenges, fungal infections are particularly concerning. Traditionally, chemical treatments raise concerns about potential toxicity to fish and humans, environmental impact, and resistance development. In response to these issues, there is growing interest in sustainable biocontrol strategies, including the use of probiotics, phytobiotics, postbiotics, microalgae, and fungal parasites as antifungal agents. This mini-review provides a brief overview of fungal infections in marine fish and discusses current fungal biocontrol strategies in aquaculture. By adopting these sustainable control methods, the aquaculture industry can improve fish health and productivity while reducing its reliance on harmful chemicals.

海洋鱼类养殖是捕捞渔业的可持续替代品。然而,它面临着诸如疾病管理、水质维护和最小化环境影响等挑战。在这些挑战中,真菌感染尤其令人担忧。传统上,化学处理引起了人们对鱼类和人类潜在毒性、环境影响和耐药性发展的担忧。针对这些问题,人们对可持续的生物防治策略越来越感兴趣,包括使用益生菌、植物制剂、后生物制剂、微藻和真菌寄生虫作为抗真菌剂。本文简要介绍了海洋鱼类真菌感染的概况,并讨论了目前水产养殖中真菌的生物防治策略。通过采用这些可持续的控制方法,水产养殖业可以改善鱼类健康和生产力,同时减少对有害化学品的依赖。
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引用次数: 0
Synergistic/antagonistic antimicrobial effects of cosmetic ingredients in combination with 1,2-hexanediol. 化妆品成分与 1,2-hexanediol 的协同/拮抗抗菌效果。
Pub Date : 2024-01-01 DOI: 10.4265/jmc.29.4_133
Hyojin Gim, Sangah Hong, Hyungyung Park, Sunghyun Im, Jong Il Kim

With the rise of the clean beauty trend in the cosmetics and personal care industry, consumers' interest in cosmetic ingredients, especially preservatives, continues to grow. Paraben, previously the most used preservative in cosmetics, has been excluded from many products owing to its potential risks. Therefore, a movement to lower the content of various preservatives is ongoing. One approach to achieve a suitable level of preservation is to use multifunctional ingredients as preservative boosters. In this study, we aimed to confirm the synergistic antimicrobial interactions between various cosmetic ingredients and 1,2-hexanediol, a preservative introduced as a substitute for paraben, using the checkerboard assay. We also measured the antagonistic effect by measuring the fold changes in the minimum inhibitory concentration of 1,2-hexanediol. Niacinamide, a form of vitamin B3, showed synergistic antifungal activity with 1,2-hexanediol, which lowered the content of 1,2-hexanediol in the oil-solubilized toner formulation. Among the substances, 50000 ppm of methyl methacrylate crosspolymer elevated the minimum inhibitory concentration of 1,2-hexanediol against bacteria and fungi by 2‒8 times. Through this study, we suggest applying the synergistic effects of various cosmetic ingredients in the formulation as a method to effectively reduce the content of preservatives.

随着化妆品和个人护理行业清洁美容趋势的兴起,消费者对化妆品成分,特别是防腐剂的兴趣不断增长。对羟基苯甲酸酯以前是化妆品中使用最多的防腐剂,由于其潜在风险,许多产品已被排除在外。因此,降低各种防腐剂含量的运动正在进行中。达到适当保存水平的一个方法是使用多功能成分作为防腐剂助推器。在这项研究中,我们旨在确认各种化妆品成分与1,2-己二醇之间的协同抗菌相互作用,1,2-己二醇是一种防腐剂,作为对羟基苯甲酸酯的替代品,采用棋盘分析法。我们还通过测定1,2-己二醇最低抑制浓度的倍数变化来测定其拮抗作用。烟酰胺是维生素B3的一种形式,它与1,2-己二醇具有协同抗真菌活性,降低了油溶性调色剂中1,2-己二醇的含量。其中,50000 ppm的甲基丙烯酸甲酯交聚物使1,2-己二醇对细菌和真菌的最低抑制浓度提高了2-8倍。通过本研究,我们建议利用各种化妆品成分在配方中的协同作用,作为有效降低防腐剂含量的一种方法。
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引用次数: 0
MALDI-TOF MS analysis for detection of bovine coronavirus with tryptic peptides from viral proteins. 用MALDI-TOF质谱法检测牛冠状病毒蛋白的胰蛋白酶。
Pub Date : 2024-01-01 DOI: 10.4265/jmc.29.4_143
Katsuhiko Hayashi, Kenji Ohya, Tomoya Yoshinari, Shouhei Hirose, Souta Shimizu, Yuji Morita, Takahiro Ohnishi, Maiko Watanabe, Satoshi Taharaguchi, Hirohisa Mekata, Takahide Taniguchi, Yukiko Hara-Kudo

Bovine coronavirus (BCoV), a significant cattle pathogen causing enteric and respiratory diseases, is primarily detected using reverse transcription-polymerase chain reaction. Our objective was to develop a novel detection method for BCoV by matrix-assisted laser desorption/ionization‒time-of-flight mass spectrometry (MALDI-TOF MS). Peptide mass fingerprint analysis revealed that nucleocapsid (N), membrane (M), and hemagglutinin-esterase (HE) were three main BCoV proteins. Their tryptic peptides were used as target molecules for BCoV detection. When the tryptic digest of 107.0 viral copies was analyzed by MALDI-TOF MS, five peptides with relatively strong peaks were detected. The detection limit was between 105.0 and 106.0 copies per test for BCoV alone. To detect BCoV in the swab eluate, ultrafiltration purification achieved a detection limit between 106.0 and 107.0 copies per test, sufficient to detect BCoV-infected calves. Our findings offer valuable insights for BCoV detection by MALDI-TOF MS.

牛冠状病毒(BCoV)是引起肠道和呼吸道疾病的重要牛病原体,主要采用逆转录-聚合酶链反应检测。我们的目的是建立一种新型的基质辅助激光解吸/电离飞行时间质谱(MALDI-TOF MS)检测BCoV的方法。肽质量指纹图谱分析显示,核衣壳(N)、膜(M)和血凝素酯酶(HE)是BCoV的三个主要蛋白。它们的色氨酸肽被用作BCoV检测的靶分子。MALDI-TOF质谱分析107.0个病毒拷贝的胰蛋白酶消化时,检测到5个较强的肽峰。单对BCoV每次检测的检出限在105.0 ~ 106.0份之间。为了检测拭子洗脱液中的BCoV,超滤纯化每次检测的检出限在106.0 ~ 107.0份之间,足以检测出感染BCoV的小牛。我们的研究结果为利用MALDI-TOF质谱检测BCoV提供了有价值的见解。
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引用次数: 0
An experimental verification of fungal overgrowth in temporary houses at the site of the Great East Japan Earthquake. 东日本大地震遗址临时房屋真菌过度生长的实验验证。
Pub Date : 2024-01-01 DOI: 10.4265/jmc.29.1_45
Maiko Watanabe, Rumi Konuma, Kenichi Hasegawa, Noritaka Kimura, Naoki Kobayashi, Yoichi Kamata, Hiroshi Yoshino, Kosuke Takatori, Yukiko Hara-Kudo

Fungal contamination in the indoor air of prefabricated temporary houses at the site of the Great East Japan Earthquake revealed extremely high levels compared to those found in conventional residences. We experimentally investigated fungal growth levels on different interior materials to support fungal overgrowth in prefabricated temporary houses. Three species each of allergenic fungi and invasive fungi observed in temporary housing were selected for inoculation tests with various interior materials. The experiments with fungal inoculation were conducted in conformance with standards for industrial products described in the Japanese" JIS Z 2911:2018 Methods of test for fungus resistance" with small modifications. After incubation, visual and stereomicroscopic assessments were performed to determine fungal growth levels. The viability of the fungi varied according to the interior material type. Our findings demonstrate the importance of antifungal measures in indoor environments and the need for additional research on the growth levels of fungal species on various interior materials.

与传统住宅相比,东日本大地震现场的预制临时房屋室内空气中的真菌污染水平极高。我们通过实验研究了不同室内材料上真菌的生长水平,以支持预制临时房屋中真菌的过度生长。我们选择了在临时房屋中观察到的致敏真菌和入侵真菌中的三种,分别与不同的内饰材料进行接种试验。真菌接种实验按照日本 "JIS Z 2911:2018 真菌抗性测试方法 "中描述的工业产品标准进行,并做了少量修改。培养后,通过目测和立体显微镜评估来确定真菌的生长水平。内部材料类型不同,真菌的存活率也不同。我们的研究结果表明了室内环境中抗真菌措施的重要性,以及对各种室内材料上真菌生长水平进行更多研究的必要性。
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引用次数: 0
Potential biocontrol for bacterial and viral disease treatment in aquaculture: a minireview. 水产养殖中细菌和病毒疾病治疗的潜在生物控制:小视角。
Pub Date : 2024-01-01 DOI: 10.4265/jmc.29.3_99
Zy Chee Wong, Nur Amirah Mohamad Alwie, Leong Seng Lim, Motohiko Sano, Mohammad Tamrin Mohamad Lal

Aquaculture is part of the crucial industry that supplies food, especially for the global human population that is gradually increasing annually. Innovations of culture techniques have been improved throughout the years but aquaculture is regularly susceptible to bacterial and viral diseases. Numerous factors could contribute to occurrence of disease and usually they are from environmental or human stressors on the cultured animals. Synthetic chemicals in commercial treatments may yield fast results however, the side effects are usually unknown until it has taken effect. Therefore, biological control methods to treat diseases in aquaculture are preferred. This mini review provides an overview of different potential biocontrol practices for treatment of bacterial and viral diseases. Bacteriophage causes death of pathogenic bacteria by killing the cell and continue to multiply until all targeted pathogenic bacteria are eliminated. Probiotic, prebiotic, synbiotic, biofloc, and immunostimulants are beneficial products from the respective organisms that are effective in inhibiting pathogens. Vaccines introduce inactivated pathogen into the body to stimulate the immune system, while genetic modifications involve alteration and selection of disease resistant genetics.

水产养殖业是供应食品的重要产业的一部分,尤其是为每年逐渐增加的全球人口供应食品。多年来,养殖技术不断改进创新,但水产养殖业经常容易受到细菌和病毒疾病的侵袭。导致疾病发生的因素有很多,通常是养殖动物受到的环境或人为压力。商业疗法中的合成化学物质可能见效快,但在起效之前,其副作用通常是未知的。因此,生物防治方法是治疗水产养殖疾病的首选。这篇小型综述概述了治疗细菌和病毒疾病的各种潜在生物防治方法。噬菌体通过杀死细胞使病原菌死亡,并继续繁殖,直到消灭所有目标病原菌。益生菌、益生菌、合成益生菌、生物絮凝物和免疫刺激剂是从相应的生物体中提取的有益产品,可有效抑制病原体。疫苗将灭活的病原体引入人体以刺激免疫系统,而基因改造则涉及抗病基因的改变和选择。
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引用次数: 0
High qnrS retention of ESBL-producing and mcr-harbouring colistin-resistant Escherichia coli in Vietnamese food products. 越南食品中产ESBL大肠杆菌和耐大肠菌素大肠杆菌的qnrS保留率高。
Pub Date : 2024-01-01 DOI: 10.4265/jmc.29.3_121
Tatsuya Nakayama, Michio Jinnai, Kairi Miyaji, Machika Saito, Natsuki Ohata, Takahiro Yamaguchi, Doan Tran Nguyen Minh, Oanh Nguyen Hoang, Hien LE Thi, Phong Ngo Thanh, Phuong Hoang Hoai, Phuc Nguyen DO, Chinh Dang VAN, Yuko Kumeda, Atsushi Hase

Plasmid-mediated antibiotic-resistant bacteria's transmission is fatal and a major threat to public health. This study aimed to clarify the presence of plasmid-mediated quinolone resistance(PMQR)genes in extended-spectrum β-lactamase(ESBL)-producing or/and mcr-harbouring colistin(COL)-resistant Escherichia coli(ESBL-COL-EC)isolates from Vietnamese and Japanese chicken meat. Resistance towards ciprofloxacin(CIP)was examined in 308 ESBL-COL-EC isolates; CIP-resistant ESBL-COL-EC isolates were examined for the PMQR gene. Approximately, 71.1% and 38.1% of ESBL-COL-EC and ESBLproducing E. coli isolates from Vietnamese and Japanese chicken meat were CIP-resistant, respectively. Multiplex PCR led PMQR detection showed that 35.2% of CIP-resistant ESBL-COL-EC isolates from Vietnamese food contained PMQR gene, whereas CIP-resistant ESBL-COL-EC isolates from Japanese chicken meat did not. Conjugation assays showed that the transmission of qnrS gene carried by E. coli to Salmonella. In conclusion, ESBL-COL-EC isolates from Vietnamese food are associated with a high frequency of fluoroquinolone resistance and a high distribution of the qnrS gene.

质粒介导的抗生素耐药细菌的传播是致命的,是对公共健康的一大威胁。本研究旨在明确从越南和日本鸡肉中分离出的广谱β-内酰胺酶(ESBL)产生或/和mcr-harbouring可乐定(COL)耐药大肠埃希菌(ESBL-COL-EC)中是否存在质粒介导的喹诺酮类药物耐药性(PMQR)基因。对308株ESBL-COL-EC分离株进行了环丙沙星(CIP)耐药性检测;对耐CIP的ESBL-COL-EC分离株进行了PMQR基因检测。在越南和日本鸡肉中分离出的 ESBL-COL-EC 和产 ESBL 大肠杆菌中,分别约有 71.1% 和 38.1% 对 CIP 具有耐药性。多重 PCR 引导的 PMQR 检测显示,越南食品中 35.2% 的耐 CIP ESBL-COL-EC 分离物含有 PMQR 基因,而日本鸡肉中的耐 CIP ESBL-COL-EC 分离物不含有 PMQR 基因。共轭试验表明,大肠杆菌携带的 qnrS 基因可传播给沙门氏菌。总之,从越南食品中分离出的 ESBL-COL-EC 具有高频率的氟喹诺酮耐药性和高 qnrS 基因分布。
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引用次数: 0
Antibacterial toner exhibits bactericidal effect against Cutibacterium acnes via keratin and sebum plug penetration. 抗菌爽肤水通过角蛋白和皮脂栓的渗透,对痤疮丙酸杆菌具有杀菌作用。
Pub Date : 2024-01-01 DOI: 10.4265/jmc.29.2_63
Shoko Hamada, Yukio Nakamura, Mitsuhiro Gomi

Cutibacterium acnes is an opportunistic pathogen recognized as a contributing factor to acne vulgaris. The accumulation of keratin and sebum plugs in hair follicles facilitates C. acnes proliferation, leading to inflammatory acne. Although numerous antimicrobial cosmetic products for acne-prone skin are available, their efficacy is commonly evaluated against planktonic cells of C. acnes. Limited research has assessed the antimicrobial effects on microorganisms within keratin and sebum plugs. This study investigates whether an antibacterial toner can penetrate keratin and sebum plugs, exhibiting bactericidal effects against C. acnes. Scanning electron microscopy and next-generation sequencing analysis of the keratin and sebum plug suggest that C. acnes proliferate within the plug, predominantly in a biofilm-like morphology. To clarify the potential bactericidal effect of the antibacterial toner against C. acnes inside keratin and sebum plugs, we immersed the plugs in the toner, stained them with LIVE/DEAD BacLight Bacterial Viability Kit to visualize microorganism viability, and observed them using confocal laser scanning microscopy. Results indicate that most microorganisms in the plugs were killed by the antibacterial toner. To quantitatively evaluate the bactericidal efficacy of the toner against C. acnes within keratin and sebum, we immersed an artificial plug with inoculated C. acnes type strain and an isolate collected from acne-prone skin into the toner and obtained viable cell counts. The number of the type strain and the isolate inside the artificial plug decreased by over 2.2 log and 1.2 log, respectively, showing that the antibacterial toner exhibits bactericidal effects against C. acnes via keratin and sebum plug penetration.

痤疮丙酸杆菌是一种机会性病原体,被认为是导致寻常痤疮的一个因素。毛囊中角蛋白和皮脂栓的堆积有利于痤疮丙酸杆菌的增殖,从而导致炎性痤疮。虽然市面上有许多针对痤疮皮肤的抗菌化妆品,但其功效通常是针对痤疮丙酸杆菌的浮游细胞进行评估的。对角蛋白和皮脂栓内微生物的抗菌效果进行评估的研究有限。本研究探讨了抗菌爽肤水能否穿透角蛋白和皮脂栓,对痤疮丙酸杆菌产生杀菌作用。对角蛋白和皮脂栓的扫描电子显微镜和新一代测序分析表明,痤疮丙酸杆菌在皮脂栓内增殖,主要呈生物膜样形态。为了明确抗菌爽肤水对角蛋白和皮脂塞内痤疮丙酸杆菌的潜在杀菌效果,我们将皮脂塞浸入爽肤水中,用 LIVE/DEAD BacLight Bacterial Viability Kit 染色以观察微生物的活力,并使用共聚焦激光扫描显微镜进行观察。结果表明,抗菌调色剂杀死了塞子中的大多数微生物。为了定量评估爽肤水对角蛋白和皮脂中痤疮丙酸杆菌的杀菌效果,我们将接种了痤疮丙酸杆菌类型菌株和从痤疮皮肤中采集的分离菌株的人工塞浸入爽肤水中,并获得了存活细胞数。人工塞内的痤疮丙酸杆菌类型菌株和分离菌株的数量分别减少了 2.2 log 和 1.2 log 以上,表明抗菌爽肤水通过角质和皮脂塞的渗透对痤疮丙酸杆菌具有杀菌作用。
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引用次数: 0
Clinical and Microbiological Characteristics of Bacteremia Caused by Carbapenemase-producing Enterobacterales in Minami Ibaraki Area, Japan. 日本南茨城地区由产碳青霉烯酶肠杆菌引起的菌血症的临床和微生物学特征。
Pub Date : 2024-01-01 DOI: 10.4265/jmc.29.2_81
Michie Uchida, Norihiko Terada, Kazuhito Saito, Hiroichi Ishikawa, Yasunori Funayama, Tsuyoshi Oishi, Hiroyuki Shinohara, Tsugio Ebihara, Yoko Kurihara, Shigemi Hitomi

Although recent propagation of carbapenemase-producing Enterobacterales (CPE) has become a problem worldwide, the picture of CPE infection in Japan has not fully been elucidated. In this study, we examined clinical and microbiological characteristics of invasive CPE infection occurring at 8 hospitals in Minami Ibaraki Area between July 2001 to June 2017. Of 7294 Enterobacterales strains isolated from independent cases of bacteremia and/or meningitis, 10 (0.14%) were CPE (8 Enterobacter cloacae-complex, 1 Escherichia coli, and 1 Edwardsiella tarda), all of which had the blaIMP-1 gene and susceptible to gentamicin and trimethoprim/sulfamethoxazole. These strains were isolated from 7 adult and 2 infant bacteremia (1 infant patient developed CPE bacteremia twice) after 2007. The most common portal of entry was intravenous catheters. All of the adult patients were recovered, while the infant patients eventually died. Genomic analyses showed that the 8 E. cloacae-complex strains were classified into 5 groups, each of which was exclusively detected in specific facilities at intervals of up to 3 years, suggesting persistent colonization in the facilities. This study showed that invasive CPE infection in the area was rare, caused by IMP-1-type CPE having susceptibility to various antibiotics, and nonfatal among adult patients.

尽管近年来产碳青霉烯酶肠杆菌(CPE)的传播已成为全球范围内的一个问题,但日本的 CPE 感染情况尚未完全阐明。在这项研究中,我们考察了2001年7月至2017年6月期间南茨城地区8家医院发生的侵袭性CPE感染的临床和微生物学特征。在从独立菌血症和/或脑膜炎病例中分离出的 7294 株肠杆菌中,有 10 株(0.14%)是 CPE(8 株泄殖腔肠杆菌、1 株大肠埃希菌和 1 株达氏爱德华氏菌),这些菌株均带有 blaIMP-1 基因,对庆大霉素和三甲双胍/磺胺甲噁唑敏感。这些菌株是从 2007 年后的 7 例成人和 2 例婴儿菌血症中分离出来的(其中 1 例婴儿患者两次出现 CPE 菌血症)。最常见的侵入途径是静脉导管。所有成人患者均已康复,而婴儿患者最终死亡。基因组分析表明,8 株泄殖腔大肠杆菌复合菌株可分为 5 组,每组菌株在间隔长达 3 年的时间内只在特定设施中被检测到,这表明这些设施中存在持续的菌落。这项研究表明,该地区的侵袭性CPE感染非常罕见,由对各种抗生素敏感的IMP-1型CPE引起,而且在成年患者中并不致命。
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引用次数: 0
期刊
Journal of microorganism control
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