科特迪瓦布瓦凯街头即食食品中产 ESBL 肺炎克雷伯氏菌的发生率

Tuo Nonfra Marie, Coulibaly Baba, Monemo Pacome, Mueller-Schulte Eloise, Akoua-Koffi Chantal
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引用次数: 0

摘要

研究目的:本研究旨在估算即食街头食品中产ESBL肺炎克雷伯氏菌(K. pneumoniae)的发生率。研究设计: 这是一项前瞻性研究 研究地点和时间:2016年2月至2017年6月从科特迪瓦布瓦凯的街头小贩处收集食品样本 研究方法:从布瓦凯的街头小贩处收集食品样本:从 2016 年 2 月至 2017 年 6 月,从科特迪瓦布瓦凯的街头小贩处共收集了 300 份食品样本。经过微生物分析后,按照常规微生物检验方法进行细菌鉴定。肺炎克雷伯菌对 18 种抗生素的敏感性是通过盘式扩散法和 VITEK 2 测定的。表型和分子检测扩展谱β-内酰胺酶(ESBL)的产生是通过变色培养基和双盘协同试验以及 PCR 方法进行的。结果显示4%的食品样本受到肺炎双球菌污染。在分离出的 12 株肺炎克氏菌中,大多数对所用的各类抗生素具有抗药性。在这12株菌株中,有一株能产生ESBL,感染率为8%。这株菌株是从煮熟的牛奶中分离出来的,除了庆大霉素和磺胺甲噁唑-三甲氧苄嘧啶外,对测试的所有 18 种抗生素都有耐药性。该菌株只携带 blaSHV 基因。结论这项研究的结果表明,即食食品是耐药细菌的贮藏库。因此,它们可能在向人类传播耐抗菌素细菌和 ESBL 基因方面发挥作用。
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Occurrence of ESBL‐Producing Klebsiella pneumoniae in Ready‐to‐eat Street Foods in Bouaké, Côte d’Ivoire
Aims: This study aimed to estimate the occurrence of ESBL-producing Klebsiella pneumoniae (K. pneumoniae) in ready-to-eat street foods. Study Design:  It's a prospective study Place and Duration of Study: foods samples were collected from February 2016 to June 2017 from street vendors in Bouaké, Côte d’Ivoire Methodology: A total of 300 foods samples were collected from February 2016 to June 2017 from street vendors in Bouaké, Côte d’Ivoire. After a microbiological analysis, bacterial identification was performed according to the conventional microbiological tests. Antibiotic sensitivity of K. pneumoniae isolates to 18 antibiotics was determined by the disk diffusion method and by VITEK 2. Phenotypic and molecular detection of producing extended Spectrum Beta-Lactamase (ESBL) was performed by Chromogenic medium and double disk synergy test and by PCR method. Results: Four percentages (4 %) of foods samples were contaminated by K. pneumoniae. Most of the 12 K. pneumoniae strains isolated expressed resistance to the various classes of antibiotics used. Of the 12 strains, one was ESBL-producing, representing a prevalence of 8 %. This strain was isolated from cooked cow's milk and resistant with all 18 antibiotics tested except gentamicin and sulfamethoxazol-trimepothrim. This strain harbored only blaSHV gene. Conclusion: The results of this study indicate that RTE foods are a reservoir of resistant bacteria. Thus, they may play a role in spreading antimicrobial resistant bacteria and ESBL genes to humans.
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