尼日利亚纳萨拉瓦州食品售货点接触表面多重耐药大肠杆菌分离株中碳青霉烯酶基因的携带情况

J. Nfongeh, Nafisat Tijjani Dalhat, Hulera Usman Kabido, N. S. Hadi, P. Akharenegbe
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摘要

食品接触面的污染通过交叉污染增加了食源性疾病的风险,随着病原体产生多药耐药性,交叉污染变得更加复杂。本研究旨在调查尼日利亚纳萨拉瓦州食品接触表面分离株的多药耐药性和碳青霉烯酶基因的携带情况。方法:采用标准培养、改良Kirby-Bauer盘片扩散、PCR扩增和琼脂糖凝胶电泳技术,从食品售卖点的各种食品接触面采集924份拭子样本(来自拉菲亚的522份,来自纳萨拉瓦鸡蛋的402份),筛选分离株的多药耐药和碳青霉烯酶基因。对所得资料进行统计学分析,p值设为0.05置信水平。总体污染发生率最高的是小贩的销售点,为43.33%,而桌面表面的污染发生率为35.43%,风险最高(奇比)为1.94。餐馆和酒店没有受到污染。食品接触面、售货点和社区间的患病率差异有统计学意义(p<0.05)。街头小贩分离株对OFX、REF、STR、CEP、NAL、SEP、AMP抗生素组耐药最高,MDRI为0.7。有代表性的分离株含有bla、bla和bla碳青霉烯酶基因。来自自动售货点食品接触表面的碳青霉烯酶多重耐药基因的存在是一项公共卫生挑战,高度鼓励食品供应商保持个人卫生并严格遵守抗生素协议。
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Carriage of carbapenemase genes among multidrug resistant Escherichia coli isolates from contact surfaces in food vending outlets within Nasarawa State, Nigeria
Contamination of food contact surfaces by increases the risk of food-borne diseases through cross-contamination which becomes more complicated with the development of multidrug resistance by the pathogen. This study was aimed at investigating multidrug resistance and carriage of carbapenemase genes among isolates from food contact surfaces in Nasarawa State, Nigeria. : A total of 924 swab samples (522 from Lafia and 402 from Nasarawa Eggon) were collected from various food contact surfaces in food vending outlets and screened for multidrug resistance and carbapenemase genes in isolates using standard culture, modified Kirby-Bauer disk diffusion, PCR amplification and agarose gel electrophoresis techniques. Data obtained were statistically analyzed and p-value set at 0.05 confidence level. Highest overall contamination prevalence of 43.33 % was obtained from hawkers’ outlets while table top surfaces had 35.43% with highest risk (odd ratio) of 1.94. Eateries and Hotels had no contamination. The prevalence values were significantly different (p<0.05) among the food contact surfaces, vending outlets and the two communities. Isolates from street vendors obtained highest resistance to OFX, REF, STR, CEP, NAL, SEP, AMP antibiotics group with MDRI of 0.7. The bla, bla and bla carbapenemase genes were harbored by representative isolates. The presence of multidrug resistant with carbapenemase genes from food contact surfaces in vending outlets serves as a public health challenge and the need for personal hygiene and strict adherence to antibiotics protocols by food vendors is highly encouraged.
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