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2004 年至 2007 年间,在德国西北部剖检的猪病变中分离到与牲畜相关的耐甲氧西林金黄色葡萄球菌(LaMRSA)。

Livestock associated methicillin-resistant Staphylococcus aureus (LaMRSA) isolated from lesions of pigs at necropsy in northwest Germany between 2004 and 2007.

机构信息

Field Station for Epidemiology, University of Veterinary Medicine Hannover, Foundation, Bakum, Germany.

出版信息

Zoonoses Public Health. 2010 Dec;57(7-8):e143-8. doi: 10.1111/j.1863-2378.2009.01313.x.

Abstract

An increasing number of reported detections of methicillin-resistant Staphylococcus aureus (MRSA) in food animals since 2007 has led to the assumption that there is an emerging zoonotic problem with livestock associated (la)MRSA potentially aggravating the MRSA problem in humans. It was the objective of the study to investigate, whether MRSA was present in clinical specimens of pigs collected at post-mortem since 2004 and to further characterize these isolates. We studied 138 isolates of S. aureus collected between 2004 and 2007 from various pathological lesions of pigs at necropsy. Potential MRSA were identified by growth on selective chromogenic media. Isolates were confirmed as MRSA using multiplex PCR. Confirmed isolates were spa- and SCCmec-typed and were tested for antimicrobial resistance. Overall, 60 (43%) S. aureus isolates were identified as MRSA. The majority (57/60) of the MRSA isolates found in the altered porcine tissues were spa-types associated with MRSA ST398. Three MRSA were ST97 isolates, a type that has not been described as an MRSA in pigs before. Other clonal complexes (ST9, ST30) dominated among the methicillin-sensitive S. aureus. MRSA were found in similar frequency in all 4 years. We assume that MRSA in pigs may have occurred earlier than 2004 and might be not really 'emerging', but rather have been overlooked until recently. The potentially causative role of the MRSA in the lesions warrants further investigation.

摘要

自 2007 年以来,越来越多的报告显示食源性动物中耐甲氧西林金黄色葡萄球菌(MRSA)的检出率增加,这导致人们假设与牲畜相关的(la)MRSA 存在新出现的人畜共患病问题,可能会加剧人类的 MRSA 问题。本研究的目的是调查自 2004 年以来在死后收集的猪临床标本中是否存在 MRSA,并进一步对这些分离株进行特征描述。我们研究了 2004 年至 2007 年间从尸检时各种猪的病变中收集的 138 株金黄色葡萄球菌分离株。通过在选择性显色培养基上的生长来鉴定潜在的 MRSA。通过多重 PCR 确认分离株为 MRSA。确认的分离株进行 spa 和 SCCmec 分型,并进行了抗菌药物耐药性检测。总的来说,138 株金黄色葡萄球菌中有 60 株(43%)被鉴定为 MRSA。在改变的猪组织中发现的大多数(57/60)MRSA 分离株的 spa 型与 ST398 相关的 MRSA 有关。3 株 MRSA 为 ST97 分离株,之前尚未在猪中描述为 MRSA。其他克隆复合体(ST9、ST30)在甲氧西林敏感的金黄色葡萄球菌中占主导地位。在所有 4 年中,MRSA 的检出率相似。我们假设猪中的 MRSA 可能比 2004 年更早出现,而不是真正的“新兴”,而是最近才被忽视。MRSA 在病变中的潜在因果作用需要进一步调查。

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