重庆市1264株粪肠球菌和屎肠球菌耐药性监测

【摘 要】 目的 了解2011年中国重庆市主要7所教学医院临床分离粪肠球菌和屎肠球菌对各类抗菌药物的耐药性。方法 重庆市主要7所教学医院(6所综合性医院,1所儿童医院)按统一方案、采用统一的材料、方法和判断标准(CLSI 2011年版)进行粪肠球菌和屎肠球菌的耐药性监测。数据用WHONET 5.5软件按照CLSI 2011年版折点进行分析。结果 共分离到非重复粪肠球菌589株、屎肠球菌675株,对利奈唑胺、万古霉素、替考拉宁仍极敏感,耐药率<2%,万古霉素耐药粪肠球菌和屎肠球菌检出率分别为0.3%、0.7%。粪肠球菌对青霉素、氨苄西林、呋喃妥因的耐药率较低,分别为14.8%、8.6%和5.1%,对高浓度庆大霉素的耐药率分别为46.9%;屎肠球菌耐药性明显高于粪肠球菌,对青霉素和氨苄西林耐药率接都在90％左右。儿童和成人耐药率存在一定差别。结论 本市医院肠球菌感染以屎肠球菌为主, 粪肠球菌次之,两者耐药性明显不同, 监测其耐药情况对指导临床用药具有重要意义。     

屎肠球菌活菌制剂的研究

对屎肠球菌活菌制剂的特性及功效进行研究和分析。方法：通过分离菌种、筛选、鉴定、初步确定一株具有调节血脂作用的屎肠球菌菌株。经过毒理学试验、调血脂功能试验及人体试食试验来观察该制剂的作用。结果：毒理学试验结果证明屎肠球菌DM891129菌株属无毒、弱蓄积,无遗传毒性。功效试验表明高中低剂量组均只有降低实验高脂血症大鼠血胆固醇的作用。结论：屎肠球菌活菌制剂具有调节血脂作用。     

屎肠球菌抗血清制备的探讨

屎肠球菌（E．faecium）属肠球菌属（Enterococcus）,用血清学分类属D群链球菌,为人及动物肠道中的正常菌丛的一部分［1］,在一定条件下可引起肠外感染。据国外最新报导,目前由肠球菌引起的医院内感染在所有医院内感染发病率中,已上升为第2位,仅次于金黄色葡萄球菌[2]。为更好地监测并及时控制该菌的医院内感染与流行,建立快速准确鉴定屎肠球菌的血清学方法是极其必要的,并适合于各级医院开展。因此,我们对制备高效价抗屎肠球菌抗体方法进行了初步探讨,并获得满意的结果。现将实验过程及结果报告如下。1材料与方法1．l材料1．1.…     

屎肠球菌DM891129菌株对大鼠高血脂症的调节作用

对屎肠球菌DM 891129 菌株进行调节血脂作用的功能实验。实验动物采用二级w istar 雄性大鼠,饲以高胆固醇脂饲料再同时饲以本活菌制剂。14 和28 天后,分别测定大鼠血清胆固醇(TC)、血清甘油三脂(TG)和血清高密度脂蛋白(HDL- C)。实验结果显示:实验组中高中低剂量组血清胆固醇浓度比对照组低(P< 0.05);血清TG 浓度、血清HDL- C 浓度、体重实验组与对照组相比组内和组间差异不明显。结果表明:与饲以高脂饲料的对照组大鼠相比,实验组的大鼠血清TC 浓度明显低于对照组(P< 0.05)。实验结果证实屎肠球菌具有调节大鼠血脂的作用     

屎肠球菌的临床分布与耐药性分析

目的了解医院屎肠球菌的临床分布和耐药情况,为临床抗感染的预防与治疗提供参考。方法回顾性分析1999年1月至2011年12月临床标本中分离的1161株屎肠球菌;用WHONET5．6软件分析耐药率变迁。结果临床分离的1161株屎肠球菌,在同期分离的1944株肠球菌属中占59．72％。主要分离自尿液和血液,分别占40．91％和26．87％;主要分离自外科病区、内科病区、ICU和儿科病区的菌株,分别占29．37％、25．15％、13．95％和13．53％;屎肠球菌对多种抗菌药物耐药,对万古霉素、替考拉宁和利奈唑胺的耐药率较低,分别为1．04％、0．94％和1．85％。结论屎肠球菌在临床的分离率逐年增加,已成为医院内感染的主要病原菌之一,其多药耐药和高耐药现象相当严重,目前万古霉素、替考拉宁和利奈唑胺仍然是治疗肠球菌属引起感染的有效药物。     

临床分离肠球菌与肠道肠球菌的不同特性

目的 :比较临床分离肠球菌与肠道肠球菌的不同特性。方法 :分别检测 4 1株临床分离肠球菌以及 38株健康人群粪便分离肠球菌的属种分布、β溶血素检出率及耐药性情况。 结果 :临床菌株以粪肠球菌为主 (75 6 % ) ,健康人群粪便分离肠球菌以屎肠球菌为主 (73 7% ) ;临床菌株的 β溶血素检出率高于健康人群粪便分离肠球菌 (P <0 0 1) ;临床分离肠球菌的抗生素耐药性明显高于肠道肠球菌 (P <0 0 1)。结论 ;引起医院感染的肠球菌与肠道球菌特性不同。     

血流感染粪肠球菌和屎肠球菌的临床分布及耐药研究

回顾性分析上海市某三甲医院血培养阳性标本中粪肠球菌和屎肠球菌的临床分布及对抗菌药物的耐药特征,为临床治疗其所致感染奠定基础。收集上海市某三甲医院2012年2月—2016年9月血流感染患者血液标本中的粪肠球菌和屎肠球菌,采用法国生物梅里埃公司的VITEK 2Compact全自动细菌鉴定和药敏分析系统进行细菌鉴定及药敏测定,研究细菌临床分布特点及对常用抗菌药物的耐药特征。共分离获得30株粪肠球菌和17株屎肠球菌。粪肠球菌样本主要来自泌尿科、消化科和血液科,所占比例分别为13.33%、16.67%和10.00%。粪肠球菌对青霉素、氨苄西林、环丙沙星、左氧氟沙星、四环素和红霉素的耐药率分别为13.33%、10.00%、36.67%、33.33%、66.67%和60.00%。屎肠球菌样本主要来自消化科(29.41%),其对以上抗菌药物的耐药率分别为88.24%、82.35%、88.24%、76.47%、23.53%和70.59%。屎肠球菌对青霉素、氨苄西林、环丙沙星和左氧氟沙星的耐药率显著高于粪肠球菌,而对四环素的耐药率显著低于粪肠球菌。两者均对替加环素、利奈唑胺和万古霉素敏感,但万古霉素对屎肠球菌的最低抑菌浓度显著低于粪肠球菌。结果提示,屎肠球菌对青霉素、氨苄西林、环丙沙星、左氧氟沙星的耐药率高于屎肠球菌,对万古霉素敏感,且其万古霉素最低抑菌浓度低于粪肠球菌。本研究为治疗这两种细菌所致感染的经验性用药提供了数据支持。     

一株猪源屎肠球菌HDRsEf1益生特性研究

本研究旨在筛选一株具有优良生物特性的屎肠球菌,作为微生态制剂候选菌株;重点研究其与肠道相关的抗逆性能和对病原菌的抑菌活性。以自健康通城猪直肠内容物分离得到的屎肠球菌HDRsEf1为研究对象,通过耐受试验、抑菌试验研究该菌的益生特性。发现屎肠球菌HDRsEf1能够耐受浓度为0.5%的胆盐,并能在pH为2.0的酸中存活;对粘蛋白有显著的粘附作用(P0.05);能耐受70℃的温度。该菌发酵上清液能够抑制食源致病菌和畜禽临床主要致病菌的生长,结果表明屎肠球菌HDRsEf1可作微生态制剂菌株。     

屎肠球菌噬菌体vB_EfaS_29生物学特性及基因组分析

【背景】随着屎肠球菌耐药性越来越严重,亟需筛选获得新的、裂解效率高且遗传背景清晰的裂解性噬菌体,丰富噬菌体资源,为噬菌体疗法提供可用的菌株。【目的】从江苏省南京市西岗奶牛场粪便样品中分离出一株裂解性屎肠球菌噬菌体,研究其生物学特性及分析基因组学特征。【方法】通过双层平板法对其进行纯化,观察噬菌斑特征,透射电镜观察噬菌体形态,测定一步生长曲线、pH耐受性、温度耐受性以及最佳感染复数,对噬菌体进行全基因组测序及遗传进化分析。【结果】分离并纯化的一株裂解性屎肠球菌噬菌体命名为vB_EfaS_29,其噬菌斑圆形透亮,外周无晕环。该噬菌体头部呈二十面体,头部直径约52.4 nm,尾长约157.1 nm,为长尾噬菌体科。该噬菌体的最佳感染复数为0.1,最高耐受温度为70℃左右,当pH值在6.0-9.0时其效价稳定。一步生长曲线表明,其潜伏期为10 min,暴发期约为50 min,暴发量为80。基因组全长41 014 bp,GC含量为34.99%,共有63个开放阅读框(Open Reading Frame,ORF),其中36个被注释出已知基因,基因组中不含毒力基因、耐药基因及整合基因。进化分析显示以裂解酶编码氨基酸为靶标对比,该噬菌体与GenBank上的粪肠球菌噬菌体vB_EfaS_DELF1相似性大于99%,但是以噬菌体衣壳蛋白编码氨基酸为靶标比对发现,该噬菌体肠球菌与其他噬菌体遗传距离均较远。【结论】分离出一株裂解性屎肠球菌噬菌体,对其进行生物学特性及基因组分析,为噬菌体研究和应用提供理论依据及研究基础。     

牦牛源产细菌素屎肠球菌的分离鉴定和益生特性

【背景】抗生素的滥用导致牦牛肠道常见病原菌耐药性增加,益生菌作为对抗耐药性细菌的新型武器,应用前景广阔。【目的】获取益生特性优良的牦牛源益生菌。【方法】将20份牦牛粪便样本在含0.5%CaCO3的MRS培养基上分离纯化,以大肠杆菌和金黄色葡萄球菌为指示菌,用牛津杯法筛选有抑菌活性的菌株;排除酸和过氧化氢后,经耐酸耐热试验和蛋白酶敏感试验筛选产细菌素菌株,用形态学和16S rRNA基因序列分析鉴定;通过对大肠杆菌、沙门氏菌等腹泻病原菌体外抑菌试验、耐模拟胃肠液、测定自聚集能力和疏水性及抗生素敏感试验分析益生特性。【结果】从20份牦牛粪便样本中共分离出11株产生溶钙圈的菌株,其中6株对大肠杆菌和金黄色葡萄球菌抑菌效果显著,经复筛得到2株产细菌素的乳酸菌SC6和SC9,经鉴定均为屎肠球菌(Enterococcus faecium)。其中SC9对腹泻病原菌抑菌效果明显,有良好的耐受性和肠道黏附能力,对5种常用抗生素均敏感。【结论】屎肠球菌SC9有一定的抗逆性和潜在的益生能力,具备作为益生菌的潜力。     

一株屎肠球菌烈性噬菌体的分离鉴定及基因组测序分析

【背景】屎肠球菌为ESKAPE(由屎肠球菌、金黄色葡萄球菌、肺炎克雷伯菌、鲍曼不动杆菌、铜绿假单胞菌和肠杆菌属六大超级细菌的拉丁学名首字母组成)病原体之一,对多种抗菌药物具有耐药性,严重威胁全球人类健康,被世界卫生组织列入亟须研发新抗菌药的病原体名单。【目的】分离针对屎肠球菌的烈性噬菌体,测定其基本生物学特性并进行基因组测序分析,为屎肠球菌噬菌体疗法提供原料。【方法】从牧场污水中分离筛选出一株烈性屎肠球菌噬菌体,命名为Enterococcus phage 1A11,通过透射电镜观察噬菌体的形态,测定其最佳感染复数、一步生长曲线和裂解谱,并进行全基因组的测序和分析,以阐释该噬菌体的基本生物学特性。【结果】电镜下可观察到屎肠球菌噬菌体1A11具有典型的正二十面体头部结构和较长的尾部结构,属于有尾病毒目长尾病毒科,而且测得其最佳感染复数为0.01,裂解周期为70 min,潜伏期为30 min,暴发期为40 min,并特异性地对部分屎肠球菌产生裂解作用。噬菌体1A11的基因组大小为42 750 bp,GC含量为34.71%,含有70个推定的开放阅读框(open reading frame, O...     

斑节对虾(非洲群体)肠道细菌抗生素耐药性及耐药基因分布特征

【目的】解析斑节对虾(Penaeus monodon)(非洲群体)(俗称“金刚虾”,以下同)携带耐药菌及耐药基因现状。【方法】本研究从山东滨州北海新区采集了金刚虾,对其肠道细菌常用抗生素的耐药菌性质及数量、占比及种类进行检测,通过荧光定量PCR技术分析肠道内容物样品中的4类抗生素的4种耐药性基因分布特征。【结果】肠道中可培养细菌总数约1.45×10⁵–2.13×10⁶ CFU/g,有四环素、萘啶酸、氟苯尼考、庆大霉素4种抗生素耐药菌的检出,其中喹诺酮类萘啶酸耐药菌占比最高,达到35.00%,氨基糖苷类庆大霉素占比最少。10种抗生素药敏性质分析表明,肠道可培养细菌对庆大霉素、氟苯尼考等6种抗生素高度敏感,对四环素、卡那霉素中度敏感,对萘啶酸、青霉素、阿莫西林耐药。从分离的耐药菌鉴定结果可以得出,可培养的抗生素耐药菌主要集中在弧菌属,基于属水平的不同抗生素耐药菌统计显示,不同抗生素耐药菌种类存在明显差异,且同一菌属有耐多种抗生素的情况。荧光定量PCR检测分析,4种耐药基因的丰度不同,tet A基因相对拷贝数和四环素耐药菌比例、floR基因和氟苯尼...     

Novel probiotic Enterococcus faecium IS-27526 supplementation increased total salivary sIgA level and bodyweight of pre-school children: A pilot study

Enterococcus faecium IS-27526 is a novel probiotic isolated from dadih, an Indonesian traditional fermented buffalo milk. A 90 days randomized double-blind placebo-controlled study ofpre-post trial was conducted in pre-school children with two groups, placebo and probiotic group. Ultra High Temperature low fat milk was used as a carrier in each group. The aims of this study were to investigate the effect of E. faecium IS-27526 in milk on humoral immune response and on bodyweight of pre-school children. Total serum IgA and total salivary sIgA were measured by sandwich ELISA. The bodyweight of young children was measured. The results showed that total serum IgA did not significantly increase in the probiotic group compared with the placebo group. Total salivary sIgA level and the bodyweight significantly increased (p < 0.05) in probiotic groups compared to the placebo. Changes of total salivary sIgA level were significantly higher in underweight children supplemented with probiotic. Weight gain was observed significantly in children with normal bodyweight supplemented with probiotic. Neither mortality nor weight loss was recorded throughout the study. Taken together, novel probiotic E. faecium IS-27526 has significant positive effects on humoral immune response, salivary sIgA, in underweight pre-school children, and on weight gain of pre-school children.     

Penaeus monodon chitin-binding protein (PmCBP) is involved in white spot syndrome virus (WSSV) infection

White spot syndrome virus (WSSV) can cause the most serious viral disease of shrimp and has a wide host range among crustaceans. Although researches show a lot about its genome and structure, information concerning the mechanism of how WSSV infects' cells is lacking. In this study, some experiments were applied to confirm the biological meaning of the protein–protein interaction between WSSV envelope protein, VP53A, and Penaeus monodon chitin-binding protein (PmCBP). Immunofluorescent study indicated that PmCBP is located on the cell surface of host cells. PmCBP amounts of about 34 kDa can be detected in both P. monodon and Litopenaeus vannamei tissues by Western blotting. In the in vivo neutralization experiment, both rVP53A and rPmCBP that were produced by Esherichia coli can promote resp. a 40% and 20% survival rate of the shrimp which were challenged by WSSV. Furthermore, a yeast-two-hybrid result revealed that PmCBP could interact with at least 11 WSSV envelope proteins. Those findings suggest that PmCBP may be involved in WSSV infection.     

Multiple copies of functional, Tet(M)-encoding Tn916-like elements in a clinical Enterococcus faecium isolate

Tn916 and similar elements are very common in clinical enterococcal isolates, and are responsible for transmission of a variety of resistance determinants. It is commonly assumed that clinical strains carrying Tn916 have a single copy, although the actual number of copies in clinical isolates has never been systematically studied. We report a clinical isolate of Enterococcus faecium in which three distinct and excision-proficient copies of Tn916-like elements are present in the genome. All of the elements contain tet(M) genes, at least one of which confers resistance to tetracycline and minocycline. Two elements (Tn6085a, Tn6085b) are indistinguishable, containing an inserted 2758 bp Group II intron at the start of open reading frame Tn916ORF_06. The third (Tn6084) also contains the intron, but also has an ISEfa11 integrated upstream of tet(M). All three copies are able to excise from plasmid vectors when cloned in E. coli, and at least two of the elements can transfer to an E. faecium recipient strain. These data indicate that nearly identical Tn916-like elements encoding Tet(M)-mediated tetracycline/minocycline resistance can coexist in clinical E. faecium isolates.     

Degradation of tannic acid and purification and characterization of tannase from Enterococcus faecalis

Tannins, present in various foods, feeds and forages, have anti-nutritional activity; however, presence of tannase in microorganisms inhabiting rumen and gastrointestinal tract of animals results in detoxification of these tannins. The present investigation was carried out to study the degradation profile of tannins by Enterococcus faecalis and to purify tannase. E. faecalis was observed to degrade tannic acid (1.0% in minimal media) to gallic acid, pyrogallol and resorcinol. Tannase from E. faecalis was purified up to 18.7 folds, with a recovery of 41.7%, using ammonium sulphate precipitation, followed by DEAE-cellulose and Sephadex G-150. The 45 kDa protein had an optimum activity at 40 °C and pH 6.0 at substrate concentration of 0.25 mM methyl gallate.     

香坊肠球菌和罗伊氏乳杆菌在无菌猪肠道中的定殖

【背景】已有研究表明,微生物在宿主肠道中的定殖受宿主、肠道环境、微生物物种特性和菌株来源等多个因素的影响。一般认为,来源于同类宿主的微生物菌株,在该类宿主肠道中具有定殖优势,但缺乏在物种和菌株水平上研究微生物自身特性在宿主肠道中定殖的研究报道。【目的】将不同来源(同类宿主肠道、非同类宿主肠道和非肠道环境)、具有不同生物学特性的3株香坊肠球菌(Enterococcus xiangfangensis)和4株罗伊氏乳杆菌(Lactobacillusreuteri)对无菌猪肠道进行定殖,在物种和菌株2个水平上探究物种特性和菌株来源对宿主肠道定殖的偏好性,揭示影响微生物定殖效率的关键因素。【方法】在本项研究中,将从藏猪(Tibetan pigs)、小鼠(ob/ob mice)、食蟹猴(Macaca fascicularis)和发酵食品中分离得到的多株香坊肠球菌和罗伊氏乳杆菌,制成混合菌剂对无菌巴马香猪(Bama miniature pig)进行为期4周的饲喂,并通过实时荧光定量PCR方法检测这7株菌在无菌猪肠道中的定殖情况。【结果】在物种水平上,香坊肠球菌和罗伊氏乳杆菌在无菌猪体内具有相近的定殖...