Objective: To analyze the serotypes and drug resistance of Salmonella in patients with diarrhea in Huidong area so as to provide reference for formulating prevention and treatment measures and guiding clinical medication. Methods: The bacterial culture results of stool samples from 955 patients with diarrhea diagnosed and treated in hospitals from 2018 to 2020 were collected, and the serotypes and drug resistance of Salmonella isolates were analyzed. Results: A total of 61 strains of Salmonella were detected in the stool samples from 955 patients with diarrhea, and 12 serotypes were isolated (Salmonella typhimurium and Salmonella enteritidis were the main serotypes, accounting for 34.43% and 24.59%, respectively). The drug sensitivity results showed that the drug resistance rates of Salmonella to ampicillin, tetracycline and chloramphenicol were 88.52%, 72.13% and 55.74%, respectively. The sensitivity rates of Salmonella to the third generation cephalosporins were about 73.00%, to quinolones were about 95.00%, to carbapenem was 100.00%. There were 34 strains of Salmonella resistant to more than 3 kinds of antibacterials, and the multi-drug resistance rate was 55.74%. Conclusion: The serotypes of Salmonella in diarrhea patients in Huidong area are mainly typhus and enteritis which have strong drug resistance and serious multi-drug resistance. Therefore, drug resistance monitoring and prevention and treatment countermeasures should be actively carried out to guide clinical scientific drug use.
Key words
diarrhea /
Salmonella /
serotype /
drug resistance
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References
[1] Kariuki S, Gordon MA, Feasey N,et al. Antimicrobial resistance and management of invasive Salmonella disease[J].Vaccine, 2015, 33(Suppl 3): S21-S29.
[2] Majowicz SE, Musto J, Scallan E, et al. The global burden of nontyphoidal Salmonella gastroenteritis[J].Clin Infect Dis, 2010, 50(6): 882-889.
[3] Scallan E, Hoekstra RM, Angulo FJ, et al. Foodborne illness acquired in the United States: major pathogens[J].Emerg Infect Dis, 2011, 17(1): 7-15.
[4] 许云敏,杜艳,单斌,等. 2005—2014 CHINET沙门菌属细菌耐药性监测[J].中国感染与化疗杂志,2016,16(3):294-301.
[5] 沈贇,秦思,霍翔.2019年江苏省部分地区儿童腹泻沙门菌属的感染率及耐药状况研究[J].食品安全质量检测学报,2020,11(15):5150-5155.
[6] 张新,刘桂荣,黄芳,等.2008-2010年北京市沙门菌血清型和药物敏感分析[J].中国预防医学杂志,2011,12(11):899-901.
[7] 李欣,俞佳敏,乔雪飞,等.沙门菌属在食品食源性疾病中分布及病原特征分析[J].实用预防医学,2020,27(7):801-806.
[8] 孙景昱,刘思洁,赵薇,等.2011~2018年吉林省食品中沙门菌属的污染监测及血清型分布[J].食品安全质量检测学报,2020,11(24):9377-9382.
[9] 李会,仝志琴,路立立,等.2015-2018年洛阳市食品中沙门氏污染状况及血清型分布[J].河南预防医学,2019,30(10):797-800.
[10] 刘雪杰,陈伟伟,傅欣,等.2015-2018年福建省食源性疾病沙门菌属监测情况分析[J].中国人畜共患病学报,2020,36(3):223-228.
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