Pathogenic characteristics and traceability of a water-borne bacillary dysentery outbreak
QIN Di, JIA Hua-yun, DENG Zhi-hong, HE Zi-xiang, XIA Xin, Gao Li-dong, CAI Liang, ZHANG Hong
Hunan Provincial Key Laboratory of Microbial Molecular Biology, Hunan Provincial Center for Disease Control and Prevention, Changsha,Hunan 410005, China
Abstract:Objective To trace the source of a waterborne bacterial dysentery form a school outbreak and to analyze the etiological characteristics and genetic correlation between the patient strains and the isolated environmental strains. Methods All the 29 Shigella bacteria strains isolated from patients and well water were subject to isolation and identification, serotyping and drug sensitive test. Electrophoresis patterns were obtained by pulsed field gel electrophoresis (PFGE), and then subject to cluster analysis by BioNumerics to study the correlation among the strains. Results All the 29 isolates were Shigella sonnei Phase Ⅰ, and 96.55% isolates produced extended spectrum β-lactamases. Three kinds of PFGE patterns were obtained, with similar rates between 72.8%-100%. The 25 isolates from patients and 2 from well water were 100% homologous. Conclusions Based on the laboratory Results and epidemiological investigation, it is a water-borne bacillary dysentery outbreak caused by drinking or using Shigella sonnei contaminated well water.
[1] 杨绍基,任红,李兰娟,等.传染病学[M].第7版.北京:人民卫生出版社,2010:172. [2] 中华人民共和国卫生部. WS287-2008细菌性和阿米巴性痢疾诊断标准[S].北京:人民卫生出版社,2009. [3] 罗垲炜,夏昕,胡世雄,等. 湖南省2009-2013年细菌性痢疾流行病学特征及病原分析[J]. 中国热带医学,2014,14(8):950-952. [4] 常海岭,李月芳,谢新宝,等.儿童志贺菌感染的流行趋势及耐药模式[J].中国感染与化疗杂志,2015,15(1):32-37. [5] Youlong G,Stan BF,von Seidlen L,et al.Perceptions of Shigellaand of Shigella vaccine among rural Chinese: compatibility with Western models of behavioral change[J].Southeast Asian J Trop Med Public Health,2004,35(1):2233-2239. [6] 周述南,刘新亮,刘仁文,等.一起宋内志贺菌暴发疫情调查[J].实用预防医学,2014,21(7):893-894. [7] 唐喜林,许伦红.一起水型细菌性痢疾暴发原因调查 [J].实用预防医学,2015,22(8):975-977. [8] Strueles MJ. Molecular epidemiologic typing systems of bacterial pathogens:curres and perspectives[J].Mem Inst Oswaldo Cruz,1998,93(5):581-585. [9] Swaminathan B,Barrett TJ,Hunter SB,et al. PulseNet:the molecular subtyping network for foodborne bacterial disease surveillance,United States[J].Emerg Infect Dis,2001,7(3):382-389. [10] Kam KM, Luey CK, Tsang YM,et al. Molecular subtyping of Vibio cholerae O1 and O139 by pulsed-field gel electophoresis in Hong Kong;correlation with epidemiological events from 1994 to 2002[J]. J Clin Microbiol,2003,41(10):4502-4511.