Advanced Search

CN 34-1304/RISSN 1674-3679

Volume 23 Issue 7
Jul.  2019
Turn off MathJax
Article Contents
MU Yu-jiao, WANG Ruo-lin, ZHANG Bai-fan, ZHAO Jia-yong, LI Meng-lei, XIA Sheng-li, HUANG Xue-yong. Epidemiological characteristics and drug resistance surveillance of Shigella in infants and young children in Henan Province from 2013 to 2017[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2019, 23(7): 835-839. doi: 10.16462/j.cnki.zhjbkz.2019.07.018
Citation: MU Yu-jiao, WANG Ruo-lin, ZHANG Bai-fan, ZHAO Jia-yong, LI Meng-lei, XIA Sheng-li, HUANG Xue-yong. Epidemiological characteristics and drug resistance surveillance of Shigella in infants and young children in Henan Province from 2013 to 2017[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2019, 23(7): 835-839. doi: 10.16462/j.cnki.zhjbkz.2019.07.018

Epidemiological characteristics and drug resistance surveillance of Shigella in infants and young children in Henan Province from 2013 to 2017

doi: 10.16462/j.cnki.zhjbkz.2019.07.018
Funds:

National Science and Technology Major Projects of China 2018ZX10713003-002-003

Henan medical science and technology research plan 201702271

Major science and technology special projects in Henan 182102310207

More Information
  • Corresponding author: HUANG Xue-yong, E-mail: regnier@ibpc.fr
  • Received Date: 2019-01-31
  • Rev Recd Date: 2019-04-01
  • Publish Date: 2019-07-10
  •   Objective  To investigate the pathogenic characteristics of Shigella in infants from 2013 to 2017 in Henan Province.  Methods  From 2013 to 2017, 606 Shigella strains were isolated from 5 149 children with diarrhea under 5 years old in Henan Province. Serotyping, drug sensitivity test and Polymerase Chain Reaction detection of virulence gene methods were used to detect the pathogen of Shigella.  Results  The detection rate of Shigella in children with diarrhea was 11.77%, and the highest detection rate was in the 1-2 age group(24.08%). 606 Shigella strains were divided into two groups and 11 serotypes. Shigella flexneri accounted for 73.43%, and Shigella sonnei accounted for 26.57%. Resistance of 176 Shigella strains to ampicillin and naphthidine was serious (resistance rate > 90%), and the resistance rates to chloramphenicol, ciprofloxacin, norfloxacin and compound sulfamethoxamine were higher than 65%, and the sensitivity of imipenem and cephalosporin were higher. There were differences in drug resistance between Shigella flexneri and Shigella sonnei. The virulence genes of infants were mainly shET-1+, shET-2+, ipaH+ and ial+, and 5 avirulent strains were detected.  Conclusions  The bacterial dysentery of infants in Henan Province is dominated by Shigella flexneri. There are serious resistance and multidrug resistance to common antibiotics, and the dominant genes in different serotyping strains are different.
  • loading
  • [1]
    Crim SM, Griffin PM, Tauce R, et al. Preliminary incidence and trends of infection with pathogens transmitted commonly through food-foodborne diseases active surveillance network, 10 U.S. sites, 1996-2012[J]. Mmwr Morb Mortal Wkly Pep, 2013, 62(15): 283-287. http://pubmedcentralcanada.ca/pmcc/articles/PMC4604974/
    [2]
    张钟, 程婷婷, 马涛, 等. 南京市2005-2012年细菌性痢疾流行特征分析[J]. 中华疾病控制杂志, 2014, 18(11): 1047-1050. http://zhjbkz.ahmu.edu.cn/article/id/JBKZ201411010

    Zhang Z, Cheng TT, Ma T, et al. Analysis of the epidemiological characteristics of bacillary dysentery in Nanjing City, 2005-2012[J]. Chin J Dis Control Prev, 2014, 18(11): 1047-1050. http://zhjbkz.ahmu.edu.cn/article/id/JBKZ201411010
    [3]
    余晓君, 柯江维, 黄凯, 等. 江西地区儿童志贺菌属感染流行趋势及耐药性变迁[J]. 实验与检验医学, 2018, 36(4): 489-491. DOI: 10.3969/j.issn.1674-1129.2018.04.008.

    Yu XJ, Ke JW, Huang K, et al. Prevalence trends and drug resistance of Shigella infection in children of Jiangxi[J]. Exp Lab Med, 2018, 36(4): 489-491. DOI: 10.3969/j.issn.1674-1129.2018.04.008
    [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. DOI: 10.16718/j.1009-7708.2015.01.008.

    Chang HL, Li YF, Xie XB, et al. Prevalence and antimicrobial resistance pattern of Shigella isolates from children in Shanghai during the period from 2010 to 2012[J]. Chin J Infec Chemoth, 2015, 15(1): 32-37. DOI: 10.16718/j.1009-7708.2015.01.008.
    [5]
    厉小玉, 刘荻, 周俊, 等. 2006-2014年杭州市儿童细菌性痢疾的菌谱分布及耐药性变迁[J]. 中国卫生检验杂志, 2015, 25(22): 3960-3963. https://www.cnki.com.cn/Article/CJFDTOTAL-ZWJZ201522057.htm

    Li XY, Liu D, Zhou J, et al. Bacterial spectrum distribution and drug resistance tendency of bacillarydysentery in children from 2006 to 2014 in Hangzhou[J]. Chin J Health Lab Tec, 2015, 25(22): 3960-3963. https://www.cnki.com.cn/Article/CJFDTOTAL-ZWJZ201522057.htm
    [6]
    赵嘉咏, 穆玉姣, 张白帆, 等. 2011-2015年河南省细菌性痢疾病原学与耐药监测分析[J]. 现代预防医学, 2017, 44(18): 3403-3407. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF201718033.htm

    Zhao JY, Mu YJ, Zhang BF, et al. Anaiysis of the etiology and drug resistance surveillance for Shigellosis in Henan Province from 2011-201[J]. Mod Prev Med, 2017, 44(18): 3403-3407. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF201718033.htm
    [7]
    邵坤, 张华宁, 李心朋, 等. 山东省2011-2014年志贺氏菌分子分型及耐药性分析[J]. 中华疾病控制杂志, 2019, 23(2): 206-211. DOI: 10.16462/j.cnki.zhjbkz.2019.02.017.

    Shao K, Zhang HN, Li XP, et al. Molecular typing and antibiotic resistance of Shigella isolated from 2011 to 2014 in Shandong Province[J]. Chin J Dis Control Prev, 2019, 23(2): 206-211. DOI: 10.16462/j.cnki.zhjbkz.2019.02.017.
    [8]
    许云敏, 杜艳, 单斌, 等. 2005-2014年CHINET志贺菌耐药性监测[J]. 中国感染与化疗杂志, 2016, 16(2): 160-164. DOI: 10.16718/j.1009-7708.2016.02.008.

    Xu YM, Du Y, Shan B, et al. Antibiotic resistance profile of Shigella isolates in hospitals across China: results of CHINET Antimicrobial Resistance Surveillance Program 2005-2014[J]. Chin J Infect Chemother, 2016, 16(2): 160-164. DOI: 10.16718/j.1009-7708.2016.02.008.
    [9]
    毛联钢, 许小敏, 梁珊燕, 等. 254株志贺菌血清分型与耐药性和致病因子分析[J]. 中国卫生检验杂志, 2016, 26(9): 1339-1342. https://www.cnki.com.cn/Article/CJFDTOTAL-ZWJZ201609046.htm

    Mao LG, Xu XM, Liang SY, et al. Analysis of serum typing, drug resistance and virulence factors of 254 strains of Shigella[J]. Chin J Health Lab Tec, 2016, 26(9): 1339-1342. https://www.cnki.com.cn/Article/CJFDTOTAL-ZWJZ201609046.htm
    [10]
    Chang N, Jing Y, Liu H, et al. Role of the virulence plasmid in acid resistance of Shigella flexneri[J]. Scientific Reports, 2017, 7: 464-465. DOI: 10.1038/srep46465.
    [11]
    陈爱平, 李海丹, 熊美琴, 等. 福建省2005-2010年志贺菌分离株的毒力基因分析[J]. 中国人兽共患病学报, 2012, 28(6): 583-586. DOI:10.3969/clz.j.issn 1002-26942012.06.014.

    Chen AP, Li HD, Xiong MQ, et al. Prevalence of virulence genes in isolates of Shigella species from Fujian, 2005-2010[J]. Chin J Zoonoses, 2012, 28(6): 583-586. DOI:10.3969/clz.j.issn 1002-26942012.06.014.
    [12]
    易旭, 夏胜利, 张锦, 等. 2007年中国四省福氏志贺菌分离菌株的毒力基因检测和PFGE分析[J]. 中国人兽共患病学报, 2010, 28(6): 730-734. https://www.cnki.com.cn/Article/CJFDTOTAL-ZRSZ201008006.htm

    Yi X, Xia SL, Zhang J, et al. Virulence factors detection and pulsed field gel electrophoresis analysis of molecular typing on Shigella flexneri isolated from four provinces in China[J]. Chin J Zoonoses, 2010, 28(6): 730-734. https://www.cnki.com.cn/Article/CJFDTOTAL-ZRSZ201008006.htm
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Figures(1)  / Tables(5)

    Article Metrics

    Article views (432) PDF downloads(24) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return