Laboratory-Based Surveillance of Non-typhoidal Salmonella Infections in Guangdong Province, China

被引:74
作者
Deng, Xiaoling [1 ]
Ran, Lu [2 ]
Wu, Shuyu [3 ]
Ke, Bixia [1 ]
He, Dongmei [1 ]
Yang, Xingfen [1 ]
Zhang, Yonghui [1 ]
Ke, Changwen [1 ]
Klena, John D. [3 ]
Yan, Meiying [4 ]
Feng, Zijian [2 ]
Kan, Biao [4 ]
Liu, Xin [3 ]
Mikoleit, Matthew [3 ]
Varma, Jay K. [3 ]
机构
[1] Guangdong Prov Ctr Dis Control & Prevent, Guangzhou 510300, Guangdong, Peoples R China
[2] Chinese Ctr Dis Control & Prevent, Off Dis Control & Emergency Response, Beijing, Peoples R China
[3] US Ctr Dis Control & Prevent, Atlanta, GA USA
[4] Chinese Ctr Dis Control & Prevent, State Key Lab Infect Dis Prevent & Control, Natl Inst Communicable Dis Prevent & Control, Beijing, Peoples R China
关键词
ENTERICA SEROTYPE TYPHIMURIUM; QUALITY-ASSURANCE SYSTEM; NONTYPHOIDAL SALMONELLA; ANTIMICROBIAL RESISTANCE; MULTIDRUG-RESISTANCE; FOODBORNE DISEASE; BURDEN; HUMANS; STANDARDIZATION; GASTROENTERITIS;
D O I
10.1089/fpd.2011.1008
中图分类号
TS2 [食品工业];
学科分类号
0832 ;
摘要
Salmonella is one of the most common foodborne pathogens in humans. Laboratory-based surveillance for non-typhoidal Salmonella infection was conducted in Guangdong Province, China to improve understanding about the disease burden and detection of dispersed outbreaks. Salmonella isolated from patients with diarrhea were sent from 16 sentinel hospitals to local public health laboratories for confirmation, serotyping, antimicrobial susceptibility testing, and pulsed-field gel electrophoresis (PFGE). PFGE patterns were analyzed to identify clusters representing potential outbreaks. Between September 2009 and October 2010, 352 (4%) Salmonella isolates were obtained from 9167 stool specimens. Salmonella enterica serotype Typhimurium (45%) and Salmonella enterica serotype Enteritidis (13%) were the most common serotypes, and multidrug resistance was high, especially in Salmonella Typhimurium isolates. PFGE patterns of obtained Salmonella isolates were found to be diverse, but a unique PFGE pattern comprising 53 Salmonella Typhimurium isolates were found to occur almost exclusively in infants. Epidemiologic studies are ongoing to determine whether a common exposure is the source of the Salmonella Typhimurium strain frequently isolated from infants.
引用
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页码:305 / 312
页数:8
相关论文
共 32 条
[1]  
Tablan Ofelia C, 2004, MMWR Recomm Rep, V53, P1
[2]  
[Anonymous], 2010, CLSI Document M100-S20
[3]   Interpretation of pulsed-field gel electrophoresis patterns in foodborne disease investigations and surveillance [J].
Barrett, TJ ;
Gerner-Smidt, P ;
Swaminathan, B .
FOODBORNE PATHOGENS AND DISEASE, 2006, 3 (01) :20-31
[4]  
Belgique France Royaume-Uni Et Le Reseau Salm-Net/ Belgium United Kingdom France And The Salm-Net Network, 1997, Euro Surveill, V2, P22
[5]   A population-based longitudinal study on the incidence and disease burden of gastroenteritis and Campylobacter and Salmonella infection in four regions of the Netherlands [J].
de Wit, MAS ;
Hoogenboom-Verdegaal, AMM ;
Goosen, ESM ;
Sprenger, MJW ;
Borgdorff, MW .
EUROPEAN JOURNAL OF EPIDEMIOLOGY, 2000, 16 (08) :713-718
[6]   Gaps Remain In China's Ability To Detect Emerging Infectious Diseases Despite Advances Since The Onset Of SARS And Avian Flu [J].
Feng, Zijian ;
Li, Wenkai ;
Varma, Jay K. .
HEALTH AFFAIRS, 2011, 30 (01) :127-135
[7]   Estimating the burden of acute gastroenteritis, foodborne disease, and pathogens commonly transmitted by food: An international review [J].
Flint, JA ;
Van Duynhoven, YT ;
Angulo, FJ ;
DeLong, SM ;
Braun, PG ;
Kirk, M ;
Scallan, E ;
Fitzgerald, M ;
Adak, GK ;
Sockett, P ;
Ellis, A ;
Hall, G ;
Gargouri, N ;
Walke, H ;
Braam, P .
CLINICAL INFECTIOUS DISEASES, 2005, 41 (05) :698-704
[8]  
Grimont P A, 2007, Antigenic formulae of the Salmonella serovars, V9th
[9]   Excess mortality associated with antimicrobial drug-resistant Salmonella typhimurium [J].
Helms, M ;
Vastrup, P ;
Gerner-Smidt, P ;
Molbak, K .
EMERGING INFECTIOUS DISEASES, 2002, 8 (05) :490-495
[10]   WHO Global Salm-Surv External Quality Assurance System for Serotyping of Salmonella Isolates from 2000 to 2007 [J].
Hendriksen, Rene S. ;
Mikoleit, Matthew ;
Carlson, Valeria P. ;
Karlsmose, Susanne ;
Vieira, Antonio R. ;
Jensen, Arne B. ;
Seyfarth, Anne Mette ;
DeLong, Stephanie M. ;
Weill, Francois-Xavier ;
Wong, Danilo Marino Armando Lo Fo ;
Angulo, Frederick J. ;
Wegener, Henrik C. ;
Aarestrup, Frank M. .
JOURNAL OF CLINICAL MICROBIOLOGY, 2009, 47 (09) :2729-2736