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Pathogenic detection and molecular tracing of a bacillary dysentery outbreak by Shigella sonnei in Huainan city

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Author:
No author available
Journal Title:
Chinese Journal of Preventive Medicine
Issue:
4
DOI:
10.3760/cma.j.cn112150-20210409-00346
Key Word:
宋内志贺菌;全基因组测序;聚合酶链反应;药敏试验;Shigella sonnei;Whole genome sequencing;Polymerase chain reaction;Drug susceptibility

Abstract: Objective:To understand the virulence gene and drug resistance profile of Shigella sonnei outbreak in Huainan city, and conduct pathogenic traceability analysis. Methods:Water samples and feces related to an infectious diarrhea outbreak in Huainan city in August 2020 were collected for multiple pathogen detection. Virulence gene, drug sensitivity, pulse-field gel electrophoresis and whole genome sequencing of Shigella isolates were analyzed respectively. Results:38 strains of Shigella sonnei were detected in 56 samples of mucilage feces with a positive rate 67.86%, and all serotypes were Shigella sonnei Phase I. Three strains of Shigella sonnei were detected by fluorescence PCR in the Gram-negative (GN) bacterial enrichment solution of terminal water and well water. Virulence genes were ipaH positive (38), ipaH/ial (31) and ipaH/ial/sen positive (1), respectively. The drug resistance spectrum showed that 9 of 14 antibiotics were 100% resistant, and only imipenem, chloramphenicol, ceftazidime and ciprofloxacin were effective drugs. XbaⅠ restriction enzyme map type of 36 isolates was completely consistent, and the ST type analysis of 3 strains was ST152. Whole genome sequencing and analysis verified that the outbreak was caused by a single clonal group of strains, and revealed that the isolates of the outbreak were clustered into a large cluster with 3 Chinese strains and 1 Korean strain in the database, far away from the strains of other countries. Conclusion:The outbreak is caused by a single clone of Shigella sonnei, which are low virulence strains and have multiple drug resistance.

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