一种罕见的ESBL大肠杆菌菌株的分子表征,该菌株在早产婴儿中引起瘤性肠球炎的爆发
Charlotte Despineux1, Florence Crombé2, Fiammetta Piersigilli3,4
1From the Department of Pediatrics, Saint-Luc University Hospital, Catholic University of Louvain (UCLouvain), Brussels, Belgium.
The Pediatric infectious disease journal
|June 5, 2025
概括
在早产婴儿中发生的严重死性肠球炎 (NEC) 爆发与一种罕见的,高度毒性的大肠杆菌菌株有关. 加强感染控制和基因组测序对于在新生儿重症监护室管理这种传染病爆发至关重要.
科学领域:
- 新生儿科学 新生儿科学
- 传染性疾病 传染性疾病
- 基因组学就是基因组学.
背景情况:
- 死性肠球炎 (NEC) 是早产婴儿的一种严重疾病,通常是零星的,但偶尔会爆发,表明其来源是传染性的.
- 大肠杆菌是新生儿中常见的グラム阴性病原体,但通常具有较低的医院传染性.
研究的目的:
- 详细介绍比利时新生儿重症监护病房内结肠炎爆发病例的管理.
- 为了进行对一种罕见的,高度毒性和耐多药性大肠杆菌菌株的分子表征,该菌株对疫情负责.
主要方法:
- 从电子病历中提取临床数据.
- 监测的全基因组测序和临床分离物用于遗传学分类.
- 使用BioNumerics和EnteroBase分析耐药性和毒性概况.
主要成果:
- 一个由6名婴儿组成的群体在一个月内被一个扩展光谱β-乳糖酶生成的单一大肠杆菌菌株所殖民.
- 四名婴儿患有严重的NEC,导致一例死亡和三例短肠综合征.
- 爆发株是一种未注册的O6:H1血清型的肠外致病性大肠杆菌,具有blaCTX-M-15和papA基因,并通过护理人员横向传播.
结论:
- 高毒性菌株的出现需要加强新生儿重症监护病房的感染预防和控制.
- 细菌基因组测序可以帮助早期鉴定毒性和耐药性,改善疫情预防和制.
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