肺炎克雷伯菌脉冲场凝胶电泳及多位点序列分型技术的联合应用  

Molecular typing of Klebsiella pneumonia by pulse-field gel electrophoresis in combination with multilocus sequence typing

作　　者：高源[1] 张砺[2] 李马超[1] 黄成[2] 任红宇[1] 周海健[1] 朱兵清[1] 李倩[1] 王晓蕾[2] 邵祝军[1] 

机构地区：[1]中国疾病预防控制中心传染病预防控制所,北京102206 [2]四川省成都市儿童医院

出　　处：《中华流行病学杂志》2010年第7期786-790,共5页Chinese Journal of Epidemiology

摘　　要：目的 联合使用脉冲场凝胶电泳（PFGE）及多位点序列分型（MLST）对肺炎克雷伯菌进行分型研究.方法 参照美国疾病预防控制中心及亚太地区PulseNet提供的PFGE相关标准化操作程序,优化相关电泳条件,对某儿童医院于2005-2006年分离到的59株菌分型分析,对其中高度相似性菌株进行MLST分型分析.结果 59株菌经PFGE分型分析,可分成47个PFGE型,19个PFGE群,具有高度相似性的菌株经MLST分型,其型别分别为ST-340、ST-342、ST-343、ST-344、ST-345,其中ST-342、ST-343、ST-344、ST-345为MLST数据库中中国新发现的ST型.结论 具有PFGE高度相似性的肺炎克雷伯菌可以通过MLST进一步确认或区分.Objective To type Klebsiella pneumonia through methods including pulse-field gel electrophoresis （PFGE） in combination with multilocus sequence typing. Methods Four selected different Eps, referring to the Standard Operating Procedure of PulseNet China, were used. The single colony of Klebsiella pneumonia was quantified after enriched culture. Embedding organisms in agarose and genome DNA were lysed with Proteinase K and then digested by restriction endonuclease Xba Ⅰ , to produce agarose gel. Fingerprint was obtained through PFGE and bands were marked with their molecular weights and then analyzed by BioNumerics software. Using MLST to analyze the strains that were highly similar, by PFGE typing Results By comparing the four results from each Eps, fk3 （switch time from 6s to 36s,total run time is 18.5 hours） seemed to be better than the others.59 strains of Klebsiella pneumonia were divided into 47 PFGE types and 19 PFGE clusters. The highly similar strains could be typed into ST-340、ST-342、ST-343、ST-344、ST-345 by MLST. Among them, ST-342、 ST-343、 ST-344、 ST-345 types were all new MLST types that were reported in China.Conclusion Highly similar Klebsiella pneumonias typed by PFGE could also be typed by MLST.

关 键 词：肺炎克雷伯菌 脉冲场凝胶电泳 多位点序列分型 

分 类 号：R446.5[医药卫生—诊断学]