Biological Characteristics of Staphylococcus aureus Isolated from Food-Borne Patients in Seoul

식중독 환자에서 분리한 황색포도상구균의 생물학적 특성

Staphylocorccus aureus is gram positive, facultatively anaerobic, non-sporulative coccus, and positive for coagulase and DNase. The food-poisoning outbreak of Staphylococcus aureus increases in the world, and third occurrence happened in our country. Of 105 isolates (25.4%) obtained 413 focal samples of food-poisoning suspicious patients. In those cases, the enterotoxins were detected from a total of 45 isolates (42.9%), 9 isolates(20.0%) were A type, 33 isolates (73.3%) were H types, 2 isolates (4.4%) were G type and 1 isolate was a I type enterotoxin. Among the isolates possessing staphylococcal enterotoxins, 29 isolates had H type only(64.4%), 5 isolates had A type only and 4 isolates had both A and H type. Two isolates had G type only and 1 isolate had I type only. In the antibiotic susceptibility, 48 isolates (46%) had at least one antibiotic resistance among 105 isolates, 34 isolates (70.8%) were resistant to penicillin. 1 isolate (2.1%) to ampicillin, 3 isolates (6.3%) to erythromycin and kanamycin. Seven were resistant to more than two antibiotics and especially 1 isolate was resistant to penicillin-ampicillin-nitrofurantoin.

집단식중독 환자에서 분리한 Staphylococcus aureus에 대한 항생제 감수성, enterotoxin 형별을 PCR로 조사한 결과는 다음과 같았다. 1. 의심환자분변 413건중 105건(25.4%)에서 Staphylococcus aureus coagulase 양성 균주가 분리되었다. 2. enterotoxin 생산성을 PCR로 조사한 결과 총 45주(42.9%)에서 enterotoxin gene이 확인되었으며, 이 중 H형 단독생산주가 29주(64.4%)로 가장 많았으며. A형 단독생산주 5주(11.1%), A형 및 H형 혼합생산주 4주(8.9%), G형 생산주 2주(4.4%)및 I형 생산주 1주(2.2%)이었다. 3. 시험한 105주 중 48주(45.7%)에서 항생제 내성이 확인되었으며, 이 중 penicillin에 대한 내성이 38.1%로 가장 높았으며, ampicillin과 penicillin은 중등도 내성이 각각 42.9%, 61.0%이었다. chloramphenicol, clindamycin, methicillin. trimethoprim, vancomycin은 모두 감수성이었다. 또한 단제 내성이 85.4%를 차지하였으며, 2제 내성이 12.5%, 3제내성이 2.1%이었다.