DOI QR코드

DOI QR Code

Molecular Typing of Salmonella enterica serovar Typhi Strains Isolated in Busan by Pulsed-Field Gel Electrophoresis

부산지역에서 분리된 Salmonella enterica serovar Typhi균에 대한 PFGE를 이용한 Molecular typing

  • Min, Sang-Kee (Division of Microbiology, Busan Institute Of Health and Environment) ;
  • Lee, Ju-Hyun (Division of Microbiology, Busan Institute Of Health and Environment) ;
  • Park, Eun-Hee (Division of Microbiology, Busan Institute Of Health and Environment) ;
  • Kim, Jung-Ah (Division of Microbiology, Busan Institute Of Health and Environment) ;
  • Kim, Kyu-Won (College of Pharmacy, Seoul National University)
  • 민상기 (부산광역시보건환경연구원) ;
  • 이주현 (부산광역시보건환경연구원) ;
  • 박은희 (부산광역시보건환경연구원) ;
  • 김정아 (부산광역시보건환경연구원) ;
  • 김규원 (서울대학교 약학대학)
  • Published : 2006.07.31

Abstract

We obtained 424 Salmonella enterica serovar Typhi isolates from sporadic cases of infection in Busan during 1996 to 2005. We investigated the trend of antimicrobial resistance and molecular typing by pulsed-field gel electrophoresis (PFGE). Of the total 424 isolates, 6 strains (1.4%) were multidrug-resistant (MDR) S. enterica serovar Typhi isolates, 2 strains (0.5%) were resistant to only nalidixic acid, and the remaining 416 strains (98.1%) were fully susceptible to the 18 antimicrobial agent. PFGE of XbaI-digested chromosomal DNA was performed on 50 sporadic S. enterica serovar Typhi isolates with the objective of investigating the extent of genetic diversity of these isolates in our region. We could find that these isolates were much more heterogeneous and at least 32 different PFGE patterns were generated according by dice coefficient, between 0.69 and 1.0. Restriction fragment patterns consisted of 13 to 18 fragments ranged in size from 20 to 630 kb. The results confirmed that PFGE would be an useful tool for investigating surveillance of sporadic or outbreak case and assessing clonality for S. enterica serovar Typhi in Busan area. Our finding will be valuable in developing rational strategies to control this pathogen and setting the basis of an effective PulseNet system in Korea.

1996년부터 2005년까지 부산지역에서 분리된 Salmonella enterica serovar Typhi 균주에 대한 항균제 내성 변화양상 및 Pulsed-field gel electrophoresis(PFGE)를 이용한 분리주의 분자역학적 형별을 분석하였다. 전체 424주에 대한 항균제 감수성 시험결과 multidrug-resistant (MDR) 6주(1.4%)와 nalidixic acid에만 내성을 보이는 2주를 제외한 나머지 416주(98.1%)가 시험 항균제 18종 모두에 감수성을 보였다. 부산지역 분리 장티푸스균의 유전적 이질성을 확인하고자 실시한 산발 분리 50주의 PFGE/XbaI 시험결과, 최소 32종의 다양한 패턴이 나타났다. 각 패턴별로 제한효소 절편 수는 13개에서 18개까지였고, 절편크기는 약 20 kb에서 630 kb 범위였다. 본 시험결과 부산지역의 장티푸스의 산발 또는 집단 발생시 PFGE는 유용한 역학적 지표로 사용가능함을 알 수 있었으며 또한 전국적 PulseNet 구축의 기초 자료로서 활용도가 높을 것으로 사료된다.

Keywords

References

  1. Ackers, M. L., N. D. Puhr, R. V. Tauxe, and E. D. Mintz. 2000. Laboratory-based surveillance of Salmonella serotype Typhi infections in the United States: antimicrobial resistance on the rise. JAMA 283, 2668-2673 https://doi.org/10.1001/jama.283.20.2668
  2. Anderson, E. S., and H. R. Smith. 1972. Chloramphenicol resistance in the typhoid bacillus. Br. Med. J. 3, 329-331 https://doi.org/10.1136/bmj.3.5822.329
  3. Arbeit, R. D. 1999. Laboratory procedure for the epidemiologic analysis of microorganism, P. 116-137. In P. R. Murray, E. J. Barron, M. A. Pfaller, ed. American Society for Microbiology, Washington, D. C
  4. Asna, S. M., J. A. Haq, and M. M. Rahman. 2003. Nalidixic acid resistant Salmonella enterica serovar Typhi with decreased susceptibility to ciprofloxacin caused treatment failure: a report from Bangladesh. Jpn. J. Infect. Dis. 56, 32-33
  5. Chong, Y. S., K. W. Lee, D. E. Yong, J. H. Yum, Y. S. Lim, H. S. Kim, B. K. Lee. 2004. Emergence of multidrug resistant Salmonella enterica serovar Typhi in Korea. Antimicrob. Agents Chemother. 48, 4130-4135 https://doi.org/10.1128/AAC.48.11.4130-4135.2004
  6. Connerton, P., J. Wain, T. T. Hien, T. Ali, C. Parry, N. T. Chinh, H. Vinh, V. A. Ho, T. S. Diep, N. P. J. Day, N. J. White, G. Dougan, and J. J. Farrar. 2000. Epidemic Typhoid in Vietnam: Molecular Typing of multiple antibiotic resistant .Salmonella enterica serovar Typhi from four outbreaks. J. Clin. Microbiol. 38, 895-897
  7. Edleman, R., and M. M. Levine. 1986. Summary of an international workshop on typhoid fever. Rev. Infect. Dis. 8, 329-335 https://doi.org/10.1093/clinids/8.3.329
  8. Fica, A. E., S. Prat-Miranda, A. Fernandez-Ricci, K. D'Ottone, and F. C. Cabello. 1996. Epidemic typhoid in Chile: analysis by molecular and conventional methods of Salmonella typhi strain diversity in epidemic(1997 and 1981) and nonepidemic 1990 years. J. Clin. Microbiol. 34, 1701-1707
  9. Gautom, R. K. 1997. Rapid pulse-field gel electrophoresis protocol for typing of Escherichia coli O157:H7 and other gram negative organisms in 1 day. J. Clin. Microbiol. 35, 2977-2980
  10. Hermans, P. W. M., S. K. Saha, W. J. van Leeuwen, H. A. Verbrugh, A. van Belkum, and W. H. F. Goessens. 1996. Molecular typing of Salmonella typhi strains from Dhaka (Bangladesh) and development of DNA probes identifying plasmid encoded multidrug resistant isolates. J. Clin. Microbiol. 34, 1373-1379
  11. Hosoglu, S., M. Loeb, M. F. Geyik, H. Ucmak, and P. Jayaratne. 2002. Molecular epidemiology of invasive Salmonella typhi in southeast Turkey. Eur. J. Clin. Microbiol. Infect. Dis. 9, 727-730
  12. Kariuki, S., G. Revathi, T. Muyodi, J. Mwituria, A. Munyalo, S. Mirza, and C. A. Hart. 2004. Characterization of multidrug-resistant typhoid outbreak in Kenya. J. Clin. Microbiol. 42, 1477-1482 https://doi.org/10.1128/JCM.42.4.1477-1482.2004
  13. Kubota, K., T. J. Barrett, M. L. Ackers, P. S. Brachman, and E. D. Mintz. 2005. Analysis of Salmonella enterica serotype Typhi pulsed-field gel electrophoresis patterns associated with international travel. J. Clin. Microbiol. 43, 1205-1209 https://doi.org/10.1128/JCM.43.3.1205-1209.2005
  14. Le, T. A. H., M. L. Collin, P. A. D. Grimont, T. L. Hoang, T. V. Nguyen, F. Grimont, and M. R. Scavizzi. 2004. Endemic, epidemic clone of Salmonella enterica serovar Typhi harboring a single multidrug resistant plasmid in Vietnam between 1995 and 2002. J. Clin. Microbiol. 42, 3094-3099 https://doi.org/10.1128/JCM.42.7.3094-3099.2004
  15. Ling, J. M., N. W. Lo, Y. M. Ho, K. M. Kam, N. T. Hoa, L. T. Phi, and A. F. Cheng. 2000. Molecular methods for the epidemiological typing of Salmonella enterica serotype Typhi from Hong Kong and Vietnam. J. Clin. Microbiol. 38, 292-300
  16. Litwin, C. M.,A. L. Storm, S. Chipowsky, and K. J. Ryan. 1991. Molecular epidemiology of Shigella infections : plasmid profiles, serotype corelation, and restriction endonuclease analysis. J. Clin. Microbiol. 29, 104-108
  17. Maslow, J. N., A. M. Slutsky, and R. D. Arbeit. 1993. Application of pulsed field gel electrophoresis to molecular epidemiology, p. 563-572. In D. H. Persing, T. F. Smith, F. C. Tenover, and T. J. White (ed), Diagnostic molecular microbiology: principle and applications-1993. American society for Microbiology, Washington, D.C
  18. Mills-Robertson F., M. E. Addy, P. Mensah, and S. S. Crupper. 2002. Molecular characterization of antibiotic resistance in clinical Salmonella typhi isolated in Ghana. FEMS Microbiol. Lett. 215, 249-253 https://doi.org/10.1111/j.1574-6968.2002.tb11398.x
  19. Murdoch, D. A., N. A. Banatvala, A. Bone, B. I. Shoismatulloev, L. R. Ward, and J. E. Threlfall. 1998. Epidemic of ciprofloxacin resistant Salmonella typhi in Tajikistan. Lancet 351, 339 https://doi.org/10.1016/S0140-6736(05)78338-0
  20. Mirza, S. H., N. J. Beeching, and C. A. Hart. 1996. Multidrug resistant typhoid: a global problem. J. Med. Microbiol. 44, 317-319 https://doi.org/10.1099/00222615-44-5-317
  21. Mirza, S., S. Kariuki, K. Z. Mamum, N. J. Beeching, and C. A. Hart. 2000. Analysis of plasmid and chromosomal DNA of multidrug resistant Salmonella enterica serovar Typhi from Asia. J. Clin. Microbiol. 38, 1449-1452
  22. Navarro, F., T. LLovet, M. A. Echeita, P. Coll, A. Aladuena, M. A. Usera, and G. Prats. 1996. Molecular typing of Salmonella enterica serovar Typhi. J. Clin. Microbiol. 34, 2831-2834
  23. Nath, G., A. Tikoo, H. Manocha, A. K. Tripathi, and A. K. Gulati. 2000. Drug resistance in Salmonella typhi in North India with special reference to ciprofloxacin. J. Antimicrob. Chemother. 46, 149-150 https://doi.org/10.1093/jac/46.1.149
  24. Olarte, J., and E. Galindo. 1973. Salmonella typhi resistant to chloramphenicol, ampicillin and other antimicrobial agents: strains isolated during an extensive typhoid fever epidemic in Mexico. Antimicrob. Agents Chemother. 4, 597-601 https://doi.org/10.1128/AAC.4.6.597
  25. Phipps, M., T. Pang, C. L. Koh, and S. Puthucheary. 1991. Plasmid incidence rate and conjugative chloramphenicol and tetracycline resistance plasmids in Malaysian isolates of Salmonella typhi. Microbiol. Immunol. 35, 157-161 https://doi.org/10.1111/j.1348-0421.1991.tb01543.x
  26. Rahman, M., A. Ahmad, and S. Shoma. 2002. Decline in epidemic of multi drug resistant .Salmonella typhi is not associated with increased incidence of antibiotic-susceptible strain in Bangladesh. Epidemiol. Infect. 129, 29-34
  27. Rowe, B., L. R. Ward, and E. J. Threlfall. 1997. Multidrugresistant Salmonella typhi: a worldwide epidemic. Clin. Infect. Dis. 27(Suppl. 1): S106-S109
  28. Shanahan, P. M., K. A. Karamat, C. J. Thomson, and S. G. Ameyes. 1998. Molecular analysis and identification of antibiotic resistance genes in clinical isolates of Salmonella typhi from India. J. Clin. Microbiol. 36, 1595-1600
  29. Shin, Y. H., J. S. Yoo, K. S. Oh, J. K. Lee, and K. S. Kim. 1999. Plasmid profile and ${\beta}-lactamase$ type of multidrug resistant Salmonella typhi isolated from Korea, 1997. J. Korean Soc. Microbiol. 34, 445-452
  30. Tenover, F. C., R. D. Arbeit, R. V. Goering, P. A. Mickelsen, B. E. Murray, D. H. Persing, and B. Swamminathan. 1995. Interpreting chromosomal DNA restriction patterns produced by pulsed field gel electrophoresis: criteria for bacterial strain typing. J. Clin. Microbiol. 33, 2232-2329
  31. Thong, K. L., A. Cordano, R. M. Yassin, and T. Pang. 1996. Molecular analysis of environmental and human isolates of Salmonella typhi. Appl. Environ. Microbiol. 62, 271-274
  32. Thong, K. L., Y. L. Goh, R. M. Yasin, M. G. Lau, M. Passey, G. Winston, M. Yoannes, T. Pang, and J. C. Reeder. 2002. Increasing genetic diversity of Salmonella enterica serovar Typhi isolates from Papua New Guinea over the period from 1992 to 1999. J. Clin. Microbiol. 40, 4156-4160 https://doi.org/10.1128/JCM.40.11.4156-4160.2002
  33. Thong, K. L., Y. M. Cheong, S. D. Puthucheary, C. L. Koh, and T. Pang. 1994. Epidemiological analysis of sporadic Salmonella typhi isolates and those from outbreaks by pulsed field gel electrophoresis. J. Clin. Microbiol. 32, 1135-1141
  34. Thong, K. L., Puthucheary, R. M. Yassin, P. Sudarmono, M. Padmidewi, E. Soewandojo, I. Handojo, S. Sarasombath, and T. Pang. 1995. Analysis of Salmonella typhi isolates from Southeast Asia by pulsed-field gel electrophoresis. J. Clin. Microbiol. 33, 1938-1941
  35. Tsen. H. Y., J. S. Lin, H. H. Hu, P. R. Liu, and T. K. Wang. 1999. Use of pulsed field gel electrophoresis as an epidemiological tool for analysis of sporadic associated strains of Salmonella typhi isolated in Taiwan. J. Applied Microbiol. 86, 761-768 https://doi.org/10.1046/j.1365-2672.1999.00720.x
  36. http://karms.nih.go.kr, January (2006)