RESUMO
Salmonella enterica serovar Infantis is causing an increasing number of infections worldwide. Our aim was to describe the characteristics of S. enterica serovar Infantis among patients attended in a hospital of Lima, Peru. Fifty cases of salmonellosis were seen during October 2015-May 2017; Salmonella Infantis was detected in 36% (n = 18) of them, displacing Enteritidis and Typhimurium (n = 13, 26%, each). Seventeen cases caused by Salmonella Infantis were presented as diarrheal illnesses; only one extraintestinal case (bacteremia) was seen in a 1-year-old infant. This serovar is resistant to multiple groups of antimicrobials, showing only fully susceptibility to carbapenems. Compared with Infantis, other serovars analyzed (mainly Enteritidis and Typhimurium) showed a lower frequency of resistance to antimicrobials such as trimethoprim-sulfamethoxazole, ampicillin, and chloramphenicol. The antibiotic with the highest frequency of resistance was ciprofloxacin. Further studies are needed to evaluate the routes of transmission and measures of control of this multidrug-resistant Salmonella.
Assuntos
Antibacterianos/farmacologia , Bacteriemia/microbiologia , Infecções por Salmonella/microbiologia , Salmonella/imunologia , Adolescente , Bacteriemia/epidemiologia , Bacteriemia/transmissão , Carbapenêmicos/farmacologia , Criança , Pré-Escolar , Ciprofloxacina/farmacologia , Farmacorresistência Bacteriana Múltipla , Hospitais , Humanos , Lactente , Testes de Sensibilidade Microbiana , Peru/epidemiologia , Salmonella/enzimologia , Infecções por Salmonella/epidemiologia , Infecções por Salmonella/transmissão , Salmonella enterica/enzimologia , Salmonella enterica/imunologia , SorogrupoRESUMO
The epidemiology of human Salmonella enterica infections in Guadeloupe (French West Indies) appears to be specific, with a higher prevalence of the subspecies enterica serovars Panama and Arechavaleta (Panama and Arechavaleta) than in other regions. A study was performed in Guadeloupe to identify the reservoir of Salmonella serovars by comparing their distribution in warm- and cold-blooded animals and in humans living in Guadeloupe and mainland France. Furthermore, a case-control study was conducted in 2012-2013 to identify the main epidemiologic risk factors for S. enterica infection among children under 15 years of age. Between June 2011 and December 2014, feces from 426 reptiles (322 anoles, 69 iguanas and 35 geckos) and 50 frogs distributed throughout Guadeloupe and nearby islands were investigated. The frequency of S. enterica carriage was 15.0% (n = 64) in reptiles but varied by species. The only significant risk factor for S. enterica infection was a more frequent presence of frogs in the houses of cases than in those of controls (P = 0.042); however, isolates were not collected. Panama and Arechavaleta were the two serovars most often recovered between 2005 and 2014 from humans living in Guadeloupe (24.5% (n = 174) and 11.5% (n = 82), respectively), which is in contrast to the low prevalence in mainland France (0.4%). Their presence at low frequencies in wild reptiles (4.6% (n = 3) and 3.1% (n = 2), respectively) and pigs (7.5% (n = 5) and 1.5% (n = 1), respectively) suggests a broad host range, and humans may be infected by indirect or direct contact with animals. These serovars are probably poorly adapted to humans and therefore cause more severe infections. The unusual subspecies houtenae serovar 43:z4,z32:- was a major subspecies in wild reptiles (24.6%, n = 16) and humans (9.4%, n = 67) but was not recovered from warm-blooded animals, suggesting that reptiles plays a key role in human infection.
Assuntos
Reservatórios de Doenças/microbiologia , Répteis/microbiologia , Infecções por Salmonella/epidemiologia , Infecções por Salmonella/microbiologia , Infecções por Salmonella/transmissão , Salmonella enterica , Animais , Estudos de Casos e Controles , Guadalupe/epidemiologia , HumanosRESUMO
In recent years nontyphoidal Salmonella has emerged as one of the pathogens most frequently isolated from the bloodstream in humans. Only a small group of Salmonella serovars cause this systemic infection, known as invasive nontyphoidal salmonellosis. Here, we present a focused minireview on Salmonella enterica serovar Panama, a serovar responsible for invasive salmonellosis worldwide. S Panama has been linked with infection of extraintestinal sites in humans, causing septicemia, meningitis, and osteomyelitis. The clinical picture is often complicated by antimicrobial resistance and has been associated with a large repertoire of transmission vehicles, including human feces and breast milk. Nonhuman sources of S Panama involve reptiles and environmental reservoirs, as well as food animals, such as pigs. The tendency of S Panama to cause invasive disease may be linked to certain serovar-specific genetic factors.
Assuntos
Infecções por Salmonella/microbiologia , Salmonella enterica/patogenicidade , Farmacorresistência Bacteriana Múltipla , Saúde Global , Humanos , Infecções por Salmonella/transmissão , Salmonella enterica/genética , VirulênciaAssuntos
Técnicas de Tipagem Bacteriana/métodos , Tipagem de Sequências Multilocus/métodos , Infecções por Salmonella/microbiologia , Salmonella typhimurium , Animais , Brasil , Bovinos , Galinhas , Células HeLa , Humanos , Carne/microbiologia , Infecções por Salmonella/transmissão , Salmonella typhimurium/genética , Salmonella typhimurium/patogenicidadeRESUMO
The objective of meat inspection is to promote animal and public health by preventing, detecting, and controlling hazards originating from animals. With the improvements of sanitary level in pig herds, the hazards profile has shifted and the inspection procedures no longer target major foodborne pathogens (i.e., not risk based). Additionally, carcass manipulations performed when searching for macroscopic lesions can lead to cross-contamination. We therefore developed a stochastic model to quantitatively describe cross-contamination when consecutive carcasses are submitted to classic inspection procedures. The microbial hazard used to illustrate the model was Salmonella, the data set was obtained from Brazilian slaughterhouses, and some simplifying assumptions were made. The model predicted that due to cross-contamination during inspection, the prevalence of contaminated carcass surfaces increased from 1.2% to 95.7%, whereas the mean contamination on contaminated surfaces decreased from 1 logCFU/cm² to -0.87 logCFU/cm², and the standard deviations decreased from 0.65 to 0.19. These results are explained by the fact that, due to carcass manipulations with hands, knives, and hooks, including the cutting of contaminated lymph nodes, Salmonella is transferred to previously uncontaminated carcasses, but in small quantities. These small quantities can easily go undetected during sampling. Sensitivity analyses gave insight into the model performance and showed that the touching and cutting of lymph nodes during inspection can be an important source of carcass contamination. The model can serve as a tool to support discussions on the modernization of pig carcass inspection.
Assuntos
Contaminação de Alimentos/análise , Contaminação de Alimentos/prevenção & controle , Inspeção de Alimentos/normas , Microbiologia de Alimentos , Carne/microbiologia , Salmonelose Animal/epidemiologia , Matadouros , Animais , Contagem de Colônia Microbiana , Humanos , Linfonodos/microbiologia , Modelos Estatísticos , Prevalência , Probabilidade , Salmonella , Infecções por Salmonella/prevenção & controle , Infecções por Salmonella/transmissão , Sensibilidade e Especificidade , Processos Estocásticos , SuínosRESUMO
Salmonella enterica is a major foodborne pathogen worldwide, being the main cause of outbreaks by food consumption in Chile. Despite all efforts deployed for control and prevention, the high incidence in people still persists, with several factors that could be influencing the epidemiological behavior of this infection. The objective of this review is to identify these factors belonging to the biological agent, the human host and the environment, which probably have a greater importance in Chile. Thus, priority areas for research of S. enterica are inferred, which hopefully will help to understand its spread in nature and its success as a wide host range pathogen. In the future, increased understanding of these determinants will facilitate the implementation of biosecurity and surveillance strategies for the prevention of disease in people and animals.
Salmonella enterica es uno de los principales patógenos transmitidos por los alimentos en el mundo, siendo la primera causa de brotes de intoxicación alimentaria en Chile. A pesar de todos los esfuerzos de control y prevención desplegados, la incidencia en las personas se ha mantenido alta, por lo que diversos factores podrían estar influenciando el comportamiento epidemiológico de esta infección. El objetivo de esta revisión es describir factores referidos tanto al agente biológico, al hospedero humano y al medio ambiente, que podrían tener mayor trascendencia en Chile. De esta forma, se infieren ámbitos prioritarios para la investigación de S. enterica, que permitan entender su dispersión en la naturaleza y su éxito como patógeno de un amplio rango de hospederos. A futuro, el mayor conocimiento de estos determinantes facilitará la implementación de estrategias de bioseguridad y vigilancia para la prevención de la enfermedad en las personas y en los animales.
Assuntos
Humanos , Animais , Infecções por Salmonella/microbiologia , Salmonella enterica , Meio Ambiente , Interações Hospedeiro-Patógeno , Infecções por Salmonella/transmissão , ChileRESUMO
Salmonella enterica subsp. enterica serotype Enteritidis is a major cause of human salmonellosis worldwide; however, little is known about the genetic relationships between S Enteritidis clinical strains and S Enteritidis strains from other sources in Chile. We compared the whole genomes of 30 S Enteritidis strains isolated from gulls, domestic chicken eggs, and humans in Chile, to investigate their phylogenetic relationships and to establish their relatedness to international strains. Core genome multilocus sequence typing (cgMLST) analysis showed that only 246/4,065 shared loci differed among these Chilean strains, separating them into two clusters (I and II), with cluster II being further divided into five subclusters. One subcluster (subcluster 2) contained strains from all surveyed sources that differed at 1 to 18 loci (of 4,065 loci) with 1 to 18 single-nucleotide polymorphisms (SNPs), suggesting interspecies transmission of S Enteritidis in Chile. Moreover, clusters were formed by strains that were distant geographically, which could imply that gulls might be spreading the pathogen throughout the country. Our cgMLST analysis, using other S Enteritidis genomes available in the National Center for Biotechnology Information (NCBI) database, showed that S Enteritidis strains from Chile and the United States belonged to different lineages, which suggests that S Enteritidis regional markers might exist and could be used for trace-back investigations. IMPORTANCE: This study highlights the importance of gulls in the spread of Salmonella Enteritidis in Chile. We revealed a close genetic relationship between some human and gull S Enteritidis strains (with as few as 2 of 4,065 genes being different), and we also found that gull strains were present in clusters formed by strains isolated from other sources or distant locations. Together with previously published evidence, this suggests that gulls might be spreading this pathogen between different regions in Chile and that some of those strains have been transmitted to humans. Moreover, we discovered that Chilean S Enteritidis strains clustered separately from most of S Enteritidis strains isolated throughout the world (in the GenBank database) and thus it might be possible to distinguish the geographical origins of strains based on specific genomic features. This could be useful for trace-back investigations of foodborne illnesses throughout the world.
Assuntos
Doenças das Aves/microbiologia , Charadriiformes/microbiologia , Genoma Bacteriano , Doenças das Aves Domésticas/microbiologia , Salmonelose Animal/microbiologia , Infecções por Salmonella/microbiologia , Salmonella enteritidis/genética , Animais , Doenças das Aves/transmissão , Chile , Humanos , Filogenia , Aves Domésticas , Doenças das Aves Domésticas/transmissão , Infecções por Salmonella/transmissão , Salmonelose Animal/transmissão , Salmonella enteritidis/isolamento & purificação , SorogrupoRESUMO
Salmonella enterica is a major foodborne pathogen worldwide, being the main cause of outbreaks by food consumption in Chile. Despite all efforts deployed for control and prevention, the high incidence in people still persists, with several factors that could be influencing the epidemiological behavior of this infection. The objective of this review is to identify these factors belonging to the biological agent, the human host and the environment, which probably have a greater importance in Chile. Thus, priority areas for research of S. enterica are inferred, which hopefully will help to understand its spread in nature and its success as a wide host range pathogen. In the future, increased understanding of these determinants will facilitate the implementation of biosecurity and surveillance strategies for the prevention of disease in people and animals.
Assuntos
Meio Ambiente , Interações Hospedeiro-Patógeno , Infecções por Salmonella/microbiologia , Salmonella enterica , Animais , Chile , Humanos , Infecções por Salmonella/transmissãoRESUMO
Non-typhoidal salmonellosis is an important cause of acute diarrhea in children. Generally they are acquired by consumption of contaminated food, but contact with reptiles is an increasing cause of this zoonoses. We describe three pediatric cases of gastroenteritis by Salmonella (Montevideo, Newport and Pomona), related to having turtles as pets. In two cases, the bacteria were isolated from the patient's stools and the turtle's droppings. The same genetic subtype by PFGE was obtained in both isolates. All the children recovered. Information and public health measures should be undertaken to control this zoonoses which affects young children.
Assuntos
Animais Domésticos/microbiologia , Gastroenterite/microbiologia , Infecções por Salmonella/microbiologia , Salmonella/isolamento & purificação , Tartarugas/microbiologia , Animais , Fezes/microbiologia , Feminino , Gastroenterite/diagnóstico , Humanos , Lactente , Masculino , Infecções por Salmonella/diagnóstico , Infecções por Salmonella/transmissão , Zoonoses/transmissãoRESUMO
Non-typhoidal salmonellosis is an important cause of acute diarrhea in children. Generally they are acquired by consumption of contaminated food, but contact with reptiles is an increasing cause of this zoonoses. We describe three pediatric cases of gastroenteritis by Salmonella (Montevideo, Newport and Pomona), related to having turtles as pets. In two cases, the bacteria were isolated from the patient’s stools and the turtle’s droppings. The same genetic subtype by PFGE was obtained in both isolates. All the children recovered. Information and public health measures should be undertaken to control this zoonoses which affects young children.
Las infecciones por Salmonella no tíficas, son una importante causa de diarrea aguda en niños. Generalmente adquiridas por alimentos contaminados, el contacto con animales, especialmente reptiles, también es responsable de esta zoonosis. Describimos tres casos de lactantes con gastroenteritis por Salmonella (S. Montevideo, S. Newport y S. Pomona), relacionados a contacto con tortugas mascotas. En dos de los casos se aisló Salmonella en las deposiciones de los niños y de las tortugas. En todos hubo proximidad entre los niños y los acuarios y/o tortugas, siendo probable la contaminación en la preparación de alimentos. El estudio de clonalidad por electroforesis de campo pulsado demostró el mismo subtipo genético en el aislado correspondiente al paciente y en el procedente de la mascota, lo cual confirmó la fuente zoonótica de los casos. Esta zoonosis debe ser abordada por las autoridades de salud y las sociedades científicas, ya que representa un importante riesgo para la salud, especialmente de niños pequeños.