Pathogen-Specific Impacts of the 2011-2012 La Niña-Associated Floods on Enteric Infections in the MAL-ED Peru Cohort: A Comparative Interrupted Time Series Analysis.

Extreme floods pose multiple direct and indirect health risks. These risks include contamination of water, food, and the environment, often causing outbreaks of diarrheal disease. Evidence regarding the effects of flooding on individual diarrhea-causing pathogens is limited, but is urgently needed in order to plan and implement interventions and prioritize resources before climate-related disasters strike. This study applied a causal inference approach to data from a multisite study that deployed broadly inclusive diagnostics for numerous high-burden common enteropathogens. Relative risks (RRs) of infection with each pathogen during a flooding disaster that occurred at one of the sites-Loreto, Peru-were calculated from generalized linear models using a comparative interrupted time series framework with the other sites as a comparison group and adjusting for background seasonality. During the early period of the flood, increased risk of heat-stable enterotoxigenic E. coli (ST-ETEC) was identified (RR = 1.73 [1.10, 2.71]) along with a decreased risk of enteric adenovirus (RR = 0.36 [0.23, 0.58]). During the later period of the flood, sharp increases in the risk of rotavirus (RR = 5.30 [2.70, 10.40]) and sapovirus (RR = 2.47 [1.79, 3.41]) were observed, in addition to increases in transmission of Shigella spp. (RR = 2.86 [1.81, 4.52]) and Campylobacter spp. (RR = 1.41 (1.01, 1.07). Genotype-specific exploratory analysis reveals that the rise in rotavirus transmission during the flood was likely due to the introduction of a locally atypical, non-vaccine (G2P[4]) strain of the virus. Policy-makers should target interventions towards these pathogens-including vaccines as they become available-in settings where vulnerability to flooding is high as part of disaster preparedness strategies, while investments in radical, transformative, community-wide, and locally-tailored water and sanitation interventions are also needed.

Ecotypes and virulence factors of Salmonella spp. detected in shrimp farms in Ceara-Brazil / Ecotipos e fatores de virulência de Salmonella spp. detectadas em fazendas de carcinicultura do Ceará, Brasil

Our objective was to group in ecotypes 12 serovars of Salmonella isolated from shrimp farming environments in the State of Ceara (Northeast Brazil). Grouping was done based on genotypic virulence factors. Two groups based on the similarity of the Box-PCR were identified: a group consisting of three strains (01 S. ser. Madelia serovar and 02 S. ser. enterica subs. houtenae) and another group consisting of nine isolates (02 S. ser. Saintpaul serovars; 03 S. ser. Infantis; 02 S. ser. Panama; 01 S. enterica subs. enterica; and 01 S. enterica subs. houtenae). Distribution pattern of the serovars was not influenced by the origin matrices (water and sediment). Plasmid virulence genes pefA and invA were detected, unrelated to the serovar and environmental origin of the isolates. The presence of virulence genes in the isolates underlines the potential to trigger salmonellosis events via shrimp consumption. Biomonitoring of these sources of contamination should be encouraged as a protective measure, minimizing health risks and economic losses for the industry.(AU)

Nosso objetivo foi agrupar em ecotipos 12 sorovares de Salmonella isolados em ambientes decarcinicultura no Estado do Ceará. O agrupamento foi feito a partir da pesquisa de fatores genotípicos devirulência. Constatou-se a formação de dois grupos baseados na similaridade do Box-PCR: um grupo comtrês estirpes (01 sorovar S. ser. Madelia e 02 sorovares S. enterica subs. houtenae) e outro constituído pornove isolados (02 sorovares S. ser. Saintpaul, 03 sorovares S. ser. Infantis, 02 sorovares S. ser. Panama, 01sorovar S. enterica subs. enterica e 01 sorovar S. enterica subs. houtenae). O padrão de distribuição dos sorovaresnão sofreu influência das matrizes de origem (água e sedimento). Os genes de virulência plasmidial pefA einvA foram detectados independente do sorovar e da origem ambiental dos isolados. A presença dessesgenes de virulência nos isolados de carcinicultura evidencia o potencial para desencadear eventos desalmonelose relacionados ao consumo de camarão. O biomonitoramento dessas fontes de contaminaçãodeve ser incentivado como medida protetiva, minimizando os riscos do ponto de vista sanitário e das perdaseconômicas para o setor da carcinicultura.(AU)

Ecotypes and virulence factors of Salmonella spp. detected in shrimp farms in State of Ceara, Brazil / Ecotipos e fatores de virulência de Salmonella spp. detectadas em fazendas de carcinicultura do Ceará, Brasil

Our objective was to group in ecotypes 12 serovars of Salmonella isolated from shrimp farming environments in the State of Ceara (Northeast Brazil). Grouping was done based on genotypic virulence factors. Two groups based on the similarity of the Box-PCR were identified: a group consisting of three strains (01 S. ser. Madelia serovar and 02 S. ser. enterica subs. houtenae) and another group consisting of nine isolates (02 S. ser. Saintpaul serovars; 03 S. ser. Infantis; 02 S. ser. Panama; 01 S. enterica subs. enterica; and 01 S. enterica subs. houtenae). Distribution pattern of the serovars was not influenced by the origin matrices (water and sediment). Plasmid virulence genes pefA and invA were detected, unrelated to the serovar and environmental origin of the isolates. The presence of virulence genes in the isolates underlines the potential to trigger salmonellosis events via shrimp consumption. Biomonitoring of these sources of contamination should be encouraged as a protective measure, minimizing health risks and economic losses for the industry.

Nosso objetivo foi agrupar em ecotipos 12 sorovares de Salmonella isolados em ambientes de carcinicultura no Estado do Ceará. O agrupamento foi feito a partir da pesquisa de fatores genotípicos de virulência. Constatou-se a formação de dois grupos baseados na similaridade do Box-PCR: um grupo com três estirpes (01 sorovar S. ser. Madelia e 02 sorovares S. enterica subs. houtenae) e outro constituído por nove isolados (02 sorovares S. ser. Saintpaul, 03 sorovares S. ser. Infantis, 02 sorovares S. ser. Panama, 01 sorovar S. enterica subs. enterica e 01 sorovar S. enterica subs. houtenae). O padrão de distribuição dos sorovares não sofreu influência das matrizes de origem (água e sedimento). Os genes de virulência plasmidial pefA e invA foram detectados independente do sorovar e da origem ambiental dos isolados. A presença desses genes de virulência nos isolados de carcinicultura evidencia o potencial para desencadear eventos de salmonelose relacionados ao consumo de camarão. O biomonitoramento dessas fontes de contaminação deve ser incentivado como medida protetiva, minimizando os riscos do ponto de vista sanitário e das perdas econômicas para o setor da carcinicultura.

Incidence and transferability of antibiotic resistance in the enteric bacteria isolated from hospital wastewater

This study reports the occurrence of antibiotic resistance and production of β-lactamases including extended spectrum beta-lactamases (ESβL) in enteric bacteria isolated from hospital wastewater. Among sixty-nine isolates, tested for antibiotic sensitivity, 73.9% strains were resistant to ampicillin followed by nalidixic acid (72.5%), penicillin (63.8%), co-trimoxazole (55.1%), norfloxacin (53.6%), methicillin (52.7%), cefuroxime (39.1%), cefotaxime (23.2%) and cefixime (20.3%). Resistance to streptomycin, chloramphenicol, nitrofurantoin, tetracycline, and doxycycline was recorded in less than 13% of the strains. The minimum inhibitory concentration (MIC) showed a high level of resistance (800-1600 µg/mL) to one or more antibiotics. Sixty three (91%) isolates produced β-lactamases as determined by rapid iodometric test. Multiple antibiotic resistances were noted in both among ESβL and non-ESβL producers. The β-lactamases hydrolyzed multiple substrates including penicillin (78.8% isolates), ampicillin (62.3%), cefodroxil (52.2%), cefotoxime (21.7%) and cefuroxime (18.8%). Fifteen isolates producing ESβLs were found multidrug resistant. Four ESβL producing isolates could transfer their R-plasmid to the recipient strain E. coli K-12 with conjugation frequency ranging from 7.0 x 10-3 to 8.8 x 10-4. The findings indicated that ESβL producing enteric bacteria are common in the waste water. Such isolates may disseminate the multiple antibiotic resistance traits among bacterial community through genetic exchange mechanisms and thus requires immediate attention.

Incidence and transferability of antibiotic resistance in the enteric bacteria isolated from hospital wastewater

This study reports the occurrence of antibiotic resistance and production of -lactamases including extended spectrum beta-lactamases (ESL) in enteric bacteria isolated from hospital wastewater. Among sixty-nine isolates, tested for antibiotic sensitivity, 73.9% strains were resistant to ampicillin followed by nalidixic acid (72.5%), penicillin (63.8%), co-trimoxazole (55.1%), norfloxacin (53.6%), methicillin (52.7%), cefuroxime (39.1%), cefotaxime (23.2%) and cefixime (20.3%). Resistance to streptomycin, chloramphenicol, nitrofurantoin, tetracycline, and doxycycline was recorded in less than 13% of the strains. The minimum inhibitory concentration (MIC) showed a high level of resistance (800-1600 µg/mL) to one or more antibiotics. Sixty three (91%) isolates produced -lactamases as determined by rapid iodometric test. Multiple antibiotic resistances were noted in both among ESL and non-ESL producers. The -lactamases hydrolyzed multiple substrates including penicillin (78.8% isolates), ampicillin (62.3%), cefodroxil (52.2%), cefotoxime (21.7%) and cefuroxime (18.8%). Fifteen isolates producing ESLs were found multidrug resistant. Four ESL producing isolates could transfer their R-plasmid to the recipient strain E. coli K-12 with conjugation frequency ranging from 7.0 x 10-3 to 8.8 x 10-4. The findings indicated that ESL producing enteric bacteria are common in the waste water. Such isolates may disseminate the multiple antibiotic resistance traits among bacterial community through genetic exchange mechanisms and thus requires immediate attention.(AU)

Incidence and transferability of antibiotic resistance in the enteric bacteria isolated from hospital wastewater.

This study reports the occurrence of antibiotic resistance and production of ß-lactamases including extended spectrum beta-lactamases (ESßL) in enteric bacteria isolated from hospital wastewater. Among sixty-nine isolates, tested for antibiotic sensitivity, 73.9% strains were resistant to ampicillin followed by nalidixic acid (72.5%), penicillin (63.8%), co-trimoxazole (55.1%), norfloxacin (53.6%), methicillin (52.7%), cefuroxime (39.1%), cefotaxime (23.2%) and cefixime (20.3%). Resistance to streptomycin, chloramphenicol, nitrofurantoin, tetracycline, and doxycycline was recorded in less than 13% of the strains. The minimum inhibitory concentration (MIC) showed a high level of resistance (800-1600 µg/mL) to one or more antibiotics. Sixty three (91%) isolates produced ß-lactamases as determined by rapid iodometric test. Multiple antibiotic resistances were noted in both among ESßL and non-ESßL producers. The ß-lactamases hydrolyzed multiple substrates including penicillin (78.8% isolates), ampicillin (62.3%), cefodroxil (52.2%), cefotoxime (21.7%) and cefuroxime (18.8%). Fifteen isolates producing ESßLs were found multidrug resistant. Four ESßL producing isolates could transfer their R-plasmid to the recipient strain E. coli K-12 with conjugation frequency ranging from 7.0 × 10(-3) to 8.8 × 10(-4). The findings indicated that ESßL producing enteric bacteria are common in the waste water. Such isolates may disseminate the multiple antibiotic resistance traits among bacterial community through genetic exchange mechanisms and thus requires immediate attention.

Bactérias entéricas presentes em amostras de água e camarão marinho litopenaeus vannamei oriundos de fazendas de cultivo no estado do Ceará, Brasil / Enteric bacteria in water samples and marine shrimp litopenaeus vannamei cultured in the state of Ceará, Brazil

Foram realizados a quantificação de coliformes totais (CT) e termotolerantes (CTT), isolamento e identificação de coliformes, e pesquisa de Salmonella em 28 amostras de água e 28 de camarão da espécie Litopenaeus vannamei, oriundas de duas fazendas de cultivo localizadas no Estado do Ceará, Brasil. Nenhuma amostra de água apresentou índice de CTT acima do limite de 2.500/100 mL preconizado pela legislação para águas salobras destinadas ao cultivo de organismos para fins de consumo. O Número Mais Provável (NMP/g) de CTT das amostras de camarão variou de <3 a 2,9 x 104. A maior frequência de isolamento de coliformes nas amostras de água e camarão foi a da espécie Escherichia coli. Em apenas três (5,35%), das 56 amostras analisadas, foi detectada a presença de Salmonella sorovar Newport e S. Saintpaul. Apesar do baixo índice de CTT e da baixa incidência de salmonela, a presença dessas bactérias entéricas em ambientes de cultivo de peneídeos é preocupante, uma vez que podem provocar infecções em humanos.

Samples of water (n = 28) and Litopenaeus vannamei (n = 28) from two shrimp farms in Ceará state, Brazil were evaluated for total coliforms (TC), total thermotolerant coliforms (TTC), coliform species diversity and Salmonella. No water sample presented TTC levels above the maximum level (2,500 MPN/100 mL) established by regulation for brackish water aquaculture producing seafood for human consumption. The most probable number (MPN) of TTC in shrimp samples ranged from <3 to 2.9 x 104 CFU/g. The coliform species most frequently isolated from water and shrimp was Escherichia coli. Only three (5.35%) of the 56 samples tested were positive for Salmonella (Newport and Saintpaul serovars). In spite of the low TTC levels observed, the presence of potentially pathogenic enteric bacteria in shrimp culture is a disquieting finding.

Study of the microbiota causing "blown pack" spoilage of vacuum-packed beef / Estudo da microbiota envolvida na deterioração "blown pack" de cortes cárneos embalados a vácuo

"Blown pack" spoilage is characterized by abundant production of gas and off-odor leading to swelling of the packing of vacuum-packed chilled meat cuts. The aim of this study was to determine possible microorganisms involved in this spoilage by quantifying and characterizing the population of Enterobacteriaceae, quantifying lactic-acid bacteria, as well as researching Clostridium estertheticum and Clostridium gasigenes by PCR in meat proper for consumption and meat presenting "blown pack" spoilage. Fifty-four vacuum-packed meat cuts were analyzed, of which 27 were spoiled and 27 non-spoiled. Average enterobacteria population was 1.7x10° CFU/mL and 5.5x103 CFU/mL for spoiled and non-spoiled samples, respectively. Average lactic-acid bacteria population was 5.5x10 and 1.0x10 CFU/mL for spoiled and non-spoiled samples, respectively. The most prevalent enterobacteria species was Hafnia alvei. Meat showing "blown pack" spoilage had higher frequency of positive samples for Clostridium estertheticum. No statistically significant difference was observed in the population of Clostridium gasigenes between "blown pack" spoilage and non-spoiled meat. It was concluded that the most efficient method to control "blown pack" spoilage is to prevent meat contamination by fecal material.

A deterioração "blown pack" é caracterizada por abundante produção de gás e odor desagradável, induzindo à completa distensão da embalagem durante o processo de estocagem sob refrigeração de cortes cárneos embalados a vácuo. Assim, o objetivo deste trabalho foi o de determinar os possíveis microrganismos envolvidos nessa deterioração através da quantificação e caracterização das populações de Enterobacteriaceae e quantificação de bactérias ácido-lácticas, além da pesquisa de Clostridium estertheticum e Clostridium gasigenes, através da PCR, em carnes próprias para o consumo e em carnes que apresentaram a deterioração "blown pack". Foram analisadas 54 peças de carne embaladas a vácuo, sendo 27 com deterioração e 27 sem deterioração. As populações médias de enterobactérias foram de 1,7x10° UFC/mL para amostras deterioradas e de 5,5x10³ UFC/mL nas não deterioradas, de bactérias ácido-lácticas foram, respectivamente, de 5,5x108 e 1,0x10 UFC/mL. Dentre as enterobactérias, a espécie de maior prevalência foi Hafnia alvei. A maior frequência de amostras positivas para o Clostridium estertheticum foram aquelas apresentando a deterioração "blown pack". Não houve diferença estatística significativa para a presença do Clostridium gasigenes entre amostras com deterioração "blown pack" e carnes não deterioradas. Concluiu-se que a principal forma de controle desta deterioração é a prevenção da contaminação da carne por material fecal.

Bactérias entéricas presentes em amostras de água e camarão marinho Litopenaeus vannamei oriundos de fazendas de cultivo no Estado do Ceará, Brasil / Enteric bacteria in water samples and marine shrimp Litopenaeus vannamei cultured in the state of Ceará, Brazil

Foram realizados a quantificação de coliformes totais (CT) e termotolerantes (CTT), isolamento e identificação de coliformes, e pesquisa de Salmonella em 28 amostras de água e 28 de camarão da espécie Litopenaeus vannamei, oriundas de duas fazendas de cultivo localizadas no Estado do Ceará, Brasil. Nenhuma amostra de água apresentou índice de CTT acima do limite de 2.500/100 mL preconizado pela legislação para águas salobras destinadas ao cultivo de organismos para fins de consumo. O Número Mais Provável (NMP/g) de CTT das amostras de camarão variou de <3 a 2,9 x 104. A maior frequência de isolamento de coliformes nas amostras de água e camarão foi a da espécie Escherichia coli. Em apenas três (5,35%), das 56 amostras analisadas, foi detectada a presença de Salmonella sorovar Newport e S. Saintpaul. Apesar do baixo índice de CTT e da baixa incidência de salmonela, a presença dessas bactérias entéricas em ambientes de cultivo de peneídeos é preocupante, uma vez que podem provocar infecções em humanos. (AU)

Samples of water (n = 28) and Litopenaeus vannamei (n = 28) from two shrimp farms in Ceará state, Brazil were evaluated for total coliforms (TC), total thermotolerant coliforms (TTC), coliform species diversity and Salmonella. No water sample presented TTC levels above the maximum level (2,500 MPN/100 mL) established by regulation for brackish water aquaculture producing seafood for human consumption. The most probable number (MPN) of TTC in shrimp samples ranged from <3 to 2.9 x 104 CFU/g. The coliform species most frequently isolated from water and shrimp was Escherichia coli. Only three (5.35%) of the 56 samples tested were positive for Salmonella (Newport and Saintpaul serovars). In spite of the low TTC levels observed, the presence of potentially pathogenic enteric bacteria in shrimp culture is a disquieting finding. (AU)

Resistance to tetracycline and β-lactams and distribution of resistance markers in enteric microorganisms and pseudomonads isolated from the oral cavity

This study evaluated the occurrence of enteric bacteria and pseudomonads resistant to tetracycline and β-lactams in the oral cavity of patients exhibiting gingivitis (n=89), periodontitis (n=79), periodontally healthy (n=50) and wearing complete dentures (n=41). Microbial identification and presence of resistance markers associated with the production of β-lactamases and tetracycline resistance were performed by using biochemical tests and PCR. Susceptibility tests were carried out in 201 isolates of enteric cocci and rods. Resistance to ampicillin, amoxicillin/clavulanic acid, imipenem, meropenem and tetracycline was detected in 57.4 percent, 34.6 percent, 2.4 percent, 1.9 percent and 36.5 percent of the isolates, respectively. β-lactamase production was observed in 41.2 percent of tested microorganisms, while the most commonly found β-lactamase genetic determinant was gene blaTEM. Tetracycline resistance was disseminated and a wide scope of tet genes were detected in all studied microbial genus.