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Yildiz M, Sahin O, Adiguzel MC. Prevalence and antimicrobial resistance of Campylobacter species in shelter-housed healthy and diarrheic cats and dogs in Turkey. Vet Med Sci 2024; 10:e1327. [PMID: 37990962 PMCID: PMC10766042 DOI: 10.1002/vms3.1327] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2023] [Revised: 09/13/2023] [Accepted: 11/07/2023] [Indexed: 11/23/2023] Open
Abstract
BACKGROUND Campylobacter spp. are among the leading foodborne bacterial pathogens. Pet animals may be an important reservoir for human infection. OBJECTIVES To determine the prevalence and antimicrobial resistance profiles and mechanisms of Campylobacter isolates recovered from shelter-housed healthy and diarrheic cats and dogs in Erzurum province in Turkey. METHODS A total of 250 rectal swabs (from 124 cats and 126 dogs) collected between 2020 and 2021 were included in this study. The samples were cultured using a Campylobacter-selective agar medium. A single suspect colony from each plate was purified and species identification was performed by PCR. Minimum inhibitory concentration (MIC) values were determined against eight antibiotics. Specific antimicrobial resistance genes (tetO and aphA-3) and mutations (in gyrA) were screened by PCR and/or sequencing. RESULTS A total of 26 (10.4%) isolates (25 Campylobacter jejuni and 1 Campylobacter coli) were obtained from the dogs; no Campylobacter was isolated from the cats. Of the C. jejuni isolates, 19.2% were resistant to nalidixic acid, 7.7% to ciprofloxacin and 3.8% to tetracycline and gentamicin per the CLSI interpretative criteria. The C. coli isolate was susceptible to all of the tested antibiotics. Thr-86-Ile mutation was the most common change detected in the gyrA gene in the quinolone-resistant isolates. CONCLUSION While geographic and population differences exist, Campylobacter carriage and associated antibiotic resistance in dogs is common, emphasising the need for continuous surveillance in this species, particularly given its zoonotic potential.
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Affiliation(s)
- Mustafa Yildiz
- Faculty of Veterinary MedicineDepartment of MicrobiologyAtaturk UniversityErzurumTurkey
| | - Orhan Sahin
- Department of Veterinary Diagnostic and Production Animal MedicineCollege of Veterinary MedicineIowa State UniversityAmesIowaUSA
| | - Mehmet Cemal Adiguzel
- Faculty of Veterinary MedicineDepartment of MicrobiologyAtaturk UniversityErzurumTurkey
- Veterinary Vaccine and Biological Product Development Application and Research CenterAtaturk UniversityErzurumTurkey
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Ghssein G, Barakat R, Nehme N, Awada R, Hassan HF. Fecal prevalence of Campylobacter spp. in house dogs in Lebanon: A pilot study. Vet World 2023; 16:2250-2255. [PMID: 38152257 PMCID: PMC10750756 DOI: 10.14202/vetworld.2023.2250-2255] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2023] [Accepted: 10/12/2023] [Indexed: 12/29/2023] Open
Abstract
Background and Aim Campylobacter spp. are Gram-negative bacilli that are widely recognized as a primary cause of bacterial gastroenteritis worldwide. Campylobacteriosis is the disease caused by this pathogen. Recently, greater attention has been given to the prevalence of campylobacteriosis in different animals, including pets. These animals are considered to be significant reservoirs for this zoonosis. In Lebanon, the occurrence of Campylobacter infection is high. Our first-of-its-kind pilot study in Lebanon aimed to estimate the fecal prevalence of Campylobacter species in house dogs. Materials and Methods Thirty-five rectal swabs were collected from male and female house dogs of different ages, both with or without diarrhea. Samples obtained from the dogs were subjected to qualitative microbiological culture testing and molecular diagnosis by polymerase chain reaction assays after bacterial DNA extraction. Results Fecal prevalence of Campylobacter spp. in house dogs in this study was 17%. There was a relatively higher prevalence among young females and a significant difference between healthy dogs and those suffering from diarrhea. Conclusion Campylobacteriosis was found to be prevalent among house dogs in Lebanon, making them potential carriers of Campylobacter species.
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Affiliation(s)
- Ghassan Ghssein
- Department of Biology, Faculty of Sciences, Lebanese University, Beirut, Lebanon
- Department of Laboratory Sciences, Faculty of Public Health, Islamic University of Lebanon, Beirut, Lebanon
| | - Rana Barakat
- Department of Biology, Faculty of Sciences, Lebanese University, Beirut, Lebanon
- Department of Laboratory Sciences, Faculty of Public Health, Islamic University of Lebanon, Beirut, Lebanon
| | - Nada Nehme
- Department of Environmental Sciences and Natural Resources, Faculty of Agricultural Engineering and Veterinary Medicine, Lebanese University, Dekwaneh, Mount Lebanon, Lebanon
| | - Rana Awada
- Department of Biology, Faculty of Sciences, Lebanese University, Beirut, Lebanon
| | - Hussein F. Hassan
- Department of Natural Sciences, School of Arts and Sciences, Lebanese American University, Beirut, Lebanon
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Ju C, Ma Y, Zhang B, Zhou G, Wang H, Yu M, He J, Duan Y, Zhang M. Prevalence, genomic characterization and antimicrobial resistance of Campylobacter spp. isolates in pets in Shenzhen, China. Front Microbiol 2023; 14:1152719. [PMID: 37323906 PMCID: PMC10267384 DOI: 10.3389/fmicb.2023.1152719] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2023] [Accepted: 05/09/2023] [Indexed: 06/17/2023] Open
Abstract
The prevalence of Campylobacter spp.in pets is a potential concern for human health. However, little is known about the pet-related Campylobacter spp. in China. A total of 325 fecal samples were collected from dogs, cats, and pet foxes. Campylobacter spp. were isolated by culture, and MALDI-TOF MS was used to identify 110 Campylobacter spp. isolates in total. C. upsaliensis (30.2%, 98/325), C. helveticus (2.5%, 8/325), and C. jejuni (1.2%, 4/325) were the three found species. In dogs and cats, the prevalence of Campylobacter spp. was 35.0% and 30.1%, respectively. A panel of 11 antimicrobials was used to evaluate the antimicrobial susceptibility by the agar dilution method. Among C. upsaliensis isolates, ciprofloxacin had the highest rate of resistance (94.9%), followed by nalidixic acid (77.6%) and streptomycin (60.2%). Multidrug resistance (MDR) was found in 55.1% (54/98) of the C. upsaliensis isolates. Moreover, 100 isolates, including 88 C. upsaliensis, 8 C. helveticus, and 4 C. jejuni, had their whole genomes sequenced. By blasting the sequence against the VFDB database, virulence factors were identified. In total, 100% of C. upsaliensis isolates carried the cadF, porA, pebA, cdtA, cdtB, and cdtC genes. The flaA gene was present in only 13.6% (12/88) of the isolates, while the flaB gene was absent. By analyzing the sequence against the CARD database, we found that 89.8% (79/88) of C. upsaliensis isolates had antibiotic target alteration in the gyrA gene conferring resistance to fluoroquinolone, 36.4% (32/88) had the aminoglycoside resistance gene, and 19.3% (17/88) had the tetracycline resistance gene. The phylogenetic analysis using the K-mer tree method obtained two major clades among the C. upsaliensis isolates. All eight isolates in subclade 1 possessed the gyrA gene mutation, the aminoglycoside and tetracycline resistance genes, and were phenotypically resistant to six classes of antimicrobials. It has been established that pets are a significant source of Campylobacter spp. strains and a reservoir for them. This study is the first to have documented the presence of Campylobacter spp. in pets in Shenzhen, China. In this study, C. upsaliensis of subclade 1 required additional attention due to its broad MDR phenotype and relatively high flaA gene prevalence.
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Affiliation(s)
- Changyan Ju
- Laboratory, Nanshan Center for Disease Control and Prevention, Shenzhen, China
| | - Yanping Ma
- Laboratory, Nanshan Center for Disease Control and Prevention, Shenzhen, China
| | - Bi Zhang
- Clinic, IVC Shenzhen Animal Hospital, Shenzhen, China
| | - Guilan Zhou
- State Key Laboratory of Infectious Disease Prevention and Control, Chinese Center for Disease Control and Prevention, Beijing, China
| | - Hairui Wang
- State Key Laboratory of Infectious Disease Prevention and Control, Chinese Center for Disease Control and Prevention, Beijing, China
| | - Muhua Yu
- Laboratory, Nanshan Center for Disease Control and Prevention, Shenzhen, China
| | - Jiaoming He
- Laboratory, Nanshan Center for Disease Control and Prevention, Shenzhen, China
| | - Yongxiang Duan
- Laboratory, Nanshan Center for Disease Control and Prevention, Shenzhen, China
| | - Maojun Zhang
- State Key Laboratory of Infectious Disease Prevention and Control, Chinese Center for Disease Control and Prevention, Beijing, China
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4
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Awada R, Ghssein G, El Roz A, Farhat M, Nehme N, Hassan HF. Prevalence of Campylobacter spp. in broilers in North Lebanon. Vet World 2023; 16:322-328. [PMID: 37041998 PMCID: PMC10082710 DOI: 10.14202/vetworld.2023.322-328] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2022] [Accepted: 01/13/2023] [Indexed: 02/19/2023] Open
Abstract
Background and Aim: Great attention has been given recently to the prevalence of different Campylobacter spp. in poultry since the latter are considered the major contributing reservoir of human campylobacteriosis. In Lebanon, the occurrence of campylobacteriosis in humans is high. The aim of our first-of-its-kind study in the country was to estimate the prevalence of Campylobacter spp. in broilers from a convenient sample of farms in North Lebanon.
Materials and Methods: One hundred twenty-five fecal samples were collected from 25 broiler farms, which were selected, examined, and classified according to their biosecurity level and rearing system. All samples were subjected to qualitative microbiological culture testing and polymerase chain reaction (PCR) assays to detect Campylobacter spp.
Results: Despite the reported use of antibiotics, cell culture and PCR were positive for 44% and 88%, respectively. This implies that this bacterium is resistant to antibiotics used on the farms. Furthermore, Campylobacter infection rate was higher in open (92%) than in closed (85%) system farms. All farms with poor biosecurity measures, and 82% of farms with good biosecurity measures had Campylobacter infections, and the difference was significant (p < 0.05).
Conclusion: Our results show that campylobacteriosis was found prevalent among broilers in North Lebanon, making them potential carriers of Campylobacter spp. Future studies should include antibiotic susceptibility testing to check the susceptibility pattern of isolates.
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Affiliation(s)
- Rana Awada
- Department of Biology, Faculty of Sciences, Lebanese University, Beirut, Lebanon; Department of Laboratory Sciences, Faculty of Public Health, Islamic University of Lebanon, Beirut, Lebanon
| | - Ghassan Ghssein
- Department of Biology, Faculty of Sciences, Lebanese University, Beirut, Lebanon; Department of Laboratory Sciences, Faculty of Public Health, Islamic University of Lebanon, Beirut, Lebanon
| | - Ali El Roz
- Department of Biology, Faculty of Sciences, Lebanese University, Beirut, Lebanon; Department of Laboratory Sciences, Faculty of Public Health, Islamic University of Lebanon, Beirut, Lebanon; Department of Biological and Chemical Sciences, School of Arts and Sciences, Lebanese International University, Beirut, Lebanon
| | - Mona Farhat
- Department of Laboratory Sciences, Faculty of Public Health, Islamic University of Lebanon, Beirut, Lebanon
| | - Nada Nehme
- Department of Environmental Sciences and Natural Resources, Faculty of Agricultural Engineering and Veterinary Medicine, Lebanese University, Dekwaneh, Mount Lebanon, Lebanon
| | - Hussein F. Hassan
- Department of Natural Sciences, School of Arts and Sciences, Lebanese American University, Beirut, Lebanon
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Derx J, Kılıç HS, Linke R, Cervero-Aragó S, Frick C, Schijven J, Kirschner AKT, Lindner G, Walochnik J, Stalder G, Sommer R, Saracevic E, Zessner M, Blaschke AP, Farnleitner AH. Probabilistic fecal pollution source profiling and microbial source tracking for an urban river catchment. THE SCIENCE OF THE TOTAL ENVIRONMENT 2023; 857:159533. [PMID: 36270368 DOI: 10.1016/j.scitotenv.2022.159533] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/13/2022] [Revised: 10/10/2022] [Accepted: 10/13/2022] [Indexed: 06/16/2023]
Abstract
We developed an innovative approach to estimate the occurrence and extent of fecal pollution sources for urban river catchments. The methodology consists of 1) catchment surveys complemented by literature data where needed for probabilistic estimates of daily produced fecal indicator (FIBs, E. coli, enterococci) and zoonotic reference pathogen numbers (Campylobacter, Cryptosporidium and Giardia) excreted by human and animal sources in a river catchment, 2) generating a hypothesis about the dominant sources of fecal pollution and selecting a source targeted monitoring design, and 3) verifying the results by comparing measured concentrations of the informed choice of parameters (i.e. chemical tracers, C. perfringensspores, and host-associated genetic microbial source tracking (MST) markers) in the river, and by multi-parametric correlation analysis. We tested the approach at a study area in Vienna, Austria. The daily produced microbial particle numbers according to the probabilistic estimates indicated that, for the dry weather scenario, the discharge of treated wastewater (WWTP) was the primary contributor to fecal pollution. For the wet weather scenario, 80-99 % of the daily produced FIBs and pathogens resulted from combined sewer overflows (CSOs) according to the probabilistic estimates. When testing our hypothesis in the river, the measured concentrations of the human genetic fecal marker were log10 4 higher than for selected animal genetic fecal markers. Our analyses showed for the first-time statistical relationships between C. perfringens spores (used as conservative microbial tracer for communal sewage) and a human genetic fecal marker (i.e. HF183/BacR287) with the reference pathogen Giardia in river water (Spearman rank correlation: 0.78-0.83, p < 0.05. The developed approach facilitates urban water safety management and provides a robust basis for microbial fate and transport models and microbial infection risk assessment.
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Affiliation(s)
- Julia Derx
- Institute of Hydraulic Engineering and Water Resources Management, TU Wien, Austria.
| | - H Seda Kılıç
- Institute of Hydraulic Engineering and Water Resources Management, TU Wien, Austria
| | - Rita Linke
- Institute of Chemical, Environmental and Bioscience Engineering, Research Group Microbiology and Molecular Diagnostics 166/5/3, TU Wien, Austria
| | - Sílvia Cervero-Aragó
- Institute for Hygiene and Applied Immunology, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Austria
| | - Christina Frick
- Vienna City Administration, Municipal Department 39, Division of Hygiene, Vienna, Austria
| | - Jack Schijven
- Utrecht University, Faculty of Geosciences, Department of Earth Sciences, Utrecht, the Netherlands; National Institute for Public Health and the Environment, Department of Statistics, Informatics and Modelling, Bilthoven, the Netherlands
| | - Alexander K T Kirschner
- Institute for Hygiene and Applied Immunology, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Austria; Division Water Quality and Health, Department of Pharmacology, Physiology, and Microbiology, Karl Landsteiner University of Health Sciences, Krems an der Donau, Austria
| | - Gerhard Lindner
- Institute of Hydraulic Engineering and Water Resources Management, TU Wien, Austria
| | - Julia Walochnik
- Institute of Specific Prophylaxis and Tropical Medicine, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Austria
| | - Gabrielle Stalder
- Research Institute of Wildlife Ecology, Department of Interdisciplinary Life Sciences, University of Veterinary Medicine Vienna, Vienna, Austria
| | - Regina Sommer
- Institute for Hygiene and Applied Immunology, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Austria
| | - Ernis Saracevic
- Institute for Water Quality and Resource Management, TU Wien, Vienna, Austria
| | - Matthias Zessner
- Institute for Water Quality and Resource Management, TU Wien, Vienna, Austria
| | - Alfred P Blaschke
- Institute of Hydraulic Engineering and Water Resources Management, TU Wien, Austria
| | - Andreas H Farnleitner
- Institute of Chemical, Environmental and Bioscience Engineering, Research Group Microbiology and Molecular Diagnostics 166/5/3, TU Wien, Austria.; Division Water Quality and Health, Department of Pharmacology, Physiology, and Microbiology, Karl Landsteiner University of Health Sciences, Krems an der Donau, Austria
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6
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Warwick C, Pilny A, Steedman C, Howell T, Martínez-Silvestre A, Cadenas V, Grant R. Mobile Zoos and Other Itinerant Animal Handling Events: Current Status and Recommendations for Future Policies. Animals (Basel) 2023; 13:214. [PMID: 36670754 PMCID: PMC9854913 DOI: 10.3390/ani13020214] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2022] [Revised: 12/07/2022] [Accepted: 12/25/2022] [Indexed: 01/11/2023] Open
Abstract
Mobile zoos are events in which non-domesticated (exotic) and domesticated species are transported to venues such as schools, hospitals, parties, and community centres, for the purposes of education, entertainment, or social and therapeutic assistance. We conducted literature searches and surveyed related government agencies regarding existing provisions within laws and policies, number of mobile zoos, and formal guidance issued concerning operation of such events in 74 countries or regions. We also examined governmental and non-governmental guidance standards for mobile zoos, as well as websites for mobile zoo operations, assessed promotional or educational materials for scientific accuracy, and recorded the diversity of species in use. We used the EMODE (Easy, Moderate, Difficult, or Extreme) algorithm, to evaluate identified species associated with mobile zoos for their suitability for keeping. We recorded 14 areas of concern regarding animal biology and public health and safety, and 8 areas of false and misleading content in promotional or educational materials. We identified at least 341 species used for mobile zoos. Mobile zoos are largely unregulated, unmonitored, and uncontrolled, and appear to be increasing. Issues regarding poor animal welfare, public health and safety, and education raise several serious concerns. Using the precautionary principle when empirical evidence was not available, we advise that exotic species should not be used for mobile zoos and similar itinerant events.
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Affiliation(s)
- Clifford Warwick
- Emergent Disease Foundation, 71-75 Shelton Street, Covent Garden, London WC2H 9JQ, UK
| | - Anthony Pilny
- Arizona Exotic Animal Hospital, 2340 E Beardsley Road Ste 100, Phoenix, AZ 85024, USA
| | - Catrina Steedman
- Emergent Disease Foundation, 71-75 Shelton Street, Covent Garden, London WC2H 9JQ, UK
| | - Tiffani Howell
- School of Psychology and Public Health, La Trobe University, P.O. Box 199, Bendigo, VIC 3552, Australia
| | | | - Vanessa Cadenas
- Animal Protection Biodiversity & Environment Section, Government of Catalonia, 43004 Tarragona, Spain
| | - Rachel Grant
- School of Applied Sciences, London South Bank University, 103 Borough Rd, London SE1 0AA, UK
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Göttling J, Heckel JO, Hotzel H, Fruth A, Pfeifer Y, Henning K, Kopp P, Mertens-Scholz K, Rietschel W, Pfeffer M. Zoonotic bacteria in clinically healthy goats in petting zoo settings of zoological gardens in Germany. Zoonoses Public Health 2022; 69:333-343. [PMID: 35229466 DOI: 10.1111/zph.12922] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2021] [Revised: 12/23/2021] [Accepted: 01/27/2022] [Indexed: 12/28/2022]
Abstract
Goats and other small ruminants are frequently used as contact animals in petting zoo settings of zoological gardens. However, they are capable to carry a broad spectrum of zoonotic pathogens without clinical signs. In this study, we analysed the presence of different zoonotic pathogens in 300 clinically healthy goats from 14 zoological gardens in Germany. Rectal and nasal swabs were investigated with a series of cultural and molecular techniques. In addition, vaginal swabs of the 230 female goats were investigated for the presence of Coxiella burnetii by real-time PCR. Antibodies against C. burnetii were tested in milk and serum by ELISA. Campylobacter spp. were found in 22.7%, Shiga-toxigenic Escherichia coli in 20.0% and Arcobacter spp. were found in 1.7% of the tested 300 goats after culture from rectal swabs and subsequent PCR. One sample contained an Escherichia fergusonii isolate with a blaCTX-M-1 -encoded extended-spectrum beta-lactamase phenotype. Neither Yersinia spp. nor Salmonella spp. were found. Nasal swabs of 20.7% of the goats yielded Staphylococcus aureus including one mecC-positive methicillin-resistant isolate. Neither Yersinia spp. nor Salmonella spp. were found, and none of the 230 vaginal swabs was positive for C. burnetii. Attempts to detect dermatophytes failed. In conclusion, a possible risk of transmission of zoonotic bacteria from goats in petting zoos to visitors should be considered. Appropriate information and facilities for hand washing and disinfection should be provided in all zoological gardens using goats as contact animals due to the regular presence of zoonotic bacteria in the collection.
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Affiliation(s)
| | | | - Helmut Hotzel
- Institute for Bacterial Infections and Zoonoses, Friedrich-Loeffler-Institut, Jena, Germany
| | - Angelika Fruth
- Robert Koch Institute, National Reference Centre for Salmonella and other Bacterial Enterics, Wernigerode, Germany
| | - Yvonne Pfeifer
- Robert Koch Institute, Nosocomial Pathogens and Antibiotic Resistance, Wernigerode, Germany
| | - Klaus Henning
- Institute for Bacterial Infections and Zoonoses, Friedrich-Loeffler-Institut, Jena, Germany
| | - Peter Kopp
- IDEXX Vet Med Labor GmbH, Kornwestheim, Germany
| | - Katja Mertens-Scholz
- Institute for Bacterial Infections and Zoonoses, Friedrich-Loeffler-Institut, Jena, Germany
| | - Wolfram Rietschel
- Tierärztliches Zentrum für Pferde in Kirchheim Altano GmbH, Kirchheim unter Teck, Germany
| | - Martin Pfeffer
- Institute for Animal Hygiene and Veterinary Public Health, University Leipzig, Germany
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Hlashwayo DF, Sigaúque B, Noormahomed EV, Afonso SMS, Mandomando IM, Bila CG. A systematic review and meta-analysis reveal that Campylobacter spp. and antibiotic resistance are widespread in humans in sub-Saharan Africa. PLoS One 2021; 16:e0245951. [PMID: 33503068 PMCID: PMC7840040 DOI: 10.1371/journal.pone.0245951] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2019] [Accepted: 01/11/2021] [Indexed: 01/01/2023] Open
Abstract
INTRODUCTION Campylobacter spp. are zoonotic bacteria that cause gastroenteritis in humans worldwide, whose main symptom is diarrhea. In certain cases, extra intestinal manifestations may occur, such as Guillain Barré syndrome. The bacteria cause severe diarrhea mostly in children and in immunocompromised individuals. This review aims to address the prevalence of Campylobacter spp. in humans in sub-Saharan Africa. It also aims to understand the impact of HIV in the prevalence, as well as to report data on antibiotic resistance and propose research priorities. METHODS We followed PRISMA guidelines to find studies on the occurrence of Campylobacter spp. in humans in all countries from sub-Saharan Africa. Studies published between 2000 and 2020 were searched in PubMed, Cochrane Library, CINAHL, African Index Medicus, African Journals Online, Google Scholar and Science Direct. We have conducted a random-effect meta-analysis and calculated the proportion of resistant isolates to different antibiotics. RESULTS AND DISCUSSION We found 77 studies that described such occurrence in humans in 20 out of 53 sub-Saharan African countries. Campylobacter jejuni was the most prevalent species. Pooled prevalence was 9.9% (CI: 8.4%-11.6%). No major variations within the different sub-regions were found. Most studies reported Campylobacter spp. as the cause of diarrhea, mainly in children. Some studies reported the bacteria as a possible etiologic agent of acute flaccid paralysis and urinary tract infection. Campylobacter spp. presented a higher pooled prevalence in HIV infected patients, although not statistically significant. High proportions of resistant strains were reported for many antibiotics, including erythromycin and tetracycline. CONCLUSION Campylobacter spp. occur in sub-Saharan Africa, although information is scarce or inexistent for many countries. Research priorities should include investigation of the understudied species; extra intestinal manifestations; the impact of HIV infection and associated risk factors. Control strategies should be reinforced to contain the spread of this pathogen and drug resistance.
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Affiliation(s)
- Delfina F. Hlashwayo
- Department of Biological Sciences, Faculty of Sciences, Eduardo Mondlane University, Maputo, Mozambique
- Faculty of Veterinary Science, Eduardo Mondlane University, Maputo, Mozambique
| | - Betuel Sigaúque
- Centro de Investigação em Saúde de Manhiça, Maputo, Mozambique
| | - Emília V. Noormahomed
- Department of Microbiology, Faculty of Medicine, Eduardo Mondlane University, Maputo, Mozambique
- Infectious Disease Division, Department of Medicine, University of California, San Diego, San Diego, CA, United States of America
- Mozambique Institute for Health Education and Research (MIHER), Maputo, Mozambique
| | - Sónia M. S. Afonso
- Faculty of Veterinary Science, Eduardo Mondlane University, Maputo, Mozambique
| | - Inácio M. Mandomando
- Centro de Investigação em Saúde de Manhiça, Maputo, Mozambique
- Instituto Nacional de Saúde (INS), Ministério da Saúde, Marracuene, Mozambique
| | - Custódio G. Bila
- Faculty of Veterinary Science, Eduardo Mondlane University, Maputo, Mozambique
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9
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Ben Romdhane R, Merle R. The Data Behind Risk Analysis of Campylobacter Jejuni and Campylobacter Coli Infections. Curr Top Microbiol Immunol 2021; 431:25-58. [PMID: 33620647 DOI: 10.1007/978-3-030-65481-8_2] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
Campylobacter jejuni and Campylobacter coli are major causes of food-borne enteritis in humans. Poultry meat is known to be responsible for a large proportion of cases of human campylobacteriosis. However, other food-borne, environmental and animal sources are frequently associated with the disease in humans as well. Human campylobacteriosis causes gastroenteritis that in most cases is self-limiting. Nevertheless, the burden of the disease is relatively large compared with other food-borne diseases, which is mostly due to rare but long-lasting symptoms related to immunological sequelae. In order to pave the way to improved surveillance and control of human campylobacteriosis, we review here the data that is typically used for risk analysis to quantify the risk and disease burden, identify specific surveillance strategies and assist in choosing the most effective control strategies. Such data are mostly collected from the literature, and their nature is discussed here, for each of the three processes that are essential for a complete risk analysis procedure: risk assessment, risk management and risk communication. Of these, the first, risk assessment, is most dependent on data, and this process is subdivided into the steps of hazard identification, hazard characterization, exposure assessment and risk characterization. For each of these steps of risk assessment, information from published material that is typically collected will be summarized here. In addition, surveillance data are highly valuable for risk assessments. Different surveillance systems are employed in different countries, which can make international comparison of data challenging. Risk analysis typically results in targeted control strategies, and these again differ between countries. The applied control strategies are as yet not sufficient to eradicate human campylobacteriosis. The surveillance tools of Campylobacter in humans and exposure sources in place in different countries are briefly reviewed to better understand the Campylobacter dynamics and guide control strategies. Finally, the available control measures on different risk factors and exposure sources are presented.
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Affiliation(s)
- Racem Ben Romdhane
- Faculty of Veterinary Medicine, Institute for Veterinary Epidemiology and Biostatistics, Freie Universität Berlin, Berlin, Germany
| | - Roswitha Merle
- Faculty of Veterinary Medicine, Institute for Veterinary Epidemiology and Biostatistics, Freie Universität Berlin, Berlin, Germany.
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10
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Simpson RB, Zhou B, Alarcon Falconi TM, Naumova EN. An analecta of visualizations for foodborne illness trends and seasonality. Sci Data 2020; 7:346. [PMID: 33051470 PMCID: PMC7553952 DOI: 10.1038/s41597-020-00677-x] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2020] [Accepted: 09/16/2020] [Indexed: 11/19/2022] Open
Abstract
Disease surveillance systems worldwide face increasing pressure to maintain and distribute data in usable formats supplemented with effective visualizations to enable actionable policy and programming responses. Annual reports and interactive portals provide access to surveillance data and visualizations depicting temporal trends and seasonal patterns of diseases. Analyses and visuals are typically limited to reporting the annual time series and the month with the highest number of cases per year. Yet, detecting potential disease outbreaks and supporting public health interventions requires detailed spatiotemporal comparisons to characterize spatiotemporal patterns of illness across diseases and locations. The Centers for Disease Control and Prevention's (CDC) FoodNet Fast provides population-based foodborne-disease surveillance records and visualizations for select counties across the US. We offer suggestions on how current FoodNet Fast data organization and visual analytics can be improved to facilitate data interpretation, decision-making, and communication of features related to trend and seasonality. The resulting compilation, or analecta, of 436 visualizations of records and codes are openly available online.
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Affiliation(s)
- Ryan B Simpson
- Tufts University Friedman School of Nutrition Science and Policy, Boston, USA
| | - Bingjie Zhou
- Tufts University Friedman School of Nutrition Science and Policy, Boston, USA
| | | | - Elena N Naumova
- Tufts University Friedman School of Nutrition Science and Policy, Boston, USA.
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11
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Masila NM, Ross KE, Gardner MG, Whiley H. Zoonotic and Public Health Implications of Campylobacter Species and Squamates (Lizards, Snakes and Amphisbaenians). Pathogens 2020; 9:pathogens9100799. [PMID: 32998205 PMCID: PMC7601876 DOI: 10.3390/pathogens9100799] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2020] [Revised: 09/18/2020] [Accepted: 09/25/2020] [Indexed: 11/24/2022] Open
Abstract
Campylobacter spp. is one of the most widespread infectious diseases of veterinary and public health significance. Globally, the incidence of campylobacteriosis has increased over the last decade in both developing and developed countries. Squamates (lizards, snakes and amphisbaenians) are a potential reservoir and source of transmission of campylobacteriosis to humans. This systematic review examined studies from the last 20 years that have reported squamate-associated human campylobacteriosis. It was found that C. fetus subsp. testudinum and C. fetus subsp. fetus were the most common species responsible for human campylobacteriosis from a squamate host. The common squamate hosts identified included bearded dragons (Pogona vitticeps), green iguana (Iguana iguana), western beaked gecko (Rhynchoedura ornate) and blotched blue-tongued skink (Tiliqua nigrolutea). People with underlying chronic illnesses, the immunocompromised and the elderly were identified as the most vulnerable population. Exposure to pet squamates, wild animals, consumption of reptilian cuisines and cross contamination with untreated water were risk factors associated with Campylobacter infections. Proper hand hygiene practices, responsible pet ownership, ‘One Health’ education and awareness on zoonotic diseases will help reduce the public health risks arising from Campylobacter exposure through squamates. Continued surveillance using molecular diagnostic methods will also enhance detection and response to squamate-linked campylobacteriosis.
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Affiliation(s)
- Nicodemus M Masila
- College of Science and Engineering, Flinders University, GPO Box 2100, Adelaide, SA 5001, Australia
- Kenya Tsetse and Trypanosomiasis Eradication Council (KENTTEC), P.O. BOX 66290, Westlands, Nairobi 00800, Kenya
| | - Kirstin E Ross
- College of Science and Engineering, Flinders University, GPO Box 2100, Adelaide, SA 5001, Australia
| | - Michael G Gardner
- College of Science and Engineering, Flinders University, GPO Box 2100, Adelaide, SA 5001, Australia
- Evolutionary Biology Unit, South Australian Museum, North Terrace, Adelaide, SA 5000, Australia
| | - Harriet Whiley
- College of Science and Engineering, Flinders University, GPO Box 2100, Adelaide, SA 5001, Australia
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12
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Asfaw Y, Ameni G, Medhin G, Alemayehu G, Wieland B. Infectious and parasitic diseases of poultry in Ethiopia: a systematic review and meta-analysis. Poult Sci 2020; 98:6452-6462. [PMID: 31801311 PMCID: PMC8913983 DOI: 10.3382/ps/pez521] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2019] [Accepted: 08/30/2019] [Indexed: 11/21/2022] Open
Abstract
In Ethiopia, poultry production is an important source of domestic food and nutrition security while providing income for nearly 80% of Ethiopians. However, several infectious and parasitic diseases hamper poultry production. To date, evidence on the nationwide burden of specific diseases has not been collated to inform targeting of poultry health interventions. The objective of this systematic review is to summarize and analyze the literature on poultry diseases since 2000. A detailed systematic review protocol was designed according to Cochrane collaboration, Strengthening the Reporting of Observational Studies in Epidemiology (STROBE), and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statements. The review revealed that 14 infectious and parasitic diseases of poultry were reported in 110 published studies from 2000 to 2017, and 81.82% (90/110) of the studies covered 6 diseases: Newcastle disease (ND), infectious bursal disease (IBD), avian coccidiosis, helminth infestation, ecto-parasite infestation, and Salmonella infection. The pooled prevalence estimates of ND and IBD were 44% (95% confidence interval [CI]: 27 to 63) and 41% (95% CI: 23 to 60), respectively. Among the parasitic diseases, avian coccidiosis, helminth infestation, and ecto-parasite infestation had estimated pooled prevalences of 37% (95% CI: 30 to 44), 62% (95% CI: 45 to 78), and 50% (95% CI: 33 to 68), respectively. The pooled prevalence estimate of Salmonella infection was found to be 51% (95% CI: 32 to 70). Most of the studies were conducted in central Ethiopia, in the State of Oromia, and focused on extensive farming systems. While the number of studies was low, the overall trend of disease reporting in the literature is increasing (Y = 0.99X-3.34). In conclusion, the high-pooled prevalence estimates of diseases and the scarcity of reported data for all of Ethiopia indicate an important data gap on infectious-disease distribution in the country. While the high-pooled prevalence points towards the need for intervention to control poultry diseases, there is also a need to ensure all diseases that result in production losses and public health risks are studied appropriately in all Ethiopian production systems.
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Affiliation(s)
- Yohannes Asfaw
- International Livestock Research Institute (ILRI), P.O. Box 5689, Addis Ababa, Ethiopia.,Aklilu Lemma Institute of Pathobiology, Addis Ababa University, P.O. Box 1176, Addis Ababa, Ethiopia.,College of Veterinary Medicine, Mekelle University, P.O. Box 2084, Mekelle, Ethiopia
| | - Gobena Ameni
- Aklilu Lemma Institute of Pathobiology, Addis Ababa University, P.O. Box 1176, Addis Ababa, Ethiopia
| | - Girmay Medhin
- Aklilu Lemma Institute of Pathobiology, Addis Ababa University, P.O. Box 1176, Addis Ababa, Ethiopia
| | - Gezahegn Alemayehu
- International Livestock Research Institute (ILRI), P.O. Box 5689, Addis Ababa, Ethiopia
| | - Barbara Wieland
- International Livestock Research Institute (ILRI), P.O. Box 5689, Addis Ababa, Ethiopia
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13
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Hlashwayo DF, Sigaúque B, Bila CG. Epidemiology and antimicrobial resistance of Campylobacter spp. in animals in Sub-Saharan Africa: A systematic review. Heliyon 2020; 6:e03537. [PMID: 32181402 PMCID: PMC7063338 DOI: 10.1016/j.heliyon.2020.e03537] [Citation(s) in RCA: 23] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2019] [Revised: 11/20/2019] [Accepted: 03/02/2020] [Indexed: 01/05/2023] Open
Abstract
INTRODUCTION Low sanitary conditions characterize the rural and urban households in Sub-Saharan African region. Those environmental conditions propitiate the transmission of bacterial infections between animals and humans. Campylobacter spp. is a zoonotic bacterium and cause of human gastroenteritis worldwide, whose main symptom is diarrhea. It is normally found in the digestive tract of many farm animals as a commensal but some species cause diseases in animals. It is important to understand the occurrence of these bacteria in animals, as they may also play a role in transmission to humans. The main objective of this review was to describe the prevalence of Campylobacter in animals in Sub-Saharan Africa. We also report findings on antibiotic resistance. METHODS We followed PRISMA guidelines to find studies about occurrence of Campylobacter spp. in animals in all countries from Sub-Saharan Africa. PubMed, Cochrane Library, CINAHL, African Index Medicus, African Journals Online, Google Scholar and Science Direct were searched for studies published between 2000 and 2019. RESULTS We found 70 studies that described occurrence of Campylobacter spp. in animals in 18 out of 53 countries of Sub-Saharan Africa. Campylobacter jejuni and C. coli were the predominant species isolated. The majority of studies were found in Western Africa. Middle Africa had the lowest amount of data. Most records presented data from Nigeria (n = 25), South Africa (n = 14) and Tanzania (n = 11). Cattle and chickens appear to be important hosts and may be playing an important role in transmitting to humans. Most Campylobacter isolates were resistant to erythromycin (44%), ampicillin (39%), tetracycline (33%), nalidixic acid (31%) and ciprofloxacin (30%). CONCLUSION Several studies about Campylobacter spp. in animals have been published in the last 19 years but information on the epidemiology of campylobacteriosis is scarce in most Sub-Saharan African countries. Antibiotic resistance is an increasing concern in many countries. Measures should be taken to prevent infection by this pathogen in the region and to control antibiotic resistance.
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Affiliation(s)
- Delfina Fernandes Hlashwayo
- Department of Biological Sciences, Faculty of Sciences, Eduardo Mondlane University, Maputo, Mozambique
- Faculty of Veterinary Science, Eduardo Mondlane University, Maputo, Mozambique
| | - Betuel Sigaúque
- Centro de Investigação em Saúde de Manhiça, Maputo, Mozambique
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Sargeant JM, O'Connor AM. Scoping Reviews, Systematic Reviews, and Meta-Analysis: Applications in Veterinary Medicine. Front Vet Sci 2020; 7:11. [PMID: 32047759 PMCID: PMC6997489 DOI: 10.3389/fvets.2020.00011] [Citation(s) in RCA: 52] [Impact Index Per Article: 13.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2019] [Accepted: 01/08/2020] [Indexed: 12/13/2022] Open
Abstract
Evidence-based decision making is a hallmark of effective veterinary clinical practice. Scoping reviews, systematic reviews, and meta-analyses all are methods intended to provide transparent and replicable ways of summarizing a body of research to address an important clinical or public health issue. As these methods increasingly are being used by researchers and read by practitioners, it is important to understand the distinction between these techniques and to understand what research questions they can, and cannot, address. This review provides an overview of scoping reviews, systematic reviews, and meta-analysis, including a discussion of the method and uses. A sample dataset and coding to conduct a simple meta-analysis in the statistical program R also are provided. Scoping reviews are a descriptive approach, designed to chart the literature around a particular topic. The approach involves an extensive literature search, following by a structured mapping, or charting, of the literature. The results of scoping reviews can help to inform future research by identifying gaps in the existing literature and also can be used to identify areas where there may be a sufficient depth of literature to warrant a systematic review. Systematic reviews are intended to address a specific question by identifying and summarizing all of the available research that has addressed the review question. Questions types that can be addressed by a systematic review include prevalence/incidence questions, and questions related to etiology, intervention efficacy, and diagnostic test accuracy. The systematic review process follows structured steps with multiple reviewers working in parallel to reduce the potential for bias. An extensive literature search is undertaken and, for each relevant study identified by the search, a formal extraction of data, including the effect size, and assessment of the risk of bias is performed. The results from multiple studies can be combined using meta-analysis. Meta-analysis provides a summary effect size, and allows heterogeneity of effect among studies to be quantified and explored. These evidence synthesis approaches can provide scientific input to evidence-based clinical decision-making for veterinarians and regulatory bodies, and also can be useful for identifying gaps in the literature to enhance the efficiency of future research in a topic area.
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Affiliation(s)
- Jan M Sargeant
- Department of Population Medicine, University of Guelph, Guelph, ON, Canada
| | - Annette M O'Connor
- Department of Veterinary Diagnostic and Production Animal Medicine, Iowa State University College of Veterinary Medicine, Ames, IA, United States
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Borkakoty B, Jakharia A, Sarmah MD, Hazarika R, Baruah PJ, Bora CJ, Temsu T, Gohain M, Devi U, Biswas D. Prevalence of campylobacter enteritis in children under 5 years hospitalised for diarrhoea in two cities of Northeast India. Indian J Med Microbiol 2020; 38:32-36. [PMID: 32719206 DOI: 10.4103/ijmm.ijmm_19_498] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Background Campylobacter enteritis is the major cause of bacterial gastroenteritis worldwide. In recent years, there has been a rise in global incidence of campylobacteriosis. There are no available data on prevalence of Campylobacter diarrhoea from Northeast India. Materials and Methods The study investigated archival stool samples collected between 2014 and 2016 from two hospitals of Northeast India. A total of 407 archival stool samples from cases of diarrhoea under 5 years of age were screened for Campylobacter spp. using commercial probe-based real-time polymerase chain reaction assay. Results Campylobacter spp. was detected in overall 10.1% (41/407; 95% confidence interval: 7.4%-13.3%) in children under 5 years hospitalised for diarrhoea. The prevalence was significantly higher from Dibrugarh, Assam, compared to Dimapur, i.e., 13.4% (27/201) versus 6.8% (14/206), respectively (P = 0.02). Campylobacter detection was highest in the month of June and July compared to December and January (20%-18.8% vs. 8.9%-6.2%, respectively). Further, Campylobacter infection was higher in the age group below 24 months (11.7%) compared to above 24 months (7.0%). Campylobacter jejuni was detected in 80.5% of the positive cases. Conclusion The present study reveals that Campylobacter infection is endemic in the studied regions of Northeast India and microbiological laboratories of the region should actively pursue the isolation or detection of Campylobacter spp. in cases of diarrhoea in routine stool cultures.
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Affiliation(s)
- Biswajyoti Borkakoty
- Indian Council of Medical Research-Regional Medical Research Centre, NE Region, Dibrugarh, Assam, India
| | - Aniruddha Jakharia
- Indian Council of Medical Research-Regional Medical Research Centre, NE Region, Dibrugarh, Assam, India
| | - Mandakini Das Sarmah
- Indian Council of Medical Research-Regional Medical Research Centre, NE Region, Dibrugarh, Assam, India
| | - Rahul Hazarika
- Indian Council of Medical Research-Regional Medical Research Centre, NE Region, Dibrugarh, Assam, India
| | - Pranjal Jyoti Baruah
- Indian Council of Medical Research-Regional Medical Research Centre, NE Region, Dibrugarh, Assam, India
| | - Chandra Jyoti Bora
- Department of Paediatrics, Assam Medical College and Hospital, Dibrugarh, Assam, India
| | - T Temsu
- Department of Pathology, District Hospital, Dimapur, Nagaland, India
| | - Munmun Gohain
- Department of Paediatrics, Assam Medical College and Hospital, Dibrugarh, Assam, India
| | - Utpala Devi
- Indian Council of Medical Research-Regional Medical Research Centre, NE Region, Dibrugarh, Assam, India
| | - Dipankar Biswas
- Indian Council of Medical Research-Regional Medical Research Centre, NE Region, Dibrugarh, Assam, India
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Bokhari H, Maryam A, Shahid R, Siddiqi AR. Oligosaccharyltransferase PglB of Campylobacter jejuni is a glycoprotein. World J Microbiol Biotechnol 2019; 36:9. [PMID: 31858269 DOI: 10.1007/s11274-019-2784-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2019] [Accepted: 12/10/2019] [Indexed: 11/29/2022]
Abstract
Campylobacter jejuni is the one of the leading cause of bacterial food borne gastroenteritis. PglB, a glycosyltransferase, plays a crucial role of mediating glycosylation of numerous periplasmic proteins. It catalyzes N-glycosylation at the sequon D/E-X1-N-X2-S/T in its substrate proteins. Here we report that the PglB itself is a glycoprotein which self-glycosylates at N534 site in its DYNQS sequon by its own catalytic WWDYG motif. Site-directed mutagenesis, lectin Immunoblot, and mobility shift assays confirmed that the DYNQS is an N-glycosylation motif. PglB's N-glycosylation motif is structurally and functionally similar to its widely studied glycosylation substrate, the OMPH1. Its DYNQS motif forms a solvent-exposed crest. This motif is close to a cluster of polar and hydrophilic residues, which form a loop flanked by two α helices. This arrangement extremely apposite for auto-glycosylation at N534. This self-glycosylation ability of PglB could mediate C. jejuni's ability to colonize the intestinal epithelium. Further this capability may also bear significance for the development of novel conjugated vaccines and diagnostic tests.
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Affiliation(s)
- Habib Bokhari
- Department of Biosciences, COMSATS University, Islamabad, Chak Shazad Campus, Islamabad, Pakistan.
| | - Arooma Maryam
- Department of Biosciences, COMSATS University, Islamabad, Chak Shazad Campus, Islamabad, Pakistan
| | - Ramla Shahid
- Department of Biosciences, COMSATS University, Islamabad, Chak Shazad Campus, Islamabad, Pakistan
| | - Abdul Rauf Siddiqi
- Department of Biosciences, COMSATS University, Islamabad, Chak Shazad Campus, Islamabad, Pakistan
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Yolken R, Stallings C, Origoni A, Katsafanas E, Sweeney K, Squire A, Dickerson F. Exposure to household pet cats and dogs in childhood and risk of subsequent diagnosis of schizophrenia or bipolar disorder. PLoS One 2019; 14:e0225320. [PMID: 31790431 PMCID: PMC6886852 DOI: 10.1371/journal.pone.0225320] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2019] [Accepted: 11/02/2019] [Indexed: 12/19/2022] Open
Abstract
Background Serious psychiatric disorders such as schizophrenia and bipolar disorder have been associated with environmental exposures in early life. Contact with household pets such as cats and dogs can serve as a source of environmental exposure during these time periods. Methods We investigated the relationship between exposure to a household pet cat or dog during the first 12 years of life and having a subsequent diagnosis of schizophrenia or bipolar disorder. These studies were performed in a cohort of 396 individuals with schizophrenia, 381 with bipolar disorder, and 594 controls. The hazards of developing schizophrenia or bipolar disorder associated with first exposure to a household pet cat or dog were calculated using Cox Proportional Hazard and multivariate logistic regression models including socio-demographic covariates. Results We found that exposure to a household pet dog was associated with a significantly decreased hazard of having a subsequent diagnosis of schizophrenia (Hazard Ratio .75, p < .002) Furthermore, a significant decreased relative risk of schizophrenia was detected following exposure at birth and during the first years of life. There was no significant relationship between household exposure to a pet dog and bipolar disorder. There were no significant associations between exposure to a household pet cat and subsequent risk of either a schizophrenia or bipolar disorder diagnosis. However, there were trends towards an increased risk of both disorders at defined periods of exposure. Conclusions Exposure to household pets during infancy and childhood may be associated with altered rates of development of psychiatric disorders in later life.
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Affiliation(s)
- Robert Yolken
- Stanley Division of Developmental Neurovirology, Johns Hopkins School of Medicine, Baltimore, Maryland, United States of America
- * E-mail:
| | - Cassie Stallings
- Sheppard Pratt Health System, Baltimore, Maryland, United States of America
| | - Andrea Origoni
- Sheppard Pratt Health System, Baltimore, Maryland, United States of America
| | - Emily Katsafanas
- Sheppard Pratt Health System, Baltimore, Maryland, United States of America
| | - Kevin Sweeney
- Sheppard Pratt Health System, Baltimore, Maryland, United States of America
| | - Amalia Squire
- Sheppard Pratt Health System, Baltimore, Maryland, United States of America
| | - Faith Dickerson
- Sheppard Pratt Health System, Baltimore, Maryland, United States of America
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de Oliveira Elias S, Noronha TB, Tondo EC. Salmonella spp. and Escherichia coli O157:H7 prevalence and levels on lettuce: A systematic review and meta-analysis. Food Microbiol 2019; 84:103217. [PMID: 31421760 DOI: 10.1016/j.fm.2019.05.001] [Citation(s) in RCA: 28] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2018] [Revised: 04/17/2019] [Accepted: 05/01/2019] [Indexed: 11/15/2022]
Abstract
Lettuce (Lactuca sativa), one of the most consumed leafy vegetables in the world, is frequently implicated with foodborne disease (FBD) outbreaks, with Salmonella spp. and Escherichia coli O157:H7 being the most common bacteria to cause this illness. Estimates of prevalence and levels of these pathogens on lettuce are scarce in developed or in developing countries, which hinders risk assessment attempts. In here, we present a systematic review and meta-analysis of reported prevalence and levels of Salmonella spp. and E. coli O157:H7 on lettuce using the worldwide available data. Literature was reviewed and examined the results for inclusion of articles in the meta-analysis. Data (prevalence and/or concentration of Salmonella spp. and E. coli O157:H7 on lettuce, sample characteristic, country of origin, and Salmonella identified serovars) were extracted, and meta-analysis was performed using Open Meta-Analyst, Task Order # 2 software. Although only one work reported the presence of E coli O157:H7 on lettuce, several reports indicated the presence of other, distinct enterohemorrhagic E. coli (EHEC) strains, with a mean prevalence of 0.041 (95% CI: 0.005-0.078) and concentration varying from <3.0 MPN/g to >1100 MPN/g. Furthermore, the mean prevalence of Salmonella spp. on lettuce was 0.041 (95% CI: 0.030-0.052), with reported concentrations varying between 0.054 ± 0.058 CFU/g to 218.78 MPN/g. In addition, subgroup analysis of the presence of Salmonella spp. in lettuce revealed a mean prevalence of the bacteria of 0.028 (95% CI: 0.014-0.042) in developed nations and 0.064 (0.041-0.087) in developing nations, with reports varying from 0.001 in Japan to 0.5 in Burkina Faso. Despite a relatively low prevalence, consumption of lettuce is inherently risky because it usually is eaten raw, without thermal treatment to inactivate pathogens. This potential risk further supports performance of quantitative risk assessments to quantify the probability of FBD caused by Salmonella spp. and E. coli O157:H7 transmitted to lettuce.
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Affiliation(s)
- Susana de Oliveira Elias
- Departamento de Ciências dos Alimentos - Universidade Federal do Rio Grande do Sul, Instituto de Ciência e Tecnologia de Alimentos, Av. Bento Gonçalves, 9500 Prédio 43212 Agronomia, CEP: 91505-970, Porto Alegre, RS, Brazil.
| | - Tiago Baptista Noronha
- Departamento de Ensino, Pesquisa e Extensão - Instituto Federal de Educação, Ciência e Tecnologia Sul-rio-grandense, Rua General Balbão, 81, CEP 96745-000, Charqueadas, RS, Brazil.
| | - Eduardo Cesar Tondo
- Departamento de Ciências dos Alimentos - Universidade Federal do Rio Grande do Sul, Instituto de Ciência e Tecnologia de Alimentos, Av. Bento Gonçalves, 9500 Prédio 43212 Agronomia, CEP: 91505-970, Porto Alegre, RS, Brazil.
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A Global Review of Animal-Visitor Interactions in Modern Zoos and Aquariums and Their Implications for Wild Animal Welfare. Animals (Basel) 2019; 9:ani9060332. [PMID: 31181769 PMCID: PMC6617332 DOI: 10.3390/ani9060332] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2019] [Revised: 06/03/2019] [Accepted: 06/04/2019] [Indexed: 11/26/2022] Open
Abstract
Simple Summary This study explores the characteristics of animal-visitor Interactions (AVIs) (interactions between people and captive wild animals) in zoos and aquaria across the globe. We reviewed information provided on public websites of institutions that are either direct members of the World Association for Zoos and Aquariums (WAZA) or belong to regional and national associations that have WAZA membership. The opportunity for visitors to interact with wild animals was promoted on the majority of the facilities’ websites. Petting captive wild animals was the most common AVI activity advertised (43%) of facilities, and interaction with mammals was the most advertised taxonomic class (53%). Some activities involving direct contact with wildlife were promoted more commonly than expected (for example, hand feed and ride wild animals, and walk with or swim through wild animal enclosures). Some of the advertised AVIs have the potential to impact animal welfare; in light of this, we provide recommendations to balance and manage captive wild animal welfare in AVIs with other primary interconnected goals. Abstract We provide an initial insight into the occurrence and characteristics of animal-visitor interactions (AVIs) involving captive wild animals within zoos and aquaria. Using information provided online via official public websites of modern zoos and aquaria, we found that AVIs were provided by the majority of facilities. Our study revealed that a variety of AVI types were being offered. Globally, petting captive wild animals was the most prevalent AVI type advertised (n = 1241 observations, 43% (534) of facilities) and Mammalia was the most advertised taxonomic class (n = 5142; 53% (2739)). We found certain AVI types that were more commonly offered than predicted. These were opportunities to: (1) Hand feed captive wild animals in Asia, North America and Oceania; (2) ride wild animals in Europe and North America; (3) walk with or swim through wild animal enclosures in Asia; and (4) walk with wild animals in Asia and Europe. Given the global prevalence of AVIs in modern zoos and aquaria, and an apparent lack of animal welfare focused research, we provide recommendations to help effectively balance and manage captive wild animal welfare with other primary interconnected goals.
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Mohan V, Habib I. Multilocus sequence typing (MLST), porA and flaA typing of Campylobacter jejuni isolated from cats attending a veterinary clinic. BMC Res Notes 2019; 12:76. [PMID: 30717780 PMCID: PMC6360738 DOI: 10.1186/s13104-019-4107-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2018] [Accepted: 01/31/2019] [Indexed: 12/14/2022] Open
Abstract
OBJECTIVE Campylobacter is a major cause of gastroenteritis in humans and pet ownership is a risk factor for infection. To study the occurrence, species distribution and sequence-based types of Campylobacter spp. in pet cats, 82 faecal samples were collected from cats in New Zealand. The PCR positive samples of Campylobacter jejuni were characterized by multilocus sequence typing (MLST), major outer membrane protein gene (porA) and flagellin A gene (flaA) sequence typing. RESULTS Seven faecal samples were tested positive for Campylobacter spp. (9%, or 4-17% at 95% confidence interval), of which six were identified as C. jejuni, and one was C. upsaliensis. The six C. jejuni isolates were characterised by MLST; four belonged to ST-45 clonal complex and two of the isolates could not be typed. Two flaA-SVR types were identified: three samples were flaA-SVR type 8 and one belonged to 239. By combining all data, three isolates were indistinguishable with allelic combinations of ST-45, flaA-SVR 8, porA 44, although no epidemiological connection between these isolates could be established. To conclude, healthy cats can carry C. jejuni, whose detected genetic diversity is limited. The isolated sequence type ST-45 is frequently reported in human illnesses.
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Affiliation(s)
- Vathsala Mohan
- Institute of Veterinary, Animal and Biomedical Sciences, Massey University, Palmerston North, New Zealand
| | - Ihab Habib
- School of Veterinary Medicine, Murdoch University, Perth, Western Australia Australia
- High Institute of Public Health, Alexandria University, Alexandria, Egypt
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Liu MM, Boinett CJ, Chan ACK, Parkhill J, Murphy MEP, Gaynor EC. Investigating the Campylobacter jejuni Transcriptional Response to Host Intestinal Extracts Reveals the Involvement of a Widely Conserved Iron Uptake System. mBio 2018; 9:e01347-18. [PMID: 30087169 PMCID: PMC6083913 DOI: 10.1128/mbio.01347-18] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2018] [Accepted: 06/27/2018] [Indexed: 12/20/2022] Open
Abstract
Campylobacter jejuni is a pathogenic bacterium that causes gastroenteritis in humans yet is a widespread commensal in wild and domestic animals, particularly poultry. Using RNA sequencing, we assessed C. jejuni transcriptional responses to medium supplemented with human fecal versus chicken cecal extracts and in extract-supplemented medium versus medium alone. C. jejuni exposed to extracts had altered expression of 40 genes related to iron uptake, metabolism, chemotaxis, energy production, and osmotic stress response. In human fecal versus chicken cecal extracts, C. jejuni displayed higher expression of genes involved in respiration (fdhTU) and in known or putative iron uptake systems (cfbpA, ceuB, chuC, and CJJ81176_1649-1655 [here designated 1649-1655]). The 1649-1655 genes and downstream overlapping gene 1656 were investigated further. Uncharacterized homologues of this system were identified in 33 diverse bacterial species representing 6 different phyla, 21 of which are associated with human disease. The 1649 and 1650 (p19) genes encode an iron transporter and a periplasmic iron binding protein, respectively; however, the role of the downstream 1651-1656 genes was unknown. A Δ1651-1656 deletion strain had an iron-sensitive phenotype, consistent with a previously characterized Δp19 mutant, and showed reduced growth in acidic medium, increased sensitivity to streptomycin, and higher resistance to H2O2 stress. In iron-restricted medium, the 1651-1656 and p19 genes were required for optimal growth when using human fecal extracts as an iron source. Collectively, this implicates a function for the 1649-1656 gene cluster in C. jejuni iron scavenging and stress survival in the human intestinal environment.IMPORTANCE Direct comparative studies of C. jejuni infection of a zoonotic commensal host and a disease-susceptible host are crucial to understanding the causes of infection outcome in humans. These studies are hampered by the lack of a disease-susceptible animal model reliably displaying a similar pathology to human campylobacteriosis. In this work, we compared the phenotypic and transcriptional responses of C. jejuni to intestinal compositions of humans (disease-susceptible host) and chickens (zoonotic host) by using human fecal and chicken cecal extracts. The mammalian gut is a complex and dynamic system containing thousands of metabolites that contribute to host health and modulate pathogen activity. We identified C. jejuni genes more highly expressed during exposure to human fecal extracts in comparison to chicken cecal extracts and differentially expressed in extracts compared with medium alone, and targeted one specific iron uptake system for further molecular, genetic, and phenotypic study.
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Affiliation(s)
- Martha M Liu
- Department of Microbiology and Immunology, University of British Columbia, Vancouver, BC, Canada
| | - Christine J Boinett
- Wellcome Sanger Institute, Wellcome Genome Campus, Hinxton, Cambridgeshire, United Kingdom
| | - Anson C K Chan
- Department of Microbiology and Immunology, University of British Columbia, Vancouver, BC, Canada
| | - Julian Parkhill
- Wellcome Sanger Institute, Wellcome Genome Campus, Hinxton, Cambridgeshire, United Kingdom
| | - Michael E P Murphy
- Department of Microbiology and Immunology, University of British Columbia, Vancouver, BC, Canada
| | - Erin C Gaynor
- Department of Microbiology and Immunology, University of British Columbia, Vancouver, BC, Canada
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22
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Zoonotic Fecal Pathogens and Antimicrobial Resistance in Canadian Petting Zoos. Microorganisms 2018; 6:microorganisms6030070. [PMID: 30012975 PMCID: PMC6164440 DOI: 10.3390/microorganisms6030070] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2018] [Revised: 07/09/2018] [Accepted: 07/11/2018] [Indexed: 11/17/2022] Open
Abstract
This study aimed to better understand the potential public health risk associated with zoonotic pathogens in agricultural fairs and petting zoos in Canada. Prevalence of Salmonella, Shiga toxin-producing Escherichia coli (STEC) O157:H7, and top six non-O157 STEC serogroups in feces (n = 88), hide/feather (n = 36), and hand rail samples (n = 46) was assessed, as well as distributions of antimicrobial resistant (AMR) broad and extended-spectrum β-lactamase (ESBL)-producing E. coli. Prevalence of methicillin-resistant Staphylococcus aureus (MRSA) in pig nasal swabs (n = 4), and Campylobacter, Cryptosporidium, and Giardia in feces was also assessed. Neither Salmonella nor MRSA were detected. Campylobacter spp. were isolated from 32% of fecal samples. Cryptosporidium and Giardia were detected in 2% and 15% of fecal samples, respectively. Only one fecal sample was positive for STEC O157, whereas 22% were positive for non-O157 STEC. Multi-drug resistance (MDR) to antibiotics classified as critically and highly important in human medicine was proportionally greatest in E. coli from cattle feces. The β-lactamase-producing E. coli from pig, horse/donkey feces, and hand rail samples, as well as the STEC E. coli from handrail swabs were MDR. The diversity and prevalence of zoonotic pathogens and AMR bacteria detected within agricultural fairs and petting zoos emphasize the importance of hygienic practices and sanitization with respect to reducing associated zoonotic risks.
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23
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Affiliation(s)
- E Acke
- Vet Med Labor GmbH, IDEXX Laboratories, Mörikestraβe 28/3, Ludwigsburg 71636, Germany
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24
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Barnes AN, Mumma J, Cumming O. Role, ownership and presence of domestic animals in peri-urban households of Kisumu, Kenya. Zoonoses Public Health 2017; 65:202-214. [PMID: 29205887 DOI: 10.1111/zph.12429] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2016] [Indexed: 12/01/2022]
Abstract
Low- and middle-income countries are experiencing rapid urban population growth, particularly in peri-urban informal settlements. In these urban areas, animal husbandry remains a valuable source of income and protein-rich foods but may also present a risk of zoonotic disease threat. To date, there have been studies that have assessed the prevalence and nature of animal ownership in these communities. This cross-sectional survey assessed the geographical, sociocultural and economic factors behind the presence, ownership and purpose of domestic animals in three informal peri-urban communities of Kisumu, Kenya. A majority (n = 587) of the study households exhibited domestic animal presence in the living space yet only 32% of households reported animal ownership (n = 252). The purposes of ownership included: for meat/eggs (55%); for income, sale or trade (43%); for milk production (31%); and as companions/pets (31%). Among households that owned animals, 76% reported that at least one animal slept in the house at night. In multivariate logistic regression, the following factors were significantly associated with household animal ownership: ownership of agricultural land (OR = 1.94, 95% CI = 1.12, 3.35), perceiving a strong community bond (OR = 2.28, 95% CI = 1.25, 4.16), and household membership in a community group (OR = 1.64, 95% CI = 1.04, 2.60). This research demonstrates the high prevalence of animal ownership in a low-income and high-density peri-urban neighbourhood of an African city, which may facilitate zoonotic disease transmission. Further research should assess if and to what extent animal ownership in such communities is associated with disease risk.
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Affiliation(s)
- A N Barnes
- University of Florida, Gainesville, FL, USA.,Duke University, Durham, NC, USA
| | - J Mumma
- Great Lakes University Kisumu, Kisumu, Kenya
| | - O Cumming
- London School of Hygiene and Tropical Medicine, London, UK
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25
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Estimates of the burden of illness for eight enteric pathogens associated with animal contact in Canada. Epidemiol Infect 2017; 145:3413-3423. [PMID: 29168450 PMCID: PMC9148765 DOI: 10.1017/s0950268817002436] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2022] Open
Abstract
Enteric pathogens are commonly known to be transmitted through food or water; however, contact with animals is another important transmission route. This study estimated the annual burden of illness attributable to animal contact for eight enteric pathogens in Canada. Using data from a Canadian expert elicitation on transmission routes, the proportion of enteric illnesses attributable to animal contact was estimated for each pathogen to estimate the annual number of illnesses, hospitalizations and deaths in Canada. For each estimate, a mean and probability intervals were generated. Of all illnesses caused by these eight pathogens, 16% were estimated attributable to animal contact. This estimate translates to 86 000 (31 000–166 000) illnesses, 488 (186–890) hospitalizations and 12 (2–28) deaths annually for the eight pathogens combined. Campylobacter spp. is the leading cause of illnesses annually, with an estimated 38 000 (14 000–71 000) illnesses occurring each year, followed by non-typhoidal Salmonella spp. (17 000, 6000–32 000). The majority of hospitalizations were attributable to non-typhoidal Salmonella spp. (36%) and Campylobacter spp. (31%). Non-typhoidal Salmonella spp. (28%) and Listeria monocytogenes (31%) were responsible for the majority of the estimated deaths. These results identify farm animal and pet/pet food exposure as key pathways of transmission for several pathogens. The estimated burden of illness associated with animal contact is substantial.
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26
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Campagnolo ER, Philipp LM, Long JM, Hanshaw NL. Pet-associated Campylobacteriosis: A persisting public health concern. Zoonoses Public Health 2017; 65:304-311. [PMID: 28834267 DOI: 10.1111/zph.12389] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2016] [Indexed: 11/25/2022]
Abstract
Campylobacter is regarded as a leading cause of human bacterial gastroenteritis in the United States. We report on a case of laboratory-confirmed Campylobacter jejuni infection in the Commonwealth of Pennsylvania among members of a household living with a laboratory-confirmed but non-speciated Campylobacter-infected puppy. We describe an outbreak of likely dog-associated campylobacteriosis, the risk factors, potential routes of exposure and the clinical features in the exposed family members, which began shortly after exposure to the recently purchased dog. We also provide public health recommendations to prevent Campylobacter infections in veterinary care providers, pet owners and those planning to adopt pets in the future. Finally, this report underscores the importance of the One Health approach when public health responders, human and animal healthcare providers and clinical diagnostic laboratories are tasked with developing effective strategies when investigating, detecting and responding to zoonoses (diseases shared between animals and humans).
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Affiliation(s)
- E R Campagnolo
- Pennsylvania Department of Health, Bureau of Epidemiology, Harrisburg, PA, USA.,Centers for Disease Control and Prevention, Office of Public Health Preparedness and Response, Office of Science and Public Health Practice, Atlanta, GA, USA
| | - L M Philipp
- Pennsylvania Department of Health, Bureau of Community Health Systems, Jackson Center, PA, USA
| | - J M Long
- Pennsylvania Department of Health, Bureau of Epidemiology, Harrisburg, PA, USA
| | - N L Hanshaw
- Pennsylvania Department of Agriculture, Bureau of Animal Health and Diagnostic Services, Harrisburg, PA, USA
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Pintar KDM, Thomas KM, Christidis T, Otten A, Nesbitt A, Marshall B, Pollari F, Hurst M, Ravel A. A Comparative Exposure Assessment of Campylobacter in Ontario, Canada. RISK ANALYSIS : AN OFFICIAL PUBLICATION OF THE SOCIETY FOR RISK ANALYSIS 2017; 37:677-715. [PMID: 27641939 DOI: 10.1111/risa.12653] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
To inform source attribution efforts, a comparative exposure assessment was developed to estimate the relative exposure to Campylobacter, the leading bacterial gastrointestinal disease in Canada, for 13 different transmission routes within Ontario, Canada, during the summer. Exposure was quantified with stochastic models at the population level, which incorporated measures of frequency, quantity ingested, prevalence, and concentration, using data from FoodNet Canada surveillance, the peer-reviewed and gray literature, other Ontario data, and data that were specifically collected for this study. Models were run with @Risk software using Monte Carlo simulations. The mean number of cells of Campylobacter ingested per Ontarian per day during the summer, ranked from highest to lowest is as follows: household pets, chicken, living on a farm, raw milk, visiting a farm, recreational water, beef, drinking water, pork, vegetables, seafood, petting zoos, and fruits. The study results identify knowledge gaps for some transmission routes, and indicate that some transmission routes for Campylobacter are underestimated in the current literature, such as household pets and raw milk. Many data gaps were identified for future data collection consideration, especially for the concentration of Campylobacter in all transmission routes.
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Affiliation(s)
- Katarina D M Pintar
- Centre for Foodborne, Environmental and Zoonotic Infectious Diseases, Public Health Agency of Canada
| | - Kate M Thomas
- Centre for Foodborne, Environmental and Zoonotic Infectious Diseases, Public Health Agency of Canada
| | - Tanya Christidis
- Centre for Foodborne, Environmental and Zoonotic Infectious Diseases, Public Health Agency of Canada
| | - Ainsley Otten
- National Microbiology Laboratory, Public Health Agency of Canada
| | - Andrea Nesbitt
- Centre for Foodborne, Environmental and Zoonotic Infectious Diseases, Public Health Agency of Canada
| | - Barbara Marshall
- Centre for Foodborne, Environmental and Zoonotic Infectious Diseases, Public Health Agency of Canada
| | - Frank Pollari
- Centre for Foodborne, Environmental and Zoonotic Infectious Diseases, Public Health Agency of Canada
| | - Matt Hurst
- Centre for Foodborne, Environmental and Zoonotic Infectious Diseases, Public Health Agency of Canada
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28
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Conrad CC, Stanford K, Narvaez-Bravo C, Callaway T, McAllister T. Farm Fairs and Petting Zoos: A Review of Animal Contact as a Source of Zoonotic Enteric Disease. Foodborne Pathog Dis 2017; 14:59-73. [DOI: 10.1089/fpd.2016.2185] [Citation(s) in RCA: 54] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023] Open
Affiliation(s)
- Cheyenne C. Conrad
- Lethbridge Agricultural Research Centre, Lethbridge, Alberta, Canada
- Alberta Agriculture and Forestry, Lethbridge, Alberta, Canada
- Canadian Association of Fairs and Exhibitions, Brandon, Manitoba, Canada
| | - Kim Stanford
- Alberta Agriculture and Forestry, Lethbridge, Alberta, Canada
| | | | - Todd Callaway
- United States Department of Agriculture, Agricultural Research Service, College Station, Texas
| | - Tim McAllister
- Agriculture and Agri-Food Canada, Lethbridge Research Centre, Lethbridge, Alberta, Canada
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