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Greičius P, Linkevicius M, Razmuk J, Sinotova J, Alm E, Svartström O, Bortolaia V, Kudirkienė E, Roer L, Hendriksen RS, Tamoliūnaitė G, Palm D, Monnet DL, Kohlenberg A, Griškevičius A. Emergence of OXA-48-producing Klebsiella pneumoniae in Lithuania, 2023: a multi-cluster, multi-hospital outbreak. Euro Surveill 2024; 29:2400188. [PMID: 38639094 PMCID: PMC11027475 DOI: 10.2807/1560-7917.es.2024.29.16.2400188] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2024] [Accepted: 04/17/2024] [Indexed: 04/20/2024] Open
Abstract
In 2023, an increase of OXA-48-producing Klebsiella pneumoniae was noticed by the Lithuanian National Public Health Surveillance Laboratory. Whole genome sequencing (WGS) of 106 OXA-48-producing K. pneumoniae isolates revealed three distinct clusters of carbapenemase-producing K. pneumoniae high-risk clones, including sequence type (ST) 45 (n = 35 isolates), ST392 (n = 32) and ST395 (n = 28), involving six, six and nine hospitals in different regions, respectively. These results enabled targeted investigation and control, and underscore the value of national WGS-based surveillance for antimicrobial resistance.
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Affiliation(s)
- Paulius Greičius
- National Public Health Surveillance Laboratory (NVSPL), Vilnius, Lithuania
| | - Marius Linkevicius
- European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden
| | - Jelena Razmuk
- National Public Health Surveillance Laboratory (NVSPL), Vilnius, Lithuania
| | | | - Erik Alm
- European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden
| | - Olov Svartström
- European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden
| | | | | | - Louise Roer
- Statens Serum Institut (SSI), Copenhagen, Denmark
| | - Rene S Hendriksen
- Technical University of Denmark, National Food Institute (DTU Food), Kongens Lyngby, Denmark
| | | | - Daniel Palm
- European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden
| | - Dominique L Monnet
- European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden
| | - Anke Kohlenberg
- European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden
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Lėgaudaitė-Lydekaitienė V, Šernienė L, Vismantaitė V, Malakauskas M, Kudirkienė E. Broiler health status has a major negative impact on broiler flock contamination with Campylobacter spp. in Lithuania. Annals of Animal Science 2017. [DOI: 10.1515/aoas-2016-0080] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Abstract
The objective of this study was to determine risk factors for Campylobacter infection in broiler flocks in Lithuania. Each broiler flock was tested for the contamination with Campylobacter spp., and various broiler farm, flock and abattoir as well as the weather-associated characteristics were analysed using the statistical package SPSS. Study revealed that 59.3% of the examined broiler flocks were contaminated with Campylobacter spp. Statistical analysis revealed that broiler flock contamination with Campylobacter was abattoir- and farm-dependent. Among a number of risk factors (e.g. the number of broiler houses at the farm, the type of ventilation system, the presence of the anteroom and boot security, etc.) identified, two broiler health-associated characteristics: (i) broiler age and (ii) the average weight per bird at abattoir had the highest impact on the increased prevalence of Campylobacter spp. in broilers. According to our results broiler health status has a major negative effect on broiler flock contamination with Campylobacter. Thus, it needs to be considered when improving control of Campylobacter spp. in broilers.
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Affiliation(s)
- Viktorija Lėgaudaitė-Lydekaitienė
- Department of Food Safety and Quality, Veterinary Academy, Lithuanian University of Health Sciences, Tilžės 18, 47181, Kaunas , Lithuania
| | - Loreta Šernienė
- Department of Food Safety and Quality, Veterinary Academy, Lithuanian University of Health Sciences, Tilžės 18, 47181, Kaunas , Lithuania
| | - Vaida Vismantaitė
- Department of Food Safety and Quality, Veterinary Academy, Lithuanian University of Health Sciences, Tilžės 18, 47181, Kaunas , Lithuania
| | - Mindaugas Malakauskas
- Department of Food Safety and Quality, Veterinary Academy, Lithuanian University of Health Sciences, Tilžės 18, 47181, Kaunas , Lithuania
| | - Eglė Kudirkienė
- Department of Veterinary Disease Biology, University of Copenhagen, Stigbøjlen 4, 1870 Frederiksberg C, Denmark
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Kudirkienė E, Bager RJ, Johnson TJ, Bojesen AM. Chaperone-usher fimbriae in a diverse selection of Gallibacterium genomes. BMC Genomics 2014; 15:1093. [PMID: 25495603 PMCID: PMC4299563 DOI: 10.1186/1471-2164-15-1093] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2014] [Accepted: 12/03/2014] [Indexed: 12/24/2022] Open
Abstract
Background Fimbriae are bacterial cell surface organelles involved in the pathogenesis of many bacterial species, including Gallibacterium anatis, in which a F17-like fimbriae of the chaperone-usher (CU) family was recently shown to be an important virulence factor and vaccine candidate. To reveal the distribution and variability of CU fimbriae 22 genomes of the avian host-restricted bacteria Gallibacterium spp. were investigated. Fimbrial clusters were classified using phylogeny-based and conserved domain (CD) distribution-based approaches. To characterize the fimbriae in depth evolutionary analysis and in vitro expression of the most prevalent fimbrial clusters was performed. Results Overall 48 CU fimbriae were identified in the genomes of the examined Gallibacterium isolates. All fimbriae were assigned to γ4 clade of the CU fimbriae of Gram-negative bacteria and were organized in four-gene clusters encoding a putative major fimbrial subunit, a chaperone, an usher and a fimbrial adhesin. Five fimbrial clusters (Flf-Flf4) and eight conserved domain groups were defined to accommodate the identified fimbriae. Although, the number of different fimbrial clusters in individual Gallibacterium genomes was low, there was substantial amino acid sequence variability in the major fimbrial subunit and the adhesin proteins. The distribution of CDs among fimbrial clusters, analysis of their flanking regions, and evolutionary comparison of the strains revealed that Gallibacterium fimbrial clusters likely underwent evolutionary divergence resulting in highly host adapted and antigenically variable fimbriae. In vitro, only the fimbrial subunit FlfA was expressed in most Gallibacterium strains encoding this protein. The absence or scarce expression of the two other common fimbrial subunits (Flf1A and Flf3A) indicates that their expression may require other in vitro or in vivo conditions. Conclusions This is the first approach establishing a systematic fimbria classification system within Gallibacterium spp., which indicates a species-wide distribution of γ4 CU fimbriae among a diverse collection of Gallibacterium isolates. The expression of only one out of up to three fimbriae present in the individual genomes in vitro suggests that fimbriae expression in Gallibacterium is highly regulated. This information is important for future attempts to understand the role of Gallibacterium fimbriae in pathogenesis, and may prove useful for improved control of Gallibacterium infections in chickens. Electronic supplementary material The online version of this article (doi:10.1186/1471-2164-15-1093) contains supplementary material, which is available to authorized users.
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Affiliation(s)
| | | | | | - Anders M Bojesen
- Department of Veterinary Disease Biology, University of Copenhagen, Stigbøjlen 4, 1870 Frederiksberg C, Denmark.
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Kudirkienė E, Bunevičienė J, Šernienė L, Ramonaitė S, Olsen JE, Malakauskas M. Importance of the producer on retail broiler meat product contamination with Campylobacter spp. J Sci Food Agric 2013; 93:2293-2298. [PMID: 23400735 DOI: 10.1002/jsfa.6042] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/08/2012] [Revised: 11/14/2012] [Accepted: 01/03/2013] [Indexed: 06/01/2023]
Abstract
BACKGROUND Campylobacter spp. are a leading cause of human bacterial gastroenteritis worldwide, with poultry meat being considered the most important source of the infection. To obtain data on broiler meat contamination with Campylobacter spp. in Lithuania, the occurrence, counts and genotypes of these pathogens on raw broiler meat products from different producers were examined. RESULTS Out of 312 broiler meat product samples examined, 46.8% were contaminated with Campylobacter spp. Campylobacter jejuni was identified in 51.4% and Campylobacter coli in 37.7% of positive samples. Campylobacter jejuni was more frequently found in the warm period (April-October) and C. coli in the cold period (November-March) of the year (P < 0.05). The overall mean count of Campylobacter spp. was 3.55 and 3.50 log10 colony-forming units (CFU) on wings and drumsticks respectively. The occurrence and counts of Campylobacter spp. varied significantly between producers examined (P < 0.05). Analysis of flaA-RFLP genotyping revealed C. jejuni genotypes common to all producers as well as producer-specific genotypes. CONCLUSION Both the occurrence and counts of Campylobacter spp. on broiler meat products were producer-dependent, so this should be kept in mind when risk-based control measures at national level are applied.
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Affiliation(s)
- Eglė Kudirkienė
- Department of Food Safety and Quality, Lithuanian University of Health Sciences, Veterinary Academy Tilžės Str. 18, LT-47181, Kaunas, Lithuania.
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Novoslavskij A, Kudirkienė E, Marcinkutė A, Bajoriūnienė A, Korkeala H, Malakauskas M. Genetic diversity and antimicrobial resistance of Yersinia enterocolitica isolated from pigs and humans in Lithuania. J Sci Food Agric 2013; 93:1858-1862. [PMID: 23239516 DOI: 10.1002/jsfa.5980] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/08/2012] [Revised: 09/13/2012] [Accepted: 11/01/2012] [Indexed: 06/01/2023]
Abstract
BACKGROUND Yersiniosis is one of the three leading foodborne zoonoses in Lithuania, and the incidence of 12.86 per 100,000 population was the highest among EU member states in 2010. Contaminated pig carcasses and subsequently undercooked pig meat are considered to be the primary transmission vehicle of enteropathogenic Y. enterocolitica to consumers. With the aim of evaluating pigs as a possible source of human yersiniosis in Lithuania, this study investigated the genetic diversity of Y. enterocolitica isolated from pigs and human cases of yersiniosis. In addition, the antimicrobial resistance of selected isolates from both sources was compared. RESULTS In total, 83 Y. enterocolitica strains were characterised using pulsed field gel electrophoresis. Overall, 68% of Y. enterocolitica 4/O:3 pulsotypes found in human clinical samples were identical to 81% of pulsotypes found in the pig production chain. Yersinia enterocolitica pulsotype II was confirmed as the dominant pulsotype in the pig production chain and was identical to nine of 19 Y. enterocolitica strains found in humans. All tested Y. enterocolitica 4/O:3 strains were resistant to ampicillin and erythromycin and sensitive to ciprofloxacin. Of the strains studied, 5% were resistant to tetracycline and streptomycin. CONCLUSION This study showed that pigs may be the main source of human yersiniosis in Lithuania. In addition, Y. enterocolitica 4/O:3 strains isolated from the pig production chain and from yersiniosis patients shared similar resistance to different antimicrobials.
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Affiliation(s)
- Aleksandr Novoslavskij
- Department of Food Safety and Quality, Faculty of Veterinary Medicine, Veterinary Academy, Lithuanian University of Health Sciences, Tilžės 18, LT-47181, Kaunas, Lithuania.
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Kudirkienė E, Cohn MT, Stabler RA, Strong PCR, Sernienė L, Wren BW, Nielsen EM, Malakauskas M, Brøndsted L. Phenotypic and genotypic characterizations of Campylobacter jejuni isolated from the broiler meat production process. Curr Microbiol 2012; 65:398-406. [PMID: 22735984 DOI: 10.1007/s00284-012-0170-z] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2012] [Accepted: 06/01/2012] [Indexed: 12/22/2022]
Abstract
A set of C. jejuni isolates of different origins and flaA-genotypes obtained throughout the broiler meat production chain was tested in this study for a possible correlation of their origin, phylogenetic relationship, and phenotypic properties. Interestingly, the results showed a correlation of the origin and the phylogenetic relationship between the C. jejuni isolates and their ability to form biofilm, but not in their ability to survive at -18, 5, 20, and 48 °C. Two strains, a broiler cloacae isolate and a broiler fillet isolate, were unable to develop biofilm, while most of the C. jejuni isolates originating from meat and surfaces of the slaughterhouse readily formed biofilms after both 24, 48, and 72 h. Interestingly, these biofilm-forming strains were closely related. Furthermore, two strains that were isolated after disinfection developed significantly more biofilms after 24 h of incubation than the remaining strains. A comparative genomic analysis using DNA microarrays showed that the gene contents of strains that efficiently formed biofilms were different from those that did not. The study suggests that biofilm formation might be a lineage specific property, allowing C. jejuni to both survive environmental stress at the slaughterhouse and to attach to the surface of meat.
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Affiliation(s)
- Eglė Kudirkienė
- Department of Food Safety and Quality, Veterinary Academy, Lithuanian University of Health Sciences, Tilžės 18, 47181 Kaunas, Lithuania.
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Kudirkienė E, Malakauskas M, Malakauskas A, Bojesen A, Olsen J. Demonstration of persistent strains of
Campylobacter jejuni
within broiler farms over a 1‐year period in Lithuania. J Appl Microbiol 2010; 108:868-877. [DOI: 10.1111/j.1365-2672.2009.04490.x] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- E. Kudirkienė
- Department of Food Safety and Animal Hygiene, Faculty of Veterinary Medicine, Lithuanian Veterinary Academy, Kaunas, Lithuania
| | - M. Malakauskas
- Department of Food Safety and Animal Hygiene, Faculty of Veterinary Medicine, Lithuanian Veterinary Academy, Kaunas, Lithuania
| | - A. Malakauskas
- Department of Infectious Diseases, Faculty of Veterinary Medicine, Lithuanian Veterinary Academy, Kaunas, Lithuania
| | - A.M. Bojesen
- Department of Veterinary Disease Biology, Faculty of Life Sciences, University of Copenhagen, Copenhagen, Denmark
| | - J.E. Olsen
- Department of Veterinary Disease Biology, Faculty of Life Sciences, University of Copenhagen, Copenhagen, Denmark
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