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Díaz SM, Barrios ME, Galli L, Cammarata RV, Torres C, Fortunato MS, García López G, Costa M, Sanguino Jorquera DG, Oderiz S, Rogé A, Gentiluomo J, Carbonari C, Rajal VB, Korol SE, Gallego A, Blanco Fernández MD, Mbayed VA. Microbiological hazard identification in river waters used for recreational activities. Environ Res 2024; 247:118161. [PMID: 38220078 DOI: 10.1016/j.envres.2024.118161] [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] [Subscribe] [Scholar Register] [Received: 08/14/2023] [Revised: 12/20/2023] [Accepted: 01/07/2024] [Indexed: 01/16/2024]
Abstract
Pathogenic bacteria, viruses, and parasites can cause waterborne disease outbreaks. The study of coastal water quality contributes to identifying potential risks to human health and to improving water management practices. The Río de la Plata River, a wide estuary in South America, is used for recreational activities, as a water source for consumption and as a site for sewage discharges. In the present study, as the first step of a quantitative microbial risk assessment of the coastal water quality of this river, a descriptive study was performed to identify the microbial pathogens prevalent in its waters and in the sewage discharged into the river. Two sites, representing two different potential risk scenarios, were chosen: a heavily polluted beach and an apparently safe beach. Conductivity and fecal contamination indicators including enterococci, Escherichia coli, F + RNA bacteriophages, and human polyomaviruses showed high levels. Regarding enterococci, differences between sites were significant (p-values <0.001). 93.3% and 56.5% of the apparently safe beach exceeded the recreational water limits for E. coli and enterococci. Regarding pathogens, diarrheagenic E. coli, Salmonella, and noroviruses were detected with different frequencies between sites. The parasites Cryptosporidium spp. and Giardia duodenalis were frequently detected in both sites. The results regarding viral, bacterial, and parasitic pathogens, even without correlation with conventional indicators, showed the importance of monitoring a variety of microorganisms to determine water quality more reliably and accurately, and to facilitate further studies of health risk assessment. The taxonomic description of microbial pathogens in river waters allow identifying the microorganisms that infect the population living on its shores but also pathogens not previously reported by the clinical surveillance system.
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Affiliation(s)
- Sofía Micaela Díaz
- Universidad de Buenos Aires, Facultad de Farmacia y Bioquímica, Instituto de Investigaciones en Bacteriología y Virología Molecular (IBAVIM), Cátedra de Virología, Junín 956 (C1113AAD), Ciudad Autónoma de Buenos Aires, Argentina; Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Godoy Cruz 2290 (C1425FQB), Ciudad Autónoma de Buenos Aires, Argentina
| | - Melina Elizabeth Barrios
- Universidad de Buenos Aires, Facultad de Farmacia y Bioquímica, Instituto de Investigaciones en Bacteriología y Virología Molecular (IBAVIM), Cátedra de Virología, Junín 956 (C1113AAD), Ciudad Autónoma de Buenos Aires, Argentina; Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Godoy Cruz 2290 (C1425FQB), Ciudad Autónoma de Buenos Aires, Argentina
| | - Lucía Galli
- IGEVET - Instituto de Genética Veterinaria "Ing. Fernando N. Dulout" (UNLP-CONICET LA PLATA), Facultad de Ciencias Veterinarias, Universidad Nacional de La Plata, La Plata, Buenos Aires, Argentina. Av. 60 y 118 (B1900), La Plata, Argentina
| | - Robertina Viviana Cammarata
- Universidad de Buenos Aires, Facultad de Farmacia y Bioquímica, Instituto de Investigaciones en Bacteriología y Virología Molecular (IBAVIM), Cátedra de Virología, Junín 956 (C1113AAD), Ciudad Autónoma de Buenos Aires, Argentina; Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Godoy Cruz 2290 (C1425FQB), Ciudad Autónoma de Buenos Aires, Argentina
| | - Carolina Torres
- Universidad de Buenos Aires, Facultad de Farmacia y Bioquímica, Instituto de Investigaciones en Bacteriología y Virología Molecular (IBAVIM), Cátedra de Virología, Junín 956 (C1113AAD), Ciudad Autónoma de Buenos Aires, Argentina; Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Godoy Cruz 2290 (C1425FQB), Ciudad Autónoma de Buenos Aires, Argentina
| | - María Susana Fortunato
- Universidad de Buenos Aires, Facultad de Farmacia y Bioquímica, Cátedra de Salud Pública e Higiene Ambiental, Junín 954 (C1113AAD), Ciudad Autónoma de Buenos Aires, Argentina
| | - Guadalupe García López
- Universidad de Buenos Aires, Facultad de Farmacia y Bioquímica, Cátedra de Salud Pública e Higiene Ambiental, Junín 954 (C1113AAD), Ciudad Autónoma de Buenos Aires, Argentina
| | - Magdalena Costa
- IGEVET - Instituto de Genética Veterinaria "Ing. Fernando N. Dulout" (UNLP-CONICET LA PLATA), Facultad de Ciencias Veterinarias, Universidad Nacional de La Plata, La Plata, Buenos Aires, Argentina. Av. 60 y 118 (B1900), La Plata, Argentina
| | - Diego Gastón Sanguino Jorquera
- Instituto de Investigaciones para la Industria Química (INIQUI), Universidad Nacional de Salta (UNSa) - Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Av. Bolivia 5150 (A4408FVY), Salta, Argentina
| | - Sebastian Oderiz
- Servicio Fisiopatogenia, Departamento Bacteriología, Instituto Nacional de Enfermedades Infecciosas-ANLIS "Dr. Carlos G. Malbrán", Av. Vélez Sarsfield 563 (C1282AFF), Buenos Aires, Argentina
| | - Ariel Rogé
- Servicio Fisiopatogenia, Departamento Bacteriología, Instituto Nacional de Enfermedades Infecciosas-ANLIS "Dr. Carlos G. Malbrán", Av. Vélez Sarsfield 563 (C1282AFF), Buenos Aires, Argentina
| | - Jimena Gentiluomo
- Servicio Fisiopatogenia, Departamento Bacteriología, Instituto Nacional de Enfermedades Infecciosas-ANLIS "Dr. Carlos G. Malbrán", Av. Vélez Sarsfield 563 (C1282AFF), Buenos Aires, Argentina
| | - Carolina Carbonari
- Servicio Fisiopatogenia, Departamento Bacteriología, Instituto Nacional de Enfermedades Infecciosas-ANLIS "Dr. Carlos G. Malbrán", Av. Vélez Sarsfield 563 (C1282AFF), Buenos Aires, Argentina
| | - Verónica Beatriz Rajal
- Instituto de Investigaciones para la Industria Química (INIQUI), Universidad Nacional de Salta (UNSa) - Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Av. Bolivia 5150 (A4408FVY), Salta, Argentina; Facultad de Ingeniería. UNSa, Av. Bolivia 5150 (A4408FVY), Salta, Argentina
| | - Sonia Edith Korol
- Universidad de Buenos Aires, Facultad de Farmacia y Bioquímica, Cátedra de Salud Pública e Higiene Ambiental, Junín 954 (C1113AAD), Ciudad Autónoma de Buenos Aires, Argentina
| | - Alfredo Gallego
- Universidad de Buenos Aires, Facultad de Farmacia y Bioquímica, Cátedra de Salud Pública e Higiene Ambiental, Junín 954 (C1113AAD), Ciudad Autónoma de Buenos Aires, Argentina
| | - María Dolores Blanco Fernández
- Universidad de Buenos Aires, Facultad de Farmacia y Bioquímica, Instituto de Investigaciones en Bacteriología y Virología Molecular (IBAVIM), Cátedra de Virología, Junín 956 (C1113AAD), Ciudad Autónoma de Buenos Aires, Argentina; Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Godoy Cruz 2290 (C1425FQB), Ciudad Autónoma de Buenos Aires, Argentina.
| | - Viviana Andrea Mbayed
- Universidad de Buenos Aires, Facultad de Farmacia y Bioquímica, Instituto de Investigaciones en Bacteriología y Virología Molecular (IBAVIM), Cátedra de Virología, Junín 956 (C1113AAD), Ciudad Autónoma de Buenos Aires, Argentina; Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Godoy Cruz 2290 (C1425FQB), Ciudad Autónoma de Buenos Aires, Argentina.
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Colello R, Baigorri M, Del Canto F, González J, Rogé A, van der Ploeg C, Sánchez Chopa F, Sparo M, Etcheverría A, Padola NL. Occurrence and genetic characterization of Shiga toxin-producing Escherichia coli on bovine and pork carcasses and the environment from transport trucks. World J Microbiol Biotechnol 2023; 39:174. [PMID: 37115263 DOI: 10.1007/s11274-023-03624-1] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2023] [Accepted: 04/17/2023] [Indexed: 04/29/2023]
Abstract
Shiga toxin-producing Escherichia coli (STEC) are foodborne pathogens causing severe diseases. The ability of STEC to produce disease is associated with Shiga toxin (Stx) production. We investigated the occurrence of STEC on bovine and pork carcasses and walls of trucks where they were transported, and we characterized virulence genes and serotypes of STEC strains. We compared the whole genomic sequencing of a STEC O157:H7 strain isolated from a bovine carcass in this work and a STEC O157:H7 strain isolated from a child with HUS, both isolated in 2019. We studied the relationship between these isolates and others collected in the database. The results show a 40% of STEC and two different serogroups were identified (O130 and O157). STEC O157:H7 were isolated from bovine carcasses and harbored stx2, eae, ehxA, katP, espP, stcE, ECSP_0242/1773/2687/2870/2872/3286/3620 and were classified as lineage I/II. In STEC non-O157 isolates, three isolates were isolated from bovine carcasses and harbored the serogroup O130 and one strain isolated from pork carcasses was O-non-typeable. All STEC non-O157 harbored sxt1 gene. The analysis from the whole genome showed that both STEC O157:H7 strains belonged to the hypervirulent clade 8, ST11, phylogroup E, carried the allele tir 255 T > A T, and they were not clonal. The analysis of information allows us to conclude that the STEC strains circulate in pork and bovine carcasses arriving in transport. This situation represents a risk for the consumers and the need to implement an integrated STEC control in the food chain.
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Affiliation(s)
- Rocío Colello
- Facultad de Ciencias Veterinarias, Universidad Nacional del Centro de la Provincia de Buenos Aires (UNCPBA), Tandil, Buenos Aires, Argentina.
- Centro de Investigación Veterinaria de Tandil (CIVETAN), UNCPBA- CICPBA- CONICET, Tandil, Buenos Aires, Argentina.
| | - Manuela Baigorri
- Facultad de Ciencias Veterinarias, Universidad Nacional del Centro de la Provincia de Buenos Aires (UNCPBA), Tandil, Buenos Aires, Argentina
| | - Felipe Del Canto
- Programa de Microbiología y Micología, Instituto de Ciencias Biomédicas, Facultad de Medicina, Universidad de Chile, Santiago, Chile
| | - Juliana González
- Facultad de Ciencias Veterinarias, Universidad Nacional del Centro de la Provincia de Buenos Aires (UNCPBA), Tandil, Buenos Aires, Argentina
- Centro de Investigación Veterinaria de Tandil (CIVETAN), UNCPBA- CICPBA- CONICET, Tandil, Buenos Aires, Argentina
| | - Ariel Rogé
- Servicio Antígenos y Antisueros, Instituto Nacional de Producción de Biológicos, Administración Nacional de Laboratorios e Institutos de Salud "Dr. Carlos G. Malbrán", Buenos Aires, Argentina
| | - Claudia van der Ploeg
- Servicio Antígenos y Antisueros, Instituto Nacional de Producción de Biológicos, Administración Nacional de Laboratorios e Institutos de Salud "Dr. Carlos G. Malbrán", Buenos Aires, Argentina
| | - Federico Sánchez Chopa
- Facultad de Ciencias Veterinarias, Universidad Nacional del Centro de la Provincia de Buenos Aires (UNCPBA), Tandil, Buenos Aires, Argentina
- Centro de Investigación Veterinaria de Tandil (CIVETAN), UNCPBA- CICPBA- CONICET, Tandil, Buenos Aires, Argentina
| | - Mónica Sparo
- Laboratorio de Microbiología Clínica, Hospital Ramón Santamarina, Tandil, Buenos Aires, Argentina
| | - Analía Etcheverría
- Facultad de Ciencias Veterinarias, Universidad Nacional del Centro de la Provincia de Buenos Aires (UNCPBA), Tandil, Buenos Aires, Argentina
- Centro de Investigación Veterinaria de Tandil (CIVETAN), UNCPBA- CICPBA- CONICET, Tandil, Buenos Aires, Argentina
| | - Nora Lía Padola
- Facultad de Ciencias Veterinarias, Universidad Nacional del Centro de la Provincia de Buenos Aires (UNCPBA), Tandil, Buenos Aires, Argentina
- Centro de Investigación Veterinaria de Tandil (CIVETAN), UNCPBA- CICPBA- CONICET, Tandil, Buenos Aires, Argentina
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Sanz MB, De Belder D, de Mendieta JM, Faccone D, Poklepovich T, Lucero C, Rapoport M, Campos J, Tuduri E, Saavedra MO, Van der Ploeg C, Rogé A, Pasteran F, Corso A, Rosato AE, Gomez SA. Carbapenemase-Producing Extraintestinal Pathogenic Escherichia coli From Argentina: Clonal Diversity and Predominance of Hyperepidemic Clones CC10 and CC131. Front Microbiol 2022; 13:830209. [PMID: 35369469 PMCID: PMC8971848 DOI: 10.3389/fmicb.2022.830209] [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] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2021] [Accepted: 01/31/2022] [Indexed: 11/13/2022] Open
Abstract
Extraintestinal pathogenic Escherichia coli (ExPEC) causes infections outside the intestine. Particular ExPEC clones, such as clonal complex (CC)/sequence type (ST)131, have been known to sequentially accumulate antimicrobial resistance that starts with chromosomal mutations against fluoroquinolones, followed with the acquisition of blaCTX–M–15 and, more recently, carbapenemases. Here we aimed to investigate the distribution of global epidemic clones of carbapenemase-producing ExPEC from Argentina in representative clinical isolates recovered between July 2008 and March 2017. Carbapenemase-producing ExPEC (n = 160) were referred to the Argentinean reference laboratory. Of these, 71 were selected for genome sequencing. Phenotypic and microbiological studies confirmed the presence of carbapenemases confirmed as KPC-2 (n = 52), NDM-1 (n = 16), IMP-8 (n = 2), and VIM-1 (n = 1) producers. The isolates had been recovered mainly from urine, blood, and abdominal fluids among others, and some were from screening samples. After analyzing the virulence gene content, 76% of the isolates were considered ExPEC, although non-ExPEC isolates were also obtained from extraintestinal sites. Pan-genome phylogeny and clonal analysis showed great clonal diversity, although the first phylogroup in abundance was phylogroup A, harboring CC10 isolates, followed by phylogroup B2 with CC/ST131, mostly H30Rx, the subclone co-producing CTX-M-15. Phylogroups D, B1, C, F, and E were also detected with fewer strains. CC10 and CC/ST131 were found throughout the country. In addition, CC10 nucleated most metalloenzymes, such as NDM-1. Other relevant international clones were identified, such as CC/ST38, CC155, CC14/ST1193, and CC23. Two isolates co-produced KPC-2 and OXA-163 or OXA-439, a point mutation variant of OXA-163, and three isolates co-produced MCR-1 among other resistance genes. To conclude, in this work, we described the molecular epidemiology of carbapenemase-producing ExPEC in Argentina. Further studies are necessary to determine the plasmid families disseminating carbapenemases in ExPEC in this region.
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Affiliation(s)
- María Belén Sanz
- Servicio Antimicrobianos, Laboratorio Nacional de Referencia en Resistencia a los Antimicrobianos (LNRRA), INEI-ANLIS "Dr. Carlos G. Malbrán", Buenos Aires, Argentina
| | - Denise De Belder
- Servicio Antimicrobianos, Laboratorio Nacional de Referencia en Resistencia a los Antimicrobianos (LNRRA), INEI-ANLIS "Dr. Carlos G. Malbrán", Buenos Aires, Argentina.,Plataforma Genómica y Bioinformática (PLABIO), INEI-ANLIS "Dr. Carlos G. Malbrán", Buenos Aires, Argentina.,Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Buenos Aires, Argentina
| | - J M de Mendieta
- Servicio Antimicrobianos, Laboratorio Nacional de Referencia en Resistencia a los Antimicrobianos (LNRRA), INEI-ANLIS "Dr. Carlos G. Malbrán", Buenos Aires, Argentina
| | - Diego Faccone
- Servicio Antimicrobianos, Laboratorio Nacional de Referencia en Resistencia a los Antimicrobianos (LNRRA), INEI-ANLIS "Dr. Carlos G. Malbrán", Buenos Aires, Argentina.,Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Buenos Aires, Argentina
| | - Tomás Poklepovich
- Plataforma Genómica y Bioinformática (PLABIO), INEI-ANLIS "Dr. Carlos G. Malbrán", Buenos Aires, Argentina
| | - Celeste Lucero
- Servicio Antimicrobianos, Laboratorio Nacional de Referencia en Resistencia a los Antimicrobianos (LNRRA), INEI-ANLIS "Dr. Carlos G. Malbrán", Buenos Aires, Argentina
| | - Melina Rapoport
- Servicio Antimicrobianos, Laboratorio Nacional de Referencia en Resistencia a los Antimicrobianos (LNRRA), INEI-ANLIS "Dr. Carlos G. Malbrán", Buenos Aires, Argentina
| | - Josefina Campos
- Plataforma Genómica y Bioinformática (PLABIO), INEI-ANLIS "Dr. Carlos G. Malbrán", Buenos Aires, Argentina
| | - Ezequiel Tuduri
- Servicio Antimicrobianos, Laboratorio Nacional de Referencia en Resistencia a los Antimicrobianos (LNRRA), INEI-ANLIS "Dr. Carlos G. Malbrán", Buenos Aires, Argentina.,Plataforma Genómica y Bioinformática (PLABIO), INEI-ANLIS "Dr. Carlos G. Malbrán", Buenos Aires, Argentina
| | - Mathew O Saavedra
- Department of Pathology and Genomic Medicine, Center for Molecular and Translational Human Infectious Diseases Research, Houston Methodist Hospital, Houston Methodist Research Institute, Houston, TX, United States
| | - Claudia Van der Ploeg
- Servicio de Antígenos y Antisueros, INPB-ANLIS "Dr. Carlos G. Malbrán", Buenos Aires, Argentina
| | - Ariel Rogé
- Servicio de Antígenos y Antisueros, INPB-ANLIS "Dr. Carlos G. Malbrán", Buenos Aires, Argentina
| | | | - Fernando Pasteran
- Servicio Antimicrobianos, Laboratorio Nacional de Referencia en Resistencia a los Antimicrobianos (LNRRA), INEI-ANLIS "Dr. Carlos G. Malbrán", Buenos Aires, Argentina
| | - Alejandra Corso
- Servicio Antimicrobianos, Laboratorio Nacional de Referencia en Resistencia a los Antimicrobianos (LNRRA), INEI-ANLIS "Dr. Carlos G. Malbrán", Buenos Aires, Argentina
| | - Adriana E Rosato
- Department of Pathology and Molecular Microbiology Diagnostics-Research, Riverside University Health System, Moreno Valley, CA, United States.,School of Medicine, University of California, Riverside, Riverside, CA, United States
| | - Sonia A Gomez
- Servicio Antimicrobianos, Laboratorio Nacional de Referencia en Resistencia a los Antimicrobianos (LNRRA), INEI-ANLIS "Dr. Carlos G. Malbrán", Buenos Aires, Argentina.,Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Buenos Aires, Argentina
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Navarro A, van der Ploeg C, Rogé A, Licona-Moreno D, Delgado G, Morales-Espinosa R, Cravioto A, Eslava C. Diversity of Potentially Pathogenic Escherichia coli O104 and O9 Serogroups Isolated before 2011 from Fecal Samples from Children from Different Geographic Regions. Microorganisms 2021; 9:microorganisms9112227. [PMID: 34835353 PMCID: PMC8619403 DOI: 10.3390/microorganisms9112227] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2021] [Revised: 10/20/2021] [Accepted: 10/22/2021] [Indexed: 11/21/2022] Open
Abstract
In 2011, an outbreak of hemorrhagic colitis and hemolytic uremic syndrome (HUS) was reported in Europe that was related to a hybrid STEAEC of Escherichia coli (E. coli) O104:H4 strain. The current study aimed to analyze strains of E. coli O104 and O9 isolated before 2011. The study included 47 strains isolated from children with and without diarrhea between 1986 and 2009 from different geographic regions, as well as seven reference strains. Serotyping was carried out on 188 anti-O and 53 anti-H sera. PCR was used to identify DEC genes and phylogenetic groups. Resistance profiles to antimicrobials were determined by diffusion in agar, while PFGE was used to analyze genomic similarity. Five serotypes of E. coli O104 and nine of O9 were identified, as well as an antigenic cross-reaction with one anti-E. coli O9 serum. E. coli O104 and O9 presented diarrheagenic E. coli (DEC) genes in different combinations and were located in commensal phylogenetic groups with different antimicrobial resistance. PFGE showed that O104:H4 and O9:(H4, NM) strains from SSI, Bangladesh and México belong to a diverse group located in the same subgroup. E. coli O104 and O9 were classified as commensal strains containing DEC genes. The groups were genetically diverse with pathogenic potential making continued epidemiologic surveillance important.
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Affiliation(s)
- Armando Navarro
- Public Health Department, Faculty of Medicine, Universidad Nacional Autónoma de México, Avenida Universidad 3000, Ciudad Universitaria, México City 04510, Mexico;
- Correspondence: ; Tel.: +52-5544547025
| | - Claudia van der Ploeg
- Servicio de Antígenos y Antisueros, Instituto Nacional de Producción de Biológicos (INPB)—ANLIS “Dr. Carlos G. Malbrán”, Buenos Aires 1282, Argentina; (C.v.d.P.); (A.R.)
| | - Ariel Rogé
- Servicio de Antígenos y Antisueros, Instituto Nacional de Producción de Biológicos (INPB)—ANLIS “Dr. Carlos G. Malbrán”, Buenos Aires 1282, Argentina; (C.v.d.P.); (A.R.)
| | - Delia Licona-Moreno
- Public Health Department, Faculty of Medicine, Universidad Nacional Autónoma de México, Avenida Universidad 3000, Ciudad Universitaria, México City 04510, Mexico;
| | - Gabriela Delgado
- Departamento de Microbiología y Parasitología, Facultad de Medicina, Universidad Nacional Autónoma de México, México City 04510, Mexico; (G.D.); (R.M.-E.)
| | - Rosario Morales-Espinosa
- Departamento de Microbiología y Parasitología, Facultad de Medicina, Universidad Nacional Autónoma de México, México City 04510, Mexico; (G.D.); (R.M.-E.)
| | - Alejandro Cravioto
- Faculty of Medicine, Universidad Nacional Autónoma de México, México City 04510, Mexico;
| | - Carlos Eslava
- Peripheral Unit of Basic and Clinical Research in Infectious Diseases, Public Health Department, Research Division, Faculty of Medicine Universidad Nacional Autónoma de México, Bacterial Pathogenicity Laboratory, Hemato-Oncology and Research Unit, Children’s Hospital of Mexico Federico Gómez, Dr. Márquez 162, Col. De los Doctores, México City 06720, Mexico;
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Trovero AC, Mazza M, Rogé A, Rivas MC, Bordagorría X, Bruno S, Davel G. Production of a latex agglutination reagent for the rapid diagnosis of cryptococcal meningitis. Rev Argent Microbiol 2019; 52:169-175. [PMID: 31564482 DOI: 10.1016/j.ram.2019.06.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2019] [Revised: 05/10/2019] [Accepted: 06/05/2019] [Indexed: 10/25/2022] Open
Abstract
Cryptococcosis is a fungal disease affecting more than one million people per year worldwide. Its main etiological agents are Cryptococcus neoformans species complex and Cryptococcus gattii species complex. Cryptococcal meningitis (CM) is considered an AIDS-defining condition. Rapid diagnosis by cryptococcal antigen assays, either the latex agglutination test (LA) or the lateral flow assay, is key to decreasing mortality due to cryptococcal disease. The aim of the study was to develop a latex agglutination reagent (LA-ANLIS) for the rapid and reliable diagnosis of cryptococcosis in Argentina. This reagent will be produced in order to supply the NMLN (National Mycology Laboratory Network). The evaluation of LA-ANLIS performance and its comparison with the Cryptococcus Antigen Latex Agglutination Test System (LA-IMMY) (Immuno-Mycologics, Inc., USA) were conducted in 94 samples of cerebrospinal fluid. LA-ANLIS and LA-IMMY compared exhibited 100% positive agreement and 97% negative agreement. LA-ANLIS showed 94% sensitivity and 97% specificity with the positive and negative predictive values of 94% and 97%, respectively. The LA-ANLIS is a reliable, reproducible and cost-effective reagent, especially useful in countries where the commercial kit is not generally available and must be obtained at a high cost. National production of reagents is the best choice for a reliable access to the rapid diagnosis of CM in Argentina.
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Affiliation(s)
- Alicia Cristina Trovero
- Servicio Antígenos-Antisueros, Instituto Nacional de Producción de Biológicos (INPB)-ANLIS "Dr. Carlos G. Malbrán", Av. Vélez Sarsfield 563, Ciudad Autónoma de Buenos Aires, Argentina.
| | - Mariana Mazza
- Laboratorio Nacional de Referencia en Micología Clínica, Departamento Micología, Instituto Nacional de Enfermedades Infecciosas (INEI)-ANLIS "Dr. Carlos G. Malbrán", Av. Vélez Sarsfield 563, Ciudad Autónoma de Buenos Aires, Argentina
| | - Ariel Rogé
- Servicio Antígenos-Antisueros, Instituto Nacional de Producción de Biológicos (INPB)-ANLIS "Dr. Carlos G. Malbrán", Av. Vélez Sarsfield 563, Ciudad Autónoma de Buenos Aires, Argentina
| | - María Cristina Rivas
- Laboratorio Nacional de Referencia en Micología Clínica, Departamento Micología, Instituto Nacional de Enfermedades Infecciosas (INEI)-ANLIS "Dr. Carlos G. Malbrán", Av. Vélez Sarsfield 563, Ciudad Autónoma de Buenos Aires, Argentina
| | - Ximena Bordagorría
- Servicio Antígenos-Antisueros, Instituto Nacional de Producción de Biológicos (INPB)-ANLIS "Dr. Carlos G. Malbrán", Av. Vélez Sarsfield 563, Ciudad Autónoma de Buenos Aires, Argentina
| | - Susana Bruno
- Servicio Antígenos-Antisueros, Instituto Nacional de Producción de Biológicos (INPB)-ANLIS "Dr. Carlos G. Malbrán", Av. Vélez Sarsfield 563, Ciudad Autónoma de Buenos Aires, Argentina
| | - Graciela Davel
- Laboratorio Nacional de Referencia en Micología Clínica, Departamento Micología, Instituto Nacional de Enfermedades Infecciosas (INEI)-ANLIS "Dr. Carlos G. Malbrán", Av. Vélez Sarsfield 563, Ciudad Autónoma de Buenos Aires, Argentina
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Viñas MR, Tuduri E, Galar A, Yih K, Pichel M, Stelling J, Brengi SP, Della Gaspera A, van der Ploeg C, Bruno S, Rogé A, Caffer MI, Kulldorff M, Galas M. Laboratory-based prospective surveillance for community outbreaks of Shigella spp. in Argentina. PLoS Negl Trop Dis 2013; 7:e2521. [PMID: 24349586 PMCID: PMC3861122 DOI: 10.1371/journal.pntd.0002521] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2013] [Accepted: 09/06/2013] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND To implement effective control measures, timely outbreak detection is essential. Shigella is the most common cause of bacterial diarrhea in Argentina. Highly resistant clones of Shigella have emerged, and outbreaks have been recognized in closed settings and in whole communities. We hereby report our experience with an evolving, integrated, laboratory-based, near real-time surveillance system operating in six contiguous provinces of Argentina during April 2009 to March 2012. METHODOLOGY To detect localized shigellosis outbreaks timely, we used the prospective space-time permutation scan statistic algorithm of SaTScan, embedded in WHONET software. Twenty three laboratories sent updated Shigella data on a weekly basis to the National Reference Laboratory. Cluster detection analysis was performed at several taxonomic levels: for all Shigella spp., for serotypes within species and for antimicrobial resistance phenotypes within species. Shigella isolates associated with statistically significant signals (clusters in time/space with recurrence interval ≥365 days) were subtyped by pulsed field gel electrophoresis (PFGE) using PulseNet protocols. PRINCIPAL FINDINGS In three years of active surveillance, our system detected 32 statistically significant events, 26 of them identified before hospital staff was aware of any unexpected increase in the number of Shigella isolates. Twenty-six signals were investigated by PFGE, which confirmed a close relationship among the isolates for 22 events (84.6%). Seven events were investigated epidemiologically, which revealed links among the patients. Seventeen events were found at the resistance profile level. The system detected events of public health importance: infrequent resistance profiles, long-lasting and/or re-emergent clusters and events important for their duration or size, which were reported to local public health authorities. CONCLUSIONS/SIGNIFICANCE The WHONET-SaTScan system may serve as a model for surveillance and can be applied to other pathogens, implemented by other networks, and scaled up to national and international levels for early detection and control of outbreaks.
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Affiliation(s)
- María R. Viñas
- Departamento Bacteriología, Instituto Nacional de Enfermedades Infecciosas ANLIS “Dr C. G. Malbrán”, Buenos Aires, Argentina
| | - Ezequiel Tuduri
- Departamento Bacteriología, Instituto Nacional de Enfermedades Infecciosas ANLIS “Dr C. G. Malbrán”, Buenos Aires, Argentina
| | - Alicia Galar
- Department of Medicine, Brigham and Women's Hospital, World Health Organization Collaborating Centre for Surveillance of Antimicrobial Resistance, Boston, Massachusetts, United States of America
| | - Katherine Yih
- Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, Massachusetts, United States of America
| | - Mariana Pichel
- Departamento Bacteriología, Instituto Nacional de Enfermedades Infecciosas ANLIS “Dr C. G. Malbrán”, Buenos Aires, Argentina
| | - John Stelling
- Department of Medicine, Brigham and Women's Hospital, World Health Organization Collaborating Centre for Surveillance of Antimicrobial Resistance, Boston, Massachusetts, United States of America
| | - Silvina P. Brengi
- Departamento Bacteriología, Instituto Nacional de Enfermedades Infecciosas ANLIS “Dr C. G. Malbrán”, Buenos Aires, Argentina
| | - Anabella Della Gaspera
- Departamento Bacteriología, Instituto Nacional de Enfermedades Infecciosas ANLIS “Dr C. G. Malbrán”, Buenos Aires, Argentina
| | - Claudia van der Ploeg
- Servicio de Antígenos y Antisueros. Instituto Nacional de Producción de Biológicos (INPB) - ANLIS “Dr Carlos G. Malbran”, Buenos Aires, Argentina
| | - Susana Bruno
- Servicio de Antígenos y Antisueros. Instituto Nacional de Producción de Biológicos (INPB) - ANLIS “Dr Carlos G. Malbran”, Buenos Aires, Argentina
| | - Ariel Rogé
- Servicio de Antígenos y Antisueros. Instituto Nacional de Producción de Biológicos (INPB) - ANLIS “Dr Carlos G. Malbran”, Buenos Aires, Argentina
| | - María I. Caffer
- Departamento Bacteriología, Instituto Nacional de Enfermedades Infecciosas ANLIS “Dr C. G. Malbrán”, Buenos Aires, Argentina
| | - Martin Kulldorff
- Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, Massachusetts, United States of America
| | - Marcelo Galas
- Departamento Bacteriología, Instituto Nacional de Enfermedades Infecciosas ANLIS “Dr C. G. Malbrán”, Buenos Aires, Argentina
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Mazza M, Refojo N, Bosco-Borgeat ME, Taverna CG, Trovero AC, Rogé A, Davel G. Cryptococcus gattiiin urban trees from cities in North-eastern Argentina. Mycoses 2013; 56:646-50. [DOI: 10.1111/myc.12084] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2012] [Revised: 04/04/2013] [Accepted: 04/06/2013] [Indexed: 11/27/2022]
Affiliation(s)
- Mariana Mazza
- Mycology Department; INEI ‘Dr. Carlos G. Malbrán’- ANLIS. Ciudad Autónoma de Buenos Aires; Argentina
| | - Nicolás Refojo
- Mycology Department; INEI ‘Dr. Carlos G. Malbrán’- ANLIS. Ciudad Autónoma de Buenos Aires; Argentina
| | | | - Constanza Giselle Taverna
- Mycology Department; INEI ‘Dr. Carlos G. Malbrán’- ANLIS. Ciudad Autónoma de Buenos Aires; Argentina
| | | | - Ariel Rogé
- Antigens and Antisera Laboratory; INPB - ANLIS. Ciudad Autónoma de Buenos Aires; Argentina
| | - Graciela Davel
- Mycology Department; INEI ‘Dr. Carlos G. Malbrán’- ANLIS. Ciudad Autónoma de Buenos Aires; Argentina
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Parma YR, Chacana PA, Lucchesi PMA, Rogé A, Granobles Velandia CV, Krüger A, Parma AE, Fernández-Miyakawa ME. Detection of Shiga toxin-producing Escherichia coli by sandwich enzyme-linked immunosorbent assay using chicken egg yolk IgY antibodies. Front Cell Infect Microbiol 2012; 2:84. [PMID: 22919675 PMCID: PMC3417390 DOI: 10.3389/fcimb.2012.00084] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2012] [Accepted: 05/29/2012] [Indexed: 11/13/2022] Open
Abstract
Enterohemorrhagic Escherichia coli (EHEC), a subset of Shiga toxin producing E. coli (STEC) is associated with a spectrum of diseases that includes diarrhea, hemorrhagic colitis and a life-threatening hemolytic-uremic syndrome (HUS). Regardless of serotype, Shiga toxins (Stx1 and/or Stx2) are uniformly expressed by all EHEC, and so exploitable targets for laboratory diagnosis of these pathogens. In this study, a sandwich ELISA for determination of Shiga toxin (Stx) was developed using anti-Stx2B subunit antibodies and its performance was compared with that of the Vero cell assay and a commercial immunoassay kit. Chicken IgY was used as capture antibody and a HRP-conjugated rabbit IgG as the detection antibody. The anti-Stx2B IgY was harvested from eggs laid by hens immunized with a recombinant protein fragment. Several parameters were tested in order to optimize the sandwich ELISA assay, including concentration of antibodies, type and concentration of blocking agent, and incubation temperatures. Supernatants from 42 STEC strains of different serotypes and stx variants, including stx2EDL933, stx2vha, stx2vhb, stx2g, stx1EDL933, and stx1d were tested. All Stx variants were detected by the sandwich ELISA, with a detection limit of 115 ng/ml Stx2. Twenty three strains negative for stx genes, including different bacteria species, showed no activity in Vero cell assay and produced negative results in ELISA, except for two strains. Our results show that anti-Stx2B IgY sandwich ELISA could be used in routine diagnosis as a rapid, specific and economic method for detection of Shiga toxin-producing E. coli.
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Affiliation(s)
- Y R Parma
- Instituto de Patobiología, Centro Nacional de Investigaciones Agropecuarias, Instituto Nacional de Tecnología Agropecuaria, Calle Las Cabañas y Los Reseros s/n, Casilla de Correo 25 (1712), Castelar Buenos Aires, Argentina; CONICET, Buenos Aires, Argentina.
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9
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Parma YR, Chacana PA, Rogé A, Kahl A, Cangelosi A, Geoghegan P, Lucchesi PMA, Fernández-Miyakawa ME. Antibodies anti-Shiga toxin 2 B subunit from chicken egg yolk: isolation, purification and neutralization efficacy. Toxicon 2011; 58:380-8. [PMID: 21803069 PMCID: PMC7111861 DOI: 10.1016/j.toxicon.2011.07.009] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.9] [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: 04/15/2011] [Revised: 06/20/2011] [Accepted: 07/12/2011] [Indexed: 12/30/2022]
Abstract
Shiga toxins (Stx1 and Stx2) are the main virulence factors of enterohemorrhagic Escherichia coli (EHEC), a foodborne pathogen associated with diarrhea, hemorrhagic colitis and hemolytic uremic syndrome. The aim of this study was to evaluate the antibodies against Stx2 obtained from egg yolks of laying hens immunized with a recombinant Stx2B subunit. A high specific response in serum was observed 25 days after the first immunization and IgY antibodies were extracted from day 47th and purified from egg yolk. A concentration of 0.84 mg of total IgY/ml of egg yolk was obtained, of which 8% were antigen specific. The ability of anti-Stx2B IgY to recognize Stx2B and Stx2 either in solid-phase or in solution were evaluated and compared with anti-Stx2B rabbit antibodies by Western blotting and ELISA. The protective efficacy of IgY against Stx2 was determined by in vitro and in vivo experiments. The results show that IgY was able to recognize Stx2B and Stx2 in denatured conditions, attached to a solid-phase and free in solution. The anti-Stx2B IgY could effectively block the biological activity of Stx2 on Vero cells and protect mice from Stx2 challenge. The data suggest that immunization of hens with Stx2B could be a strategy to obtain at low cost a relatively high concentration of anti-Stx2 egg yolk IgY, able to neutralize Stx2 lethal activity. IgY technology could be an useful tool for research, diagnosis and therapy of EHEC infection.
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Affiliation(s)
- Y R Parma
- Instituto de Patobiología, Centro Nacional de Investigaciones Agropecuarias, Instituto, Nacional de Tecnología Agropecuaria, Calle Las Cabañas y Los Reseros s/n, Casilla de Correo 25 (1712), Castelar, Buenos Aires, Argentina
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Reissig EC, Terzolo H, Armando S, Rogé A. Hatching success and embryonic mortality on lesser rhea (Pterocnemia pennata) farms in northern Patagonia, Argentina. Br Poult Sci 2010; 45:471-5. [PMID: 15484720 DOI: 10.1080/00071680412331286181] [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] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
1. The hatching success and embryonic mortality of 724 lesser rhea eggs from 12 farms in northern Patagonia, Argentina were monitored during the 2000 breeding season. 2. Average infertility was 24.5%, embryonic mortality was 33.5%, hatchability of fertile eggs was 66.5% and the neonatal mortality was 57.0%. There were large variations between different farms. 3. Bacterial contamination was high and egg hatchability was also affected by the occurrence of oedematous and malformed embryos. 4. No significant relationships were found between embryonic loss, duration of egg storage, initial egg weight or weight loss of hatched and failed eggs. 5. The low productivity on lesser rhea farms is caused not only by embryonic mortality but also by a high incidence of infertile eggs and neonatal mortality. 6. Bacterial infection may not have been the most important cause of incubation failure, indicating that nutritional deficiencies and inbreeding may play an important role in the productivity of these farms.
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Affiliation(s)
- E Chang Reissig
- Animal Health Unit, The National Institute of Agricultural Technology, San Carlos de Bariloche, Argentina.
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