Abstract
Salmonella is one of the most important foodborne pathogens associated with animal and human diseases. In this study, 672 samples of fresh meat (pork, 347; chicken, 196; and duck, 129) were collected from retail markets in different provinces of China from 2010 to 2014. We identified 10 different serotypes among 80 Salmonella isolates, whereas 12 isolates were nonmotile precluding conventional identification of complete serotype. Among these 92 isolates, Salmonella enterica serovar Derby (n = 21) was the most prevalent serotype, followed by Salmonella Enteritidis (n = 17), Salmonella Typhimurium (n = 15), Salmonella Indiana (n = 9), Salmonella Agona (n = 7), and Salmonella Assinie (n = 5). Antimicrobial resistance testing for 18 antimicrobial agents revealed that all 92 isolates were resistant to at least 1 antimicrobial agent, and 39 different resistance profiles were identified. The highest resistance was to trimethoprim–sulfamethoxazole (n = 87), followed by tetracycline (n = 51), carbenicillin (n = 38), amoxicillin/A.clav (n = 30), and piperacillin (n = 24). Our results demonstrated that meats presented a potential public health risk, thereby underlining the necessity for local regulatory enforcement agencies in China to monitor salmonellosis.
Introduction
S
The contamination and antimicrobial resistance of Salmonella isolated from food-producing animals are particularly severe in China (Yang et al., 2011; Li et al., 2013b; Kuang et al., 2015; Ren et al., 2016). Moreover, meats remain an important source of human Salmonella infections in Canada and the United States (Ray et al., 2007; Imanishi et al., 2014; Sanchez-Maldonado et al., 2017). Indeed, the emergence of multidrug-resistant (MDR) Salmonella strains is a new and great threat to public health (Ma et al., 2017). MDR between Salmonella strains is frequently isolated from food sources, and infections due to MDR Salmonella can increase instances of morbidity and mortality (Song et al., 2018).
In this study, we investigated the presence of Salmonella in pork, chicken, and duck samples from retail markets in the southern and northern areas of the Yangtze River (hereafter denoted as Yangtze). We then analyzed the antimicrobial resistance of Salmonella isolates and evaluated the risk of transmission of salmonellosis through food chains. Our findings can provide information on the prevalence and antimicrobial resistance of Salmonella in meat products and can thus help curb Salmonella contamination problems in China.
Materials and Methods
Sample collection
Between 2010 and 2014, meat samples were obtained from eight provinces. Three provinces (Guangdong, Jiangxi, and Hunan) were located south of the Yangtze, and five (Liaoning, Heilongjiang, Jilin, Gansu, and Ningxia) were located in the north. Based on the sampling plan, four to five cities were selected per province, two to three markets per city, three retail stalls per market, and two samples per stall. A total of 230 samples were collected north of the Yangtze and 442 samples were collected in the south. Samples of pork (n = 347), chicken (n = 196), and duck (n = 129) were randomly collected from retail markets using sterile gloves and transferred into sterile bags to avoid cross-contamination. Samples were stored in an icebox and immediately transferred to the laboratory for analysis.
Bacterial isolation
All samples were analyzed according to the National Standard GB/T 4789.4. In a typical procedure, 25 ± 0.5 g of each meat was aseptically weighed, transferred into 225 mL of buffered peptone water (Beijing Land Bridge, Beijing, China), and incubated at 37°C for 18 h. Then, 1 mL of the cultures was subcultured in 10 mL of selenite cystine broth (Beijing Land Bridge) at 37°C for 24 h. One loopful of each broth culture was streaked onto BS and Hektoen agar plates (Beijing Land Bridge) and incubated at 37°C for 24–48 h. Biochemical tests of suspected colonies were conducted using API ID 32E test kits following the manufacturer's recommendations (BioMérieux, Marcy-L'Étoile, France).
Serotyping
All Salmonella isolates were serotyped by slide agglutination using polyvalent O- and H- antisera (BD, Franklin Lakes) in accordance with the Kauffmann–White scheme (Issenhuth-Jeanjean et al., 2014).
Antimicrobial susceptibility testing
Antimicrobial susceptibility tests were performed on Mueller–Hinton agar plates according to the Clinical and Laboratory Standards Institute (CLSI) guidelines (CLSI, 2013) with 18 antimicrobial agents selected for ATB® G-5 (BioMérieux, Marcy-L'Étoile, France) used in humans. The corresponding disk concentrations were as follows: meropenem (MER; 10 μg), streptomycin (STR;10 μg), gentamycin (10 μg), amikacin (10 μg), tobramycin (10 μg), trimethoprim–sulfamethoxazole (SXT; 23.75/1.25 μg), ciprofloxacin (CIP; 5 μg), amoxicillin–clavulanic acid (AMC; 20/10 μg), carbenicillin (CB; 100 μg), piperacillin (PIC; 100 μg), ticarcillin–clavulanate (TCC; 75/10 μg), tetracycline (TET; 30 μg), imipenem (IMI; 10 μg), cefuroxime (30 μg), ceftazidime (30 μg), cephalothin (30 μg), kanamycin (30 μg), and cefoxitin (30 μg). Resistance breakpoints were defined by the CLSI. Results were identified as susceptible (S), intermediate (I), or resistant (R). Escherichia coli ATCC 25922 was used as the quality control strain according to CLSI guidelines.
Results
Prevalence of Salmonella in China
Salmonella was recovered from 13.7% (92/672) of the tested samples. Overall, the prevalence of Salmonella in pork was 14.1% (49/347) with Salmonella recovered from 12.2% (10/82) of samples collected north of the Yangtze and 14.7% (39/265) of samples collected in the south. The overall prevalence of Salmonella in chicken and duck was 14.3% (28/196) and 11.6% (15/129), respectively. Salmonella was recovered from 14.9% (22/148) of chicken samples collected north of the Yangtze and 12.5% (6/48) of chicken samples collected in the south (Table 1).
Prevalence of Salmonella from Pork, Chicken, and Duck to the North and South of Yangtze River in China
One Salmonella isolate was collected from each positive sample.
Distribution of Salmonella serotype
A total of 80 isolates were divided into 10 distinct serotypes, whereas 12 isolates were nonmotile precluding conventional identification of complete serotype (Table 2). The predominant serotypes were Salmonella enterica serovar Derby (n = 21), followed by Salmonella Enteritidis (n = 17) and Salmonella Typhimurium (n = 15). Salmonella Derby and Salmonella Typhimurium were isolated most frequently in pork, whereas Salmonella Enteritidis (n = 13) and Salmonella Indiana (n = 9) were the major serotypes in chicken. In duck, Salmonella Enteritidis (n = 4), Salmonella Agona (n = 5), and group C (n = 6) were identified. The detection rate of Salmonella Derby in pork was higher in areas south of the Yangtze (n = 20) than in areas to the north (n = 1). In chicken, 12 Salmonella Enteritidis strains were isolated from the areas north of the Yangtze, but none was isolated from the areas to the south.
Serotyping of Salmonella Isolates from Pork, Chicken, and Duck in Northern and Southern China
Antimicrobial susceptibility of isolated Salmonella
The antimicrobial susceptibility of all isolates is shown in Tables 3 and 4. All isolates showed resistance to one or more of the tested antimicrobials. Most isolates were resistant to SXT (n = 87), followed by TET (n = 51), CB (n = 38), AMC (n = 30), STR (n = 25), and PIC (n = 24). Resistance to cephem was observed in 60.1% (17/28) of isolates from chicken, 13.3% (2/15) from duck, and 2% (1/49) from pork. Resistance to CIP was also observed in 35.7% (10/28) of isolates from chicken, 0% (0/49) from pork, and 0% (0/15) from duck.
Antimicrobial Resistance Phenotypes of 92 Salmonella Isolates
n, number of Salmonella-positive isolates tested.
AMI, amikacin; KAN, kanamycin; TOD, tobramycin; GEN, gentamycin; STR, streptomycin; TCC, ticarcillin–clavulanic acid; AMC, amoxicillin–clavulanic acid; MER, meropenem; IMI, imipenem; CXT, cefoxitin; CAZ, ceftazidime; CFT, cephalothin; CXM, cefuroxime; SXT, trimethoprim–sulfamethoxazole; PIC, piperacillin; CB, carbenicillin; CIP, ciprofloxacin; TET, tetracycline.
Diversity Profiles of Salmonella Isolates Based on Serotyping and Antimicrobial Resistance
AMI, amikacin; KAN, kanamycin; TOD, tobramycin; GEN, gentamycin; STR, streptomycin; TCC, ticarcillin–clavulanic acid; AMC, amoxicillin–clavulanic acid; MER, meropenem; IMI, imipenem; CXT, cefoxitin; CAZ, ceftazidime; CFT, cephalothin; CXM, cefuroxime; SXT, trimethoprim–sulfamethoxazole; PIC, piperacillin; CB, carbenicillin; CIP, ciprofloxacin; TET, tetracycline.
Antimicrobial susceptibility tests resulted in a total of 39 resistance profiles (Table 4). Salmonella Newlands, Salmonella Rissen, and Salmonella Agona were resistant to 1 antimicrobial agent; Salmonella Enteritidis (n = 7) to 2–6 antimicrobial agents; Salmonella Derby (n = 8) to 2–9 agents; Salmonella Typhimurium (n = 12) to 2–10 agents; and Salmonella Indiana (n = 9) to 7–14 agents. Among the three different meat species, the rate of isolates resistant to three or more antimicrobial agents was 64.3% (18/28) from chicken, 40.0% (6/15) from duck, and 36.7% (18/49) from pork.
Discussion
Monitoring the presence of foodborne pathogens in foods is the primary tool for implementing food safety systems. Our study revealed that the prevalence of Salmonella contamination had no significant difference among pork (14.1%), chicken (14.3%), and duck (11.6%), similar to the findings of a previous study conducted in the Jiangsu province (Li et al., 2014) but lower than those reported by a study in the Sichuan province (Ma et al., 2017) in China. The Salmonella serotypes identified in this study were diverse, that is, 80 isolates belonged to 10 different serotypes, whereas 12 isolates were nonmotile precluding conventional identification of complete serotype (Table 2). Salmonella Derby (n = 21) and Salmonella Typhimurium (n = 13) were the most prevalent serotypes isolated from pork, consistent with previous reports (Li et al., 2014; Lin et al., 2014; Bai et al., 2015; Terentjeva et al., 2017), Salmonella Rissen, Salmonella Assinie, Salmonella Agona, Salmonella London, Salmonella Newlands, group C, group C1, and group E1 were isolated from the south but not from the north. In chicken, Salmonella Enteritidis (n = 12) and Salmonella Indiana (n = 8) were the most popular serotypes, and the high isolation rates of Salmonella Enteritidis in chicken were consistent with previous studies (Bai et al., 2015; Li et al., 2017). Salmonella Assinie, Salmonella Agona, Salmonella Heidelberg, and group C were isolated from chicken in the south but not in the north. More serotypes were detected in pork and chicken south of the Yangtze, which indicated a wider diversity of serotypes in this area possibly due to the rapid animal product circulation. In duck, Salmonella Agona (n = 5), Salmonella Enteritidis (n = 4), and group C (n = 6) were isolated, and these results were inconsistent with previous reports (Tran et al., 2004; Tsai and Hsiang, 2005; Li et al., 2013a), possibly due to the regional variation of Salmonella.
The extensive use of antimicrobial in human and livestock leads to higher exposure to these compounds and consequently promotes the increase in antimicrobial resistance in Salmonella (Cruchaga et al., 2001; Antunes et al., 2003; Angkititrakul et al., 2005). In our study, 92 (100%) isolates were resistant to at least one antimicrobial agent, which was much higher than a previous report in Algeria, Senegal, and Vietnam (Stevens et al., 2006; Van et al., 2007; Elgroud et al., 2009). Higher degrees of resistance to SXT (87/92) and TET (51/92) were found, that is, the percentage of resistance to SXT in pork, chicken, and duck was 91.8% (45/49), 96.4% (27/28), and 100% (15/15), and the percentage of resistance to TET in pork, chicken, and duck was 65.3% (32/49), 64.4% (13/28), and 40% (6/15), respectively. These results indicated that farmers should reduce their use of SXT and TET to ensure their effectiveness in treating human infections and limit selective pressure, which drives resistance in an array of organisms.
The antimicrobial resistance profiles differed among serotypes. A total of 42 isolates were resistant to 3 or more antimicrobials, including 77.8% (7/9) in Salmonella Indiana, 66.7% (10/15) in Salmonella Typhimurium, 29.4% (5/17) in Salmonella Enteritidis, and 28.6% (6/21) in Salmonella Derby. Salmonella Indiana displayed resistance to the largest number of tested antimicrobials (including five isolates exhibiting resistance to IMI and/or MER). This degree of resistance is consistent with previous reports (Lu et al., 2011; Moe et al., 2017). In this study, resistance appeared to vary by serovar, and MDR Salmonella was isolated in higher numbers from chicken than from pork and duck. Apparently, serovars circulating in poultry environment were more resistant than serovars circulating in pig and duck farms, possibly due to differences in antimicrobial usage between chicken and pork farms. These findings highlighted the enormous challenges associated with the treatment of Salmonella infections in humans and animals and the importance of implementing legislation about antimicrobial use by authorities in China. Therefore, more investigations should be conducted and the antimicrobial resistance of foodborne pathogens from extensive sources should be continuously monitored.
Conclusion
We examined Salmonella contamination in fresh meat, provided data for foodborne pathogen risk assessment, and elucidated the differences in Salmonella distribution and antimicrobial susceptibility to control the significant threat of clinical Salmonella infection in humans and animals. Our results indicated a need to further investigate the prevalence and antimicrobial susceptibility pattern of Salmonella by considering it a potential foodborne pathogen from farm to table.
Footnotes
Acknowledgments
This work was supported by the Science and Technology Support Program of Jiangxi Province (Grant No. 20142BBF60019) and the Primary Research & Development Program of Jiangxi Province (Grant No. 20171BBF60053).
Disclosure Statement
No competing financial interests exist.
