Shiga Toxin-Producing Escherichia coli in Diarrheic Neonatal Dairy Calves: Matching Small Intestinal and Fecal Isolates in Terms of Isolation Rates and Antimicrobial Resistance

Ramin Moradi, W. Grünberg, Ali Mirshahi, M. Askari Badouei, K. Sharifi
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Abstract

Background: Shiga toxin-producing strains have been considered remarkable diarrheagenic agents and foodborne pathogens. Several studies have mentioned the role of some Shiga toxin-producing Escherichia coli (STEC) strains in diarrhea and dysentery in calves. Enteropathogenic E. coli (EPEC) have also been isolated from diarrheic calves. Generally, the culture and antibiogram results obtained from fecal samples are used to select antibiotics to treat calf diarrhea. However, the value of such a sampling method has not been evaluated yet. Objectives: This study aimed to evaluate the clinical utility of fecal sample cultures for isolating STEC and EPEC in calf diarrhea by comparing them with small intestine samples. Materials and Methods: The small intestine and fecal samples were simultaneously collected from 35 diarrheic calves. Small intestine samples were collected under the ultrasonographic guide. A total of 70 confirmed E. coli isolates were screened by the multiplex polymerase chain reaction to detect genes encoding Shiga toxin1 (stx1), Shiga toxin2 (stx2), intimin (eae), and hemolysin (E-hly). We also compared the presence of class 1 and 2 integrons and antimicrobial resistance properties in the STEC and EPEC isolates recovered from the small intestine and fecal samples. Finally, the presence of important STEC/EPEC serogroups, including O26, O103, O111, O113, O145, and O157 in isolates from both samples, was determined as well. Results: STEC strains were detected in 25.7%, and 20% of E. coli isolates obtained from the small intestine and fecal samples, respectively. The stx1 was the sole Shiga toxin subtype detected among STEC in intestinal and fecal isolates. EPEC was detected only in one and two E. coli isolates from the small intestine and fecal samples, respectively. Conclusion: A numerically higher prevalence of STEC was observed in the small intestine compared to fecal samples; there was no significant difference in the frequencies of STEC and EPEC isolates between the small intestine and fecal samples. The results indicated that the fecal sample, as a non-invasive and practical method, could be used for isolating STEC and EPEC in calf diarrhea. The antibiogram showed the presence of a high degree of multi-drug resistance among the isolates.
腹泻新生儿犊牛产志贺毒素大肠杆菌:在分离率和抗菌素耐药性方面与小肠和粪便分离株相匹配
背景:志贺毒素产生菌株被认为是显著的腹泻剂和食源性病原体。一些研究提到了一些产志贺毒素的大肠杆菌(STEC)菌株在犊牛腹泻和痢疾中的作用。肠致病性大肠杆菌(EPEC)也已从腹泻小牛中分离出来。一般来说,从粪便样本中获得的培养和抗生素谱结果用于选择治疗小牛腹泻的抗生素。然而,这种抽样方法的价值尚未得到评价。目的:本研究旨在通过与小肠样本的比较,评估粪便样本培养在犊牛腹泻中分离产志异大肠杆菌和大肠杆菌的临床应用价值。材料与方法:对35头腹泻犊牛同时采集小肠和粪便标本。在超声引导下采集小肠标本。采用多重聚合酶链反应法对70株确诊大肠杆菌分离株进行志贺毒素1 (stx1)、志贺毒素2 (stx2)、内皮素(eae)和溶血素(E-hly)编码基因的检测。我们还比较了从小肠和粪便样本中分离出的产志在大肠杆菌和大肠杆菌的1类和2类整合子的存在以及抗微生物性能。最后,还确定了两个样本分离株中存在重要的STEC/EPEC血清群,包括O26、O103、O111、O113、O145和O157。结果:大肠杆菌和大肠杆菌分别检出25.7%和20%的大肠杆菌。stx1是肠道和粪便产志贺毒素分离株中唯一检测到的志贺毒素亚型。在大肠杆菌和粪便样品中分别检测到1株和2株EPEC。结论:与粪便样本相比,小肠中产志贺毒素大肠杆菌的患病率更高;小肠和粪便样本中产志贺毒素大肠杆菌和EPEC分离株的频率无显著差异。结果表明,粪便样品是一种无创、实用的分离犊牛腹泻产肠毒素大肠杆菌和大肠杆菌的方法。抗生素谱显示分离株具有高度的多药耐药。
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