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Applied and Environmental Microbiology, September 2004, p. 5305-5314, Vol. 70, No. 9
0099-2240/04/$08.00+0 DOI: 10.1128/AEM.70.9.5305-5314.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.
Department for Animal Product Quality and Transformation Technology, Center for Agricultural ResearchGhent, Melle, Belgium
Received 16 December 2003/ Accepted 29 March 2004
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Within Salmonella and especially Salmonella enterica serotype Typhimurium, multiple-antibiotic-resistant strains are isolated with increased frequency. Serotype Typhimurium definitive type 104 (DT104) and serotype Typhimurium DT204b are virulent pathogens for humans and animals, with many strains showing multiple drug resistance characteristics (2, 14, 24). These multiple-antibiotic-resistant serotype Typhimurium strains cause particular concern because of their increasing prevalence in humans. Most of the strains typically carry resistance to ampicillin, chloramphenicol, streptomycin, sulfonamides, and tetracycline (R type), but resistance to 9 or 10 different antibiotics also occurs (23). The selective pressure created by widespread use of antimicrobial agents in pigs during rearing may have contributed to the dissemination of these multidrug-resistant bacterial strains (7). It is well established that the distribution of antimicrobial resistance is often plasmid and/or transposon mediated. Integrons, a novel group of mobile DNA elements, have the potential to incorporate several antibiotic resistance genes by site-specific recombination (20).
In a previous study the prevalences of salmonellae in several slaughterhouses were determined (6). Salmonellae were isolated from 37% of the carcass samples collected during eight slaughterhouse visits. Overall 28% of the animals carried salmonellae in the feces and/or mesenteric lymph nodes. Swanenburg (21) found only 1.4% of the carcasses to be positive whereas 25.6% of the fecal samples were positive. At the slaughterhouse, two major contamination parameters are important: the status of the pigs supplied and slaughterhouse hygiene. Berends et al. (4) and Borch et al. (5) considered infected pigs to be the initial source of carcass contamination (calculated at 70%) and estimated that cross-contamination accounted for 30%.
In this study Salmonella strains, isolated from pigs and carcasses during a whole slaughtering day and from the slaughterhouse environment, were characterized. By using PFGE (serotype Typhimurium, serotype Ohio, and serotype Derby isolates) and phage typing (serotype Typhimurium isolates), the origin of Salmonella contamination in the carcasses and in the slaughterhouse environment was determined. Also, antibiotic resistance profiles (ARPs) for six antibiotics were determined in order to monitor the spread of multidrug-resistant strains in the feces of the pigs, on the carcasses, and in the slaughterhouse environment.
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All the samples were first incubated in buffered peptone water (1/10) (Oxoid Ltd., Basingstoke, United Kingdom) at 37°C overnight. For the isolation of Salmonella strains, a selective enrichment step in 10 ml of Rappaport-Vassiliadis enrichment broth (RV; Oxoid) and on the semisolid medium Diassalm (LabM, Bury, United Kingdom) at 42°C followed. After 24 h of incubation, a 10-µl loop of the RV culture or a 1-µl loop from a purple migration zone present on Diassalm was streaked onto xylose lysine desoxycholate agar (XLD; Oxoid) and incubated at 37°C for 24 h. Presumptive Salmonella colonies (black) on XLD were confirmed by PCR (6). All the Salmonella isolates were initially typed to the serotype level by repetitive extragenic palindromic sequence PCR (6).
ARP.
The ARPs of all the Salmonella isolates were determined. Six different antibiotics were tested: ampicillin (A) (A-9518), tetracycline (T) (T-3383), streptomycin (S) (S-6501), nalidixic acid (Nal) (N-4382), chloramphenicol (Ch) (C-0378), and sulfadiazine (Su) (S-8626) (Sigma-Aldrich, St. Louis, Mo.). The MIC was determined by making a twofold serial dilution of the antibiotic in H2O in a microtiter plate. An overnight Salmonella culture grown in Mueller-Hinton broth (Oxoid) at 37°C was diluted to 104 CFU/ml in Mueller-Hinton broth, and 100 µl of this dilution was exposed to different antibiotic concentrations at 37°C for 18 h (ampicillin, 6,666 to 0.06 µg/ml; tetracycline and streptomycin, 666 to 0.6 µg/ml; nalidixic acid and chloramphenicol, 66 to 0.06 µg/ml; sulfadiazine, 66,666 to 606 µg/ml). The MIC determined was the lowest concentration of antibiotics with which no Salmonella growth was visible. Resistant, susceptible, and intermediate Salmonella phenotypes were based on the population distribution of all MICs. Isolates were susceptible to ampicillin when the MIC was <8 µg/ml and resistant at a MIC of >32 µg/ml; susceptible, intermediate, or resistant to tetracycline at a MIC of <4, 8, or >16 µg/ml, respectively; resistant to streptomycin at a MIC of >16 µg/ml; susceptible or resistant to nalidixic acid at a MIC of <16 or >32 µg/ml, respectively; susceptible or resistant to chloramphenicol at a MIC of <8 or >32 µg/ml, respectively; and susceptible or resistant to sulfadiazine at a MIC of <256 or >512 µg/ml, respectively.
Phage typing.
A selection of 31 serotype Typhimurium isolates with different ARPs was sent to the Institute PasteurBrussels (Brussels, Belgium) for phage typing.
PFGE.
All serotype Typhimurium, serotype Derby, and serotype Ohio isolates were genotyped by PFGE after single digestion with XbaI and BlnI for serotypes Typhimurium and Ohio and with XbaI and SpeI for serotype Derby.
After growth with shaking in Luria broth (Invitrogen Ltd., Paisley, United Kingdom) at 37°C overnight, genomic DNAs of the Salmonella isolates were prepared in agarose plugs. The PFGE protocol described by Pasmans et al. (18) was followed. A slice of the plug was digested separately with XbaI and BlnI for serotypes Typhimurium and Ohio and with XbaI and SpeI for serotype Derby (Amersham Pharmacia Biotech, Uppsala, Sweden) at 37°C for 4 h in a water bath according to the manufacturer's instructions. The resulting genomic fragments were separated by PFGE using the contour-clamped homogeneous electric field method (CHEF-DRII; Bio-Rad Laboratories, Richmond, Calif.). The fragments were separated in a 1% (wt/vol) GTG agarose (FMC Bioproducts) gel in 0.5x TBE buffer (0.09 M Tris, 2 mM disodium EDTA [pH 8.5], 0.09 M boric acid) at a constant temperature of 14°C at 6 V/cm, with pulse times of 4 s for11 h and of 40 s for 13 h for the restriction enzymes XbaI and SpeI and with pulse times of 7 s for 11 h and of 65 s for 13 h for BlnI. Lambda DNA concatemers (size range, 50 to 1,000 kb) (New England Biolabs, Beverly, Mass.) were used as molecular size standards. To prevent DNA degradation during electrophoresis for typing of the serotype Ohio strains, 100 µM thiourea (Calbiochem, Darmstadt, Germany) was added to the running buffer.
The high-molecular-weight DNA fragments were visualized by ethidium bromide staining, and images were digitized under UV illumination by the GelDoc 2000 System (Bio-Rad Laboratories).
Numerical analysis of PFGE profiles.
PFGE patterns of serotype Typhimurium, serotype Ohio, and serotype Derby digested with the different restriction enzymes were analyzed separately. Together with visual analyses of the PFGE profiles, a numerical analysis after conversion, normalization, and analysis of similarity in band patterns was performed using the GelCompar II software package (Applied Maths, Ghent, Belgium). Similarities between profiles were calculated using the Dice coefficient, with a maximum position tolerance of 1%. PFGE patterns obtained with the two different restriction enzymes were clustered separately by the unweighted pair group method using arithmetic averages (UPGMA). The capital letter T, O, or D combined with a numerical suffix was used to designate the different PFGE groups for serotype Typhimurium, serotype Ohio, or serotype Derby, respectively.
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TABLE 1. Origins and characterization of Salmonella isolates from two different slaughterhouses
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Genotyping. (i) Salmonella serotype Derby.
Twenty-six serotype Derby isolates were digested separately with XbaI and SpeI; six main PFGE profiles were identified with both enzymes (same similarity factor) (Fig. 1; Table 1). Within the D1 and D2 genotype groups, small differences in the restriction pattern could be observed after restriction with both enzymes, resulting in a total of 10 different profiles. These small profile differences correspond with different ARPs: susceptible strains cluster with D1 and D1a, strains with the AChSuTNal ARP cluster with D1b, and D1c corresponds to strains with the ChSuT ARP. The D2 group could be divided into two subgroups after restriction with both enzymes: D2 corresponds to strains with the SuT ARP, D2a corresponds to strains with the T ARP, and D2b corresponds to strains with the SuST ARP.
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FIG. 1. Dendrogram based on combination of the PFGE patterns of Salmonella serotype Derby isolates after XbaI and SpeI DNA digestion. The main PFGE types are numbered; subtypes are designated by lowercase letters. Arrows indicate small differences within a genotype.
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FIG. 2. Dendrogram based on combination of the PFGE patterns of a selection of Salmonella serotype Typhimurium isolates after XbaI and BlnI DNA digestion. The main PFGE-types are numbered; subtypes are designated by lowercase letters. Arrows indicates small differences within a genotype.
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In slaughterhouse A2, there was great variation among the different serotype Typhimurium strains (genotypes T1, T3, T4/T4, T4/T4a, T5, T6, T8/T8, T8/T12, T9, T11/T11, T11/T11a, and T12), whereas in slaughterhouse D, T2/T2, T2/T2a, T8/T8, and T10 were the most frequently isolated serotype Typhimurium genotypes. Only in genotype T8/T8 were isolates from both slaughterhouses clustered together.
(iii)Salmonella serotype Ohio.
PFGE of the serotype Ohio isolates after restriction with XbaI or BlnI provided no extra discrimination. The same genotype, O1, was recovered from all the different samples, and all isolates were susceptible to all antibiotics tested.
Epidemiological study.
In the two slaughterhouses, carcass contamination followed totally different courses relative to the Salmonella status of the incoming animals (Fig. 3). In slaughterhouse A2, an average of 26% of the carcasses were contaminated, with a slight increase toward the end of the day. The supply of pigs with Salmonella-positive feces ranged from 5 to 30%, with an average of 21% for that day. The percentage of pigs with Salmonella-positive feces and/or Salmonella-positive mesenteric lymph nodes ranged from 25 to 35%, with an average of 31.6%. In slaughterhouse D1, a nearly constant but high level of carcass contamination was noticed from the beginning to the end of the slaughter day: an average of 70% of carcass samples were found positive for salmonellae. The proportion of incoming animals with Salmonella-positive feces fluctuated between 0 and 20% during that day, with an average of 13%, and the proportion with Salmonella-positive feces and/or mesenteric lymph nodes fluctuated between 0 and 30%, with an average of 21.8%.
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FIG. 3. Correlation in time among Salmonella-positive carcasses ( ) and Salmonella positivity of feces ( ) or of feces and/or mesenteric lymph nodes () of incoming animals in slaughterhouse A2 (left) and slaughterhouse D1 (right).
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FIG. 4. Distribution of Salmonella types at each time point when 250 pigs passed the slaughter line in slaughterhouse A2. (A) Positive samples from feces and/or mesenteric lymph nodes of pigs; (B) positive carcasses. Numbers in bars represent serotypes and genotypes as follows: 1, serotype Brandenburg; 2, serotype Typhimurium T11/T11; 2', serotype Typhimurium T11/T11a; 3, serotype Derby D1; 4, serotype Derby D2a; 5, serotype Derby D2b; 6, serotype Derby D3; 7, serotype Derby D4; 8, serotype Infantis; 9, serotype Typhimurium T9; 10, serotype Virchow; 11, serotype Livingstone; 12, serotype Typhimurium T8/T8; 12', serotype Typhimurium T8/T12; 13, serotype Typhimurium T4/T4; 13', serotype Typhimurium T4/T4a; 14, serotype Typhimurium T5; 15, serotype Ohio O1; 16, serotype London; 17, serotype Typhimurium T3; 18, serotype Typhimurium T6; 19, serotype Rissen; 20, serotype Typhimurium T1; 21, serotype Goldcoast.
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FIG. 5. Distribution of Salmonella types at each time point when 350 pigs passed the slaughter line in slaughterhouse D1. (A) Positive samples from feces and/or mesenteric lymph nodes of pigs; (B) positive carcasses. Numbers in bars represent serotypes and genotypes as follows: 1, serotype Typhimurium T8/T8 (AChSuST); 2, serotype Typhimurium T10 (ChSuT); 3, serotype Typhimurium T8/T8 (AChSuT); 4, serotype Typhimurium TND (ChSuST); 5, serotype Typhimurium T2/T2 (susceptible); 5', serotype Typhimurium T2a/T2a (ChSu); 6, serotype Infantis; 7, serotype Anatum; 8, serotype Havana; 9, serotype Derby D2a (SuT); 10, serotype Agona; 11, serotype Derby D1b (AChSuTNal); 12, serotype 47:Z4213:-; 13, serotype Panama; 14, serotype Derby D1 (A); 15, serotype Livingstone.
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Figure 6 presents the numbers of isolates of different genotypes or serotypes present in the incoming pigs, on the carcasses, and in the environmental samples for the two slaughterhouses. In slaughterhouse A2, 17 different genotypes or serotypes were delivered during the day via positive pigs. Ten of these genotypes or serotypes were recovered from the carcasses, and five were recovered from the slaughterhouse environment. The ratio between strains originating from Salmonella-positive pigs and strains from carcass contamination for slaughterhouse A2 was greater than 1. In slaughterhouse D1, serotype Anatum and three different serotype Typhimurium genotypes (T2/T2, T8/T8 [AChSuST and AChSuT], and T10) were all isolated from positive pigs, carcasses, and the environment. Although these serotypes and genotypes were delivered during that day, the ratio between infected pigs and carcasses was less than 0.2. Genotype T8/T8 was the only genotype within serotype Typhimurium that was recovered in both slaughterhouses. Although the supply of serotype Typhimurium genotype T8/T8 by positive pigs was the same for both slaughterhouses, 60% of the carcasses were contaminated with this genotype in slaughterhouse D1, whereas in slaughterhouse A2 the percentage was 10 times lower. Comparison of the two slaughterhouses shows a correlation between the high percentage of contaminated carcasses in slaughterhouse D1 and a constant and high prevalence of certain Salmonella strains on the carcasses.
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FIG. 6. Number of isolates for every genotype or serotype recovered from pig samples (feces and mesenteric lymph nodes) (open bars), carcasses (shaded bars), and the environment (solid bars) for slaughterhouses A2 (A) and D1 (B).
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In the literature the carrier pig itself is mentioned as the predominant source of carcass contamination. Live animals that carry salmonellae are 3 to 4 times more likely to end up as positive carcasses (4, 5, 9). This study shows that more-complex contamination cycles between infected pigs and the slaughterhouse environment are determinative for the origin and prevalence of contamination on carcasses. In slaughterhouse A2 an average of 26% of the carcasses were contaminated, whereas in the other slaughterhouse an average of 70% of the carcasses were positive. For 25% of the positive carcasses in slaughterhouse A2, the same Salmonella type was isolated on the carcass as in the feces or the mesenteric lymph node samples from the same pigs. Probably the evisceration technique is the reason for this contamination. Forty-seven percent of the contaminated carcasses were contaminated by strains of other, previously slaughtered pigs. This corresponds with the results obtained by Wonderling et al. (25), who found that 54% of the carcasses were contaminated with Salmonella types not found in the feces of the same animal. The remaining contaminated carcasses (28%) were contaminated by strains originating from the slaughterhouse environment. The transmission of Salmonella contamination from the environment could occur via the slaughterhouse personnel or the equipment. At slaughterhouse A2 the carcass contamination and the environmental contamination reflected the supply of positive pigs during that day, and the ratio between the number of isolates delivered that day and the number recovered on the carcasses was greater than 1. In the other slaughterhouse, D1, where the prevalence of carcass contamination was very high, the origin of the carcass contamination was only partially related to the corresponding pig (4%). Here three different genotypes were mainly recovered from the carcasses (serotype Typhimurium T2, T8/T8 [corresponding to phage type 104L], and T10). Seventy percent of the positive carcasses were contaminated by strains isolated from previously slaughtered pigs, but the number of isolates recovered from the carcasses was at least 5 times higher than the number of isolates in feces or mesenteric lymph nodes of incoming pigs. Serotypes and genotypes not present in incoming pigs were isolated from 26% of the carcasses.
The main contamination source was probably a continuous contamination cycle between slaughtered pigs, the environment, and the carcasses. From the beginning to the end of slaughter activity in slaughterhouse D1, the same multiresistant genotype, T8/T8, corresponding to phage type 104L, could be detected on the carcasses and in the environment. We could not find the same strain on the equipment, indicating no direct contamination source in the slaughter line. In that slaughterhouse, however, an aerosol was generated by washing the carcasses with water when the carcasses were eviscerated; this aerosol could probably function as the most important vehicle for transmission of the strains to the carcasses. In the slaughtering process, the evisceration step is a critical point. Paying close attention to that step can reduce fecal contamination of the carcasses and makes rinsing with water unnecessary. Swanenburg et al. (22) and Giovannacci et al. (10) also found differences in contamination sources between slaughterhouses and slaughter days. Swanenburg et al. (22) identified the carcass splitter as an important contamination source and proposed that cross-contamination between carcasses may occur upon manipulation by slaughter personnel. Wonderling et al. (25) suggested that approximately 50% of the contaminated carcasses were likely contaminated through carcass-to-carcass or feces-to-carcass contact; this cross-contamination indicates that the presence of a pathogen in the feces of only a few pigs can contaminate different carcasses during processing.
Only in 30.6% of positive pigs was a correlation found between the contamination in the feces and that in the mesenteric lymph nodes of the same pig. In 4.8% of infected pigs, different Salmonella types were isolated in the two kinds of samples, and multiple Salmonella types were isolated from each of six samples. In the mesenteric lymph nodes, rarer serotypes such as serotype Agona, serotype Poona, serotype Goldcoast, and serotype Havana were isolated. This is probably due either to the higher sensitivity attained by the Salmonella isolation method in the mesenteric lymph nodes (because of lower background flora) than in the feces or to the fact that not every carrier pig is shedding salmonellae at the moment of sampling. The combination of both samples reflects the supply of positive animals more sensitively. To avoid having positive carcasses at the end of the slaughter line, it is important that the supply of carrier pigs be reduced. With the help of molecular or phenotypic typing methods, it is shown clearly that every positive animal supplied to the slaughterhouse represents a potential risk for contaminating its own carcass as well as carcasses at a later time point in the production chain, by direct cross-contamination or by contamination cycles through the environment.
We thank P. Vanmol and E. Engels for excellent technical assistance and A. Vanhee, A. Van de Bossche, L. Duboccage, J. Depuydt, and P. Delputte, whose help was crucial for sampling at the slaughterhouses. We also thank the personnel of slaughterhouses A2 and D1 for their participation in this study. We thank C. Godard and C. Wildemauwe for phage typing results and spontaneous help.
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