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Applied and Environmental Microbiology, October 2005, p. 5752-5758, Vol. 71, No. 10
0099-2240/05/$08.00+0 doi:10.1128/AEM.71.10.5752-5758.2005
Copyright © 2005, American Society for Microbiology. All Rights Reserved.
Department of Veterinary Microbiology and Pathology, College of Veterinary Medicine, Washington State University, Pullman, Washington 99164,1 Food Animal Health Research Program, OARDC, The Ohio State University, Wooster, Ohio 44691,2 Food Laboratory Division, New York State Department of Agriculture and Markets, Albany, New York 12235,3 Lakeside Research, Lakeside Feeders, Ltd., Brooks, Alberta T1R 1B7, Canada,4 Department of Microbiology, College of Veterinary Medicine and School of Agricultural Biotechnology, Seoul National University, Seoul 151-742, Republic of Korea,5 Field Disease Investigation Unit, Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Washington State University, Pullman, Washington 991646
Received 7 February 2005/ Accepted 28 April 2005
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Strain typing studies have contributed to concerns about bovine origin Campylobacter sp. as a risk for human infection. Several recent studies have examined the strain types of thermophilic Campylobacter spp. isolated from cattle feces or from contaminated bovine origin food products and strain types indistinguishable from those isolated from human disease have been identified (19, 22, 24). Therefore, contamination of cattle origin food products is a potential mechanism of human infection with C. jejuni and the frequency of colonization of cattle destined for beef production may affect the risk of food-borne campylobacteriosis in humans.
Numerous investigations of C. jejuni prevalence in cattle populations on farms report prevalences varying by age group, cattle type (beef versus dairy), and season (7-10, 13, 14, 21, 23, 30, 32). Relatively few longitudinal studies of the temporal dynamics of C. jejuni within individual farms or feedlot groups have been performed, and the effects of interventions to reduce transmission of this agent within cattle populations have rarely been addressed. Therefore, the present study was designed to accomplish the following three objectives: (i) to determine the prevalence of isolation of C. jejuni from feces of feedlot cattle longitudinally throughout the feeding period, (ii) to determine the effect of chlorination of cattle drinking water sources on the prevalence of fecal isolation of C. jejuni from the fed cattle, and (iii) to use macrorestriction profiles (MRP) of bovine fecal C. jejuni to investigate potential C. jejuni transmission among feedlot cattle.
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Sampling protocol.
Sampling was conducted every other week, beginning April 15, 2000 when the first six study pens had been stocked with cattle and continuing through August 21 and 24 when the final Campylobacter culture specimens and water trough coliform specimens were obtained, respectively. The eight pens still stocked on August 24 were slaughtered by September 1. Within each feedlot (treatment) section, this schedule resulted in sampling at nine occasions for six pens and eight occasions for the remaining four pens. Sampling consisted of the following. (i) Bovine feces (10 g) were collected with a sterile tongue depressor into sterile Whirl-pac bags (Nasco Sampling Products, Ft. Atkinson, WI) from 10 different fresh fecal pats from each occupied study pen for bacteriologic culture for C. jejuni as a measure of the prevalence of fecal excretion of this pathogen (all sampling visits). (ii) Unstirred water trough water samples (50 ml) were obtained from each occupied study pen for determination of total and residual chlorine concentration (second and subsequent sampling visits). (iii) Unstirred water trough water samples (100 ml) were obtained from each occupied study pen for quantitation of total coliform bacteria as a measure of the efficacy of water chlorination (second and subsequent sampling visits). Stirred sediments would be expected to include relatively large numbers of coliform bacteria protected from the effects of residual chlorine in the water column, confounding the use of coliform counts as an indicator of efficacy of chlorination. (iv) Vigorously stirred trough water (50 ml) was obtained from each occupied study pen for bacteriologic culture for C. jejuni as a measure of the prevalence of water trough contamination with this pathogen (second and subsequent sampling visits). Troughs were stirred prior to sampling for C. jejuni culture to resuspend water trough sediments, which are more likely to yield pathogenic bacteria than the overlying water column (18). (v) Water from the reservoir, which was the source of the feedlot water trough water supply (two to eight 50-ml aliquots of water from the water column excluding sediments were collected within 1 m of shore and within 50 m of the feedlot supply inlet), was sampled for bacteriologic culture for C. jejuni (second and subsequent sampling visits).
Water samples for bacteriologic cultures were collected directly into sterile 100-ml polystyrene vials containing 15 to 30 mg of sodium thiosulfate to neutralize free chlorine. Samples for chlorine determination and total coliform counts were processed immediately in the feedlot laboratory; all other samples were shipped on ice in insulated containers by overnight parcel service to the Washington State University Field Disease Investigation Laboratory for analysis. One half of a single shipment from the July 24 sampling was delayed in transit beyond 24 h; these delayed specimens were discarded and replaced with overnight delivered fresh specimens.
Bovine fecal culture for C. jejuni detection.
Swab subsamples from each 10-g fecal pat sample were inoculated directly into Campy-thio broth (Remel, Inc., Lenexa, KS) and incubated (4°C, 48 h) for selective survival of Campylobacter spp. After incubation, a sterile cotton-tipped swab was used to inoculate ca. 0.1 ml of the Campy-thio broth into cefoperazone-vancomycin-amphotericin agar plates (CVA; Remel), which were streaked for isolation and incubated (42°C, 48 to 96 h) in a microaerophilic environment (Campy-packs; Remel) As a positive control, C. jejuni (ATCC 29428; American Type Culture Collection, Manassas, VA) was plated simultaneously and incubated together with each set of fecal or water culture plates. A second plate of ATCC 29428 was incubated in air (42°C, 48 to 96 h) to confirm its requirement for a modified atmosphere. From each CVA plate, up to three colonies with morphology consistent with C. jejuni were microscopically screened for bacterial morphology following Victoria Blue 4R staining (Pfaltz & Bauer, Waterbury CT) and were tested for hippurate hydrolysis (hippurate disks and ninhydrin reagent; Remel) according to methods recommended by the manufacturer. Every tenth isolate was additionally confirmed as C. jejuni by a combination of methods including colony blot hybridization with a hipO DNA probe (2), hipO PCR (3), and lpxA multiplex PCR (2, 31). From each positive specimen, only the first C. jejuni isolate identified in this manner was included in the study.
After identification, C. jejuni isolates were grown on blood agar in a microaerophilic environment for 48 h, and a colony was suspended in proteose peptone broth (1% [wt/vol])-glycerol (10% [vol/vol]) and stored at 70°C for future analysis. After completion of the fecal culture phase, it was discovered that this storage method gave an unsatisfactory rate of recovery of the banked isolates and systematic recovery of all banked isolates was attempted. A laboratory error during this process destroyed all isolates originating from the 26 June 2000 sampling date. Excluding the 26 June isolates, 551 of 720 isolates (76.5%) were recovered and rebanked by using a modified procedure. Two modifications to the banking procedure were made: the isolates were banked after 24 h of growth on blood agar in a microaerophilic environment (versus at 48 h in the unmodified procedures), and the amount of growth suspended in the banking medium was increased
10-fold (from one colony in the unmodified procedure to a full loop in the modified procedure).
Enumeration of fecal coliforms and Escherichia coli in water troughs.
Most probable numbers of fecal coliform bacteria were determined in each sample by using a commercially available test kit (Quanti-Tray 2000; Idexx Laboratories, Westbrook, ME) according to the manufacturer's recommendations. This test kit utilizes the chemical indicator ONPG (o-nitrophenyl-ß-D-galactopyranoside) as a marker of coliform bacteria.
Water culture for C. jejuni detection.
C. jejuni organisms were isolated and identified from water sources by using centrifugation, selective broth incubation, selective agar plating, and differential testing as follows. First, 40-ml aliquots of water were transferred to sterile polycarbonate screw-top conical tubes and centrifuged (23,000 x g, 10 min, room temperature). After centrifugation, the pellets were used to inoculate Campy-thio tubes (Remel), which were incubated (4°C, 48 h) and subcultured onto CVA agar (Remel). Subsequent isolation and identification steps were as previously described for fecal samples.
MRP determinations.
Pulsed-field gel electrophoresis (PFGE) of SmaI-digested DNA was used to determine the MRP as described by Ribot et al. (28) on all viable C. jejuni isolates obtained from four contiguous pens each in the chlorinated and nonchlorinated feedlot sections. A C. jejuni standard isolate was included on each PFGE gel to aid subsequent analysis as described below. Gel images were scanned into a commercial software program (Bio-Numerics; Applied Maths, Inc., Austin, TX), normalized to a lambda concatemer size standard (Bio-Rad, Hercules CA) and similarity of the banding patterns of all isolates was compared by UPGMA (unweighted pair group method with averages) using the Dice coefficient. The tolerance parameter was set by choosing the minimum value (1.0%) required to group the standard isolates run on each gel as identical on the UPGMA analysis. Each unique banding pattern was then assigned a code.
Some isolates were unavailable for PFGE analysis due to nonviability resulting from faulty banking procedures described previously. Of the total 348 C. jejuni isolates (342 fecal, 6 water) obtained from the eight PFGE study pens, 204 fecal and 3 water isolates (59.5% of the total or 68.1% of isolates from dates other than 26 June 2000) were recovered for PFGE analysis.
Statistical analysis.
For statistical analysis of the effects of chlorination, the unit of observation was the pen, and the dependent variable was the fecal prevalence of C. jejuni. The data were analyzed by a repeated-measures analysis of variance with the C. jejuni pen prevalence as the dependent variable and a factorial analysis of the independent factors chlorine treatment and sample visit and their interaction as the independent variables (Proc Mixed [using first-order autoregressive covariance estimation]; SAS Institute, Inc., Cary, NC). The effect of chlorination on the frequency of isolation of C. jejuni from water troughs was analyzed by using the Fisher exact test (Proc Freq; SAS). The effect of chlorination on fecal coliform concentrations in water trough water was analyzed by repeated measures analyses of variance with the log-transformed water coliform concentrations as the dependent variable and a factorial analysis of the independent factors chlorine treatment and sample visit and their interaction (Proc Mixed [first-order autoregressive covariance estimation]). Simpson's index of diversity was calculated for each pen in which PFGE MRP were determined, and the Mann-Whitney rank sum test was used to test for differences in the index between the chlorinated and nonchlorinated feedlot section pens (Proc Npar1way; SAS).
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FIG. 1. Least-squares mean pen prevalence of C. jejuni by date in cattle watered from chlorinated ( ) and nonchlorinated ( ) water troughs. The first sample date is within 2 weeks of arrival of the cattle at the feedlot, and the final sample date is within 2 weeks of slaughter. Error bars depict standard errors of the mean.
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FIG. 2. Log10 concentrations of coliform bacteria in water troughs filled with chlorinated ( ) and nonchlorinated ( ) water. Error bars depict the standard error of the mean log10 CFU/milliliter. Asterisks indicate sampling dates on which the chlorinated and nonchlorinated troughs differed significantly (P < 0.01) in log10 coliform bacterial concentrations.
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PFGE analysis of MRP of C. jejuni.
A total of 205 isolates, which included all recoverable isolates from four contiguous pens each in the chlorinated and nonchlorinated areas of the study feedlot, were analyzed for MRP by PFGE after digestion with SmaI. Thirty-nine different MRP were detected among the isolates analyzed (Fig. 3). Five common MRP (MRP 1, 19, 20, 25, and 26) (Fig. 4), each accounting for >8% of the isolates, cumulatively accounted for >55% of all isolates analyzed. These five predominant strain types were very similar (one or two band differences) to additional MRP, such that together the predominant and very similar MRP accounted for over 80% of the cattle fecal isolates and two of the three water isolates typed. The MRP distribution within each pen, as described by Simpson's index of diversity, ranged from 6.64 to 9.48 in nonchlorinated pens and from 2.47 to 9.26 in chlorinated pens (P = 0.49 [Mann-Whitney rank sum test]), indicating that both treatment and control feedlot sections showed similar diversity of C. jejuni genotypes. Three water trough isolates from the eight PFGE study pens were analyzed; two of these three exhibited an MRP that had never been identified among the fecal isolates from the pen of origin, although these MRP were identified in fecal isolates from adjacent and distant pens (Fig. 3).
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FIG. 3. Distribution of MRP of C. jejuni isolates from four adjacent (fenceline contact) pens each in the nonchlorinated (NC) and chlorinated (C) water sections of the feedlot. The NC and C sections were separated by two alleyways and three other rows of pens. Shaded bars (
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FIG. 4. PFGE gel of the five most common SmaI MRP identified among eight pens of feedlot cattle over a 4-month feeding period. The MRP values represent >55% of all isolates tested. , concatemers of lambda used for molecular size normalization. Numbers over the horizontal lines are the MRP designations. Numbers immediately over the lanes are isolate bank numbers. The gel photograph was inverted for clarity.
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Seasonal variation in the prevalence of bovine fecal Campylobacter shedding has been observed (30), with peaks in shedding that tended to occur in the spring and fall seasons. Since the present study was initiated in the early summer and since all of the cohorts of cattle were fed simultaneously, it is impossible to exclude the possibility that the marked increase in prevalence in C. jejuni observed here was partly or completely due to a seasonal effect rather than a days-on-feed effect. However, others have observed summertime to be a season with lower, rather than higher prevalence (30). Nevertheless, we cannot exclude a different seasonal effect, with increased Campylobacter prevalence in hot summer weather, as an alternative explanation to the increasing prevalence observed here at the end of the feeding period.
The observed pattern of increasing prevalence of C. jejuni with duration of stay in the feedlot raises a question that has been previously discussed (29) with regard to seasonal fluctuations in prevalence: whether the observed increased prevalence represents new infections or recrudescence of previously undetectable infections. In the present study, we analyzed the MRP observed after PFGE resulting from all viable C. jejuni isolates from four adjacent cattle pens each in two different areas of the study feedlot to address this question. Specifically, the diversity of MRP strain types was hypothesized to differ depending on whether most infections resulted from epidemic transmission within the feedlot (where a relatively few strain types would be expected) or from recrudescent infections preexisting the cattle movement to the feedlot (where a much more diverse set of strains would be expected due to their diverse herd and geographic origins). The results of the strain typing exercise tend to favor the former hypothesis, in that a few MRP types accounted for the majority of the isolates characterized, especially relative to the size of the study population (approximately 4,000 cattle in the eight pens whose isolates were subjected to PFGE). Moreover, the MRP types circulating in the two study areas of the feedlot sampled were largely similar, despite the physical separation of these areas by nonstudy pens containing several thousand additional cattle of differing origins. A significant number of isolates (ca. 25% for most sampling dates) were lost prior to MRP determination due to a faulty banking procedure, and this may have affected our estimate of MRP diversity. However, even if these nonviable isolates had been significantly more genetically diverse than those that were recovered for typing, the observation of a high proportion of shared MRP types between pens and feedlot sections would have remained and supported the same argument.
Fitzgerald et al. (5) also evaluated MRP of cattle isolates of C. jejuni and demonstrated diversity of MRP in a diverse collection of isolates from humans and farm animals, including some genotypes which were apparently restricted to specific hosts, whereas others were broadly distributed across time and hosts. The overall diversity Fitzgerald et al. observed was broad (71 SmaI MRP in 315 isolates versus 39 MRP in 205 isolates in the present study). In contrast, Nielsen et al. (23) investigated SmaI MRP in dairy herds, which would typically have far lower animal turnover rates than feedlots, and found only a single MRP in 45% of the study herds, with the most diverse herd having only five C. jejuni MRP. Therefore, the diversity observed in the present study is similar to that of the highly diverse regional sources of C. jejuni observed by Fitzgerald et al. and greater than the relatively restricted diversity within individual small dairy herds observed by Nielsen.
Given the apparent transmission of C. jejuni within the study population, the routes and vehicles of transmission are of great interest since they represent potential points where interventions could be made to block the within-farm transmission. A great many possibilities exist for vehicles and routes of transmission, including direct contact and mutual grooming, wildlife (rodent and avian) reservoirs, aerosols, and fomites. For fecal-oral transmitted agents, including C. jejuni and others, a contaminated water trough water represents one very plausible potential mode of transmission (11, 14, 16, 17, 21). Therefore, a significant component of the present study was an attempt to evaluate the efficacy of chlorination of water trough water supplies in preventing contamination of water troughs with these agents.
Water is frequently a vehicle of Campylobacter transmission to humans and has been suggested as a likely vehicle of cattle infection as well. Hanninen et al. (11) observed markedly higher C. jejuni prevalences in dairy cattle when seasonally grazed with access to (C. jejuni contaminated) surface waters compared to when housed with access only to mains (i.e., municipal) chlorinated water. Humphrey and Beckett (14) observed in a study of 12 dairy herds that all 10 herds with access to contaminated surface water sources were positive for cattle shedding C. jejuni, whereas the 2 herds with access only to well or mains water supplies were both negative for C. jejuni. More recently, Minihan et al. (21) identified an association between contamination of water trough surfaces with C. jejuni and increased incidence of C. jejuni fecal shedding. Interestingly, this latter study found that the contamination of the water trough water itself and sediments at the bottom of the troughs were not clearly associated with C. jejuni fecal shedding by the cattle, possibly due to the chlorinated water supply. Wesley et al. (32) also evaluated water chlorination as a risk (protective) factor in an observational study including 80 herds and found no association with C. jejuni fecal prevalence; however, the power of that study was limited by a relatively small number of study herds with chlorinated water supplies.
Three lines of evidence from the present study indicated that water chlorination did not significantly affect the transmission of C. jejuni. (i) The fecal prevalence of C. jejuni in cattle drinking from chlorinated water troughs was very similar to that of cattle watered with nonchlorinated water. (ii) Chlorinated water troughs were themselves detectably contaminated with C. jejuni, as were control water troughs. (iii) The diversity of C. jejuni isolated from cattle as assessed by Simpson's index applied to PFGE MRP did not differ among isolates from cattle receiving chlorinated and nonchlorinated water. These results represent a much more powerful test of the chlorination of water supplies than was previously available due to the prospective balanced study design, the monitored hypochlorite residuals in the water column, the large numbers of experimental animals, and the concurrent matched-origin control groups of cattle on the same farm and receiving the same feeds. The results clearly show that chlorination alone is insufficient to provide detectable control of C. jejuni transmission or recrudescence and strongly suggest that other interventions to reduce organic matter contamination of water troughs are an essential precondition to more effective chlorination. A previous report (17) of fecal E. coli O157:H7 conducted in parallel with the present study provided similar conclusions regarding the lack of effect of chlorination for prevention of bovine infection with that agent.
In summary, cattle entering a high stocking density feedlot shed C. jejuni in their feces at low prevalence but the prevalence increased markedly during the feeding period. This increase in prevalence was attributed primarily to epidemic spread of a relatively small number of common strain types. Furthermore, the provision of chlorinated water supply did not significantly affect the frequency of contamination of the cattle trough specimens or the prevalence of C. jejuni isolation from the feces of the cattle receiving the chlorinated water supply.
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