Antibiotic Resistance and Molecular Characterization of <i>Cronobacter sakazakii</i> Strains Isolated from Powdered Infant Formula Milk

Background: <i>Cronobacter sakazakii</i> is a new emerging foodborne bacterial pathogen associated with severe lethal diseases such as meningitis, necrotizing enterocolitis, and septicemia in infants and neonates. Powdered infant formula milk (PIFM) has been recognized as one of the main...

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Main Authors: Babak Pakbin, Wolfram Manuel Brück, Samaneh Allahyari, John W. A. Rossen, Razzagh Mahmoudi
Format: Article
Language:English
Published: MDPI AG 2022-04-01
Series:Foods
Subjects:
Online Access:https://www.mdpi.com/2304-8158/11/8/1093
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author Babak Pakbin
Wolfram Manuel Brück
Samaneh Allahyari
John W. A. Rossen
Razzagh Mahmoudi
author_facet Babak Pakbin
Wolfram Manuel Brück
Samaneh Allahyari
John W. A. Rossen
Razzagh Mahmoudi
author_sort Babak Pakbin
collection DOAJ
description Background: <i>Cronobacter sakazakii</i> is a new emerging foodborne bacterial pathogen associated with severe lethal diseases such as meningitis, necrotizing enterocolitis, and septicemia in infants and neonates. Powdered infant formula milk (PIFM) has been recognized as one of the main transmission vehicles and contaminated sources of this pathogen. This study aimed to investigate the prevalence rate, genotypic and phenotypic antibiotic resistance profile, and clonal relatedness of <i>C. sakazakii</i> strains isolated from 364 PIFM samples collected from Tehran city, Iran. Methods: Culture-based methods, Kirby–Bauer disk diffusion antibiotic resistance testing, conventional Polymerase Chain Reaction (PCR), and Enterobacterial Repetitive Intergenic Consensus PCR (ERIC-PCR) assays were used in this study to detect and characterize the <i>C. sakazakii</i> isolates. Results: We isolated 25 <i>C. sakazakii</i> strains from PIFM samples (6.86%). The isolates were highly resistant to amoxicillin-clavulanic acid, amoxicillin, ampicillin, cefoxitin, cefepime, erythromycin, ceftriaxone, ciprofloxacin, and chloramphenicol and susceptible to gentamicin, tetracycline, norfloxacin, and azithromycin antibiotics. The blaCTX-M-1 gene was detected in 96% of the isolates. The isolates were categorized into eight distinct clonal types using the ERIC-PCR method, showing a high genetic diversity among the isolates. However, there was a significant correlation between the genotypic and phenotypic antibiotic resistance properties of the isolates. Conclusions: Novel microbial surveillance systems for detecting multi-drug-resistant <i>C. sakazakii</i> are required to control the contamination of this foodborne pathogen in infant foods.
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spelling doaj.art-1c00c570fbda4ecbbd348bd7ef8737b02023-12-01T20:53:35ZengMDPI AGFoods2304-81582022-04-01118109310.3390/foods11081093Antibiotic Resistance and Molecular Characterization of <i>Cronobacter sakazakii</i> Strains Isolated from Powdered Infant Formula MilkBabak Pakbin0Wolfram Manuel Brück1Samaneh Allahyari2John W. A. Rossen3Razzagh Mahmoudi4Institute for Life Technologies, University of Applied Sciences Western Switzerland Valais-Wallis, 1950 Sion, SwitzerlandInstitute for Life Technologies, University of Applied Sciences Western Switzerland Valais-Wallis, 1950 Sion, SwitzerlandMedical Microbiology Research Center, Qazvin University of Medical Sciences, Qazvin 15315-3419, IranDepartment of Medical Microbiology and Infection Prevention, University Medical Center Groningen, University of Groningen, 9713 GZ Groningen, The NetherlandsMedical Microbiology Research Center, Qazvin University of Medical Sciences, Qazvin 15315-3419, IranBackground: <i>Cronobacter sakazakii</i> is a new emerging foodborne bacterial pathogen associated with severe lethal diseases such as meningitis, necrotizing enterocolitis, and septicemia in infants and neonates. Powdered infant formula milk (PIFM) has been recognized as one of the main transmission vehicles and contaminated sources of this pathogen. This study aimed to investigate the prevalence rate, genotypic and phenotypic antibiotic resistance profile, and clonal relatedness of <i>C. sakazakii</i> strains isolated from 364 PIFM samples collected from Tehran city, Iran. Methods: Culture-based methods, Kirby–Bauer disk diffusion antibiotic resistance testing, conventional Polymerase Chain Reaction (PCR), and Enterobacterial Repetitive Intergenic Consensus PCR (ERIC-PCR) assays were used in this study to detect and characterize the <i>C. sakazakii</i> isolates. Results: We isolated 25 <i>C. sakazakii</i> strains from PIFM samples (6.86%). The isolates were highly resistant to amoxicillin-clavulanic acid, amoxicillin, ampicillin, cefoxitin, cefepime, erythromycin, ceftriaxone, ciprofloxacin, and chloramphenicol and susceptible to gentamicin, tetracycline, norfloxacin, and azithromycin antibiotics. The blaCTX-M-1 gene was detected in 96% of the isolates. The isolates were categorized into eight distinct clonal types using the ERIC-PCR method, showing a high genetic diversity among the isolates. However, there was a significant correlation between the genotypic and phenotypic antibiotic resistance properties of the isolates. Conclusions: Novel microbial surveillance systems for detecting multi-drug-resistant <i>C. sakazakii</i> are required to control the contamination of this foodborne pathogen in infant foods.https://www.mdpi.com/2304-8158/11/8/1093<i>Cronobacter sakazakii</i>powdered infant formula milkantibiotic resistanceERIC-PCR
spellingShingle Babak Pakbin
Wolfram Manuel Brück
Samaneh Allahyari
John W. A. Rossen
Razzagh Mahmoudi
Antibiotic Resistance and Molecular Characterization of <i>Cronobacter sakazakii</i> Strains Isolated from Powdered Infant Formula Milk
Foods
<i>Cronobacter sakazakii</i>
powdered infant formula milk
antibiotic resistance
ERIC-PCR
title Antibiotic Resistance and Molecular Characterization of <i>Cronobacter sakazakii</i> Strains Isolated from Powdered Infant Formula Milk
title_full Antibiotic Resistance and Molecular Characterization of <i>Cronobacter sakazakii</i> Strains Isolated from Powdered Infant Formula Milk
title_fullStr Antibiotic Resistance and Molecular Characterization of <i>Cronobacter sakazakii</i> Strains Isolated from Powdered Infant Formula Milk
title_full_unstemmed Antibiotic Resistance and Molecular Characterization of <i>Cronobacter sakazakii</i> Strains Isolated from Powdered Infant Formula Milk
title_short Antibiotic Resistance and Molecular Characterization of <i>Cronobacter sakazakii</i> Strains Isolated from Powdered Infant Formula Milk
title_sort antibiotic resistance and molecular characterization of i cronobacter sakazakii i strains isolated from powdered infant formula milk
topic <i>Cronobacter sakazakii</i>
powdered infant formula milk
antibiotic resistance
ERIC-PCR
url https://www.mdpi.com/2304-8158/11/8/1093
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AT samanehallahyari antibioticresistanceandmolecularcharacterizationoficronobactersakazakiiistrainsisolatedfrompowderedinfantformulamilk
AT johnwarossen antibioticresistanceandmolecularcharacterizationoficronobactersakazakiiistrainsisolatedfrompowderedinfantformulamilk
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