Molecular Characterization of Cronobacter sakazakii in Egypt, Survival and Thermoresistance at Different Temperatures: A Potential Public Health Risk.

Cronobacter sakazakii has been implicated in causing serious infections in neonates due to consumption of contaminated infant powdered milk. The zoonotic potential of the organism was not clear due to scarce evidence about the role of food animals in the transmission of infection. C. sakazakii was identified in infant powdered milk (n = 100), infant stool (n = 100), and dairy animal feces (n = 100) with the percentages of 1%, 2%, and 4%, respectively. The outer membrane protein A (ompA) gene was characterized in all isolates of different origin, while gene encoding for zinc-metaloprotease (zpx) was only identified in isolates from animal feces. Genotyping of C. sakazakii isolates using enterobacterial repetitive intergenic consensus polymerase chain reaction revealed heterogenicity. The survival and thermotolerance of one potentially virulent C. sakazakii isolate of animal origin were examined at different temperatures. The isolate could survive with a stationary number at refrigeration temperature and the number increased significantly at room temperature after 24 h. The isolate showed thermoresistance when subjected to temperature range from 54°C to 64°C with D values ranged from 13.79 and 4.64 min and z value of 14.42. To the best of our knowledge, this is the first report of C. sakazakii isolation from buffalo feces in Egypt.

Occurrence, Virulence Factors, Antimicrobial Resistance, and Genotyping of Staphylococcus aureus Strains Isolated from Chicken Products and Humans.

Staphylococcus aureus in food is a consequence of inadequate hygienic handling and processing, posing a potential risk to public health. The current study aimed to characterize virulence factors, as well as antimicrobial resistance of Staphylococcus aureus and methicillin-resistant S. aureus (MRSA) isolated from retail chicken products and hand swabs from vendors in Egypt. In addition, genetic relatedness of the isolates from chicken and humans was evaluated by polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) using protein A as a target. A total of 110 samples were collected from chicken products (n = 80) and vendors (n = 30). Overall, 30 (37.5%) chicken products samples were positive for S. aureus, whereas hand swabs from meat handlers revealed that 18 (60%) were positive. Ten MRSA strains were characterized by the presence of the mecA gene, comprising seven isolates from chicken and three from humans. Virulence-associated factors were evaluated by PCR, revealing that 31.3% of S. aureus isolates harbored the Panton-Valentine leukocidin (PVL) gene, whereas 10.4% were positive for the sea and sed genes each, and only two isolates were positive for γ-hemolysin-associated gene. Genotyping using spa PCR-RFLP showed identical restriction banding patterns of MRSA isolates of human and chicken meat origin, indicating the genetic relatedness of the isolates. To the best of our knowledge, this is the first study to characterize PVL-positive MRSA from chicken products and to utilize spa-RFLP for evaluating the genetic relatedness between MRSA of human and chicken origin in Egypt.

Zoonotic enteric parasites transmitted from dogs in Egypt with special concern to Toxocara canis infection.

AIM: This work aimed to study the role played by dogs in transmitting zoonotic enteric parasites to humans in Egypt and to analyze the risk factors associated with the occurrence of such infection in dogs. Serodiagnosis of anti-Toxocara immunoglobulin G (IgG) antibodies among human beings as well as analyzing risk factors predispose to Toxocara canis infection in human beings are another objectives of this study. MATERIALS AND METHODS: From June to December 2013, a total of 130 fecal samples from 4 dog populations (Military, nomadic and domiciled dogs from rural and high standard districts) and 150 stool samples of 6 occupational groups were examined for the presence of enteric parasitic infection. Moreover, 150 serum samples were collected from humans from whom stool samples were collected and examined for the presence of anti-T. canis antibodies. RESULTS: Enteric parasites were detected in 30% of fecal samples from 4 dog populations in Egypt. High infectivity had been reported in nomadic dogs (63.33%) (Crude odds ratios [COR]=67.36, 95% confidence interval [CI]=8.09-560.8, p<0.000), followed by domiciled dogs from rural areas (40%) (COR=26, 95% CI=3.14-215.54, p=0.003), domiciled dogs from high standard areas (23.33%) (COR=11.87, 95% CI=1.37-102.69, p=0.025) and military dogs (2.5%). Twelve species of enteric parasites were identified, Ancylostomatidae (6.15%), T. canis and Cryptosporidium spp. (5.38%, each), Heterophyes spp. (3.85%), Toxocara leonina and Blastocystis spp. (3.07%), Taenidae eggs (2.31%), Hymenolepis diminuta (1.54%) and Entamoeba canis, Cyclospora cayetanensis, and Paragonimus spp. (0.77%, each). Univariate logestic regression revealed significant association of age (COR=4.73, 95% CI=2.13-10.53, p<0.000), gender (COR=2.63, 95% CI=1.22-5.68, p<0.014), housing system (COR=5.10, 95% CI=2.04-12.75), p<0.000) with enteric parasitic infection in dogs. However, breeds (COR=6.91, 95% CI=0.88-54.52, p=0.067) and type of feeding (COR ranged from 3.5 to 7.62, p>0.05) did not seem to have a significant association among the examined dogs. Enteric parasitic infection was reported in 31/150 human stools (20.67%). Students were the most affected groups (37.14%), followed by nomadic people (24%), house wives (20%), house guarders and military workers (12%, each), and employees (10%). The identified parasites were Cryptosporidium spp. (9.33%), Ascaris lumbercoides (3.33%), Heterophyes spp. and Ancylostoma spp. (2.66%, each) and Paragonimus spp. and Hymenolepis nana (1.33%, each). Toxocara IgG antibodies were detected in 36/150 (24%) serum samples investigated. Toxocara IgG antibodies were more prevalent in males (26.66%) than females (20%). Seroprevalence was highest (17/35, 48.57%) in 7-15 years old (COR=6.93, 95% CI=1.75-27.43, p=0.006). Seroprevalence values for T. canis antibodies were higher in those; raising dogs (29.85%), eating raw vegetables (25.21%) and not washing hands before meals (25.45%). T. canis antibodies were detected in 25% of those contacted with soil compared to 30% of those did not. Students were mostly affected (34.29%), followed by nomadic people (32%), house guarders (28%), housewives (20%), military workers (13%), and employees (10%). CONCLUSION: Detection of enteric parasites in dogs and humans in Egypt substantiates the role posed by dogs in transmitting zoonotic parasites to humans and knock an alarm for common sources of infection for humans and dogs. Common sources may be infected fish or contaminated vegetables that are consumed by dogs or humans or even infected rodents that may contaminate their feed. This pilot study necessitate the need for similar studies and tracing such infection in fish, vegetables, rodent that may be responsible for infecting humans and dogs in order to understand the epidemiology of zoonotic parasitic infection transmitted from dogs to humans.

Potential airborne microbial hazards for workers on dairy and beef cattle farms in Egypt.

This study was conducted to determine the concentration and frequency distribution of certain airborne micro-organisms on cattle farms and their potential health hazards to farm workers. The samples (60 air samples and 240 hand and nasal swabs from cattle farm workers) were collected from ten cattle farms (five dairy barns and five beef sheds) located in the Sharkia Governorate of Egypt. Air samples were collected for microbiological examination in liquid media using an all-glass impinger whereas those for fungal examination were placed on agar plates using slit air samplers (aeroscopes). The results showed that the overall means of total culturable bacterial and fungal counts were lower in the air of dairy cattle barns than in beef cattle sheds. Identification of the isolated bacteria revealed the recovery of the following species (from dairy cattle barns versus beef cattle sheds): Staphylococcus epidermidis (26.7% vs 36.7%), S. saprophyticus (20% vs 33.3%), S. aureus (10% vs 16.7%), Enterococcus faecalis (23.3% vs 26.7%), Enterobacter agglomerans (23.3 vs 13.3%), Escherichia coli, (16.7% vs 26.7%), Klebsiella oxytoca, (10% vs 16.7%), K. pneumoniae (3.3% vs 0%), Proteus rettegri (6.7% vs 13.3%), P. mirabilis (10% vs 10%), P. vulgaris (3.3% vs 6.7%), Pseudomonas species (6.7% vs 16.7%), respectively). Mycological examination of air samples revealed the presence of Aspergillus fumigatus (46.7% vs 63.3%), A. niger (20% vs 36.7%), A. flavus (13.3% vs 26.7%), Penicillium citrinum (16.7% vs 23.3%), P. viridicatum (13.3% vs 6.7%), P. capsulatum (3.3% vs 0%), Cladosporium spp. (30% vs 56.7%), Alternaria spp. (13.3 vs 23.3%), Mucor spp. (6.7% vs 16.7%), Fusarium spp. (3.3% vs 10%), Absidia spp. (6.7% vs 10%), Curvilaria spp. (10% vs 3.3%), Rhizopus spp. (6.7% vs 13.3%), Scopulariopsis (3.3% vs 6.7%), Epicoccum spp. (0% vs 3.4%) and yeast (13.3% vs 20%), respectively. In addition, microbiological examinations of farm workers revealed heavy contamination of their hands and noses with most of the micro-organisms detected in the air of cattle farms. The results showed that potential airborne microbial risks in beef cattle sheds were greater than in dairies.