Antimicrobial Susceptibility Patterns and Genetic Relatedness Between Diarrheagenic Escherichia coli Pathotypes Isolated from Ready-to-Eat Olivier Salad and Clinical Samples

Document Type : Original Articles

Authors

1 Department of Food Microbiology Research Center, Tehran University of Medical Sciences, Tehran, Iran.

2 Department of Pathobiology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.

3 Department of Microbiology, School of Medicine, Alborz University of Medical Sciences, Iran.

10.32592/ARI.2025.80.4.969

Abstract

Diarrheagenic Escherichia coli (DEC) strains are the most prevalent bacteria conveyed by using contaminated water and foods and are related to mild-to-severe diarrhea in humans. The present study aimed to consider the prevalence, antibiotic resistance profile, phototypes, and biofilm formation capacity of E. coli isolates retrieved from Olivier Salad and clinical samples. The current study was performed on 246 samples containing Olivier salad and stool samples collected in Tehran from March to August 2022. Microbiological and molecular diagnostic methods were used to detect DEC strains. Disk diffusion and biofilm formation methods were done to evaluate the antimicrobial resistance profile and biofilm formation capacity of the E. coli isolates. Overall, 16.6% (41/246) of E. coli isolates was attained from both Olivier Salad and clinical samples and the prevalence of DEC was 17% (7/41). The DEC phototypes obtained from the 41 isolates were as follows: enteropathogenic E. coli (EPEC): 4.8%, and enterotoxigenic E. coli (ETEC): 12.1%. Also, no enteroaggregative E. coli (EAEC), enterinvasive E. coli (EIEC), and enteroaggregative E. coli (EHEC) were found. The highest rate of resistance was found for amoxicillin (100%), and amongst the DEC strains, all strains exhibited resistance to at least one antibiotic. Isolates obtained from clinical samples had more biofilm formation capacity than food samples. Our finding evidenced the possibility of fecal contamination in foods of animal origin. Also, multi-drug resistances were found between DEC isolated from food that suggested animal-based foods would operate as the reservoir for multi-drug resistance bacteria. Therefore, the assessment of DEC strains obtained from food samples, as well diarrhea samples can improve food safety and prevent foodborne outbreaks.

Keywords


  1. Soltan-Dallal MM, Karami-Talab M, Aminshahidi M, Arastehfar A, Fani F. Antimicrobial susceptibility patterns of Enteroaggregative E. coli, as the most common diarrheagenic E. coli, associated to gastroenteritis outbreaks in Iran. Archives of Pediatric Infectious Diseases. 2018;6(2)
  2. Moeinirad M, Douraghi M, Foroushani AR, Sanikhani R, Dallal MMS. Molecular characterization and prevalence of virulence factor genes of Shiga toxin-producing Escherichia coli (STEC) isolated from diarrheic children. Gene Reports. 2021;25:101379
  3. Soltan Dallal MM, Karimaei S, Hajighasem M, Hashemi SJ, Rahimi Foroushani A, Ghazi‐Khansari M, et al. Evaluation of zinc oxide nanocomposite with Aloe vera gel for packaging of chicken fillet against Salmonella typhi and Salmonella para typhi A. Food Science & Nutrition. 2023;11(10):5882-9
  4. Peidaei F, Ahari H, Anvar A, Ataei M. Nanotechnology in Food Packaging and Storage: A Review. Iranian Journal of Veterinary Medicine. 2021;15(2)
  5. Karimaei S, Aghamir SMK, Pourmand MR. Comparative analysis of genes expression involved in type II toxin-antitoxin system in Staphylococcus aureus following persister cell formation. Molecular Biology Reports. 2024;51(1):324
  6. Karimaei S, Mashhadi R, Mirzaei A, Deyhimfar R, Shabestari AN, Rahimnia R. Antibacterial and antibiofilm activities of nisin from Lactococcus lactis and alteration of the bacteria-induced pro-inflammatory responses on kidney and bladder tumor cell lines. Translational Research in Urology. 2022;4(1):47-53
  7. Ashrafi F, Azari AA, Fozouni L. Prevalence and Antibiotic Resistance Pattern of Mannheima haemolytica and Pasteurella multocida Isolated from Cattle Lung Samples from an Industrial Abattoir: A Study from Northeastern Iran. Iranian Journal of Veterinary Medicine. 2022;16(4)
  8. Hassani S, Moosavy MH, Gharajalar SN, Khatibi SA, Hajibemani A, Barabadi Z. High prevalence of antibiotic resistance in pathogenic foodborne bacteria isolated from bovine milk. Sci Rep. 2022;12(1):3878.https://doi.org/10.1038/s41598-022-07845-6.
  9. Ema FA, Shanta RN, Rahman MZ, Islam MA, Khatun MM. Isolation, identification, and antibiogram studies of Escherichia coli from ready-to-eat foods in Mymensingh, Bangladesh. Vet World. 2022;15(6):1497-505.https://doi.org/10.14202/vetworld.2022.1497-1505.
  10. Niroumand A, Razavizadeh SAT, Jamshidi A, Moghadam JA. A Survey on Drinking Water Contamination to Indicator Bacteria in Dairy Farms of Mashhad Suburb. Iranian Journal of Veterinary Medicine. 2020;14(3)
  11. Rashid M, Kotwal SK, Malik M, Singh M. Prevalence, genetic profile of virulence determinants and multidrug resistance of Escherichia coli isolates from foods of animal origin. Veterinary World. 2013;6(3):139-42
  12. Sivakumar M, Abass G, Vivekanandhan R, Anukampa, Singh DK, Bhilegaonkar K, et al. Extended-spectrum beta-lactamase (ESBL) producing and multidrug-resistant Escherichia coli in street foods: a public health concern. J Food Sci Technol. 2021;58(4):1247-61.https://doi.org/10.1007/s13197-020-04634-9.
  13. Wayne P. Performance standards for antimicrobial susceptibility testing. Ninth informational supplement NCCLS document M100-S9 National committee for clinical laboratory standards. 2008:120-6
  14. Karimaei S, Aghamir SMK, Foroushani AR, Pourmand MR. Antibiotic tolerance in biofilm persister cells of Staphylococcus aureus and expression of toxin-antitoxin system genes. Microbial Pathogenesis. 2021;159:105126
  15. Zhang S, Wu Q, Zhang J, Lai Z, Zhu X. Prevalence, genetic diversity, and antibiotic resistance of enterotoxigenic Escherichia coli in retail ready-to-eat foods in China. Food Control. 2016;68:236-43
  16. Fallah N, Ghaemi M, Ghazvini K, Rad M, Jamshidi A. Occurrence, pathotypes, and antimicrobial resistance profiles of diarrheagenic Escherichia coli strains in animal source food products from public markets in Mashhad, Iran. Food Control. 2021;121:107640
  17. Alizade H, Teshnizi SH, Azad M, Shojae S, Gouklani H, Davoodian P, et al. An overview of diarrheagenic Escherichia coli in Iran: A systematic review and meta-analysis. Journal of Research in Medical Sciences: The Official Journal of Isfahan University of Medical Sciences. 2019;24
  18. Amézquita-Montes Z, Tamborski M, Kopsombut UG, Zhang C, Arzuza OS, Gómez-Duarte OG. Genetic Relatedness Among Escherichia coli Pathotypes Isolated from Food Products for Human Consumption in Cartagena, Colombia. Foodborne Pathog Dis. 2015;12(5):454-61.https://doi.org/10.1089/fpd.2014.1881.
  19. Hegde A, Ballal M, Shenoy S. Detection of diarrheagenic Escherichia coli by multiplex PCR. Indian Journal of Medical Microbiology. 2012;30(3):279-84
  20. Santona S, Diaz N, Fiori PL, Francisco M, Sidat M, Cappuccinelli P, et al. Genotypic and phenotypic features of enteropathogenic Escherichia coli isolated in industrialized and developing countries. J Infect Dev Ctries. 2013;7(3):214-9.https://doi.org/10.3855/jidc.3054.
  21. Ifeanyi CIC, Ikeneche NF, Bassey BE, Al-Gallas N, Aissa RB, Boudabous A. Diarrheagenic Escherichia coli pathotypes isolated from children with diarrhea in the Federal Capital Territory Abuja, Nigeria. The Journal of Infection in Developing Countries. 2015;9(02):165-74