Silvan Tresch , Michael Biggel , Manuela Schnyder , Magdalena Nüesch-Inderbinen , Roger Stephan
{"title":"Extended-spectrum ß-lactamase (ESBL)- and Carbapenemase-producing Enterobacterales Isolated from Fresh Herbs and Salads at Retail Level in Switzerland","authors":"Silvan Tresch , Michael Biggel , Manuela Schnyder , Magdalena Nüesch-Inderbinen , Roger Stephan","doi":"10.1016/j.jfp.2024.100368","DOIUrl":null,"url":null,"abstract":"<div><div>Fresh produce is usually consumed raw or minimally processed, making it a potential vehicle for the transmission of antimicrobial-resistant (AMR) microorganisms to humans. The objective of the study was to assess the occurrence of extended-spectrum ß-lactamase (ESBL)- and carbapenemase-producing Enterobacterales (ESBL-E and CPE), respectively, in 118 fresh herbs and 101 bagged salads collected at retail level in Switzerland and to characterize the isolates’ phenotypic and genotypic properties using culture-based methods and whole genome sequencing (WGS).</div><div>Of the fresh herbs, 6/118 contained ESBL-E and 7/118 yielded CPE. Of the salads, 13/101 contained ESBL-E and 1/101 CPE. Antimicrobial susceptibility testing (AST) identified 9/29 isolates as multidrug-resistant (MDR).</div><div>ESBL-E were <em>Escherichia coli</em> (<em>n</em> = 6), <em>Klebsiella pneumoniae</em> (<em>n</em> = 4) <em>Enterobacter chuandaensis</em> (<em>n</em> = 1), and <em>Kluyvera</em> spp. (<em>n</em> = 1) carrying ß-lactamase (<em>bla</em>) genes belonging to the cefotaximase-München (<em>bla</em><sub>CTX-M</sub>)-groups, <em>Proteus</em> spp. (<em>n</em> = 1) containing Hôpital-Universitaire-de-Genève-<em>bla</em> (<em>bla</em><sub>hugA</sub>), <em>Raoultella ornithinolytica</em> (<em>n</em> = 1) carrying sulfhydryl reagent variable <em>bla (bla</em><sub>SHV</sub>), and <em>Serratia fonticola</em> (<em>n</em> = 7) carrying <em>S. fonticula bla</em> (<em>bla</em><sub>FONA</sub>) genes. CPE were <em>Enterobacter asburiae</em> (<em>n</em> = 1) <em>E. cloacae</em> (<em>n</em> = 6) and <em>E. vonholyi</em> (<em>n</em> = 1) carrying imipenemase <em>bla</em> (<em>bla</em><sub>IMI</sub>) genes.</div><div>Several <em>K. pneumoniae</em> sequence types (STs) were identified (ST967, ST628, ST219, and ST1823), which have been linked to human disease and nosocomial outbreaks. They carried <em>bla</em><sub>CTX-M-15</sub> on plasmids detected globally in environmental and clinical samples. <em>E. coli</em> (ST10, ST48, ST609, ST2040, ST6215 and ST3580) and enterotoxigenic <em>E. coli</em> (ETEC) ST2040 carrying <em>bla</em><sub>CTX-M-15</sub> were found. <em>E. cloacae</em> (ST820 and ST1516) with <em>bla</em><sub>IMI-1</sub> have been found previously in clinical settings and community outbreaks.</div><div>The occurrence and consumption of fresh produce containing MDR ESBL-E and CPE pose substantial public health risks and raise significant food safety concerns.</div></div>","PeriodicalId":15903,"journal":{"name":"Journal of food protection","volume":"87 11","pages":"Article 100368"},"PeriodicalIF":2.1000,"publicationDate":"2024-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of food protection","FirstCategoryId":"97","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0362028X24001522","RegionNum":4,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"BIOTECHNOLOGY & APPLIED MICROBIOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Fresh produce is usually consumed raw or minimally processed, making it a potential vehicle for the transmission of antimicrobial-resistant (AMR) microorganisms to humans. The objective of the study was to assess the occurrence of extended-spectrum ß-lactamase (ESBL)- and carbapenemase-producing Enterobacterales (ESBL-E and CPE), respectively, in 118 fresh herbs and 101 bagged salads collected at retail level in Switzerland and to characterize the isolates’ phenotypic and genotypic properties using culture-based methods and whole genome sequencing (WGS).
Of the fresh herbs, 6/118 contained ESBL-E and 7/118 yielded CPE. Of the salads, 13/101 contained ESBL-E and 1/101 CPE. Antimicrobial susceptibility testing (AST) identified 9/29 isolates as multidrug-resistant (MDR).
ESBL-E were Escherichia coli (n = 6), Klebsiella pneumoniae (n = 4) Enterobacter chuandaensis (n = 1), and Kluyvera spp. (n = 1) carrying ß-lactamase (bla) genes belonging to the cefotaximase-München (blaCTX-M)-groups, Proteus spp. (n = 1) containing Hôpital-Universitaire-de-Genève-bla (blahugA), Raoultella ornithinolytica (n = 1) carrying sulfhydryl reagent variable bla (blaSHV), and Serratia fonticola (n = 7) carrying S. fonticula bla (blaFONA) genes. CPE were Enterobacter asburiae (n = 1) E. cloacae (n = 6) and E. vonholyi (n = 1) carrying imipenemase bla (blaIMI) genes.
Several K. pneumoniae sequence types (STs) were identified (ST967, ST628, ST219, and ST1823), which have been linked to human disease and nosocomial outbreaks. They carried blaCTX-M-15 on plasmids detected globally in environmental and clinical samples. E. coli (ST10, ST48, ST609, ST2040, ST6215 and ST3580) and enterotoxigenic E. coli (ETEC) ST2040 carrying blaCTX-M-15 were found. E. cloacae (ST820 and ST1516) with blaIMI-1 have been found previously in clinical settings and community outbreaks.
The occurrence and consumption of fresh produce containing MDR ESBL-E and CPE pose substantial public health risks and raise significant food safety concerns.
期刊介绍:
The Journal of Food Protection® (JFP) is an international, monthly scientific journal in the English language published by the International Association for Food Protection (IAFP). JFP publishes research and review articles on all aspects of food protection and safety. Major emphases of JFP are placed on studies dealing with:
Tracking, detecting (including traditional, molecular, and real-time), inactivating, and controlling food-related hazards, including microorganisms (including antibiotic resistance), microbial (mycotoxins, seafood toxins) and non-microbial toxins (heavy metals, pesticides, veterinary drug residues, migrants from food packaging, and processing contaminants), allergens and pests (insects, rodents) in human food, pet food and animal feed throughout the food chain;
Microbiological food quality and traditional/novel methods to assay microbiological food quality;
Prevention of food-related hazards and food spoilage through food preservatives and thermal/non-thermal processes, including process validation;
Food fermentations and food-related probiotics;
Safe food handling practices during pre-harvest, harvest, post-harvest, distribution and consumption, including food safety education for retailers, foodservice, and consumers;
Risk assessments for food-related hazards;
Economic impact of food-related hazards, foodborne illness, food loss, food spoilage, and adulterated foods;
Food fraud, food authentication, food defense, and foodborne disease outbreak investigations.