Detection, identification and antimicrobial susceptibility profile of Cronobacter spp. in products for infant feeding
PDF (Português (Brasil))

Keywords

Cronobacter
infant food
antibiogram
PCR

How to Cite

1.
Meier GOS, Brandão MLL, Medeiros V de M, Rosas C de O, Silva DAF da, Carvalho CT, Silva CC da, Umeda NS, Lopes SM dos R. Detection, identification and antimicrobial susceptibility profile of Cronobacter spp. in products for infant feeding. Rev Inst Adolfo Lutz [Internet]. 2016 Dec. 1 [cited 2024 Dec. 4];75:01-9. Available from: https://periodicos.saude.sp.gov.br/RIAL/article/view/33510

Abstract

Cronobacter spp. emerged as a microbiological hazard in powdered infant formulas (PIF) causing severe infections in newborns. However, among these patients many of them had not ingested PIF indicating that other foods categories might be as the pathogen vehicle. This study aimed at investigating Cronobacter spp. in infant foods, identifying the species and evaluating the antimicrobial susceptibility profile of the isolated strains. Forty-seven samples of precooked grain-based cereals, corn starch and milk flours were analyzed. The microbiological analysis was performed with pre-enrichment in buffered peptone water, followed by selective-enrichment in Cronobacter Screening Broth, isolation in Enterobacter sakazakii Isolation Agar and identification in Vitek 2.0. The identification of species was performed by polymerase chain reaction targeting rpoB and cgaA genes. The antibiogram was carried out using the agar diffusion method (Kirby-Bauer). Cronobacter spp. was identified in 11 samples (23.4 %). Eight strains were identified as C. sakazakii (72.7 %), two as C. malonaticus (18.2 %) and one as C. dublinensis (9.1 %). Only one C. malonaticus strain showed an intermediate resistance to ciprofloxacin. The evaluated samples produced for infant feeding might cause hazard when ingested by patients belonging to the risk group as newborns and elderly.

https://doi.org/10.53393/rial.2016.v75.33510
PDF (Português (Brasil))

References

1. Nomenclature-Genus Cronobacter. 2017. [acesso 2017 03 Jan]. Disponível em: [http://www.bacterio.net/cronobacter.html].

2. Joseph S, Sonbol H, Hariri S, Desai P, McClelland M, Forsythe SJ. Diversity of the Cronobacter genus as revealed by multi locus sequence typing. J Clin Microbiol. 2012;50(9):3031-9. [DOI: 10.1128/JCM.00905-12].

3. Food and Agricultural Organization/World Health Organization (FAO/WHO). Enterobacter sakazakii (Cronobacter spp.) in powdered follow-up formulae. Meeting Report. Microbiological Risk Assessment Genova, WHO, 2008. (15),90 p.

4. Friedemann M. Epidemiological of invasive Cronobacter (Enterobacter sakazakii) infections. Eur J Clin Microbiol Infect Dis. 2009;28(11):1297-304.[DOI: 10.1007/s10096-009-0779-4].

5. Lai KK. Enterobacter sakazakii infections among neonates, infants, children and adults. Case reports and a review of the literature. Medicine (Baltimore). 2001;80 (2):113-22.

6. Asato VC, Vilches VE, Pineda MG, Casanueva E, Cane A, Moroni MP, et al. First clinical isolates of Cronobacter spp. (Enterobacter sakazakii) in Argentina: characterization and subtyping by pulsed-field gel electrophoresis. Rev Argent Microbiol. 2013;45(3):160-4.

7. Broge T, Lee A. A case of Cronobacter (Enterobacter sakazakii) bacteremia in a breastfed infant. J Pediatric Infect Dis Soc. 2013;2(4):e1-2. [DOI: 10.1093/jpids/pit021].

8. Kim JB, Cho SH, Park YB, Lee JB, Kim JC, Lee BK, et al. Surveillance of stool samples for the presence of Enterobacter sakazakii among Korean people. Yonsei Med J. 2008;49(6):1017-22. [DOI: https://doi.org/10.3349/ymj.2008.49.6.1017].

9. Barreira ER, Souza DC, Gois PF, Fernandes JC. Meningite por Enterobacter sakazakii em recém-nascido: relato de caso. Pediatria (São Paulo). 2003;25(1/2):65-70.

10. Hochel I, Růžičková H, Krásný L, Demnerová K. Occurrence of Cronobacter spp. in retail foods. J Appl Microbiol. 2012; 112(6):1257-65. [DOI: 10.1111/j.1365-2672.2012.05292.x].

11. Kilonzo-Nthenge A, Rotich E, Godwin S, Nahashon S, Chen F. Prevalence and antimicrobial resistance of Cronobacter sakazakii isolated from domestic kitchens in middle Tennessee, United States. J Food Prot. 2012;75 (8): 1512-7. [DOI: https://doi.org/10.4315/0362-028X.JFP-11-442].

12. Brandão ML, Umeda NS, Carvalho KR, Filippis I. Investigação de um surto causado por Cronobacter malonaticus em um hospital maternidade em Teresina, Piauí: caracterização e tipificação por eletroforese em gel de campo pulsado. Vigil Sanit Debate. 2015;3(3):91-6. [DOI: http://dx.doi.org/10.3395/2317-269x.00290].

13. Tsai HY, Liao CH, Huang YT, Lee PI, Hsueh PR. Cronobacter infections not from infant formula, Taiwan. Emerg Infect Dis. 2013;19(1):167-9. [DOI: 10.3201/eid1901.120774].

14. Molloy C, Cagney C, O’Brien S, Iversen C, Fanning S, Duffy G. Surveillance and characterization by pulsed-field gel electrophoresis of Cronobacter spp. in farming and domestic environments, food production animals and retail foods. Int J Food Microbiol. 2009;136(2):198-203. [DOI: http://dx.doi.org/10.1016/j.ijfoodmicro.2009.07.007].

15. Freitas LG, Ristori CA, Jakabi M, Paula AMR, Rowlands REG. Ocorrência de Cronobacter spp. (Enterobacter sakazakii) em alimentos infantis adquiridos em um hospital público. Rev Inst Adolfo Lutz. 2011;70(4):548-53.

16. Patrick ME, Mahon BE, Greene SA, Rounds J, Cronquist A, Wymore K, et al. Incidence of Cronobacter spp. Infections, United States, 2003-2009. Emerg Infect Dis. 2014;20(9):1520-3. [DOI: 10.3201/eid2009.140545].

17. Gosney MA, Martin MV, Wright AE, Gallagher M. Enterobacter sakazakii in the mouths of stroke patients and its association with aspiration pneumonia. Eur J Intern Med. 2006;17(3):185-8. [DOI: http://dx.doi.org/10.1016/j.ejim.2005.11.010].

18. Brasil. Ministério da Saúde. Agência Nacional de Vigilância Sanitária (ANVISA). Edital de Chamamento n.º 2, de 29 de julho de 2014. Edital de Chamamento para coletar dados e informações a respeito do risco de infecções de lactantes maiores de seis meses por E. sakazakii (Cronobacter spp.). Diário Oficial [da] República Federativa do Brasil. Brasília, DF, 30 de jul. 2014. Seção 3, no144. p.92-93.

19. Iversen C, Druggan P, Schumacher S, Lehner A, Feer C, Gschwend K, et al. Development of a novel screening method for the isolation of “Cronobacter” spp. (Enterobacter sakazakii). Appl Environ Microbiol. 2008; 74 (8):2550-3. [DOI: 10.1128/AEM.02801-07].

20. Stoop B, Lehner A, Iversen C, Fanning S, Stephan R. Development and evaluation of rpoB based PCR systems to differentiate the six proposed species within the genus Cronobacter. Int J Food Microbiol. 2009;136(2):165-8. [DOI: http://dx.doi.org/10.1016/j.ijfoodmicro.2009.04.023].

21. Lehner A, Fricker-Feer C, Stephan R. Identification of the recently described Cronobacter condimenti by an rpoB-gene-based PCR system. J Med Microbiol. 2012;61(Pt 7):1034-5. [DOI: 10.1099/jmm.0.042903-0].

22. Carter L, Lindsey LA, Grim CJ, Sathyamoorthy V, Jarvis KG, Gopinath G, et al. Multiplex PCR assay targeting a diguanylate cyclase-encoding gene, cgcA, to differentiate species within the genus Cronobacter. Appl Environ Microbiol. 2013;79(2):734-7. [DOI: 10.1128/AEM.02898-12].

23. Clinical and Laboratory Standards Institute. Performance Standards for Antimicrobial Susceptibility Testing. Twenty-Fifth Informational Supplement, Wayne, PA, USA. 2015;35(3):M100-S15.

24. Singh N, Goel G, Raghav M. Prevalence and characterization of Cronobacter spp. from various foods, medicinal plants, and environmental samples. Curr Microbiol. 2015;71(1):31-8. [DOI: 10.1007/s00284-015-0816-8].

25. Warnken MB, Brandao MLL, Souza AE, Romão CMCP, Nogueira ACMA, Destro MT. Phenotypic profiles and detection of target genes by PCR in isolates from different sources and reference strains, identified as Cronobacter spp. (Enterobacter sakazakii). Rev Inst Adolfo Lutz. 2012;71 (1):21-31.

26. Richards, GM, Gurtler JB, Beuchat LR. Survival and growth of Enterobacter sakazakii in infant rice cereal reconstituted with water, milk, liquid infant formula, or apple juice. J Appl Microbiol. 2005;99(4):844-50. [DOI: 10.1111/j.1365-2672.2005.02656.x].

27. Osaili T, Forsythe S. Desiccation resistance and persistence of Cronobacter species in infant formula. Int J Food Microbiol. 2009;136(2):214-20. [DOI: http://dx.doi.org/10.1016/j.ijfoodmicro.2009.08.006].

28. Jacobs C, Braun P, Hammer P. Reservoir and routes of transmission of Enterobacter sakazakii (Cronobacter spp.) in a milk powder-producing plant. J Dairy Sci. 2011;94(8):3801-10. [DOI: http://dx.doi.org/10.3168/jds.2011-4318].

29. Lee YD, Park JH, Chang H. Detection, antibiotic susceptibility and biofilm formation of Cronobacter spp. from various foods in Korea. Food Control. 2012;24(1-2):225-30. [DOI: 10.1016/j.foodcont.2011.09.023].

30. Xu X, Li C, Wu Q, Zhang J, Huang J, Yang G. Prevalence, molecular characterization, and antibiotic susceptibility of Cronobacter spp. in Chinese ready-to-eat foods. Int J Food Microbiol. 2015;204:17-23. [DOI: http://dx.doi.org/10.1016/j.ijfoodmicro.2015.03.003].

31. Terragno R, Salve A, Pichel M, Epszteyn S, Brengi S, Binsztein N. Characterization and subtyping of Cronobacter spp. from imported powdered infant formulae in Argentina. Int J Food Microbiol. 2009;136(2):193-7. [DOI: http://dx.doi.org/10.1016/j.ijfoodmicro.2009.10.013]

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Copyright (c) 2016 Instituto Adolfo Lutz Journal

Downloads

Download data is not yet available.