Çoklu İlaç Dirençli Salmonella Suşlarının Tanısı
Amaç: Bu çalışmada, Ankara başta olmak üzere, Türkiye’nin değişik bölgelerindeki çeşitli market ve üreticilerinden alınan toplam 217 gıda örneğinde Salmonella sp. varlığı araştırılmıştır. Çalışmada kullanılan Salmonella suşları, farklı bölgelerde bulunan kasap ve marketlerde satışa sunulan gıda örneklerinden izole edilmiştir. Kullanılan bu hayvansal kaynaklı gıda örnekleri dana eti 99 örnek , koyun eti 13 örnek , tavuk eti 104 örnek ve süttür. İzole edilen suşlar biyokimyasal testlerle doğrulanmıştır. Salmonella tanısı konulan ve kültür koleksiyonuna alınan örneklerde antimikrobiyel ajanlara karşı duyarlılık düzeylerinin belirlenmesi amaçlanmıştır. Yöntem: Salmonella sp. varlığı, Uluslararası Standartlar Ofisi’nin önerdiği yöntem ISO6972: 2002 kullanılarak araştırılmıştır. API 20E testleri sonucunda toplam 41 izolat Salmonella sp. olarak tanımlanmıştır. Salmonella suşlarının antibiyotik dirençlilik profilleri disk difüzyon ve kritik dilüsyon testleri kullanılarak belirlenmiştir.Bulgular: Çalışmalar sonucunda 41 farklı örnekte Salmonella izolasyonu gerçekleştirilmiştir. Bu 41 izolatın %25’ inin kaynağı dana eti, %75’ inin kaynağı ise tavuk eti örnekleridir. Aynı zamanda bu 41 izolatın tamamı çoklu ilaç dirençlilik profili sergilemiştir. Tüm suşlarda en yüksek dirençlilik düzeyleri kanamisin R>512 μg/mL ve nalidiksik asit R>512 μg/mL ’e karşı tespit edilmiştir. Sonuç: Piyasada açıkta satışa sunulan et örneklerinde Salmonella bulunma sıklığı, tavuk etlerinde diğer örneklere oranla çok yüksek bulunmuştur. Bu bulgular, açıkta satılan özellikle tavuk etlerinin sınırlandırılması ve ayrıca hijyen kontrollerinin daha sık yapılması zorunluluğuna işaret etmektedir. Türkiye’de piyasaya sunulan et örneklerinden izole edilen 41 Salmonella suşunun tamamının çoklu ilaç dirençlilik özelliği göstermesi, bu sorunun ülkemiz için ne derece önemli olduğuna işaret etmektedir. Özellikle hayvan beslemede antibiyotik kullanımının kontrolsüz oluşu, bu sorunun ana kaynağını teşkil etmektedir. Bu sonuçlar; gıda üretiminde antibiyotiklerin kullanımının kontrolünde yeni stratejilerin gerekliliğini ön plana çıkarmaktadır
Identification of Multi Drug Resistant Salmonella Strains
Objective: In this study, a total of 217 food samples obtained from various grocery stores and manufacturers found in different regions in Turkey, especially in Ankara, were analysed for presence of Salmonella sp. Salmonella strains used in this study were isolated from the food samples sold in butchers and supermarkets located at different regions. Food samples which are of animal origin are veal 99 samples , mutton 13 samples , chicken 104 samples and milk samples. Isolated strains were confirmed by biochemical tests. We aimed to determine the antimicrobial susceptibility levels of samples against antimicrobial agents, identified as Salmonella and placed into the culture collection. Method: Presence of Salmonella sp. was analysed according to the method determined by International Standarts Office ISO6972: 2002 . As a result of API 20E tests, totally 41 isolates were identified as Salmonella sp. Antibiotic resistance pattern of the Salmonella strains were revealed by using disc diffusion and critical dilution tests. Results: As a result of study Salmonella isolation was performed with 41 different samples. While the 25% of these 41 isolates were source of veal, the other 75% were source of chicken samples. At the same time all of these tested 41 strains exhibited a multi-drug resistance profile. The highest resistance levels at all tested strains were determined against kanamycin R>512 μg/mL and nalidixic acid R>512 μg/mL for all strains. Conclusion: The frequency of Salmonella in the chicken meat was found higher compared to the other meat samples offered for sale in the market. These findings suggest the limitate open meat sold, especially the chicken meat, and also points obligation of frequent hygiene controls. Showing the feature of multiple drug resistance of all 41 Salmonella strains isolated from the meat samples offered to the market in Turkey, indicates that how important is this problem for our country. Especially, the uncontrolled use of antibiotics in animal nutrition constitutes the main source of this problem. These results show the need for new strategies for controlling the use of antibiotics in food production.
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- 1. White DG, Zhao S, Sudler R, Ayers S, Friedman S,
Chen S, et al. The isolation of antibiotic resistant
Salmonella from retail ground meat. N Engl J Med,
2001; 345: 1147-54.
- 2. Carattoli A, Tosini F, Giles WP, Rupp ME, Hinrichs
SH, Angulo FJ, et al. Characterization of plasmids
carrying CMY-2 from expanded-spectrum
cephalosporin-resistant Salmonella strains
isolated in the United States between 1996 and
1998. Antimicrob Agents Chemother, 2002; 46:
1269–72.
- 3. Erol İ. Hayvansal gıdalardan kaynaklanan
Salmonella infeksiyonları. İnfeks. Derg, 1999; 13:
123-127.
- 4. Erdem B, Ercis S, Hascelik G, Gur D, Gedikoglu S,
Aysev AD, ve ark. Antimicrobial resistance patterns
and serotype distribution among Salmonella
enterica strains in Turkey, 2000-2002. Eur J Clin
Microbiol Infect Dis, 2005; 24: 220-5.
- 5. Yazıcıoğlu N, Kaya K, Ayaz K, Şen S, Özkök S, Aksoy
M, et al. Kanatlı kesimhanelerinin parçalama
ünitelerinden alınan boyun ve kanat örneklerinden
Salmonella izolasyonu, serotiplermesi ve
antibiyotik dirençliliğinin araştırılması. Etlik
Veteriner Mikrobiyoloji Dergisi, 2005; 16:
23-36.
- 6. Avşaroğlu MD, Helmuth R, Junker E, Hertwig S,
Schroeter A, Akçelik M, et al. Plasmid-mediated
quinolone resistance conferred by qnrS1 in
Salmonella enterica serovar Virchow isolated
from Turkish food of avian origin. J Antimicrob
Chemother, 2007; 60: 1146-50.
- 7. Anonymous. Performance standards for
antimicrobial susceptibility testing. Clinical and
Laboratory Standards Institute (CLSI), PA, USA.
18th informational suplement, 2008; M100-S18
940.
- 8. Schwarz S, Chaslus-Dancla E. Use of antimicrobials
in veterinary medicine and mechanisms of
resistance. Vet Res, 2001; 32 (3-4): 201-25.
- 9. Stürenburg E, Mack D. Extended-spectrum
beta-lactamases: implications for the clinical
microbiology laboratory, therapy, and infection
control. J Infect, 2003; 47(4) :273-95.
- 10. Batchelor M, Clifton-Hadley FA, Stallwood AD,
Paiba GA, Davies RH, Liebana E. Detection of
multiple cephalosporin-resistant Escherichia coli
from a cattle fecal sample in Great Britain. Microb
Drug Resist, 2005; 11 (1) :58-61.
- 11. Randall LP, Cooles SW, Osborn MK, Piddock LJV
and Woodward MJ. Antibiotic resistance genes,
integrons and multiple antibiotic resistance
in thirty-five serotypes of Salmonella enterica
isolated from humans and animals in the UK. J
Antimicrob Chemother, 2004; 53: 208-16.
- 12. Poirel L, Leviandier C and Nordmann P. Prevalence
and genetic analysis of plasmid mediated
quinolone resistance determinants qnrA and qnrS
in Enterobacteriaceae in a French University
Hospital. Antimicrob Agents Chemother, 2006; 50:
3992-7.
- 13. Chen YT, Shu HY, Li LH, Liao TL, Wu KM, Shiau
YR, et al. Complete nucleotide sequence of
pK245, a 98-kilobase plasmid conferring quinolone
resistance and extended-spectrum-beta-lactamase
activity in a clinical Klebsiella pneumoniae isolate.
Antimicrob Agents Chemother , 2006; 50: 3861-6.
- 14. Kehrenberg C, Friederichs S, de Jong A, Michael GB
and Schwarz S. Identification of the plasmid-borne
quinolone resistance gene qnrS in Salmonella
enterica serovar Infantis. J Antimicrob Chemother,
2006; 58: 18-22.
- 15. Chessa D, Winter MG, Nuccio S, Tükel Ç and
Bäumler AJ.. RosE represses Std fimbrial expression
in Salmonella enterica serotype Typhimurium. Mol
Microbiol, 2008; 68 (3): 573-87.
- 16. Chessa D, Dorsey CW, Winter M and Bäumler AJ.
Binding Specificity of Salmonella Plasmid-encoded
Fimbriae Assessed by Glycomics. J Biol Chem,
2008; 283 (13): 8118–24.
- 17. Ngwai YB, Adachi Y, Ogawa Y and Hara H.
Characterization of biofilm-forming abilities of
antibiotic-resistant Salmonella Typhimurium
DT104 on hydrophobic abiotic surfaces. J Microbiol
Immunol Infect, 2006; 39 (4): 278-291.
- 18. Lapierre L, Cornejo J, Borie C, Toro C and San
Martin B. Genetic Characterisation of Antibiotic
Resistance Genes Linked to Class 1 and Class 2
Integrons in Commensal Strains of Escherichia
coli isolated from Poultry ans Swine. Microb Drug
Resist, 2008; 14: 265-72.
- 19. Liebana E, Clouting C, Cassar CA, Randall LP,
Walker RA, Threlfall EJ, et al. Comparison of
gyrA mutations, cyclohexane resistance, and the
presence of class I integrons in Salmonella enterica
from farm animals in England and Wales. J Clin
Microbiol, 2002; 40 (4): 1481–6.
- 20. Malorny B, Schroeter A, Guerra B and Helmuth
R. Incidence of quinolone resistance in strains of
Salmonella isolated from poultry, cattle and pigs
in Germany between 1998 and 2001. Veterinary
Record, 2003; 22: 643-8.
- 21. Marimón JM, Gomáriz M, Zigorraga C, Cila G
and Perez-Trallero E. Increasing Prevalance of
Quinolone Resistance in Human Nontyphoid
Salmonella enterica Isolates Obtained in Spain
from 1983 to 2003. Antimicrob Agents Chemother,
2004; 48: 3789-93.
- 22. Şenses Z, Baysallar M, Aydoğan H, Güçlü AU ve
Doğancı L. Kan ve dışkı örneklerinden izole edilen
Salmonella izolatlarının antibiyotik dirençlilikleri.
Gülhane Tıp Derg, 2007; 49: 141-6.
- 23. Nógrády N, Tóth A, Kostyák A, Pászti J and Nagy
B. Emergence of multidrug-resistant clones of
Salmonella Infantis in broiler chickens and humans
in Hungary. J Antimicrob Chemother, 2007; 60:
645-8.
- 24. Nógrády N, Kardos G, Bistyák A, Turcsányi I,
Mészáros J, Galántai Z, et al. Prevalence and
characterization of Salmonella Infantis isolates
originating from different points of the broiler
chicken-human food chain in Hungary. Int J Food
Microbiol, 2008; 127: 162-7.
- 25. Shahada F, Sugiyama H, Chuma T, Sueyoshi
M and Okamoto K. Genetic analysis of multidrug resistance and the clonal dissemination of
β-lactam resistance in Salmonella Infantis isolated
from broilers. Vet Microbiol, 2009; in Press.
- 26. Schroeter A, Hoog B and Helmuth R. Resistance
of Salmonella isolates in Germany. Journal of
Veterinary Medicine Series B, 2004; 51: 389-92.
- 27. Helms M, Ethelberg S, Molbak K and the DT104 Study
Group. International Salmonella Typhimurium
DT104 Infections, 1992-2001. Emerg Infect Dis,
2005; 11 (6): 859-67.
- 28. Serdaroğlu E, Ersoy B, Atlıhan F, Aydoğan A ve
Serçin B. Salmonella infeksiyonlu 127 olgunun
değerlendirilmesi. İnfeks. Derg, 1996; 10: 333-6.
- 29. Küplülü Ö. Sığır karkaslarında Salmonella
kontaminasyonu ve serotip dağılımı. Ankara Üniv
Vet Fak Derg, 1999; 46: 25-34.
- 30. Anğ-Küçüker M, Tolun V, Helmuth R, Rabsch W,
Boral Ö, Akbulut D, et al. Phage types, antibiotic
susceptibilities and plasmid profiles of Salmonella
typhimurium and Salmonella enteritidis strains
isolated in İstanbul, Turkey. Clin Microbiol Infect,
2000; 6: 593-9.