National Zoonoses Conference (NZC),...S amus Fanning, UCD Centre for Food Safety School of Public...

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Séamus Fanning, UCD Centre for Food Safety School of Public Health, Physiotherapy & Population Science, UCD Veterinary Sciences Centre, University College Dublin, Belfield, Dublin 4, Ireland. National Zoonoses Conference (NZC), O’Reilly Hall, University College Dublin, Wednesday-8 th June, 2011.

Transcript of National Zoonoses Conference (NZC),...S amus Fanning, UCD Centre for Food Safety School of Public...

  • Séamus Fanning, UCD Centre for Food Safety

    School of Public Health, Physiotherapy & Population Science, UCD Veterinary Sciences Centre,

    University College Dublin, Belfield, Dublin 4, Ireland.

    National Zoonoses Conference (NZC), O’Reilly Hall, University College Dublin,

    Wednesday-8th June, 2011.

  • General Characteristics

    !! Member of the Enterobacteriaceae family

    !! Gram-negative bacilli, non-spore forming

    !! Facultative anaerobes

    !! Normally motile with peritrichous flagella

    !! Often inhabit gastrointestinal tract and also

    found in the environment

    Mode of infection

    !! Ingestion of contaminated food/water

    !! Passage through digestive system and invasion of

    intestinal epithelia

    !! Subsequent passage to vasculature system can

    lead to systemic infection

    Salmonella –the bacterium

  • !! rarely lactose fermenting, there are 2,500 serotypes of Salmonella

    !! Salmonella serotypes occur worldwide, infecting mammals, birds and reptiles and are excreted in

    their faeces

    !! Enteritidis and Typhimurium are the serotypes often reported

    !! diagnostic protocols aid in elucidating the epidemiology of these pathogens

  • Salmonella genus

    Traditional Method

    ISO 6579:2002

    25 g food sample in 225 ml

    Buffered Peptone Water (37oC, 18 h) DAY 0

    XLD & BGA (37oC, 24 h)

    0.1 ml culture in

    10 ml RVS broth

    (41.5oC, 24 h)

    1 ml culture in

    10 ml MKTTn broth

    (37oC, 24 h) DAY 1

    DAY 2

    TSA (37oC, 24 h) DAY 3

    Biochemical & Serological Testing DAY 4

    !! standardised and validated protocols are

    in place to facilitate the recovery of

    Salmonella from a food matrix

    !! present in food in low numbers

    !! Salmonella are usually stressed and must

    be allowed to recover prior to isolation on

    selective culture media

    !! the strategy can facilitate the culture of

    Salmonella

    !! for epidemiological purposes additional

    tests must be performed to improve the

    definition of the isolate

  • Salm

    on

    ella

    Ag

    on

    a

    Salm

    on

    ella A

    go

    na

    Sal.

    Typ

    him

    uri

    um

    Do these isolates have the same phenotype?

    Why sub-type bacterial isolates?

    !! for quality control purposes, where bacteria are added to foods

    !! to define the ecology of a food production site and identify persistent

    isolates that have adapted and to locate contamination hot-spots

    !! to protect public health

  • Salmonella in contaminated food

    (ingestion)

    Attachment to epithelial cells

    Injection of effector proteins

    Invasion & Production of

    chemotactic factors

    Macrophage death and/or

    Survival inside these cells

    Systemic infection

    Phagocytosis (macrophages) and/or

    Infiltration of PMN’s

    Migration of PMN’s

    (through epithelial cells)

    Detachment of

    epithelial cells

    Fluid secretion (diarrhoea)

    Stomach

    (pH 2)

    Intestine

    (pH 9)

    Host cells

    Lamina propria

    (pH 8.7-9.4)

    Host cells

  • !"#$%&'($

    )&*+$%&'($

    CCP Step

    Bacterial stress challenges-

    -! pH food matrix

    -! hygiene measures (biocides)

    -! moisture (aw)

    -! heat

    -! antibacterial measures

    Stress increases

    ,-.+"*/0$/'1-2/$

  • It is not the strongest of the species that survives,

    nor the most intelligent that survives.

    It is the one that is the most adaptable to change

    Charles Darwin

  • !! !"#$%"&'()*"+,"%-./.%"0123"4156"'"!"&'()*"+,"7/8%9"

    !! :*'5";*

  • Food

    matrix

    Year Pathogen No. affected

    (country/ies)

    Details

    Cereal

    (puffed)

    2008 S. Agona 28 Puffed rice and puffed wheat cereals implicated in the outbreak were manufactured at the same plant

    that manufactured toasted oat cereal implicated in a 1998 outbreak of S. Agona infections. S. Agona

    was isolated from the plant and from bags of puffed rice cereals

    Cereal

    (toasted)

    1998 S. Agona 209 An opened box of cereal yielded a S. Agona isolate with a PFGE pattern indistinguishable from

    the predominant PFGE pattern among outbreak-associated clinical isolates. Cereal from

    unopened boxes was also positive for S. Agona

    Tea

    (aniseed)

    2003 S. Agona 42

    (Germany)

    S. Agona was isolated from six brands of tea containing aniseed. Various serotypes were

    isolated from 61 (11%) of 575 tea and other products containing aniseed. S. Agona survived

    upon exposure to hot water during tea-making

    Snack

    (savory)

    1994 S. Agona

    PT15

    >2,200

    (Israel; UK &

    USA)

    Snacks were manufactured on at least seven separate dates over a 4-month period. Levels

    were estimated to be 2 - 45 CFU/25 g packet of peanut flavoured snack

    common feature in all of these outbreaks –low moisture food

    Outbreaks linked to Salmonella Agona

  • Collection of isolates

    [pre-, post-outbreak]

    Sub-typing by PFGE

    Genetic characterisation

    [genotype]

    Physiological characterisation

    [phenotype]

    Optical mapping

    Genome sequencing

    gap closure

    annotation

    Biofilm formation

    Growth curves

    Acid tolerance

    Tolerance to biocides

    Motlity

    Ex vivo cell culture studies

  • Malt-o-Meal outbreak: 08-0333

    Outbreak strain: 08-0024249 Sump strain: R0102/09

  • Genomic DNA is captured as single DNA

    molecules

    DNA is digested with a restriction

    endonuclease

    Fluorescent intensity is measured to

    determine fragment sizes

    Order is maintained Whole genome restriction map

  • !! sub-typing supports epidemiological investigation, though these methods can also be

    applied in a broader context

    !! though isolates may have indistinguishable DNA fingerprints, there phenotypes may

    differ, reflecting adaptation to a stress condition

    !! failure in a critical CCP may lead to the escape of an adapted pathogen (following pre-

    selection at one or more stages)

    !! food safety management systems must be integrated with an environmental

    management system

    !! a structured collaboration between stakeholders can facilitate a better understanding

    of these issues

  • Marta Martens

    Matthew McCusker

    Sarah Finn Karen Power

    Acknowledgements

    Evonne McCabe

    Denis O’Leary

    Kaye Burgess Geraldine Duffy

    Alan Reilly

    Wayne Anderson Food Institutional Research Measure (FIRM)- Network & Team Building Initiative

    grant no.: 06/TNIUCD10