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Characterization of Cronobacter recovered from dried milk and related products
Walid M El-Sharoud1, Stephen O'Brien, Carmen Negredo
1Food Safety and Microbial Physiology Laboratory, Dairy Department, Faculty of Agriculture, Mansoura University, Mansoura, Egypt. wmel_sharoud@mans.edu.eg
Insights
Cronobacter bacteria were found in Egyptian dried milk products, posing a risk of infection, especially to infants. This study identified contamination sources and characterized the bacterial strains, highlighting the need for further food safety measures.
Area of Science:
- Food Microbiology
- Bacterial Pathogenesis
- Public Health
Background:
- Cronobacter, a genus including Enterobacter sakazakii, causes severe infections in infants and immunocompromised individuals.
- Infant formula is a known transmission route, but food reservoirs remain largely undefined.
- Identifying food sources is crucial for preventing Cronobacter transmission.
Purpose of the Study:
- To identify and characterize Cronobacter strains in dried milk and related products from an Egyptian market.
- To assess the prevalence and antibiotic resistance of Cronobacter in these food items.
Main Methods:
- Isolation and identification of Cronobacter from 152 dairy products.
- Phenotypic characterization using biochemical tests.
- Genotypic analysis including real-time PCR, PFGE, rep-PCR, and recN gene sequencing.
- Antibiotic susceptibility testing.
Main Results:
- Sixteen Cronobacter strains were isolated from 152 samples.
- Three strains exhibited resistance to trimethoprim and/or neomycin.
- PFGE identified 8 types, and rep-PCR identified 3 types, indicating genetic diversity.
- recN gene sequencing differentiated Cronobacter species.
Conclusions:
- Cronobacter contamination was confirmed in dried milk products from Egypt.
- Antibiotic resistance in some isolates highlights potential public health risks.
- Combined phenotypic and genotypic analysis is recommended for effective control and prevention of Cronobacter transmission in food products.
Background:
Cronobacter is a recently proposed genus consisting of six genomospecies that encompass the organisms previously identified as Enterobacter sakazakii. Cronobacter are opportunistic pathogens and are known to cause serious infections in infants, particularly neonates. High case fatality rates have been associated with infections and acute sequelae can occur in survivors with severe ramifications on neurological development. Infant formula has been identified as one route of transmission for infection in infants. However, the primary reservoirs for subsequent contamination of foods with Cronobacter remain undefined due to the ubiquitous nature of these organisms. More recently, infections in adults have been reported, especially amongst the elderly and patients who are immunocompromised. To help prevent the transmission of infection, it is important to identify the main food sources for Cronobacter. The aim of this study was to identify and characterize Cronobacter isolated from dried-milk and related products available in an Egyptian food market.
Results:
In total sixteen Cronobacter strains were isolated from 152 dairy-based products. These were identified and characterized using pheno- and genotyping experiments. Real-time PCR confirmed the detection of Cronobacter. Following antibiotic susceptibility tests, 3 strains showed resistance to trimethoprim and/or neomycin. Phenotype profiles were generated based on key biochemical distinguishing tests. Pulsed-field gel electrophoresis (PFGE) identified 8 PFGE types amongst the collection of strains. Repetitive sequence based PCR (rep-PCR) analysis identified 3 rep-PCR types amongst the collection of strains. Sequencing of the recN gene was used to differentiate among the recently described species of Cronobacter.
Conclusion:
This study identified the presence of Cronobacter in dried milk and related products sourced from the Nile-Delta region of Egypt. Although the majority of the strains were susceptible to the antibiotics tested, resistance was observed in three isolates, highlighting the risks associated with Cronobacter contamination in foods. Phenotype and genotype analysis should be applied to further characterize Cronobacter spp. and prevent its transmission into food products.
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