Plasmid profile analysis of salmonellae in a large-animal hospital

Insights

Plasmid profile analysis identified hospital-acquired salmonellosis in veterinary patients. Improvements in hospital sanitation and traffic flow significantly reduced salmonella infections, demonstrating the value of plasmid analysis for monitoring.

Area of Science:

  • Veterinary Medicine
  • Microbiology
  • Infectious Diseases

Background:

  • Nosocomial salmonellosis is a significant concern in veterinary hospitals.
  • Identifying the sources and transmission routes of Salmonella is crucial for control.

Purpose of the Study:

  • To assess the impact of hospital operational improvements on nosocomial salmonellosis.
  • To evaluate the utility of plasmid profile analysis in monitoring Salmonella strains.

Main Methods:

  • Plasmid profiles of Salmonella isolates from patients and the hospital environment were analyzed.
  • Strain identification was compared between plasmid profiling, serotyping, and antimicrobial susceptibility testing.
  • Sampling was conducted before and after implementing hospital operational changes.

Main Results:

  • Plasmid profile analysis was more sensitive than serotyping or antimicrobial susceptibility testing for identifying Salmonella isolates.
  • In 1983, three distinct Salmonella strains were linked to both patients and environmental sites, indicating hospital-acquired infections.
  • Following improvements in 1984, a significant decrease in Salmonella incidence was observed, with no recurring strains found in both patient and environmental samples.

Conclusions:

  • The high incidence of salmonellosis in 1983 was primarily due to nosocomial infections.
  • Improvements in hospital operations effectively reduced the incidence of salmonellosis.
  • Plasmid analysis is a valuable tool for monitoring and controlling nosocomial salmonellosis in veterinary settings.