Simultaneous infection with three different S. enteritidis strains in a nursing home resident

G Scuderi1, E Filetici, M Fantasia

  • 1Istituto Superiore di Sanità, Rome, Italy.

Insights

A nursing home outbreak revealed a mixed Salmonella enteritidis infection with three distinct strains. Plasmid analysis and phage typing were crucial for characterizing these Salmonella enteritidis strains.

Area of Science:

  • Microbiology
  • Epidemiology
  • Bacterial Genetics

Background:

  • Salmonella enteritidis outbreaks pose significant public health challenges, particularly in vulnerable settings like nursing homes.
  • Accurate strain characterization is essential for effective outbreak investigation and control.

Observation:

  • A culture from a nursing home resident during a Salmonella enteritidis outbreak identified a mixed infection involving three distinct strains.
  • One strain was identified as phage type (PT) 4, another as PT6, and a third reacted with phages but was non-typable (RDNC).

Findings:

  • All three Salmonella enteritidis strains possessed a 38.9 megadalton (MDa) plasmid, consistent with other outbreak isolates.
  • Additionally, the PT6 and RDNC strains harbored a larger 69.9 MDa plasmid.

Implications:

  • Phage typing and plasmid analysis are vital tools for differentiating Salmonella enteritidis strains during epidemiological investigations.
  • Understanding plasmid profiles aids in tracing the source and spread of infections, informing public health interventions.
  • This study highlights the genetic diversity within Salmonella enteritidis outbreaks and the importance of comprehensive strain analysis.

Related Concept Videos

Bacterial Gastroenteritis01:18

Bacterial Gastroenteritis

Bacterial gastroenteritis, characterized by diarrhea, abdominal cramps, and vomiting, is often caused by ingestion of contaminated food or water and is frequently associated with pathogenic Escherichia coli strains. These microbes exploit two principal mechanisms to inflict disease.Shiga toxin–producing E. coli, also referred to as STEC—notably O157:H7—release Shiga toxins that target ribosomes, blocking protein synthesis. The B subunit of the toxin binds the host glycolipid receptor...
Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care01:30

Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care

A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
Endocarditis I: Introduction01:25

Endocarditis I: Introduction

Introduction:Endocarditis is the infection of the endocardium, the inner lining of the heart and its valves. When the heart muscle is involved, the condition is termed myocarditis, while an infection of the outer lining is called pericarditis. Infective endocarditis (IE) primarily affects the endocardium, where pathogens adhere to the valves or lining, forming vegetation that can lead to severe complications. Infective endocarditis occurs when microorganisms, usually bacteria from other body...
Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic01:26

Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic

Healthcare-associated infections (HAIs) occur in a healthcare facility while a person receives care for another ailment. This category also includes work-related infections among healthcare staff.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies. Common...
Endocarditis IV: Nursing Management01:29

Endocarditis IV: Nursing Management

Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
Urinary Tract Infection IV: Nursing Management01:17

Urinary Tract Infection IV: Nursing Management

In managing urinary tract infections (UTIs) in nursing, a comprehensive assessment is essential. Begin by gathering subjective data, such as the patient’s complaints of dysuria (painful urination), urinary frequency, urgency, suprapubic pain, and any lower abdominal discomfort. This information can be complemented by questions regarding previous UTIs, sexual activity, and personal hygiene practices, which can provide insight into risk factors. Objective assessment should focus on signs like...