Simultaneous infection with three different S. enteritidis strains in a nursing home resident
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Published on: December 4, 2020
G Scuderi1, E Filetici, M Fantasia
1Istituto Superiore di Sanità, Rome, Italy.
Abstract:
A culture taken from a nursing home resident as part of a S. enteritidis outbreak was found to have a mixed infection due to three different strains of S. enteritidis. One of the three strains belonged to phage type (PT) 4, one to PT6 and one reacted with phages but did not conform to any typing scheme (RDNC). All three strains had the 38.9 megadaltons (MDa) plasmid found in the isolates from the outbreak-related cases, in addition the PT6 and RDNC strains harboured a 69.9 MDa plasmid. The importance of phage typing and plasmid analysis for S. enteritidis strain characterization and their epidemiologic and bacterial significance are discussed.
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.
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