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Salmonella enteritidis outbreak in Thailand: study by random amplified polymorphic DNA (RAPD) analysis
1Department of Pathology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Summary
A 1990 Salmonella enteritidis outbreak in Thailand was primarily caused by a single clone. Random Amplified Polymorphic DNA (RAPD) analysis identified this dominant clone, likely originating from chickens, responsible for most human and chicken infections.
Area of Science:
- Microbiology
- Epidemiology
- Molecular Biology
Background:
- A significant outbreak of Salmonella enteritidis occurred in Thailand starting in 1990.
- Salmonella enteritidis isolates were predominantly found in chicken and human sources nationwide.
- The sustained high rate of spread necessitated an investigation into potential clonal origins.
Purpose of the Study:
- To investigate clonal involvement in the 1990 Salmonella enteritidis outbreak in Thailand.
- To identify the specific clones responsible for the ongoing epidemic.
- To determine the potential source and invasive characteristics of Salmonella enteritidis during the outbreak.
Main Methods:
- Clonal identification of 125 Salmonella enteritidis isolates from 1990-1993.
- Utilized Random Amplified Polymorphic DNA (RAPD) analysis for genotyping.
- Analysis of isolate distribution across different sources (chicken, human, blood).
Main Results:
- Eight distinct clones (profiles no. 1-8) were identified using RAPD analysis.
- A single predominant clone, profile no. 4, accounted for 93.6% of all isolates.
- This dominant clone was prevalent in both chicken and human isolates, suggesting chickens as the primary source.
- Nearly 40% of Salmonella enteritidis isolates were from blood cultures, indicating potential invasiveness.
Conclusions:
- The Salmonella enteritidis outbreak in Thailand was largely driven by a single clone (RAPD profile no. 4).
- Chickens are strongly implicated as the source of this dominant Salmonella enteritidis clone.
- The high proportion of blood isolates suggests significant invasiveness of Salmonella enteritidis in the Thai population during the epidemic.