1887

Abstract

Bacterial dysentery is one of the greatest causes of morbidity and mortality worldwide. spp. and diarrhoeagenic (DEC) are recognised as the most common causes of bacterial enteritis in developing countries including India.

Rapid and accurate identification of dysentery causing organisms using molecular methods is essential for better disease management, epidemiology and outbreak investigations.

In view of the limited information available on the dysentery causing agents like spp., enterohemorrhagic (EHEC)/enteropathogenic (EPEC) and enteroinvasive (EIEC)/ in India, this study was undertaken to investigate the presence of these pathogens in human and poultry stool samples by molecular methods.

In total, 400 human stool samples and 128 poultry samples were studied. Microaerophilic culture along with real-time multiplex PCR with the targets specific to the genus , , , EHEC, EPEC and EIEC/ was performed. Further species confirmation was done using MALDI-TOF MS.

On microaerophilic culture, was isolated in one human sample and two and one in poultry samples. On PCR analysis, among human stool samples, typical EPEC (42%) was predominantly seen followed by spp. (19%) and EIEC/ (10%). In contrast, spp. (41%) was predominant in poultry samples, followed by typical EPEC (26%) and EIEC/ (9%). Poly-infections with spp. and DEC were also observed among both sources.

The present study documented the increased prevalence of spp. in humans compared with the results of previous studies from India. Typical EPEC was found to be predominant in children less than 5 years of age in this study. The high prevalence of coinfections in the current study indicates that a multiple aetiology of diarrhoea is common in our settings.

Keyword(s): Campylobacter spp , dysentery , EIEC , EPEC and poultry
Loading

Article metrics loading...

/content/journal/jmm/10.1099/jmm.0.001478
2022-01-17
2024-05-02
Loading full text...

Full text loading...

References

  1. Moharana SS, Panda RK, Dash M, Chayani N, Bokade P et al. Etiology of childhood diarrhoea among under five children and molecular analysis of antibiotic resistance in isolated enteric bacterial pathogens from a tertiary care hospital, Eastern Odisha, India. BMC Infect Dis 2019; 19:1–9 [View Article] [PubMed]
    [Google Scholar]
  2. GBD 2016 Diarrhoeal Disease Collaborators Estimates of the global, regional, and national morbidity, mortality, and aetiologies of diarrhoea in 195 countries: a systematic analysis for the global burden of disease study 2016. Lancet Infect Dis 2018; 18:1211–1228
    [Google Scholar]
  3. Liu J, Platts-Mills JA, Juma J, Kabir F, Nkeze J et al. Use of quantitative molecular diagnostic methods to identify causes of diarrhoea in children: a reanalysis of the GEMS case-control study. Lancet 2016; 388:1291–1301 [View Article] [PubMed]
    [Google Scholar]
  4. Kotloff KL. The burden and etiology of diarrheal illness in developing countries. Pediatr Clin North Am 2017; 64:799–814 [View Article] [PubMed]
    [Google Scholar]
  5. Wang X, Wang J, Sun H, Xia S, Duan R et al. Etiology of childhood infectious diarrhea in a developed region of China: compared to childhood diarrhea in a developing region and adult diarrhea in a developed region. PLoS ONE 2015; 10:e0142136 [View Article]
    [Google Scholar]
  6. Mohakud NK, Patra SD, Kumar S, Sahu PS, Misra N et al. Detection and molecular typing of Campylobacter isolates from human and animal faeces in coastal belt of Odisha, India. Indian J Med Microbiol 2019; 37:345–350 [View Article] [PubMed]
    [Google Scholar]
  7. Mughal MH. Campylobacteriosis: A Global Threat. BJSTR 2018; 11:8804–8808 [View Article]
    [Google Scholar]
  8. Li Y, Zhang S, He M, Zhang Y, Fu Y et al. Prevalence and molecular characterization of Campylobacter spp. isolated from patients with diarrhea in Shunyi, Beijing. Front Microbiol 2018; 9:52 [View Article] [PubMed]
    [Google Scholar]
  9. European Centre for Disease Prevention and Control The European Union summary report on trends and sources of zoonoses, zoonotic agents and food‐borne outbreaks in 2010. EFSA Journal 2012; 10:2597 [View Article]
    [Google Scholar]
  10. Allos BM. Campylobacter jejuni Infections: update on emerging issues and trends. Clin Infect Dis 2001; 32:1201–1206 [View Article] [PubMed]
    [Google Scholar]
  11. Centers for Disease Control and Prevention (CDC) Preliminary FoodNet Data on the incidence of infection with pathogens transmitted commonly through food--10 States, 2008. MMWR Morb Mortal Wkly Rep 2009; 58:333–337 [PubMed]
    [Google Scholar]
  12. European Centre for Disease Prevention and Control: Annual Epidemiological Report 2011 Reporting on 2009 surveillance data and 2010 epidemic intelligence data 2011
    [Google Scholar]
  13. Schielke A, Rosner BM, Stark K. Epidemiology of campylobacteriosis in Germany – insights from 10 years of surveillance. BMC Infect Dis 2014; 14:1–8 [View Article]
    [Google Scholar]
  14. Coker AO, Isokpehi RD, Thomas BN, Amisu KO, Obi CL. Human campylobacteriosis in developing countries. Emerg Infect Dis 2002; 8:237–244 [View Article] [PubMed]
    [Google Scholar]
  15. Platts-Mills JA, Kosek M. Update on the burden of Campylobacter in developing countries. Curr Opin Infect Dis 2014; 27:444–450 [View Article] [PubMed]
    [Google Scholar]
  16. Mukherjee P, Ramamurthy T, Bhattacharya MK, Rajendran K, Mukhopadhyay AK. Campylobacter jejuni in hospitalized patients with diarrhea, Kolkata, India. Emerg Infect Dis 2013; 19:1155–1156 [View Article]
    [Google Scholar]
  17. Saka HK, Dabo NT, Muhammad B, García-Soto S, Ugarte-Ruiz M et al. Diarrheagenic Escherichia coli pathotypes from children younger than 5 years in Kano State, Nigeria. Front Public Health 2019; 7:348 [View Article] [PubMed]
    [Google Scholar]
  18. Vaishnavi C, Singh M, Thakur JS, Thapa BR. Low prevalence of Campylobacteriosis in the Northern Region of India. AiM 2015; 05:155–165 [View Article]
    [Google Scholar]
  19. Rajagunalan S, Bisht G, Pant S, Singh SP, Singh R et al. Prevalence and molecular heterogeneity analysis of Campylobacter jejuni and Campylobacter coli isolated from human, poultry and cattle Pantnagar, India. Vet Arhiv 2014; 84:493–504
    [Google Scholar]
  20. Salim SM, Mandal J, Parija SC. Isolation of Campylobacter from human stool samples. Indian J Med Microbiol 2014; 32:35–38 [View Article] [PubMed]
    [Google Scholar]
  21. Crushell E, Harty S, Sharif F, Bourke B. Enteric Campylobacter: purging its secrets?. Pediatr Res 2004; 55:3–12 [View Article] [PubMed]
    [Google Scholar]
  22. Canizalez-Roman A, Flores-Villaseñor HM, Gonzalez-Nuñez E, Velazquez-Roman J, Vidal JE et al. Surveillance of diarrheagenic Escherichia coli strains isolated from diarrhea cases from children, adults and elderly at Northwest of Mexico. Front Microbiol 2016; 7:1924 [View Article] [PubMed]
    [Google Scholar]
  23. Omolajaiye SA, Afolabi KO, Iweriebor BC. Pathotyping and antibiotic resistance profiling of Escherichia coli isolates from children with acute diarrhea in amatole district municipality of Eastern Cape, South Africa. Biomed Res Int 2020; 2020:4250165 [View Article] [PubMed]
    [Google Scholar]
  24. Franzolin MR, Alves RCB, Keller R, Gomes TAT, Beutin L et al. Prevalence of diarrheagenic Escherichia coli in children with diarrhea in Salvador, Bahia, Brazil. Mem Inst Oswaldo Cruz 2005; 100:359–363 [View Article] [PubMed]
    [Google Scholar]
  25. Thakur N, Jain S, Changotra H, Shrivastava R, Kumar Y et al. Molecular characterization of diarrheagenic Escherichia coli pathotypes: Association of virulent genes, serogroups, and antibiotic resistance among moderate-to-severe diarrhea patients. J Clin Lab Anal 2018; 32:e22388 [View Article] [PubMed]
    [Google Scholar]
  26. Gomes TAT, Elias WP, Scaletsky ICA, Guth BEC, Rodrigues JF et al. Diarrheagenic Escherichia coli . Braz J Microbiol 2016; 47 Suppl 1:3–30 [View Article] [PubMed]
    [Google Scholar]
  27. Jafari A, Aslani MM, Bouzari S. Escherichia coli: a brief review of diarrheagenic pathotypes and their role in diarrheal diseases in Iran. Iran J Microbiol 2012; 4:102–117 [PubMed]
    [Google Scholar]
  28. Modgil V, Mahindroo J, Narayan C, Kalia M, Yousuf M et al. Comparative analysis of virulence determinants, phylogroups, and antibiotic susceptibility patterns of typical versus atypical enteroaggregative E. coli in India. PLoS Negl Trop Dis 2020; 14:e0008769 [View Article] [PubMed]
    [Google Scholar]
  29. Ochoa TJ, Barletta F, Contreras C, Mercado E. New insights into the epidemiology of enteropathogenic Escherichia coli infection. Trans R Soc Trop Med Hyg 2008; 102:852–856 [View Article] [PubMed]
    [Google Scholar]
  30. Chellapandi K, Dutta TK, Sharma I, De Mandal S, Kumar NS et al. Prevalence of multi drug resistant enteropathogenic and enteroinvasive Escherichia coli isolated from children with and without diarrhea in Northeast Indian population. Ann Clin Microbiol Antimicrob 2017; 16:1–9 [View Article] [PubMed]
    [Google Scholar]
  31. Xu Y, Bai X, Zhao A, Zhang W, Ba P et al. Genetic diversity of intimin gene of atypical enteropathogenic Escherichia coli isolated from human, animals and raw meats in China. PLoS ONE 2016; 11:e0152571 [View Article]
    [Google Scholar]
  32. Wiedermann U, Kollaritsch H. Vaccines against traveler’s diarrhoea and rotavirus disease – a review. Wien Klin Wochenschr 2006; 118:2–8 [View Article]
    [Google Scholar]
  33. Nataro JP, Kaper JB. Diarrheagenic Escherichia coli . Clin Microbiol Rev 1998; 11:142–201 [View Article] [PubMed]
    [Google Scholar]
  34. Huang DB, Nataro JP, DuPont HL, Kamat PP, Mhatre AD et al. Enteroaggregative Escherichia coli is a cause of acute diarrheal illness: a meta-analysis. Clin Infect Dis 2006; 43:556–563 [View Article] [PubMed]
    [Google Scholar]
  35. Le Bouguénec C, Servin AL. Diffusely adherent Escherichia coli strains expressing Afa/Dr adhesins (Afa/Dr DAEC): hitherto unrecognized pathogens. FEMS Microbiol Lett 2006; 256:185–194 [View Article] [PubMed]
    [Google Scholar]
  36. García-Sánchez L, Melero B, Rovira J. Campylobacter in the food chain. Adv Food Nutr Res 2018; 86:215–252 [View Article] [PubMed]
    [Google Scholar]
  37. Pasqua M, Michelacci V, Di Martino ML, Tozzoli R, Grossi M et al. The intriguing evolutionary journey of enteroinvasive E. coli (EIEC) toward pathogenicity. Front Microbiol 2017; 8:2390 [View Article] [PubMed]
    [Google Scholar]
  38. van den Beld MJC, de Boer RF, Reubsaet FAG, Rossen JWA, Zhou K et al. Evaluation of a culture-dependent algorithm and a molecular algorithm for identification of Shigella spp., Escherichia coli, and enteroinvasive E. coli . J Clin Microbiol 2018; 56:e00510-18 [View Article] [PubMed]
    [Google Scholar]
  39. Aslam A, Okafor CN. Shigella. InStatPearls [Internet]. StatPearls Publishing; 2020 https://www.ncbi.nlm.nih.gov/books/NBK482337/
  40. Antikainen J, Kantele A, Pakkanen SH, Lääveri T, Riutta J et al. A quantitative polymerase chain reaction assay for rapid detection of 9 pathogens directly from stools of travelers with diarrhea. Clin Gastroenterol Hepatol 2013; 11:1300–1307 [View Article] [PubMed]
    [Google Scholar]
  41. Rich C, Alfidja A, Sirot J, Joly B, Forestier C. Identification of human enterovirulent Escherichia coli strains by multiplex PCR. J Clin Lab Anal 2001; 15:100–103 [View Article] [PubMed]
    [Google Scholar]
  42. Bugarel M, Martin A, Fach P, Beutin L. Virulence gene profiling of enterohemorrhagic (EHEC) and enteropathogenic (EPEC) Escherichia coli strains: a basis for molecular risk assessment of typical and atypical EPEC strains. BMC Microbiol 2011; 11:1–0 [View Article]
    [Google Scholar]
  43. Shetty VA, Kumar SH, Shetty AK, Karunasagar I, Karunasagar I. Prevalence and characterization of diarrheagenic Escherichia coli isolated from adults and children in Mangalore, India. J Lab Physicians 2020; 4:024–029 [View Article]
    [Google Scholar]
  44. Ferdous M, Zhou K, Mellmann A, Morabito S, Croughs PD et al. Is Shiga toxin-negative Escherichia coli O157:H7 enteropathogenic or enterohemorrhagic Escherichia coli? comprehensive molecular analysis using whole-genome sequencing. J Clin Microbiol 2015; 53:3530–3538 [View Article] [PubMed]
    [Google Scholar]
  45. Lakshminarayanan S, Jayalakshmy R. Diarrheal diseases among children in India: Current scenario and future perspectives. J Nat Sci Biol Med 2015; 6:24–28 [View Article] [PubMed]
    [Google Scholar]
  46. Anbuselvan B. ‘Livestock Census: Tamil Nadu has highest poultry population in country’, The New Indian Express, 21 October; 2019 https://www.newindianexpress.com/states/tamil-nadu/2019/oct/21/livestock-census-tamil-nadu-has-highest-poultry-population-in-country-2050582.html
  47. OECD Meat consumption (indicator). doi:10.1787/fa290fd0-en; 2021
  48. Rajendran P, Babji S, George AT, Rajan DP, Kang G et al. Detection and species identification of Campylobacter in stool samples of children and animals from Vellore, south India. Indian J Med Microbiol 2012; 30:85–88 [View Article] [PubMed]
    [Google Scholar]
  49. Amour C, Gratz J, Mduma E, Svensen E, Rogawski ET et al. Epidemiology and impact of Campylobacter infection in children in 8 low-resource settings: results from the MAL-ED Study. Clin Infect Dis 2016; 63:1171–1179 [View Article] [PubMed]
    [Google Scholar]
  50. Komba EVG, Mdegela RH, Msoffe PLM, Ingmer H. Human and animal campylobacteriosis in Tanzania: A review. Tanzan J Health Res 2013; 15:40–50 [View Article] [PubMed]
    [Google Scholar]
  51. Jilo K, Yadeta W, Kanchu G, Yang X, Guo F et al. Review on campylobacteriosis in Ethiopia perspective. WJPH 2021; 6:25 [View Article]
    [Google Scholar]
  52. Randremanana RV, Randrianirina F, Sabatier P, Rakotonirina HC, Randriamanantena A et al. Campylobacter infection in a cohort of rural children in Moramanga, Madagascar. BMC Infect Dis 2014; 14:1–9 [View Article] [PubMed]
    [Google Scholar]
  53. Brooks JT, Ochieng JB, Kumar L, Okoth G, Shapiro RL et al. Surveillance for bacterial diarrhea and antimicrobial resistance in rural western Kenya, 1997-2003. Clin Infect Dis 2006; 43:393–401 [View Article] [PubMed]
    [Google Scholar]
  54. Borkakoty B, Jakharia A, Sarmah MD, Hazarika R, Baruah PJ et al. Prevalence of Campylobacter enteritis in children under 5 years hospitalised for diarrhoea in two cities of Northeast India. Indian J Med Microbiol 2020; 38:32–36 [View Article] [PubMed]
    [Google Scholar]
  55. Hien BTT, Scheutz F, Cam PD, Serichantalergs O, Huong TT et al. Diarrheagenic Escherichia coli and Shigella strains isolated from children in a hospital case-control study in Hanoi, Vietnam. J Clin Microbiol 2008; 46:996–1004 [View Article] [PubMed]
    [Google Scholar]
  56. Ratchtrachenchai OA, Subpasu S, Hayashi H, Ba-Thein W. Prevalence of childhood diarrhoea-associated Escherichia coli in Thailand. J Med Microbiol 2004; 53:237–243 [View Article] [PubMed]
    [Google Scholar]
  57. Alizade H, Ghanbarpour R, Aflatoonian MR. Molecular study on diarrheagenic Escherichia coli pathotypes isolated from under 5 years old children in southeast of Iran. Asian Pac J Trop Dis 2014; 4:S813–S817 [View Article]
    [Google Scholar]
  58. Singh P, Metgud SC, Roy S, Purwar S. Evolution of diarrheagenic Escherichia coli pathotypes in India. J Lab Physicians 2019; 11:346–351 [View Article] [PubMed]
    [Google Scholar]
  59. Dutta S, Guin S, Ghosh S, Pazhani GP, Rajendran K et al. Trends in the prevalence of diarrheagenic Escherichia coli among hospitalized diarrheal patients in Kolkata, India. PLoS One 2013; 8:e56068 [View Article] [PubMed]
    [Google Scholar]
  60. Same RG, Tamma PD. Campylobacter infections in children. Pediatr Rev 2018; 39:533–541 [View Article] [PubMed]
    [Google Scholar]
  61. Kim YJ, Park K-H, Park D-A, Park J, Bang BW et al. Guideline for the antibiotic use in acute gastroenteritis. Infect Chemother 2019; 51:217 [View Article]
    [Google Scholar]
  62. Bielaszewska M, Idelevich EA, Zhang W, Bauwens A, Schaumburg F et al. Effects of antibiotics on Shiga toxin 2 production and bacteriophage induction by epidemic Escherichia coli O104:H4 strain. Antimicrob Agents Chemother 2012; 56:3277–3282 [View Article] [PubMed]
    [Google Scholar]
  63. Lanjewar M, De A, Mathur M. Diarrheagenic E. coli in hospitalized patients: special reference to Shiga-like toxin producing Escherichia coli. Indian J Pathol Microbiol 2010; 53:75 [View Article]
    [Google Scholar]
  64. Snehaa K, Singh T, Dar SA, Haque S, Ramachandran VG et al. Typical and atypical enteropathogenic Escherichia coli in children with acute diarrhoea: Changing trend in East Delhi. Biomed J 2021; 44:471–478 [View Article] [PubMed]
    [Google Scholar]
  65. Natarajan M, Kumar D, Mandal J, Biswal N, Stephen S. A study of virulence and antimicrobial resistance pattern in diarrhoeagenic Escherichia coli isolated from diarrhoeal stool specimens from children and adults in a tertiary hospital, Puducherry, India. J Health Popul Nutr 2018; 37:1 [View Article] [PubMed]
    [Google Scholar]
http://instance.metastore.ingenta.com/content/journal/jmm/10.1099/jmm.0.001478
Loading
/content/journal/jmm/10.1099/jmm.0.001478
Loading

Data & Media loading...

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error