Background
In spite of significant improvement in technology and hygienic practices at all stages of poultry production accompanied with advanced improvement in public sanitation, salmonellosis and
Salmonella infections remains a persistent threat to human and animal health. In many countries high incidence of salmonellosis in man appears to be caused by infection derived from contaminated eggs, poultry meat and meat-products. The contaminated products cause disease as a result of inadequate cooking or cross contamination of working surfaces in kitchen environment [
1‐
3].
The genus
Salmonella of the family
Enterobacteriaceae includes more than 3000 distinct serovars that have many host species and cause different diseases; most of which show little specificity for their host species [
4‐
7]. The genus
Salmonella can roughly be classified into three categories or groups: Group 1, highly host-adapted and invasive serovars: this group includes species restricted and invasive
Salmonella such as
S. Pullorum,
S. Gallinarum in poultry and
S. Typhi in humans. Group 2, non-host-adapted and invasive serovars: this group consists of approximately 10–20 serovars that are able to cause an invasive infection in poultry and may be capable of infecting humans. Currently, the most important serovars are
S. Enteritidis,
S. Typhimurium,
S. Hadar,
S. Heidelberg,
S. Saintpaul
and S. Infantis. Group 3, non-host-adapted and non-invasive serovars: most serovars of the genus
Salmonella belong to this group and may cause disease in humans and other animals [
8‐
14].
Although the acute enteritis caused by
Salmonella species in humans is usually self-limiting, salmonellosis may be complicated especially in younger and older ages by severe systemic sequelae depending on serotype and on host-specific factors [
15‐
17].
Salmonella enterica serovar Typhimurium and
S. enterica serovar Enteritidis have been identified as the predominant serotypes present in Egyptian poultry farms [
18].
Salmonella enterica serovar Enteritidis has been associated with disease in broiler breeding stock and can be transmitted vertically to their progeny [
19]. Infection of adult chickens with
S. enterica serovar Typhimurium is usually without clinical manifestation [
20].
S. enterica serovar Enteritidis can inhabit the intestinal tract of several bird species such as chickens, turkeys and game birds and has the ability to survive outside of the host for over 1 year.
S. enterica serovar Enteritidis infection in adult poultry is usually asymptomatic and infected bird will become a chronic carrier [
21,
22]. In chickens up to 6 weeks of age
S. enterica serovar Enteritidis may produce clinical symptoms including depression, disinclination to move, and diarrhoea, with high mortality especially in chicks less than 1 week of age [
23], while older chicks may show uneven growth and stunting. Laying hens sometimes produce
S. enterica serovar Enteritidis contaminated eggs leading to public health concerns [
19]. The diseased birds may show lesions of pericarditis, perihepatitis and septicaemia. The mortality and morbidity vary and has been found to depend upon the dosage and phage type of the
S. enterica serovar Enteritidis infection [
24,
25].
Antimicrobial resistance is increasingly becoming an issue with salmonellosis infections in both animals and humans [
26]. Understanding the key mechanisms involved in the evolution of antibiotics resistance in bacteria may aid scientific innovations aimed at controlling antimicrobial resistance [
27,
28]. Bacteria can acquire resistance genes through mobile elements such as plasmids, which provide flexibility to host bacteria and help in the spread and distribution of these genes across diverse bacterial populations [
29].
The inappropriate use of antibiotics in chicken farms in developing countries, including Egypt, is thought to be one of the main reasons for the increase in multidrug resistant bacteria [
30]. These multidrug resistant bacteria including both
S. enterica serovar Typhimurium, and
S. enterica serovar Enteritidis that have the potential to infect humans and with a consequent failure of treatment can lead to systemic infection and death [
31].
In this study, the incidence and antimicrobial resistance of S. enterica serovars Typhimurium and Enteritidis isolated from broiler chicken farms in Kafr El-Sheikh Province, Northern Egypt was reported. Determination of genes associated with antimicrobial resistance was investigated by examining the distribution of mobile integrons that carry the multidrug resistance cassettes within the genome of the isolated strains.
Discussion
Salmonella enterica serovars Typhimurium is known to be able to cause high rates of mortality in early ages of broiler chickens [
20]. The InvA protein is a putative inner membrane component of the
Salmonella pathogenicity island 1 (SPI-1) type 3 secretion system (TTSS) [
40]. It has been reported that
invA is present only in
Salmonella species and therefore is used as a golden marker in genetic diagnosis of
Salmonella species [
35]. In this study 17 broiler flocks were positive and 67
Salmonella strains were isolated. The overall rate of incidence of
Salmonella was (41%) in the screened broiler chicken flocks which was considerably higher than the infection rates that reported in the UK (10.7%), Lithuania (29%), Italy (20%), Netherlands (11%) and Germany (27.5% in chickens and 33.3% in turkeys) [
41‐
45]. The higher infection rate found in this study compared to that of Abd El-Ghany et al. [
18] shows the increased sensitivity of the use of the
invA gene marker for diagnosis compared to isolation through culture on specific agar.
Although the
S. enterica serovars Enteritidis is closely related to other pathogenic
S. enteric serovars, this serovar has some characteristics that appear to discriminate it from others serovars. As
S. enterica is known to contain the
Salmonella difference fragments (
sdf), a group of chromosomally encoded genes, which to date are of unknown function.
sdfI was reported by Agron et al. [
33] to be found only in
S. enterica serovars Enteritidis strains and considered to be a strong marker for this
Salmonella serovar.
sdfI was used as a target for phylotying of the serotype-specific
S. enterica serovars Enteritidis. In this study,
sdfI was present in 6 of the 67
invA positive isolates. These
sdfI positive strains were isolated from three of 41 screened farms. Our findings indicated that the
sdfIII gene marker was associated with the
sdfI positive strains. Interestingly,
sdfII was detected in all 67 strains isolated in this study of different serovars. This indicates that there is some degree of diversity within serovars that can be detected by the primers which in agreement with previous observation [
33,
35].
Bacteria use the fimbriae in the adherence to one another and to the host cells and in some instance to inanimate objects. Sef14 fimbriae have been shown to consist of a repeating major subunit of the 14.3 kDa protein SefA, encoded for by the
sefA gene and are required for macrophage uptake and survival in intraperitoneal infections [
46]. The
sefA gene is known to be specific to the poultry-associated
Salmonella serotypes Gallinarum and Enteritidis. It is also detected in serotype Dublin, although this serotype is more commonly associated with cattle [
47]. In the present study,
sefA was detected in all isolates of
S. enterica serovar Enteritidis. In the current study same six
S. enterica serovar Enteritidis isolates positive for
sdfI and
sdfIII markers were also positive for the
sefA gene; these six strains came from three
Salmonella infected chicken farms that were isolated from 41 screened farms.
In this study the
S. enteric serovar Typhimurium serotype specific virulent flagella genes
Typh and
fliC were used for phenotyping as recommended previously [
34,
35]. Flagella are multi-functional organelles that play different roles in the biology of bacteria. The motility functions of flagella help bacteria to acquire nutrients, move away from toxic materials, and move to specific colonization sites within hosts and to disperse in the environment during the course of transmission between hosts [
48]. The flagellum also primes the host immune system through activation of TLR5 receptors [
49].
sopE is a translocated effector protein that plays an important part in the systemic phase of salmonellosis infection;
sopE has been shown to be involved in actin cytoskeletal rearrangements and membrane ruffling [
36]. As a virulence factor that is frequently transferred by bacteriophages, the
sopE gene is encoded in the SPI-1, and has been identified in isolates involved in major epidemics;
sopE has therefore been identified as playing a key role in the emergence of epidemic strains [
50].
In study conducted by Rahman et al. [
51] indicated that
sopE gene appeared to be distributed and conserved among only a few serovars of
Salmonella (Enteritidis, Gallinarum and Virchow) irrespective of their source of isolation and the presence of
sopE gene in
Salmonella provides an important pathogenic means to invade epithelial cells [
51]. Moreover Prager et al. [
52] identified
sopE in all isolates of
S. enterica serovar Enteritidis and carrying of
sopE in
S. Enteritidis may contribute to their epidemiological success [
52]. In another study, all
Salmonella Enteritidis isolated from human, chicken, and egg houses tested positive for
sopE which may indicate its importance in pathogenesis [
53].
In this study 92.5% of the
Salmonella stains were harboured
sopE gene that suggested that these strains could have zoonotic potential as previously reported [
50‐
53].
There was a significant difference in mortality rate between
Salmonella infected and non-infected flocks at the 1st week of life, however, there was no difference in mortality between
Salmonella infected and non-infected flocks at the 5th week of age; a similar finding was previously reported [
20,
23]. According to previous study, the results suggest that the age at infection plays an important role in the persistence of
S. enteritidis infection in chickens and may cause severe infections and high mortality in young chickens [
54]. Unfortunately, in this study we did not investigate other possible causes of mortality which may act as co-factors.
There was a higher rate of
Salmonella isolation from the sampled internal organs, in the gall bladder and liver samples compared to the intestine samples indicating the ability of
Salmonella to cause systemic infection which in agreement with previous study [
55].
In this study All S. enterica serovars Typhimurium and non-typable Salmonella strains isolated in this study were resistance to ampicillin, chloramphenicol, and tetracycline.
All isolates were sensitive to gentamicin. The susceptibility of
S. enterica serovars Typhimurium to streptomycin and trimethoprim/sulphamethoxazole were 89.7 and 94.8%, respectively. In addition 10.3% had intermediate sensitivity to streptomycin while all non-typable
Salmonella strains were sensitive to trimethoprim/sulphamethoxazole and streptomycin. However, all
S. enterica serovars Enteritidis isolates were sensitive to all tested antimicrobial agents. In contrast
Salmonella isolates from South African chickens exhibited resistance to tetracycline (93%), trimethoprim–sulfamethoxazole (84%), gentamicin (48%), ampicillin (47%), chloramphenicol (31%), and streptomycin (12%) [
56].
Most of the phenotypically antibiotic resistance isolates were positive for some of the antibiotic resistance marker genes for each of the screened antibiotics.
The blaTEM gene was detected only in 65.5% of ampicillin resistant S. enterica serovar Typhimurium isolates. All of the isolated strains of S. enterica serovar Enteritidis were susceptible to ampicillin and were negative for blaTEM. The three non-typable Salmonella strains showed phenotypical resistance to ampicillin without harbouring the blaTEM gene, indicating that these strains possess another ampicillin resistance mechanism.
In this study, tetracycline resistance in the S. enterica serovar Typhimurium isolates correlated with the presence of tetC (96.6%), and tetA (84.5%). All tested strains were negative for tetB codon. tetA codon was also found in all of the non-typable Salmonella strains. All S. enterica serovar Enteritidis were sensitive to tetracycline. However, two of the strains were harboured both tetC and tetA determinants and one strain was harbouring tetA determinant. These cassettes were silent in this serotype strain in vitro, however, they may turn on in vivo.
All of the S. enterica serovar Enteritidis and non-typable Salmonella strains were sensitive to trimethoprim–sulphamethoxazole and all these strains were negative for the dfr1 codon and did not possess integron that contains dfrA12 trimethoprim resistance cassette. Although one strain of S. enterica serovar Enteritidis carried sul1 gene but not possessed any trimethoprim genes. All S. enterica serovar Typhimurium isolates were sensitive to trimethoprim–sulphamethoxazole despite 98% of isolates being positive for sul3 and 57% being positive for sul1, both of which confer sulphamethoxazole resistance. Interestingly, the three S. Typhimurium strains that were resistant to trimethoprim–sulphamethoxazole were found to harbour the 2 kp integron that contains the dfrA12 trimethoprim resistant marker.
All of the
Salmonella isolates were sensitive to the streptomycin despite the presence of streptomycin modifying enzyme gene cassettes (
aadA1,
aadA2 and
strA). This suggests that some of the antimicrobial resistance genes are silent in bacteria in vitro; however, these silent genes can spread to other bacteria or turn on in vivo, especially under antimicrobial pressure which in agreement with previous reports [
31,
57].
The cat1 gene, encoding chloramphenicol acetyltransferase, was identified in all resistant strains. In S. enterica serovar Typhimurium, the cat2 gene was not found in any of the tested strains. The floR gene which also confers chloramphenicol resistance was detected in 80% of S. enterica serovar Typhimurium strains. One of the non-typable Salmonella strains carried the cat1 gene but the other two isolates did not possess cat1, cat2 or floR gene indicating that these two strains harbour another chloramphenicol resistance mechanism. Of six S. enterica serovar Enteritidis strains, one strain possessed both, cat1 and, floR, and one strain harboured only the cat1 gene, however, phenotypically they were all sensitive to chloramphenicol indicating that this resistant cassette is silent in vitro in this Salmonella serovar.
Multiple drug resistance genes have been found to be clustered on individual mobile elements, which mean that multi-resistance can be readily transferred and increase the multi-drug resistant bacterial population as reported previously [
58].
Gene cassettes are a major source of the resistance genes found in clinical, commensal, and environmental isolates of bacteria that are resistant to antibiotics [
59,
60]. Most commonly, they are found in association with class 1 or class 2 integrons [
61].
In this study, a class one integron in three S. enterica serovar Typhimurium strains with size of 2 kb was identified. The sequencing data indicated that these integrons contained dfrA12-orfF-aadA2. The presence of the dfrA12-orfF-aadA2 open reading frames revealed the basis for the streptomycin and trimethoprim/sulphamethoxazole resistance seen in these strains. It also provides an indication of the mapping distribution of antibiotic resistance alleles in this region of the Salmonella genome/chromosome.
In this study the higher infection rate in the investigated flocks may regarding to low biosecurity and hygienic measures inside these farms and easily to spread the infection through different reservoirs and the workers in the farms.
The screening of antimicrobial resistance in the Salmonella strains isolated in this study provides evidence for confirming the mechanisms employed by S. enterica serovars to resist cluster antibiotics used for treatment of broiler chicken in Egypt. Future work, in this regard, should address if allele distribution in chicken and human Salmonella isolates from the same region share the same resistance mechanisms in order to highlight potential horizontal gene transfer by this zoonotic organism and the origin of antimicrobial resistance in human isolates. Finally, we believe that this is the first report of the presence of a class one integron in the S. enterica serovar Typhimurium serotype together with the verification of the location of some resistance genes that are within or associated with the class one integron.