[en] Clostridium difficile has been isolated from food animals and meat, specially ground pork and ground beef. The recovered isolates were closely related to C. difficile human strains, indicating that animals and food are possible transmission routes of human C. difficile infection. The main objective of this study was to characterize C. difficile isolates from retail meat and to compare with human isolates recovered from hospital patients in Belgium. Raw meat (beef and pork) was obtained from the retail trade. C. difficile was recovered from 2.3% of the beef samples and from 4.7% of the pork samples. A total of 4 different PCR-ribotypes were identified with a large percentage of types 078 and 014. Resistance to moxifloxacin and erythromycin was detected. The multi-locus sequence typing (MLST) analysis showed that meat and human isolates cluster in the same lineage. This study reveals the presence of toxigenic C. difficile in retail meat in Belgium with predominance PCR-ribotypes 078 and 014, which are among the four most prevalent ribotypes of C. difficile isolated from humans in Europe.
Disciplines :
Microbiology
Author, co-author :
Rodriguez Diaz, Cristina ; Université de Liège - ULiège > Département de sciences des denrées alimentaires (DDA) > Technologie des denrées alimentaires
Taminiau, Bernard ; Université de Liège - ULiège > Département de sciences des denrées alimentaires (DDA) > Microbiologie des denrées alimentaires
Avesani, Véronique; Catholic University of Louvain, Brussels > Microbiology Unit
Van Broeck, Johan; Catholic University of Louvain, Brussels > Microbiology Unit
Delmée, Michel; Catholic University of Louvain, Brussels > Microbiology Unit
Daube, Georges ; Université de Liège - ULiège > Département de sciences des denrées alimentaires (DDA) > Microbiologie des denrées alimentaires
Language :
English
Title :
Multilocus sequence typing analysis and antibiotic resistance of Clostridium difficile strains isolated from retail meat and humans in Belgium
Publication date :
September 2014
Journal title :
Food Microbiology
ISSN :
0740-0020
eISSN :
1095-9998
Publisher :
Elsevier, London, United Kingdom
Volume :
42
Pages :
166-171
Peer reviewed :
Peer Reviewed verified by ORBi
Funders :
FPS Health Federal Public Service Health, Food Chain Safety and Environment
Alvarez-Pérez, S., Blanco, J.L., Pélaez, T., Astorga, R.J., Harmanus, C., Kuijper, E., Garcia, M.E., High prevalence of the epidemic Clostridium difficile PCR ribotype 078 in Iberian free-range pigs (2013) Anaerobe, 95, pp. 358-361
Antikainen, J., Pasanen, T., Mero, S., Tarkka, E., Kirveskari, J., Kotila, S., Mentula, S., Tissari, P., Detection of virulence genes of Clostridium difficile by multiplex PCR (2009) Acta Phatol. Microbiol. Inmunol. Scand., 117, pp. 607-613
Arruda, P.H., Madson, D.M., Ramirez, A., Rowe, E., Lizer, J.T., Songer, J.G., Effect of age, dose and antibiotic therapy on the development of Clostridium difficile infection in neonatal piglets (2013) Anaerobe, 22, pp. 104-110
Baker, A.A., Davis, E., Rehberger, T., Rosener, D., Prevalence and diversity of toxigenic Clostridium perfringens and Clostridium difficile among swine herds in the Midwest (2010) Appl. Environ. Microbiol., 76, pp. 2961-2966
Barbut, F., Mastrantonio, P., Delmée, M., Brazier, J., Kuijper, E., Poxton, I., Prospective study of Clostridium difficile infections in Europe with phenotypic and genotypic characterisation of the isolates (2007) Clin. Microbiol. Infect., 13, pp. 1048-1057. , European Study Group of Clostridium difficile (ESGCD)
Bauer, M.P., Notermans, D.W., van Benthem, B.H.B., Brazier, J.S., Wilcox, M.H., Rupnik, M., Monnet, D.L., Kuijper, E.J., Clostridium difficile infection in Europe: a hospital-based survey (2011) Lancet, 377, pp. 63-73
Bidet, P., Barbut, F., Lalande, V., Burghoffer, B., Petit, J.C., Development of a new PCR-ribotyping method based on ribosomal RNA gene sequencing (1999) FEMS Microbiol. Lett., 175, pp. 261-266
Bouttier, S., Barc, M.C., Felix, B., Lambert, S., Collignon, A., Barbut, F., Clostridium difficile in ground meat, France (2010) Emerg. Infect. Dis., 16, pp. 733-735
Clinical and Laboratory Standards Institute (2010) 20th Informational Supplement, 30 (1). , M100-S20. Wayne, PA. USA, CLSI
Curry, S.R., Marsh, J.W., Schlackman, J.L., Harrison, L.H., Prevalence of Clostridium difficile in uncooked ground meat products from Pittsburgh, Pennsylvania (2012) Appl. Environ. Microbiol., 78, pp. 4183-4186
Cooper, K.K., Songer, J.G., Uzal, F.A., Diagnosing clostridial enteric disease in poultry (2013) J.Vet. Diagn. Investig., 25, pp. 314-327
De Boer, E., Zwartkruis-Nahuis, A., Heuvelink, A.E., Harmanus, C., Kuijper, E.J., Prevalence of Clostridium difficile in retailed meat in The Netherlands (2011) Int. J. Food Microbiol., 144, pp. 561-564
Delmée, M., Vandercam, B., Avesani, V., Michaux, J.L., Epidemiology and prevention of Clostridium difficile in a leukaemia unit (1987) Eur. J. Clin. Microbiol., 6, pp. 623-627
Delmée, M., Avesani, V., Correlation between serogroup and susceptibility to chloramphenicol, clindamycin, erythromycin, rifampicin and tetracycline among 308 isolates of Clostridium difficile (1988) J.Antimicrob. Chemother., 22, pp. 325-331
Diab, S.S., Songer, G., Uzal, F.A., Clostridium difficile infection in horses: a review (2013) Vet. Microbiol.
Dingle, K.E., Griffiths, D., Didelot, X., Evans, J., Vaughan, A., Kachrimaidau, M., Stoesser, N., Crook, D.W., Clinical Clostridium difficile: clonality and pathogenicity locus diversity (2011) Plos One, 6, pp. e19993
Dridi, L., Tankovic, J., Burghoffer, B., Barbut, F., Petit, J.C., GyrA and gyrB Mutations are implicated in cross-resistance to ciprofloxacin and moxifloxacin in Clostridium difficile (2012) J.Antimicrob. Chemother., 46, pp. 3418-3421
Drudy, D., Quinn, T., O'Mahony, R., Kyne, L., O'Gaora, P., Fanning, S., High-level resistance to moxifloxacin and gatifloxacin associated with a novel mutation in gyrB in toxin-A-negative, toxin-B-positive Clostridium difficile (2006) J.Antimicrob. Chemother., 58, pp. 1264-1267
Drudy, D., Kyne, L., O'Mahony, R., Fanning, S., GyrA mutations in fluoroquinolone-resistant Clostridium difficile PCR-027 (2007) Emerg. Infect. Dis., 13, pp. 504-505
Drummond, A.J., Ahston, B., Buxton, S., Cheung, M., Heled, J., Kearse, M., Moir, R., Wilson, A., (2013) Geneious v4.8, , http://www.geneious.com/, Available from:
Erikstrup, L.T., Danielsen, T.K.L., Hall, V., Olsen, K.E.P., Kristensen, B., Kahlmeter, G., Fuursted, K., Justesen, U.S., Antimicrobial susceptibility testing of Clostridium difficile using EUCAST epidemiological cut-off values and disk diffusion correlates (2012) Clin. Microbiol. Infect., 18, pp. 266-272
Frazier, K.S., Herron, A.J., Hines, M.E., Gaskin, J.M., Altman, N.H., Diagnosis of enteritis and enterotoxemia due to Clostridium difficile in captive ostriches (Struthio camelus) (1993) J.Vet. Diagn. Investig., 5, pp. 623-625
Griffiths, D., Fawley, W., Kachrimanidou, M., Bowden, R., Crook, D.W., Fung, R., Golubchik, T., Dingle, K.E., Multilocus sequence typing of Clostridium difficile (2010) J.Clin. Microbiol., 48, pp. 370-378
Harvey, R.B., Norman, K.N., Andrews, K., Norby, B., Hume, M.E., Scanlan, C.M., Hardin, M.D., Scott, H.M., Clostridium difficile in retail meat and processing plants in Texas (2011) J.Vet. Diagn. Investig., 23, pp. 807-811
Hawken, P., Weese, J.S., Friendship, R., Warriner, K., Longitudinal study of Clostridium difficile and methicillin-resistant Staphylococcus aureus associated with pigs from weaning through to the end processing (2013) J.Food Prot., 76, pp. 624-630
Hensgens, M.P.M., Keessen, E.C., Squire, M.M., Riley, T.V., Koene, M.G.J., De Boer, E., Lipman, L.J.A., Kuijper, E.J., European Society of Clinical Microbiology and Infectious Diseases Study Group forClostridium difficile (ESGCD), Clostridium difficile infection in the community: a zoonotic disease? (2012) Clin. Microbiol. Infect. Dis., 18, pp. 635-645
Houser, A.B., Soehnlen, K.M., Wolfgang, R.D., Lysczek, R.H., Burns, M.C., Jayarao, M.B., Prevalence of Clostridium difficile toxin genes in the faeces of veal calves and incidence of ground veal contamination (2012) Foodborne Pathog. Dis., 9, pp. 32-36
Indra, A., Lassnig, H., Baliko, N., Much, P., Fiedler, A., Huhulescu, S., Allerberger, F., Clostridium difficile: a new zoonotic agent? (2009) Wien. Klin. Wochenschr., 121, pp. 91-95
Jardine, C.M., Reid-Smith, R.J., Rousseau, J., Weese, J.S., Detection of Clostridium difficile in small and medium-size wild mammals in southern Ontario, Canada (2013) J.Wildl. Dis., 49, pp. 418-421
Jöbstl, M., Heuberger, S., Indra, A., Nepf, R., Kofer, J., Wagner, M., Clostridium difficile in raw products of animal origin (2010) Int. J. Food Microbiol., 138, pp. 172-175
Knight, D.R., Riley, T.V., Clostridium difficile in Australian sheep and lambs (2013) Appl. Environ. Microbiol., 79, pp. 5689-5692
Lemée, L., Dhalluin, A., Pestel-Caron, M., Lemeland, J.F., Pons, J.L., Multilocus sequence typing of humans and animal Clostridium difficile isolates of various toxigenic types (2004) J.Clin. Microbiol., 42, pp. 2609-2617
Lemée, L., Dhalluin, A., Testelin, S., Mattrat, M., Maillard, K., Lemeland, J., Pons, J.L., Multiplex PCR targeting tpi (triose phosphate isomerase), tcdA (toxin A), and tcdB (toxin B) genes for toxigenic culture of Clostridium difficile (2004) J.Clin. Microbiol., 42, pp. 5710-5714
Lemée, L., Bourgeois, I., Ruffin, E., Collignon, A., Lemeland, J.F., Pons, J.L., Multilocus sequence analysis and comparative evolution of virulence-associated genes and housekeeping genes of Clostridium difficile (2005) Microbiology, 151, pp. 3171-3180
Lemée, L., Pons, J.L., Multilocus sequence typing for Clostridium difficile (2010) Methods Mol. Biol., 646, pp. 77-90
Metcalf, D., Reid-Smith, R.J., Avery, B.P., Weese, J.S., Prevalence of Clostridium difficile in retail pork (2010) Can. Vet. J., 51, pp. 873-876
O'Neill, G.L., Ogunsola, F.T., Brazier, J.S., Duerden, B.I., Modification of PCR ribotyping method for application as a routine typing scheme for Clostridium difficile (1996) Anaerobe, 2, pp. 205-209
Rodriguez, C., Taminiau, B., Van Broeck, J., Avesani, V., Delmée, M., Daube, G., Clostridium difficile in young farm animals and slaughter animals in Belgium (2012) Anaerobe, 18, pp. 621-625
Rodriguez, C., Avesani, V., Van Broeck, J., Taminiau, B., Delmée, M., Daube, G., Presence of Clostridium difficile pigs and cattle intestinal contents and carcass contamination at slaughterhouse in Belgium (2013) Int. J. Food Microbiol.
Rodriguez-Palacios, A., Staempfli, H.R., Duffield, T., Peregrine, A.S., Trotz-Williams, L.A., Arroyo, L.G., Brazier, J.S., Weese, J.S., Clostridium difficile in retail ground meat, Canada (2006) Emerg. Infect. Dis., 13, pp. 485-487
Rodriguez-Palacios, A., Staempfli, H.R., Duffield, T., Weese, J.S., Clostridium difficile PCR ribotypes in calves, Canada (2006) Emerg. Infect. Dis., 12, pp. 1730-1736
Rodriguez-Palacios, A., Staempfli, H.R., Duffield, T., Peregrine, A.S., Trotz-Williams, L.A., Arroyo, L.G., Brazier, J.S., Weese, J.S., Clostridium difficile in retail ground meat, Canada (2007) Emerg. Infect. Dis., 13, pp. 485-487
Rodriguez-Palacios, A., Reid-Smith, R.J., Staempfli, H.R., Daignault, D., Janecko, N., Avery, B.P., Martin, H., Weese, J.S., Possibility of seasonality of Clostridium difficile in retail meat, Canada (2009) Emerg. Infect. Dis., 15, pp. 802-805
Stabler, R.A., Dawson, L.F., Valiente, E., Cairns, M.D., Martin, M.J., Donahue, E.H., Riley, T.V., Wren, B.W., Macro and micro diversity of Clostridium difficile isolates from diverse sources and geographical locations (2012) Plos One, 7, pp. e31559
Schneeberg, A., Rupnik, M., Neubauer, H., Seyboldt, C., Prevalence and distribution of Clostridium difficile PCR ribotypes in cats and dogs from animals shelters in Thuringia, Germany (2012) Anaerobe, 18, pp. 484-488
Schoster, A., Arroyo, L.G., Staempfli, H.R., Shewen, P.E., Weese, J.S., Presence an molecular characterization of Clostridium difficile and Clostridium perfringens in intestinal compartments of healthy horses (2012) Biomed. Cent. Microbiol., 29, p. 94
Songer, J.G., Anderson, M.A., Clostridium difficile : an important pathogen of food animals (2006) Anaerobe, 12, pp. 1-4
Songer, J.G., Trinh, H.T., Killgore, G.E., Thompson, A.D., McDonald, L.C., Limbago, B.M., Clostridium difficile in retail meat products, USA, 2007 (2009) Emerg. Infect. Dis., 15, pp. 819-821
Spigaglia, P., Barbanti, F., Louie, T., Barbut, F., Mastrantonio, P., Molecular analysis of the gyrA and gyrB quinolone resistance-determining regions of fluoroquinolone-resistant Clostridium difficile mutants selected invitro (2009) Antimicrob. Agents Chemother., 53, pp. 2463-2468
Visser, M., Sephri, S., Olson, N., Mulvey, M.R., Alfa, M.J., Detection of Clostridium difficile in retail ground meat products in Manitoba (2012) Can. J. Infect. Dis. Med. Microbiol., 23, pp. 28-30
Von Abercron, S.M., Karlsson, F., Wigh, G.T., Wierup, M., Krovacek, K., Low occurrence of Clostridium difficile in retail ground meat in Sweden (2009) J.Food Prot., 72, pp. 1732-1734
Weber, I., Riera, E., Déniz, C., Pérez, J.L., Oliver, A., Mena, A., Molecular epidemiology and resistance profiles of Clostridium difficile in a tertiary care hospital in Spain (2013) Int. J. Med. Microbiol., 303, pp. 128-133
Weese, J.S., Armstrong, J., Outbreak of Clostridium difficile-associated disease in a small animal veterinary teaching hospital (2003) J.Vet. Intern. Med., 17, pp. 813-816
Weese, J.S., Avery, B.P., Rousseau, J., Reid-Smith, R.J., Detection and enumeration of Clostridium difficile spores in retail beef and pork (2009) Appl. Environ. Microbiol., 75, pp. 5009-5011
Wetterwik, K.J., Trowald-Wigh, G., Fernström, L.L., Krovacek, K., Clostridium difficile in faeces from healthy dogs and dogs with diarrhea (2013) Acta Vet. Scand., 55, p. 23
Wong, S.S., Woo, P.C., Luk, W.K., Yuen, K.Y., Susceptibility testing of Clostridium difficile against metronidazole and vancomycin by disk diffusion and Etest (1999) Diagn. Microbiol. Infect. Dis., 34, pp. 1-6
Zidaric, V., Pardon, B., Dos Vultos, T., Deprez, P., Brouwer, M.S.M., Roberts, A.P., Henriques, A.O., Rupnik, M., Multiclonal presence of Clostridium difficile PCR ribotypes 078, 126 and 033 within a single calf farm is associated with differences in antibiotic resistance and sporulation properties (2012) Appl. Environ. Microbiol., 78, pp. 8515-8522