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1709

Journal of Food Protection, Vol. 75, No. 9, 2012, Pages 1709–1714


doi:10.4315/0362-028X.12-101
Copyright G, International Association for Food Protection

Research Note

Molecular Characterization of Antibiotic-Resistant Salmonella


Isolates from Retail Meat from Markets in Northern Vietnam
TRUONG HA THAI1,2 AND RYOJI YAMAGUCHI1*

1Department of Veterinary Pathology, Faculty of Agriculture, University of Miyazaki, Miyazaki 889-2192, Japan; and 2Department of Microbiology–
Infectious Diseases–Pathology, Faculty of Veterinary Medicine, Hanoi University of Agriculture, Trau Quy, Gia Lam, Ha Noi, Vietnam

MS 12-101: Received 28 February 2012/Accepted 28 April 2012

ABSTRACT
A total of 118 Salmonella isolates were detected from 283 retail meat samples (135 pork and 148 chicken meat) purchased at
retail markets in Northern Vietnam. Thirteen serovars, including Infantis, Anatum, Rissen, Reading, Emek, Typhimurium,
Blockley, London, Newport, Derby, Weltevreden, Albany, and Hadar, were determined. Resistance to tetracycline (54.2%),
sulfonamides (52.5%), streptomycin (41.5%), trimethoprim (36.4%), chloramphenicol (35.6%), and ampicillin (33.1%) was
commonly seen in the Salmonella isolates. Fourteen [blaTEM, blaOXA-1, blaPSE-1, aadA1, sul1, tetA, tetB, tetG, cmlA1, floR, dfrA1,
dfrA12, aac(3)-IV, and aphA1-1AB] of 17 resistance genes were detected from the isolates demonstrating resistance. Genes for
plasmid-mediated quinolone resistance, such as qnrA, qnrB, qnrS, qepA, and acc(69)-1b-cr, were not detected in 23 quinolone-
resistant isolates. The substitution TCC to TTC at codon 83 of gyrA was found in the 18 quinolone-resistant isolates. The data
revealed that resistant Salmonella strains were widely distributed in Northern Vietnam via the food chain and that they might
contain multiple genes specifying identical resistance phenotypes. Thus, further studies are necessary to clarify the mechanisms
of antibiotic resistance in Salmonella strains and their spread in the livestock market.

Salmonellosis is one of the most important enteric encoding target enzymes, such as DNA gyrase (gyrA and
diseases, affecting many people worldwide. The global gyrB) and/or DNA topoisomerase IV (parC and parE), or
human health impact of nontyphoidal Salmonella bacteria affecting drug accumulation (10, 15, 24). Besides mutations in
is high, with an estimated 93.8 million illnesses annually, chromosomal genes, plasmid-mediated quinolone resistance
of which an estimated 80.3 million are foodborne and (PMQR) has also been reported, including qnr-mediated
associated with 155,000 deaths (18). Pork, beef, and inhibition of quinolone binding to DNA, a qepA-encoded
chicken meat have been recognized as significant sources efflux pump, and the aac(69)-1b-cr-mediated inactivation of
of human salmonellosis. Although more than 2,500 serovars fluoroquinolones by an acetyltransferase (21, 22, 24).
of Salmonella enterica have been identified, most human The aims of this study were to determinate the
Salmonella infections are caused by a limited number of antibiotic resistance in Salmonella sp. isolates from retail
serovars, which may vary from country to country and over meat from markets in Northern Vietnam and to investigate
time (13). the genes coding for antibiotic resistance. In addition, the
The emergence of antibiotic-resistant Salmonella has nalidixic acid–resistant isolates were further characterized
become a major public health concern. The use of for quinolone resistance mechanisms.
antibiotics in any venue, including disease treatment and
growth promotion in domestic livestock, can potentially MATERIALS AND METHODS
lead to widespread dissemination of antibiotic-resistant Sampling. A total of 283 retail meat samples (135 pork and
bacteria. In recent years, studies of Salmonella isolates 148 chicken meat) were collected randomly from the retail markets
from foodstuffs and animals in Vietnam and other countries in three provinces, including Bac Ninh, Ha Noi, and Ha Tay, in
have shown that multidrug resistance of Salmonella is Northern Vietnam from July 2008 to June 2009. Samples (.100 g)
increasing (25, 27–29). were placed in sterile plastic sampling bags and chilled in an ice
The increased use of fluoroquinolones has led to box during transport to the laboratory at Hanoi University of
Agriculture. All samples were analyzed on the day of arrival.
increasing resistance to these antibiotics, with rates of
resistance that vary by both organism and geographic region Salmonella isolation and serotyping. Salmonella organisms
(10, 15). The main mechanism of quinolone resistance was were isolated according to the International Organization for
believed to arise from chromosomal mutations in genes Standardization standard method ISO 6579 (14), with some
modifications. For preenrichment of Salmonella, 25 g of each
* Author for correspondence. Tel: 81-985-58-7271; Fax: 81-985-58-7271; sample was homogenized in a sterile bag with 225 ml of buffered
E-mail: a0d402u@cc.miyazaki-u.ac.jp. peptone water and incubated at 37uC for 18 to 24 h. Next, 0.1 ml of
1710

TABLE 1. Prevalence of antibiotic resistance among Salmonella serovars isolated from retail meat
THAI AND YAMAGUCHI

No. (%) of isolates resistant to drug

Infantis Anatum Rissen Reading Emek Typhimurium London Blockley Newport Others Total
Antibiotica (n ~ 22) (n ~ 21) (n ~ 16) (n ~ 13) (n ~ 9) (n ~ 9) (n ~ 7) (n ~ 7) (n ~ 6) (n ~ 8)b (n ~ 118)

A 9 (40.9) 9 (42.9) 7 (43.8) 1 (7.7) 1 (11.1) 6 (66.7) 1 (14.3) — 3 (50.0) 2 (25.0) 39 (33.1)
Ac — — — — — 4 (44.4) — — — — 4 (3.4)
C 7 (31.8) 8 (38.1) 6 (37.5) 3 (23.1) 4 (44.4) 5 (55.6) 2 (28.6) — 4 (66.7) 3 (37.5) 42 (35.6)
Cf — — — — — — — — — — —
Ci — 1 (4.8) — — — 5 (55.6) — — — 1 (12.5) 7 (5.9)
G 2 (9.1) 4 (19.0) 4 (25.0) — — 5 (55.6) — — 2 (33.3) 1 (12.5) 18 (15.3)
K 10 (45.5) 5 (23.8) 5 (31.3) — — 6 (66.7) — — 4 (66.7) 1 (12.5) 31 (26.3)
Na 4 (18.2) 6 (28.6) 3 (18.8) — — 6 (66.7) — — 3 (50.0) 1 (12.5) 23 (19.5)
Ne 1 (4.5) 3 (14.3) 3 (18.8) — — 6 (66.7) — — 3 (50.0) 1 (12.5) 17 (14.4)
No — — — — — 1 (11.1) — — — — 1 (0.8)
Su 18 (81.8) 7 (33.3) 11 (68.8) 3 (23.1) 5 (55.6) 6 (66.7) 2 (28.6) 1 (14.3) 4 (66.7) 5 (62.5) 62 (52.5)
S 17 (77.3) 7 (33.3) 8 (50.0) 2 (15.4) 1 (11.1) 6 (66.7) 1 (14.3) 1 (14.3) 3 (50.0) 3 (37.5) 49 (41.5)
Te 14 (63.6) 12 (57.1) 10 (62.5) 6 (46.2) 2 (22.2) 6 (66.7) 3 (42.9) 2 (28.6) 6 (100) 3 (37.5) 64 (54.2)
Tp 12 (54.5) 6 (28.6) 5 (31.3) 2 (15.4) 4 (44.4) 5 (55.6) 1 (14.3) — 5 (83.3) 3 (37.5) 43 (36.4)
a
A, ampicillin; Ac, amoxicillin–clavulanic acid; C, chloramphenicol; Cf, ceftazidime; Ci, ciprofloxacin; G, gentamicin; K, kanamycin; Na, nalidixic acid; Ne, neomycin; No, norfloxacin; Su,
sulfonamides; S, streptomycin; Te, tetracycline; Tp, trimethoprim; —, not found.
b
Other serovars included Derby (n ~ 4), Weltevreden (n ~ 2), Albany (n ~ 1), and Hadar (n ~ 1).
J. Food Prot., Vol. 75, No. 9
J. Food Prot., Vol. 75, No. 9 ANTIBIOTIC RESISTANCE OF SALMONELLA FROM RETAIL MEAT IN NORTH VIETNAM 1711

TABLE 2. Distribution and prevalence of resistance genes among the Salmonella serovars
No. (%) of isolates
Drug (no. of isolates tested) and resistance gene(s) positive for gene(s) Serovar (no. of isolates positive for gene[s])

Ampicillin (39)
blaTEM 36 (92.3) Anatum (9), Derby (1), Emek (1), Infantis (7), London
(1), Newport (3), Reading (1), Rissen (5),
Typhimurium (6)
blaOXA-1 9 (23.1) Anatum (2), Derby (1), Infantis (1), Rissen (2),
Typhimurium (3)
blaPSE-1 2 (5.1) Derby (1), Infantis (1)
blaTEMzblaOXA-1 5 (12.8) Anatum (2), Typhimurium (3)
blaTEMzblaPSE-1 1 (2.6) Derby (1)
No. (%) of isolates with at least one gene 39 (100)
Chloramphenicol (42)
cmlA1 24 (57.1) Anatum (6), Derby (1), Emek (1), Infantis (3), London
(1), Newport (4), Rissen (4), Typhimurium (4)
floR 29 (69.0) Anatum (2), Derby (2), Infantis (6), London (1), Newport
(4), Reading (3), Rissen (6), Typhimurium (4),
Weltevreden (1)
cmlA1zfloR 24 (51.1) Anatum (1), Derby (1), Infantis (2), Newport (3), Rissen
(4), Typhimurium (3)
No. (%) of isolates with at least one gene 39 (92.9)
Gentamycin (18)
aac(3)-IV 17 (94.4) Anatum (4), Derby (1), Infantis (2), Newport (2), Rissen
(4), Typhimurium (4)
Kanamycin (31)
aphA1-1AB 31 (100) Anatum (5), Derby (1), Infantis (10), Newport (4), Rissen
(5), Typhimurium (6)
Streptomycin (49)
aadA1 41 (83.7) Anatum (7), Derby (3), Emek (1), Infantis (13), Newport
(3), Reading (1), Rissen (8), Typhimurium (5)
Sulfonamides (62)
sul1 47 (75.8) Anatum (7), Derby (3), Emek (2), Infantis (14), London
(1), Newport (3), Reading (1), Rissen (9),
Typhimurium (6), Weltevreden (1)
Tetracycline (64)
tetA 47 (73.4) Anatum (7), Derby (1), Emek (1), Infantis (10), London
(2), Newport (5), Reading (5), Rissen (9),
Typhimurium (6), Weltevreden (1)
tetB 1 (1.6) Anatum (1)
tetG 20 (31.3) Anatum (4), Derby (1), Infantis (2), Newport (4),
Reading (1), Rissen (3), Typhimurium (4),
Weltevreden (1)
tetAztetB 1 (1.6) Anatum (1)
tetAztetG 16 (25.0) Anatum (2), Derby (1), Infantis (1), Newport (3),
Reading (1), Rissen (3), Typhimurium (4),
Weltevreden (1)
No. (%) of isolates with at least one gene 52 (81.3)
Trimethoprim (43)
dfrA1 20 (46.5) Anatum (3), Derby (1), Emek (2), Infantis (4), London
(1), Reading (2), Rissen (4), Typhimurium (2),
Weltevreden (1)
dfrA12 20 (46.5) Anatum (2), Derby (1), Infantis (6), Newport (3),
Reading (1), Rissen (3), Typhimurium (4)
dfrA1zdfrA12 7 (16.3) Anatum (1), Newport (1), Reading (1), Rissen (2),
Typhimurium (2)
No. (%) of isolates with at least one gene 37 (86.0)
TABLE 3. Resistance profiles and characteristics of quinolone resistance in Salmonella sp. isolates from retail meats a
1712

Disk diffusionc
Characterization MIC (mg/ml)
Serovar of isolate Sourcea of gyrA of Nab Ci No Resistance phenotyped Resistance genes

Anatum C Wild type $32 S S A C Te Na blaTEM, floR


Anatum P Wild type $32 S S A S Te Tp Na blaTEM, tetA, aadA1
Infantis C Wild type $32 S S A C S Su Te K Na blaTEM, floR, aadA1, sul1, tetA, aphA1-1AB,
Infantis P Wild type $64 S S C S Su Te K Ne Na floR, sul1, aadA1, tetA, aphA1-1AB
Anatum C Wild type $64 S S A C S Su Te K Tp Na blaTEM, cmlA1, aadA1, sul1, tetA, tetG, aphA1-1AB, dfrA1
Infantis P Ser83Phe $128 S S C S Su G Tp Na cmlA1, floR, aadA1, sul1, aac(3)-IV, dfrA12
Typhimurium P Ser83Phe $128 S S A S Su Te K Ne Na blaTEM, aadA1, sul1, tetA, aphA1-1AB
THAI AND YAMAGUCHI

Infantis C Ser83Phe $128 S S A C S Su Te K Tp Na blaTEM, cmlA1, aadA1, sul1, tetA, tetG, aphA1-1AB, dfrA12
Newport P Ser83Phe $128 S S A C S Te K Ne Tp Na blaTEM, cmlA1, floR, aadA1, tetA, aphA1-1AB, dfrA1
Rissen C Ser83Phe $128 S S A S Su TK Ne Tp Na blaTEM, aadA1, sul1, tetA, tetG, aphA1-1AB, dfrA1
Anatum C Ser83Phe $128 S S A C S Su Te G K Ne Na blaTEM, blaOXA-1, cmlA1, floR, aadA1, sul1, tetG, aac(3)-IV,
aphA1-1AB
Anatum C Ser83Phe $128 S S A C S Su Te G K Ne Na blaTEM, blaOXA-1, cmlA1, aadA1, sul1, tetG, aac(3)-IV, aphA1-1AB
Newport C Ser83Phe $256 I S A C S Su Te G K Ne Tp Na blaTEM, cmlA1, floR, aadA1, sul1, tetA, tetG, aac(3)-IV, aphA1-
1AB, dfrA1, dfrA12
Newport C Ser83Phe $256 I S A C S Su Te G K Ne Tp Na blaTEM, cmlA1, floR, aadA1, sul1, tetA, tetG, aac(3)-IV, aphA1-
1AB, dfrA12
Rissen C Ser83Phe $256 S S A C S Su Te G K Ne Tp Na blaTEM, cmlA1, floR, aadA1, sul1, tetA, tetG, aac(3)-IV, aphA1-
1AB, dfrA1, dfrA12
Rissen C Ser83Phe $512 S I A C S Su Te G K Ne Tp Na blaTEM, cmlA1, floR, aadA1, sul1, tetA, tetG, aac(3)-IV, aphA1-
1AB, dfrA1, dfrA12
Anatum C Ser83Phe $512 R S A C S Su Te G K Ne Tp Na Ci blaTEM, cmlA1, aadA1, sul1, tetA, tetB, aac(3)-IV, aphA1-1AB,
dfrA1, dfrA12
Derby C Ser83Phe $512 R S A C S Su Te G K Ne Tp Na Ci blaTEM, cmlA1, floR, aadA1, sul1, tetA, tetG, aac(3)-IV, aphA1-
1AB, dfrA12
Typhimurium C Ser83Phe $512 R I A C S Su Te G K Ne Tp Na Ci blaTEM, cmlA1, aadA1, sul1, tetA, tetG, aac(3)-IV, aphA1-1AB, dfrA12
Typhimurium C Ser83Phe $512 R S A C S Su Te G K Ne Tp Na Ci Ac blaTEM, blaOXA-1, cmlA1, floR, aadA1, sul1, tetA, tetG, aac(3)-IV,
aphA1-1AB, dfrA1, dfrA12
Typhimurium P Ser83Phe $512 R I A C S Su Te G K Ne Tp Na Ci Ac blaTEM, blaOXA-1, floR, sul1, tetA, tetG, aphA1-1AB, dfrA12
Typhimurium P Ser83Phe $512 R I A C S Su Te G K Ne Tp Na Ci Ac blaTEM, cmlA1, floR, aadA1, sul1, tetA, aac(3)-IV, aphA1-1AB,
dfrA12
Typhimurium C Ser83Phe $512 R R A C S Su Te G K Ne Tp Na No blaTEM, blaOXA-1, cmlA1, floR, aadA1, sul1, tetA, tetB, tetG,
Ci Ac aac(3)-IV, aphA1-1AB, dfrA1, dfrA12
a
C, chicken meat; P, pork meat.
b
Na, nalidixic acid.
c
Ci, ciprofloxacin; No, norfloxacin; S, susceptible; I, intermediate; R, resistant.
d
A, ampicillin; C, chloramphenicol; Te, tetracycline; Na, nalidixic acid; S, streptomycin; Tp, trimethoprim; Su, sulfonamides; K, kanamycin; Ne, neomycin; G, gentamicin; Ci, ciprofloxacin; Ac,
amoxicillin–clavulanic acid.
J. Food Prot., Vol. 75, No. 9
J. Food Prot., Vol. 75, No. 9 ANTIBIOTIC RESISTANCE OF SALMONELLA FROM RETAIL MEAT IN NORTH VIETNAM 1713

the preenriched culture in buffered peptone water was added to Thirteen serovars were identified, including Infantis,
10 ml of Rappaport-Vassiliadis soya broth, followed by further Anatum, Rissen, Reading, Emek, Typhimurium, Blockley,
incubation at 41.5uC for 24 h. A loopful of culture broth was then London, Newport, Derby, Weltevreden, Albany, and Hadar
sampled from the selective enrichment Rappaport-Vassiliadis soya (Table 1). Resistance to tetracycline (54.2%), sulfonamides
broth, streaked onto xylose lysine Tergitol 4 agar (Merck), and
(52.5%), streptomycin (41.5%), trimethoprim (36.4%),
incubated at 37uC for 24 h. One or two black presumptive colonies
were selected from each plate and cultured on nutrient agar slants.
chloramphenicol (35.6%), and ampicillin (33.1%) was
The isolates were confirmed to be Salmonella by confirmatory commonly seen in the Salmonella isolates (Table 1). These
biochemical tests (fermentation of glucose and sucrose, lack of findings were comparable to those in previous reports in
fermentation of lactose, hydrogen sulfide production test, citrate Vietnam (25, 27) and other Asian countries (3, 28, 29). These
test, lysine decarboxylation, and methyl red and indole tests). drugs have been commonly used for treatment of Salmonella
Typical Salmonella isolates were serotyped by slide and microtiter infection in both humans and animals in these countries
agglutination for O and H antigens (Difco Laboratories, Detroit, because replacing these antibiotics with the new generations
MI) according to the Kauffmann and White scheme (11) by the of drugs is not easy due to their high cost (26, 28).
Department of Veterinary Hygiene, National Institute of Veterinary Fourteen [blaTEM, blaOXA-1, blaPSE-1, aadA1, sul1, tetA,
Research, Vietnam.
tetB, tetG, cmlA1, floR, dfrA1, dfrA12, aac(3)-IV, and aphA1-
Antibiotic susceptibility testing. The antibiotic susceptibil- 1AB] of 17 resistance genes were detected from the resistant
ities of isolates were determined according to the guidelines of the isolates (Table 2). In most cases, resistance genes were detected
Clinical and Laboratory Standards Institute (5). Disk diffusion where the corresponding individual resistance phenotypes were
assays were performed on Mueller-Hinton agar with disks observed, suggesting the expression of the genes present. High
containing 14 different antibiotic agents (Oxoid, Basingstoke, levels of prevalence of the blaTEM (92.3%), floR (69%), sul1
Hampshire, UK). The following antibiotics were tested: ampicillin, (75.8%), and dfrA1 (46.5%) genes were observed in the
10 mg; amoxicillin–clavulanic acid, 20/10 mg; ceftazidime, 30 mg; antibiotic-resistant isolates, similar to a previous report in
chloramphenicol, 30 mg; ciprofloxacin, 5 mg; gentamicin, 10 mg; Germany (19). In addition, the tetracycline-resistant isolates
kanamycin, 30 mg; nalidixic acid, 30 mg; neomycin, 10 mg; were mediated mainly by tetA (73.4%), consistent with other
norfloxacin, 10 mg; streptomycin, 10 mg; tetracycline, 30 mg;
reports (1, 19). In this study, the mechanism for kanamycin
trimethoprim, 5 mg; and sulfonamides, 300 mg. The interpretive
resistance in the Salmonella isolates was mainly encoded by the
category susceptible, intermediate, or resistant was determined
according to Clinical and Laboratory Standards Institute guidelines aphA1-IAB gene. However, this gene was infrequent in the
(7). An isolate was defined as being multiresistant if it was resistant resistant strains of Salmonella Infantis (23).
to three or more antibiotics. Escherichia coli ATCC 25922 was Resistance of Salmonella isolates to nalidixic acid
used as the control organism. (19.5%) in this study was consistent with the findings of
Van et al. (25). However, this level was lower than that in
Detection of resistance genes. DNA templates used for PCR previous reports in Vietnam (27) and other Asian countries
were prepared by boiling bacterial cultures (23). The following (3, 28). The low levels of resistance to drugs of the
genes implicated in antibiotic resistance were detected by PCR fluoroquinolone group (norfloxacin and ciprofloxacin) and
amplification: blaPSE-1, blaOXA-1, and blaTEM encoding b-lactam
third-generation cephalosporins (ceftazidime) were similar
resistance; aadA1, aadA2, aac(3)-IV, aphA-1AB, and Kn encoding
to those in previous reports in Vietnam (25, 27) and other
aminoglycoside resistance; catA1, cmlA1, and floR encoding
chloramphenicol resistance; sul1 encoding sulfonamide resistance; countries (3, 29). To date, epidemiological data relating to
tetA, tetB, and tetG encoding tetracycline resistance; and dfrA1 and PMQR genes and QRDRs in Salmonella have been limited
dfrA12 encoding trimethoprim resistance. In the case of an isolate in Vietnam. In this study, PMQR genes, such as qnrA, qnrB,
showing resistance to quinolone-based antibiotic compounds, the qnrS, qepA, and acc(69)-1b-cr, were not detected from 23
MIC of nalidixic acid was examined by the broth dilution method quinolone-resistant isolates (Table 3), consistent with a
(6). The PMQR genes, such as qnrA, qnrB, qnrS, qepA, aac(69)- previous report from South Korea (17). However, PMQR
1b-cr, and quinolone resistance determining regions (QRDRs) of genes were detected at very low rates from quinolone-
gyrA, were detected for quinolone resistance. PCR amplification resistant Salmonella isolates in France (4), Japan (2), and the
reactions were performed in a 25-ml reaction mixture containing United States (10). Substitutions in the codons of gyrA, such
12.5 ml of 2| GoTaq Green master mix (Promega, Madison, WI),
as Gly 81, Ser 83, and Asp 87, were frequently observed in
1 ml (10 ng/ml) of primers, 4 ml of DNA template, and nuclease-free
water. The primer sets and the assay conditions used for
Salmonella isolates when the MICs of nalidixic acid were
amplification were previously described (4, 8, 9, 12, 16, 20). $128 ml/ml (8, 17). However, no substitutions at codons Gly
81 and Asp 87 in the QRDR of gyrA were identified, but the
Sequencing of gyrA. PCR amplifications of the QRDRs to single mutation at codon Ser 83 (Ser83Phe) was detected
detect mutations at codons Gly 81, Ser 83, and Asp 87 in gyrA from 18 of 23 quinolone-resistant isolates in this study
were carried out using the primers in a previous report (8). Purified (Table 3). In addition, all of the quinolone-resistant isolates in
PCR products were sequenced and compared with the wild-type this study showed multidrug resistance and carried multiple
sequences (GenBank accession no. X78977.1). resistance genes. This was also frequently observed in the
Salmonella isolates from foodstuffs in Vietnam (27) and
RESULTS AND DISCUSSION other Asian countries (26, 28) and may result in failure in
Of the 283 retail meat samples, 118 (41.7%) were salmonellosis treatment in these countries.
Salmonella positive, including 63 (42.6%) of the 148 Our results showed a high prevalence of antibiotic
chicken samples and 55 (40.7%) of the 135 pork samples. resistance among Salmonella strains isolated from retail
1714 THAI AND YAMAGUCHI J. Food Prot., Vol. 75, No. 9

meat in Northern Vietnam and correlation between the in multi-resistant, integron carrying Salmonella enterica serotype
genes and the corresponding individual resistance pheno- Typhimurium strains. Microb. Drug Resist. 10:83–91.
13. Hendriksen, R. S., A. R. Vieira, S. Karlsmose, D. M. Lo Fo Wong, A.
types. In addition, the data describe the chromosomal B. Jensen, H. C. Wegener, and F. M. Aarestrup. 2011. Global
mutations in nalidixic acid–resistant isolates that may have monitoring of Salmonella serovar distribution from the World Health
resulted from the use of quinolones in animal husbandry. Organization Global Foodborne Infections Network Country Data
Therefore, appropriate management strategies are needed to Bank: results of quality assured laboratories from 2001 to 2007.
prevent resistant bacterial pathogens in the food chain in Foodborne Pathog. Dis. 8:887–900.
14. International Organization for Standardization, 1993. General guid-
Vietnam. ance on methods for detection of Salmonella, 3rd ed. ISO 6579.
International Organization for Standardization, Geneva.
ACKNOWLEDGMENTS 15. Jacoby, G. A. 2005. Mechanisms of resistance to quinolones. Clin.
Infect. Dis. 41(Suppl. 2):S120–S126.
This study was supported by the TRIG project of Hanoi Agricultural
16. Karisik, E., M. J. Ellington, R. Pike, D. M. Livermore, and N.
University, Gia Lam, Hanoi, Vietnam. We thank the staffs of the
Woodford. 2006. Wide occurrence of the fluoroquinolone-modifying
Department of Veterinary Hygiene, National Institute of Veterinary
acetyltransferase gene aac(69)-lb-cr in CTX-M-positive Escherichia
Research, Hanoi, Vietnam, for their technical assistance with serovar
coli from the United Kingdom. Abstr. 45th Intersci. Conf.
identification. The authors thank the students, technicians, butchers, and
Antimicrob. Agents Chemother., San Francisco, CA. American
other individuals who helped with sampling and processing.
Society for Microbiology, Washington, DC.
17. Kim, K. Y., J. H. Park, H. S. Kwak, and G. J. Woo. 2011.
REFERENCES Characterization of the quinolone resistance mechanism in foodborne
Salmonella isolates with high nalidixic acid resistance. Int. J. Food
1. Aarestrup, F. M., M. Lertworapreecha, M. C. Evans, A. Bangtra-
Microbiol. 146:52–56.
kulnonth, T. Chalermchaikit, R. S. Hendriksen, and H. C. Wegener.
2003. Antimicrobial susceptibility and occurrence of resistance genes 18. Majowicz, S. E., J. Musto, E. Scallan, F. J. Angulo, M. Kirk, S. J.
among Salmonella enterica serovar Weltevreden from different O’Brien, T. F. Jones, A. Fazil, and R. M. Hoekstra. 2010. The global
countries. J. Antimicrob. Chemother. 52:715–718. burden of nontyphoidal Salmonella gastroenteritis. Clin. Infect. Dis.
2. Asai, T., C. Sato, K. Masani, M. Usui, M. Ozawa, T. Ogino, H. Aoki, 50:882–889.
T. Sawada, H. Izumiya, and H. Watanabe. 2010. Epidemiology of 19. Miko, A., K. Pries, A. Schroeter, and R. Helmuth. 2005. Molecular
plasmid-mediated quinolone resistance in Salmonella enterica mechanisms of resistance in multidrug-resistant serovars of Salmo-
serovar Typhimurium isolates from food-producing animals in Japan. nella enterica isolated from foods in Germany. J. Antimicrob.
Gut Pathog. 2:17. Chemother. 56:1025–1033.
3. Benacer, D., K. L. Thong, H. Watanabe, and S. D. Puthucheary. 20. Ng, L.-K., M. R. Mulvey, I. Martin, G. A. Peters, and W. Johnson.
2010. Characterization of drug resistant Salmonella enterica serotype 1999. Genetic characterization of antimicrobial resistance in Cana-
Typhimurium by antibiograms, plasmids, integrons, resistance genes dian isolates of Salmonella serovar Typhimurium DT104. Antimi-
and PFGE. J. Microbiol. Biotechnol. 20:1042–1052. crob. Agents Chemother. 43:3018–3021.
4. Cattoir, V., F. X. Weill, L. Poirel, L. Fabre, C. J. Soussy, and P. 21. Robicsek, A., G. A. Jacoby, and D. C. Hooper. 2006. The worldwide
Nordmann. 2007. Prevalence of qnr genes in Salmonella in France. J. emergence of plasmid-mediated quinolone resistance. Lancet Infect.
Antimicrob. Chemother. 59:751–754. Dis. 6:629–640.
5. Clinical and Laboratory Standards Institute. 2006. Performance 22. Rodrı́guez-Martı́nez, J. M., M. E. Cano, C. Velasco, L. Martı́nez-
standards for antimicrobial disk susceptibility tests; approved Martı́nez, and A. Pascual. 2011. Plasmid-mediated quinolone
standard, 10th ed. CLSI document M02-A9. Clinical and Laboratory resistance: an update. J. Infect. Chemother. 17:149–182.
Standards Institute, Wayne, PA. 23. Shahada, F., C. Takehisa, T. Takayuki, O. Karoku, S. Masuo, and
6. Clinical and Laboratory Standards Institute. 2006. Methods for T. Kozo. 2006. Molecular epidemiology of antimicrobial resistance
dilution antimicrobial susceptibility tests for bacteria that grow among Salmonella enterica serovar Infantis from poultry in
aerobically. Approved standard, 7th ed. CLSI document M07-A7. Kagoshima, Japan. Int. J. Antimicrob. Agents 28:302–307.
Clinical and Laboratory Standards Institute, Wayne, PA. 24. Strahilevitz, J., G. A. Jacoby, D. C. Hooper, and A. Robicsek. 2009.
7. Clinical and Laboratory Standards Institute. 2010. Performance Plasmid-mediated quinolone resistance: a multifaceted threat. Clin.
standards for antimicrobial susceptibility testing. 20th informational Microbiol. Rev. 22:664–689.
supplement. CLSI document M100-S20. Clinical and Laboratory 25. Van, T. T. H., G. Moutafis, T. Istivan, L. T. Tran, and P. J. Coloe.
Standards Institute, Wayne, PA. 2007. Detection of Salmonella spp. in retail raw food samples from
8. Fàbrega, A., L. du Merle, C. Le Bouguénec, M. T. Jiménez de Anta, Vietnam and characterization of their antibiotic resistance. Appl.
and J. Vila. 2009. Repression of invasion genes and decreased Environ. Microbiol. 73:6885–6890.
invasion in a high level fluoroquinolone-resistant Salmonella 26. Van, T. T. H., H. N. Nguyen, P. M. Smooker, and P. J. Coloe.
Typhimurium mutant. PLoS One 4:e8029. 4 January 2012. The antibiotic resistance characteristics of non-
9. Frana, T. S., S. A. Carlson, and R. W. Griffith. 2001. Relative typhoidal Salmonella enterica isolated from food-producing animals,
distribution and conservation of genes encoding aminoglycoside- retail meat and humans in South East Asia. Int. J. Food Microbiol.
modifying enzymes in Salmonella enterica serotype Typhimurium (E-pub ahead of print.)
phage type DT104. Appl. Environ. Microbiol. 67:445–448. 27. Vo, A. T. T., E. van Duijkeren, W. Gaastra, and A. C. Fluit. 2010.
10. Gay, K., A. Robicsek, J. Strahilevitz, C. H. Park, G. Jacoby, T. J. Antimicrobial resistance, class 1 integrons, and genomic island 1 in
Barrett, F. Medalla, T. M. Chiller, and D. C. Hooper. 2006. Plasmid- Salmonella isolates from Vietnam. PLoS One 5:e9440.
mediated quinolone resistance in non-typhi serotypes of Salmonella 28. Wannaprasat, W., P. Padungtod, and R. Chuanchuen. 2011. Class 1
enterica. Clin. Infect. Dis. 43:297–304. integrons and virulence genes in Salmonella enterica isolates from
11. Grimont, P. A. D., and F. X. Weill. 2007. Antigenic formulae of pork and humans. Int. J. Antimicrob. Agents 37:457–461.
the Salmonella serovars, 9th ed. WHO Collaborating Center for 29. Yang, B., D. Qu, X. Zhang, J. Shen, S. Cui, Y. Shi, M. Xi, M. Sheng,
Reference and Research on Salmonella, Institut Pasteur, Paris. S. Zhi, and J. Meng. 2010. Prevalence and characterization of
12. Guerra, B., E. Junker, A. Miko, R. Helmuth, and M. C. Mendoza. Salmonella serovars in retail meats of marketplace in Shaanxi, China.
2004. Characterization and localization of drug resistance determinants Int. J. Food Microbiol. 141:63–72.

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