197 1 Bihar Veterinary College, Bihar Animal Sciences University, Patna, Bihar 800014, India. 2 Regional Centre for Eastern Region-Indian Council of Agricultural Research, Patna, Bihar 800014, India. * Corresponding author at: Department of Veterinary Public Health & Epidemiology, Bihar Veterinary College, Bihar Animal Sciences University, Patna, Bihar 800014, India. Tel.: 91 9431260790, e-mail: drkaushikvet@gmail.com. Parole chiave Pollame, E. coli, resistenza antimicrobica, caratterizzazione molecolare, stx 1 gene, stx 2 gene. Riassunto In questo studio, condotto su 228 campioni di carne e 24 di uova, sono stati rilevati dalla carne 62 isolati di Escherichia coli appartenenti a differenti sierogruppi basati sul sierotipo O, ovvero O29 (10.8%), O8 (7.7%), O40 (6.15%), O2 (4.61%), O60 (3.08%), O106 (3.08%), O42 (1.54%), O87 (1.54%); per ciascun sierotipo O1, O7, O30, O45, O59, O66, O105, O1116, O136, O141, O147, O148, O166, O172, ne è stato individuato uno; 16 (24,62%) sono risultati non dimostrabili e 6 (9,23%) erano di tipi approssimativi. La caratterizzazione molecolare è stata eseguita mirando ai frammenti dei geni di virulenza stx 1 e stx 2 ; 10 (16,12%) trasportavano il gene stx 2 mentre nessuno lo stx 1 . Gli isolati di E. coli hanno mostrato un'ampia variazione nel pattern di resistenza contro gli agenti antimicrobici usati (9-90%). La massima resistenza è stata osservata contro cefuroxima (89,1%) e penicillina (89,4%), seguita da ampicillina (80,43%), vancomicina (74,1%), cotrimossazolo (73,1%), cefalotina (60,8%) , ceftriaxone (28,2%), tetraciclina (17,4%), gentamicina (13,0%), amikacina (13,04%), ofloxacina (13%) e ciprofloxacina (6,5%). È stato invece notato un alto grado di suscettibilità nei confronti di amikacina (84,7%) e ciprofloxacina (76%), seguita da gentamicina (71,73) e ofloxacina (60,86%). Sono state riscontrate elevate resistenze antibiotiche multiple e identificato un totale di 34 pattern di resistenza. Resistenza antimicrobica e caratterizzazione molecolare di Escherichia coli nel pollame in India orientale Keywords Poultry, E. coli, Anti-microbial resistance, Molecular characterisation, stx 1 , stx 2 . Summary In this study 252 poultry samples comprised of poultry meat (n  =  228) and poultry eggs (n = 24) were screened for the isolation of Escherichia coli (E. coli). A total of 62 E. coli isolates were recovered from poultry meat. The E. coli isolates belonged to different serogroups based on ‘O’ serotyping of the isolates viz O29 (10.8%), O8 (7.7%), O40 (6.15%), O2 (4.61%), O60 (3.08%), O106 (3.08%), 42 (1.54%), O 87 (1.54%), and 01 serotypes of O1, O7, O30, O45, O59, O66, O105, O1116, O136, O141, O147, O148, O166, and O172. Sixteen (24.62%) of the isolates were UT (untypable) and 6 (9.23 %) were rough types. Molecular characterisation of the isolates was performed, targeting stx 1 and stx 2 virulence gene fragment. Out of 62 E. coli isolates, 10 (16.12%) were carrying virulence gene stx 2 , whereas none of the isolate was carrying stx 1 gene. The E.  coli isolates showed wide variation in resistance pattern against the antimicrobial agents that we used (9-90%). Among E. coli isolates, maximum resistance was observed against cefuroxime (89.1%) and penicillin (89.4%), followed by ampicillin (80.43%), vancomycin (74.1%), co-trimoxazole (73.1%), cephalothin (60.8%), ceftriaxone (28.2%), tetracycline (17.4%), gentamicin (13%), amikacin (13.04%), ofloxacin (13%), and ciprofloxacin (6.5%). A high degree of susceptibility was observed against amikacin (84.7%) and ciprofloxacin (76%) followed by gentamicin (71.73) and ofloxacin (60.86%). High multiple antibiotic resistances were observed and a total of 34 resistance patterns were identified. Purushottam Kaushik1*, Anjay1, Savita Kumari1, Shanker Dayal2 and Sunil Kumar1 Antimicrobial resistance and molecular characterisation of E. coli from poultry in Eastern India Veterinaria Italiana 2018, 54 (3), 197-204. doi: 10.12834/VetIt.330.1382.2 Accepted: 09.05.2014 | Available on line: 30.09.2018 198 Veterinaria Italiana 2018, 54 (3), 197-204. doi: 10.12834/VetIt.330.1382.2 and molecular characterisation of stx 1 and stx 2 genes in E. coli isolated from poultry meat. Materials and methods Sample Collection A total of 252 samples constituting of fresh poultry meat (n  =  228) and eggs (n  =  24) were collected randomly from different shops and market of Patna, India during September 2010 to March 2013. The samples were transported under cold conditions to the laboratory in the Department of Veterinary Public Health, Bihar Veterinary College, Patna, India, and processed within 1 hour of collection. Isolation and biochemical characterization Ten grams of meat sample and egg white were inoculated in MacConkey broth (HiMedia, Mumbai, India) and incubated at 37 °C for 12 hours. Samples showing acid and gas production were further inoculated on MacConkey agar plates (HiMedia, Mumbai, India) and incubated at 37  °C for 18-24  hours. Pure and characteristic pink coloured single colonies selected from MacConkey agar were subcultured on Eosin Methylene Blue (EMB) agar (HiMedia, Mumbai, India) in order to observe the metallic sheen that is characteristic of E.  coli. The pure colonies were picked up on Nutrient Agar slants and subjected to standard morphological and biochemical tests (Edwards and Ewing 1972). Serotyping E. coli All the biochemically confirmed isolates of E. coli were submitted to the National Salmonella and Escherichia Centre, Central Research Institute, Kasauli, India for serotyping based on somatic (O) antigens. Extracting E. coli DNA for the detection of virulence genes The bacterial DNA was prepared as per Dutta and colleagues (Dutta et  al. 2011), with slight modification. The isolates were inoculated into 5 ml Luria Bertani (L-B) broth and incubated at 37  °C for 18 hours. After incubation, 1 ml of the broth culture was centrifuged in a 1.5 ml microcentrifuge tube at 8,000  rpm for 10 minutes. The pellet was washed twice in sterile normal saline solution (NSS) (0.85% NaCl) then re-suspended in 400  μl of nuclease-free sterile distilled water and boiled for 10  minutes followed by immediate chilling. Cell debris was removed by centrifugation at 5,000  rpm for Introduction Escherichia coli (E.  coli) is a commensal bacterium in humans and animals; however some strains are capable of causing intestinal diseases. This organism is commonly present in the environment and is considered an indicator of faecal contamination of food and water. On the basis of virulence factors, E.  coli has been classified into different pathotypes: enterotoxigenic E.  coli (ETEC), enteroinvasive E.  coli (EIEC), enteropathogenic E.  coli (EPEC), diffusely adherent E.  coli (DAEC), enteroaggregative E.  coli (EAEC), and enterohemorrhagic or shiga toxin-producing E.  coli (EHEC/STEC). The latter is most commonly associated with outbreaks of foodborne diseases (Bandyopadhyay et  al. 2011). The pathogenicity of EHEC/STEC is mediated mainly through Shiga toxins 1 and 2 encoded by stx 1 and stx 2 genes, respectively. Although bovines are considered to be the major carrier for EHEC/STEC, poultry may also harbour the organism and play an important role in transmission (Ferens and Hovde 2011). The stx 2 gene is associated with an increased risk of developing hemolytic-uremic syndrome (Boerlin et  al. 1999). Although reports on the isolation, identification, and characterisation of EHEC/STEC in humans and animals are available in India, very few reports on the association of EHEC/STEC in poultry are available in the country (Chattopadhayay et  al. 2001, Khan et al. 2002, Wani et al. 2004). During the past decade, drug resistance to Enterobacteriaceae has increased worldwide. Since E.  coli is present as gut commensal in humans and animals, it has become one of the microorganisms that are commonly resistant to antimicrobials due to the selective pressure imposed by the antimicrobial drugs used in the treatment of food animals and humans (Zhao et  al. 2012). Moreover, in animals antimicrobial agents are not only used for therapy and the prevention of bacterial infection, but also for the promotion of growth (Van den Bogaard and Stobberingh 2000). In the poultry sector, maximum numbers of antimicrobial agents are continuously fed to animals in order to promote growth, which further imposes selective pressure on the organism leading to development of antimicrobial resistance. The emergence of antimicrobial resistance among E.  coli of animal origin has important public health implications. Various authors report that animals are the source of drug-resistant E.  coli in humans (Johnson and Nolan 2009, Hammerum and Heuer 2009, Overdevest et  al. 2011). Szmolka and colleagues (Szmolka et  al. 2012) report common multi-resistance patterns of E. coli from food animals and clinical cases, which suggests that the circulation of multi-drug resistant E. coli circulating in the food chain is significant. The purpose of this study is to determine the prevalence, antimicrobial resistance, E. coli in Eastern Indian poultry Kaushik et al. 199Veterinaria Italiana 2018, 54 (3), 197-204. doi: 10.12834/VetIt.330.1382.2 Kaushik et al. E. coli in Eastern Indian poultry was produced by different isolates. We referenced the manufacturer (Hi Media) for the breakpoint diameter of the zone of inhibition for different antibiotics. Multiple-antibiotic resistance was defined as resistance to 2 or more antibiotic classes (Shekhar and Singh 2014). Results Bacterial isolation and identification A total of 62 E.  coli out of 228 meat samples was isolated, whereas all egg samples were found negative for E.  coli. The E.  coli isolates belonged to 24 different serogroups: O29 (10.8%), O8 (7.7%), O40 (6.15%), O2 (4.61%), O60 (3.08%), O106 (3.08%), O42 (1.54%), O87 (1.54%), and 1 serotypes each of O1, O7, O30, O45, O59, O66, O105, O116, O136, O141, O147, O148, O166, and O172. Other results indicated 16 (24.62%) isolates as UT (untypable), and 6 (9.23 %) as rough types. The molecular characterisation of E. coli by multiplex PCR Multiplex PCR targeting stx 1 and stx 2 gene fragment of E.  coli resulted in the amplification of 349  bp amplicon for stx 1 and 110 bp amplicon for stx 2 , as we expected (Figure 1). Out of 62 E.  coli isolates, 13 (21%) isolates that carried only the stx 2 gene were screened. These belonged to the serogroups O29, O8, O42, and O1. Antimicrobial resistance The E.  coli isolates showed a wide variation in resistance patterns (9-90%) against the antimicrobial 5 minutes. The supernatant was used as a template DNA for polymerase chain reaction (PCR). Detecting virulence genes by multiplex PCR A multiplex PCR protocol was standardized using 2 sets of oligonucleotide primers targeting stx 1 and stx 2 genes (Table I). Amplification was carried out in a total volume of 25  µl containing 10  pmol each of primer, 50 µM each of dNTP, 1.5 mM MgCl 2 , 1U Taq DNA polymerase, 1X PCR of buffer, and 5 µl template DNA. A negative control containing the same reaction mixture except the DNA template was included in every experiment. The reaction condition was optimised with initial denaturation at 94  °C for 5 minutes, followed by 35 cycles of denaturation at 94 °C for 1 minute, annealing at 55 °C for 1 minute, and extension at 72  °C for 1 minute. Finally, an additional extension was achieved for 5  minutes at 72 °C. Amplified products were separated by agarose gel (2% agarose in 1X Tris-borate-EDTA buffer) electrophoresis at 5v/cm for 2 hours and stained with ethidium bromide (0.5 μg/ml) (Sambrook et  al. 1989). A standard molecular-size marker (100 bp DNA ladder) was included in each gel. We observed and photographed DNA fragments in a gel documentation system (Biorad, USA). Antimicrobial resistance The antimicrobial susceptibility test of isolates was determined using the agar disc diffusion method (Wayne 2002). The antibiotic discs included ampicillin (10  µg), amikacin (30  µg), cefuroxime (30  µg), ceftriaxone (30  µg), cephalothin (30  µg), ciprofloxacin (5  µg), co-trimoxazole (25  µg), gentamicin (10  µg), ofloxacin (5  µg), penicillin-G (10  units), tetracycline (30  µg), and vancomycin (30  µg). The isolates were grown on autoclaved Mueller Hinton broth (HiMedia, India) for 18 hours at 37  °C. About 100 µl of the inoculum was spread on Mueller Hinton agar using a sterile disposable L-shaped spreader. Antibiotic discs were placed onto the plate using sterile forceps. The plates were incubated at 37  °C for 24 hours and observed for zone of inhibition. The results were interpreted as susceptible, resistant, or moderately susceptible based on the diameter of the zone of inhibition that Table I. Oligonucleotide primers used in multiplex PCR reaction. Primer Sequence Product size stx 1 F 5'-CAA CAC TGG ATG ATC TCA G-3' 349 bp stx 1 R 5'-CCC CCT CAA CTG CTA ATA-3' stx 2 F 5'-ATC AGT CGT CAC TCA CTG GT-3' 110 bp stx 2 R 5'-CTG CTG TCA CAG TGA CAA A-3' Figure 1. Agarose gel electrophoresis showing amplified PCR product of stx 1 and stx 2 gene. Lane M = 100 bp DNA marker, Lane1 = Positive control for stx 1 (349 bp amplicon) and stx 2 (110 bp amplicon) gene, Lane 2-11 = E. coli isolates from meat samples, Lane12 = Negative control. 200 Veterinaria Italiana 2018, 54 (3), 197-204. doi: 10.12834/VetIt.330.1382.2 E. coli in Eastern Indian poultry Kaushik et al. (13%), and ciprofloxacin (6.5%). A high degree of susceptibility was observed against amikacin (84.7%) and ciprofloxacin (76%) followed by gentamicin (71.73%) and ofloxacin (60.86%) (Tables  II  and  III). The number of multiple antibiotic resistances pattern of isolates we observed was high and a total of 34 resistance patterns were identified (Table IV). agents that have been used. The maximum resistances among E.  coli isolates were observed against cefuroxime (89.1%) and penicillin (89.4%), followed by ampicillin (80.43%), vancomycin (74.1%), co-trimoxazole (73.1%), cephalothin (60.8%), ceftriaxone (28.2%), tetracycline (17.4%), gentamicin (13%), amikacin (13.04%), ofloxacin Table II. Antimicrobial susceptibility of E. coli isolates. E. coli serotypes Cu G A Ci Ak Ch Cf Co P Va Of T UT R R R R R R R S R R R S UT R R R R R R I S R I S I UT R I R I S R S S R I S S O106 I I R I I R S R R R S I O59 I I R R S R S S R I S S UT R R R I I I R S R I S S O106 R S R I S R S R R R S R UT R S R S S R S R R I S R Rough I R R R R R S R R I S R Rough R R R R S R S R R R R I UT R S R I R R S R R R S S O136 R S R S S R S R R S S S O45 R R R R R R S R R I S S Rough R R R S S S S R R R I I UT R R R R S S S R R R R I O40 S S R S S I S R R R I I O40 R S R S S R I S R R R I O40 R S R S S R I R R R I I UT S S R S S S S R R R S I Rough R S R S S R I R R R R I UT R I R S S R S S R R R I O147 R S R S S R S R R I I S UT R S R S S R S R R R I S UT R R R S I R S S I R S I UT R I R S S R S R I R S S O141 R S R I S S S R R S S S O7 R S R I S R S R R I S S O40 R S R S S S S R R R I I O87 R S R I R R S R R R S R O29 R S R I S R I R I R S I O8 R S S R R R R S R R S S O29 R I S R S R I R R R R I O8 R S R S S S R R R R S I O60 R S R S S I I R R R R S O172 R I R S S I S R R R S I O42 R I R I R R S R R I S S O2 R S S I S S R I R R R I Rough R S R S S R S S R S S S O148 R S R R S I S R R R I I 042 R S R R S I S R R R I R Rough R S R S S R S R R R S S O1 R S R I S I S S R R I I Cu = Cefuroxime; G = Gentamicin; A = Ampicillin; Ci = Ceftriaxone; Ak = Amikacin; Ch = Cephalothin; Cf = Ciprofloxacin; Co = Co-trimoxazole; P = PenicillinG; Va = Vancomycin; Of = Ofloxacin; T, Tetracycline; S = Susceptible; I = Intermediate; R = Resistant; UT = Untypeable. 201Veterinaria Italiana 2018, 54 (3), 197-204. doi: 10.12834/VetIt.330.1382.2 Kaushik et al. E. coli in Eastern Indian poultry (Guth et al. 1989, Blanco et al. 2004, Fratamico et al. 2010, Bandyopadhyay et  al. 2011). In the present study however 24 serogroups were detected. They were widely distributed in the eastern part of India. On the contrary to this finding many studies from India reported the isolation of a few numbers of serogroups from poultry (Malik et  al. 2002, Wani et al. 2004, Dutta et al. 2011). The E. coli of serogroups O2, O87, and O172 reported in this study, are associated with Shiga toxin producing E. coli (STEC), as documented by Fratamico and other authors (Fratamico et al. 2010, Meng et al. 2014), whereas the Discussion Foodborne diseases are caused by a number of pathogens. Of these, E. coli is considered one of the most important. It is responsible for intestinal and extraintestinal diseases in humans (Vincent et  al. 2010, Scallan et  al. 2011). Food plays an important role in the dissemination of E.  coli, causing community-acquired urinary tract infections (Vincent et  al. 2010, Ferens and Hovde 2011, Jana and Mondal 2013). In the present study, poultry meat samples collected from different retail shops were contaminated with different serogroups of E.  coli. Out of 228 poultry meat samples, 62 (27.19%) were positive for E. coli. This finding is both consistent with previous reports from different parts of India (Farooq et al. 2009, Bonyadian et al. 2011, Sahoo et al. 2012, Jana and Mondal 2013) but higher than the finding of Zende and colleagues (Zende et  al. 2013), who reported the isolation of E. coli in 16% poultry meat from a small sample size of meat from Mumbai, India. Our results indicate the contamination of poultry meat with E.  coli. This may be due to a lack of proper sanitation during slaughtering in the local markets or because of contaminated water is used to wash carcasses. In the present study, E.  coli isolates belonged to 24 different serogroups, namely O29, O8, O40, O2, O60, O106, O42, O87, O1, O7, O30, O45, O59, O66, O105, O116, O136, O141, O147, O148, O166, O172; UT (untypable) and R (rough types) were also recovered. Most of the serogroups identified have also been reported in other similar studies Table III. Oligonucleotide primers used in multiplex PCR reaction. Antibiotic Number of resistant strain (n = 46) Percent β lactums antibiotic Ampicillin 37 80.4 Penicillin 41 89.13 Cephalosporins Cephalothin (First generation) 28 60.86 Cefuroxime (Second generation) 41 89.13 Ceftriaxone (Third generation) 13 28.26 Fluroquinolones Ciprofloxacin 3 6.52 Ofloxacin 6 13.04 Aminoglysides Amikacin 6 13.04 Gentamicin 6 13.14 Sulfonamides Co-trimoxazole 34 73.9 Tetracyclines Tetracycline 8 17.39 Glycopeptides Vancomycin 34 74.1 Table IV. Resistance pattern of E. coli serogroups isolated from poultry meat. Resistance patterns E. coli serotypes CU-CO-VA 2 A-CU-CH 1 G-A-P-CH-VA 1 CU-CO 1 G-P-CU-CH-CO-VA 1 P-CU-CH 1 A-P-CU-VA 2 P-CI-CU-CO-VA 1 A-P-CI-CU-CH-VA 1 A-P-CI-CU-CH-CO-VA-T 1 A-P-CU-CO-VA-T 1 A-P-CU-VA-T 1 A-P-CI-CU-CO-VA-T 1 A-P-CH-CO-VA 1 A-P-CI-CH 1 A-P-CU-CH-CO-VA-T 2 G-AK-A-P-CI-CH-CO-T 1 G-A-P-CI-CU-CH-CO-VA 2 A-P-CU-CH-CO 3 G-A-P-CU-CO-VA 2 G-A-P-CO-VA 1 A-P-CU-CH-OF-VA 1 A-P-CU-CH-CO-VA 3 A-P-CU-CH-OF-CO-VA 1 A-P-CU-CH-CO 4 A-P-CO-VA 1 A-CU-CH-CO-VA-T 1 A-CU-CH-CO-VA 1 P-CU-CH-CF-VA 1 P-CU-CH-OF-CO-VA 1 A-P-CU-CF-CO-VA 1 A-P-CU-OF-CO-VA 1 P-CU-CH-CF-OF-VA 1 A-P-CU-CH 1 Total 46 Antibiotics tested for multiple resistance were: Cu = Cefuroxime; G = Gentamicin; A = Ampicillin; Ci = Ceftriaxone; Ak = Amikacin; Ch = Cephalothin; Cf = Ciprofloxacin; Co = Co-trimoxazole; P = Penicillin G; Va = Vancomycin; Of = Ofloxacin; T = Tetracycline. 202 Veterinaria Italiana 2018, 54 (3), 197-204. doi: 10.12834/VetIt.330.1382.2 E. coli in Eastern Indian poultry Kaushik et al. of resistance in E.  coli. The coexistence of virulent and resistant genes in a species may result in the emergence of hybrid plasmids (both resistance and virulence) among E.  coli. This, in turn, poses an increased public health risk (Szmolka and Nagy 2013). In the present study, all isolates of E.  coli exhibited resistance against 2 or more antimicrobial agents, suggesting the presence of multi-drug resistant (MDR) E.  coli (Joshi et  al. 2012, Szmolka and Nagy 2013). The prevalence of such a large number of MDR E. coli indicates the widespread and extensive use of antibiotics in the area. Prevalence of such MDR E. coli has also been observed by Shakya and colleagues (2013) in human stool samples from India. The high rate of multiple antibiotic resistance against E.  coli also indicates the injudicious use of several antimicrobial agents for preventive and therapeutic purposes. These all pose serious threats to animal and human health. The present investigation highlights the prevalence of pathogenic E. coli (ETEC and EPEC) in poultry meat, which is of importance in the field of zoonosis. The occurrence of high levels of resistance against most of the antibiotics and prevalence of virulent genes call for further attention, and the maintenance of strict hygienic measures in retail meat shops. The present findings also provide information about the occurrence of STEC in poultry in eastern India. Acknowledgments The authors are thankful to the Honorable Vice Chancellor, Bihar Agricultural University, Sabour, for providing necessary funds and Principal, Bihar Veterinary College, Patna for providing infrastructure and facilities to carry out the investigation. We are also thankful to the Director CRI, Kasauli, HP, India, for serotyping the isolates. serogroups O8, O29, O111, and O60 are associated to enteropathogenic E. coli (Guth et al. 1989, Blanco et  al. 2004, Wani et  al. 2004, Bandyopadhyay et  al. 2011). Thus our findings indicate that meat handlers and consumers are at risk of infection from STEC or enteropathogenic E. coli. In this study, molecular characterisation for the presence of stx 1 and stx 2 genes showed the presence of stx 2 gene in 13 (21%) isolates of E. coli. This finding is consistent with other findings from Farooq and colleagues (Farooq et  al. 2009) and Grossmann and colleagues (Grossmann et  al. 2005), who reported the stx 2 gene in 11% and 9% of E. coli isolated from pigeons, respectively. Various authors reported the occurrence of the stx 2 gene in O45, O18, O75, O64, O89, O91, O17, and O78 serogroups (Schmidt et  al. 2000, Morabito et al. 2001, Farooq et al. 2009, Dutta et al. 2011). However, our findings demonstrate the presence of the stx 2 gene in O29, O8, O42, and O1 serogroups. This indicates a variable distribution of virulent genes among different serogroups of E. coli in different geographical area in India. Antimicrobial resistance was observed at a range of 9-90%, which shows extreme variation in the susceptibility of poultry meat to E. coli. Our findings show maximum resistance against cefuroxime (a cephalosporin) followed by penicillin, ampicillin, and vancomycin. The high level of susceptibility against amikacin and ciprofloxacin that has been observed is consistent with the findings of other studies (Mishra et  al. 2002, Carraminana et  al. 2004, Jana and Mondal 2013). These findings might be the result of the indiscriminate use of these antibiotics in poultry or because of sub-therapeutic doses of these antimicrobial agents being administered for the prevention or control of infection. Other explanations include transmissible or plasmid mediated drug resistance and mutational changes in the genes that are crucial to the development 203Veterinaria Italiana 2018, 54 (3), 197-204. doi: 10.12834/VetIt.330.1382.2 Kaushik et al. 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