Abstract
Gastrointestinal infections caused by nontyphoidal Salmonella (NTS) remain one of the main causes of foodborne illness worldwide. Within the multiple existing Salmonella enterica serovars, the serovar Rissen is rarely reported, particularly as a cause of human salmonellosis. Between 2015 and 2017, the Portuguese National Reference Laboratory of Gastrointestinal Infections observed an increase in the number of clinical cases caused by multidrug-resistant (MDR) S. enterica serovar Rissen, particularly from the Azores archipelago. In the present study, we analyzed by whole genome sequencing (WGS) all clinical, animal, food, and environmental isolates received up to 2017 in the Portuguese Reference Laboratories. As such, through a wgMLST-based gene-by-gene analysis, we aimed to identify potential epidemiological clusters linking clinical and samples from multiple sources, while gaining insight into the genetic diversity of S. enterica serovar Rissen. We also investigated the genetic basis driving the observed multidrug resistance. By integrating 60 novel genomes with all publicly available serovar Rissen genomes, we observed a low degree of genetic diversity within this serovar. Nevertheless, the majority of Portuguese isolates showed high degree of genetic relatedness and a potential link to pork production. An in-depth analysis of these isolates revealed the existence of two major clusters from the Azores archipelago composed of MDR isolates, most of which were resistant to at least five antimicrobials. Considering the well-known spread of MDR between gastrointestinal bacteria, the identification of MDR circulating clones should constitute an alert to public health authorities. Finally, this study constitutes the starting point for the implementation of the “One Health” approach for Salmonella surveillance in Portugal.
Highlights
Nontyphoidal Salmonella (NTS) are zoonotic pathogens that remain one of the main causes of gastrointestinal infection and one of the most important causes of foodborne illness around the world
More than 2600 Salmonella enterica serovars have been identified to date, most of the cases in developed countries are caused by S. enterica serovar Enteritidis or S. enterica serovar Typhimurium, International Journal of Genomics accounting for 63% of all reported cases in the European Union (EU) in 2012 [3, 4]
Two distinct food-associated isolates exhibit resistance to quinolones, with PT60 being resistant to both pefloxacin and nalidixic acid while PT44 only to nalidixic acid
Summary
Nontyphoidal Salmonella (NTS) are zoonotic pathogens that remain one of the main causes of gastrointestinal infection and one of the most important causes of foodborne illness around the world. In Portugal, only 31 cases of human salmonellosis caused by S. enterica serovar Rissen were identified in a 12-year period (2000-2012) [9]. This is one of the most commonly reported serovars in pigs and pork, in several European and Asian countries [10,11,12,13,14,15,16,17]. This serovar has been isolated less frequently from other sources, namely, beef, chicken, and seafood [14, 15, 18, 19]. In Portugal, it has been identified in several studies, in pig and pork and in beef, chicken, and wild animals [11, 20,21,22]
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