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Prevalence and Antimicrobial Resistance of Salmonella Isolated from







                                                                                                        Pork and Hospitalized Patients in Vientiane Capital, Lao PDR







                                                                                                                                                                                                                 Dethaloun Meunsene , Pakpoom Tadee                                                                    2,*
                                                                                                                                                                                                                                                                        1




                                                                                                                                           1 Graduate Program in Veterinary Science, Faculty of Veterinary Medicine, Chiang Mai University, Muang, Chiang Mai, Thailand



                                                                                                                                                                         2 Integrative Research Center for Veterinary Preventive Medicine, Faculty of Veterinary Medicine,


                                                                                                                                                                                                                   Chiang Mai University, Muang, Chiang Mai, Thailand




                                                                                                                                                                                                                          *Corresponding author: pakpoom.t@cmu.ac.th









                                                                                                                                                                 Keywords: Antimicrobial resistance, Lao PDR, Patient, Pork, Salmonella










                                                                                       Introduction                                                                                                                           murium and S. Newport (Figure 1). Some of human salmonellosis in Vientiane Capital, Lao PDR



                                                                                                                                                                                                                              seems to be associated with pork consumption. However, it cannot be concluded that these types of


        Non-typhoidal  Salmonella (NTS)  is  denoted  as  a  significant  public  health  problem,                                                                                                                            samples are sharing a pool of Salmonella sources, exactly. Be better, genetic relatedness studies are


        globally. Each year, 94 million infected cases with 155,000 deaths have been reported [1].                                                                                                                            needed to be completed.



        In Laos PDR, incidence of NTS Salmonella contaminated in food production chain (farm,


        slaughterhouse, and retails) were reported at high level [2,3]. Although, there are very few                                                                                                                                             Pork (%)


        studies of human salmonellosis and the association of them with food animals’ origin. With                                                                                                                                S. London 32 (45.71)


        the fact, pork is the most common type of meat consumed in this region [4].  Therefore, in                                                                                                                                S. Kedougou 8 (11.43)                                                                                                                                                          Patient (%)



        the  order  to  that  knowledge  gap,  this  study  aimed  to  investigate  the  prevalence  and                                                                                                                          S. Rissen 3 (4.28)                                                                                                                                                S. Rissen 2 (16.66)


        antimicrobial resistance of Salmonella in pork at retail markets and patient in hospital at                                                                                                                               S. Corvallis 4 (5.71)                                                                                                                                             S. Kedougou 1 (8.33)


        Vientiane Capital, Laos PDR. Understanding of their characteristics will inform the local                                                                                                                                 S. Give 4 (5.71)                                                                   Shared serotypes                                                               S. Hvittingfoss 1 (8.33)


        epidemiology  in  transmission  dynamics  and  provide  the  basis  for  applicable  treatment                                                                                                                            S. Meleagridis 3 (4.28)                                                                      S. Kedougou                                                          S. Typhimurium 1 (8.33)


        options to help control the spread of salmonellosis in the area.                                                                                                                                                          S. Hvittingfoss 2 (2.85)                                                                                                                                          S. Newport 1 (8.33)



                                                                                                                                                                                                                                  S. Typhimurium 2 (2.85)                                                                           S. Rissen                                                       S. Agona 1 (8.33)


                                                                   Materials and Methods                                                                                                                                          S. Altona 2 (2.85)                                                                         S. Hvittingfoss                                                        S. Bareilly 1 (8.33)


                                                                                                                                                                                                                                  S. Amsterdam 2 (2.85)                                                                    S. Typhimurium                                                           S. Eingedi 1 (8.33)


                                                                                                                                                                                                                                  S. Anatum 2 (2.85)                                                                             S. Newport                                                         S. Stanley 1 (8.33)


                                                                                                                                                                                                                                  S. Havana 2 (2.85)                                                                                                                                                S. Uganda 1 (8.33)



                                                                                                                                                                                                                                  S. Newport 1 (1.42)                                                                                                                                               S. Weltevreden 1 (8.33)



                     Location &                                                                                                                                                                                                   S. Brimingham 1 (1.42)



                           Source                                                                                                                                                                                                 S. Goma 1 (1.42)
                                                                                                                                                                                                                                  S. Planckendael 1 (1.42)



                                                                      Vientiane capital                        Hospitalized Patient                         5 Targeted marketplaces


                                                                             Lao PDR                                          Pork                                       1 Hospital                                                    Figure 1. Salmonella serotype isolates from pork in retail markets and patient at hospital at Vientiane capital

                                                                                                                                                                                                                                                                                                                                      Lao PDR



                                                                                                                                                                                                                              We measured the susceptibility of the 82 isolates to 10 different antimicrobials by disk diffusion test.



                                                                                                                                                                                                                              In  this  study,  both  of  CIP  and  NOR  were  able  to  inhibit  all  82  of  Salmonella isolates.  34.29  %


                                                                                                                                                                                                                              (24/70) of pork isolates and 75 % (9/12) of patient isolates were categorized as multidrug resistant




                                                                            Sample collection                                                                                                                                 strains. Resistance in pork isolates to TE was showed the highest rate (75%), followed by the AMP
             Sample collection                                     93 of pork & 250 of gastro-                                                                                                                                (44%), SXT (44%), respectively. Likewise, considering in patients isolates, the resistance of AMP




                                                                       intestinal tract disorders                                         Individually                            Packing &

                                                                        associated-hospitalized                                                  label                          Refrigerated                                  (83%), TE (75%) and SXT (66%) were also detected in high level (Figure 2). Thus, closed to the


                                                                                      patients                                                                                       storage                                  study of Boonmar et, al. (2013) [2] and Le Thi Phoung et al. (2017) [7]. Salmonella is often resistant


                                                                                                                                                                                                                              to broad spectrum antimicrobials widely used in human and veterinary medicine. However, based on



                                                                                                                                                                                                                              the evidence currently available, our findings indicate that the fluoroquinolones are still required for



                                                                                                                                                                                                                              salmonellosis treatment.




                                                                                                                                                                                                                                              90
                                                                                                                                                                                                                                                                                                                                       AMR


                                                                                                                                                                                                                                              80



                                                                                                                                                                                                                                              70



                                                                           Isolation and                              All detected                                   Serotyping was                                                           60


                                                                     identification were                                   isolates                                  used the serum-                                                          50

                                                                    performed following                                                                             agglutination test                                                       (%)  40


                                                                         ISO6579: 2002
                     Laboratory                                     Amendment 1:2007,                                                                                according to the                                                         30



                      Procedure                                      Annex D technique.                                                                           White-Kauffmann-                                                            20
                                                                                                                                                                    Le Minor scheme

                                                                                                                                                                                  [5]                                                         10




                                                                                                                                                                                                                                                 0

                                                                                                                                                                                                                                                           AMP              AMC                 C               CIP             CTX               NA              NOR                 S             SXT                TE             MDR


                                                                  Antimicrobial susceptibility test by disk diffusion method [6], including:                                                                                                                                                                                        Antibiotic agents

                                                                    Amoxicillin-clavulanic acid (AMC) 20/10 µg, Ampicillin (AMP) 10 µg,


                                                                  Chloramphenicol (C) 30 µg, Ciprofloxacin (CIP) 5 µg, Cefotaxime (CTX)                                                                                                                                                                                         Pork               Patient

                                                                               30 µg, Nalidixic acid (NA) 30 µg, Norfloxacin (NOR) 10 µg,


                                                                            Streptomycin (S) 10 µg, Sulfamethoxazole-trimethoprim (SXT)                                                                                              Figure 2. Antimicrobial resistance proportion of Salmonella strains from pork and patient in Vientiane capital,

                                                                                                  23.75/1.25 µg & Tetracycline (TE) 30 µg                                                                                                                                                                                             Lao PDR.










                                                                  Results and Discussion                                                                                                                                                                                                                     Acknowledgement




                                                                                                                                                                                                                              The  authors  would  like  to  thank  the  Bacteriology  Section, Veterinary  Research  and  Development  Center  (Upper


                                                                                                                                                                                                                              Northern  Region),  Lampang,  Thailand  and  Department  of  Veterinary  Medicine,  Faculty  of Agriculture,  National

       A total of 343 samples, 93 from pork and 250 from the patients were included. Salmonella                                                                                                                               University of Laos for their valuable contributions. We also thank the Faculty of Veterinary Medicine, Chiang Mai



       was detected in 75.27% (70/93; 95% CI= 65.24-83.63%) and 4.8% (12/250; 95% CI= 2.5-                                                                                                                                    University for the grant support the graduate project.



       8.23%), respectively. The previously prevalence reports of pork in retail market at southern



       part of Laos was found at 93% (25/27; 95% CI= 75.71-99.09%) [2] that was higher than our                                                                                                                                                                                                                           References



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