Abstract
The molecular epidemiology of 142 isolates of Salmonella enterica serovar Typhimurium from avian wildlife, domestic animals, and the environment in Norway was investigated using pulsed-field gel electrophoresis (PFGE) and computerized numerical analysis of the data. The bacterial isolates comprised 79 isolates from wild-living birds, including 46 small passerines and 26 gulls, and 63 isolates of nonavian origin, including 50 domestic animals and 13 environmental samples. Thirteen main clusters were discernible at the 90% similarity level. Most of the isolates (83%) were grouped into three main clusters. These were further divided into 20 subclusters at the 95% similarity level. Isolates from passerines, gulls, and pigeons dominated within five subclusters, whereas isolates from domestic animals and the environment belonged to many different subclusters with no predominance. The results support earlier results that passerines constitute an important source of infection to humans in Norway, whereas it is suggested that gulls and pigeons, based on PFGE analysis, represent only a minor source of human serovar Typhimurium infections. Passerines, gulls, and pigeons may also constitute a source of infection of domestic animals and feed plants or vice versa. Three isolates from cattle and a grain source, of which two were multiresistant, were confirmed as serovar Typhimurium phage type DT 104. These represent the first reported phage type DT 104 isolates from other sources than humans in Norway.
There is strong evidence that Salmonella enterica serovar Typhimurium has established reservoirs in wild-living birds and hedgehogs in Norway (15, 27). Wild-living birds and hedgehogs may function as effective spreaders of Salmonella bacteria to humans and to different animal species through contamination of the environment (15, 23). In Norway, sporadic indigenous cases and a national outbreak of human salmonellosis, caused by serovar Typhimurium, have been related to infections in small passerines (22, 23). In a waterborne serovar Typhimurium infection outbreak in northwestern Norway in 1999, gulls were suggested to be the most likely source of infection (1; T. Refsum, G. Kapperud, and G. Holstad, submitted for publication). Moreover, two human outbreaks in 1996 and 2000 have been associated with infected hedgehog populations (15). It is therefore important to gain further knowledge of the epidemiology of Salmonella bacteria in wild-living species, in particular of the endemically distributed serovar Typhimurium.
Most previous studies are based on analytical epidemiological investigations and traditional phenotypic analysis, such as biotyping, serotyping, antimicrobial susceptibility, and phage typing. However, the limitations associated with several of these techniques have stimulated interest in DNA-based typing methods, such as pulsed-field gel electrophoresis (PFGE) (3, 5). This method has proven to be highly discriminatory and comparable or superior to other techniques (3) and has been useful in epidemiological investigations of, e.g., serovar Typhimurium outbreaks (5, 26, 31). In Norway, several serovar Typhimurium outbreaks in humans have been investigated by this method (16). The PFGE method might also be useful in surveillance of variants of particular interest, such as the multiresistant serovar Typhimurium definitive phage type DT 104. Fingerprinting by PFGE may be a valuable tool in epidemiological investigation and surveillance by relating isolates from different sources to a common origin.
The aim of this study was to investigate the molecular epidemiology of serovar Typhimurium isolates from wild-living birds, domestic animals, and the environment by using genomic fingerprinting by PFGE.
MATERIALS AND METHODS
Isolate characteristics.
A total of 142 isolates of serovar Typhimurium from avian wildlife, domestic animals, and other sources in Norway were investigated (Table 1). The 79 isolates from wild-living birds comprised 46 isolates of serovar Typhimurium O:4,12 randomly selected from a total of 350 small passerine isolates, using a random-number generator (9), and all available isolates of the serovar Typhimurium variants O:4,12 and O:4,5,12 from other wild-living bird species. The isolates were obtained from birds from all over the country. All isolates originated from birds received for postmortem examination at the National Veterinary Institute during 1969 to 2000 (27) or from surveys of wild-living birds conducted during 1997 to 2001 (T. Refsum, T. Vikøren, K. Handeland, G. Holstad, and G. Kapperud, submitted for publication; Refsum et al., submitted), except for two isolates from a crow and a gull collected in a follow-up investigation of a human outbreak in southeastern Norway in 1996 (15).
TABLE 1.
The 142 isolates of serovar Typhimurium from avian wildlife, domestic animals, and the environment according to origin, year of isolation, county, and PFGE clustera
Origin | Yr of isolation | Serotype | County | PFGE cluster |
---|---|---|---|---|
Black-headed gull, Larus ridibundus | 1994 | O:4,5,12 | Hedmark | A1 |
Dairy cattle | 1995 | O:4,5,12 | Rogaland | A1 |
Dairy cattle | 1997 | O:4,5,12 | Rogaland | A1 |
City pigeon, Columba livia | 1993 | O:4,12 | Hordaland | A1 |
City pigeon, Columba livia | 1993 | O:4,5,12 | Oslo | A1 |
Domestic pigeon | 1994 | O:4,12 | Møre og Romsdal | A1 |
Domestic pigeon | 1994 | O:4,12 | Rogaland | A1 |
Domestic pigeon | 1994 | O:4,12 | Rogaland | A1 |
Domestic pigeon | 1995 | O:4,12 | Rogaland | A1 |
Domestic pigeon | 1998 | O:4,12 | Hedmark | A1 |
Domestic pigeon | 1999 | O:4,12 | Hordaland | A1 |
Domestic pigeon | 2000 | O:4,12 | Rogaland | A1 |
Feed plant | 1995 | O:4,12 | Østfold | A1 |
Fish feed | 1994 | O:4,12 | Rogaland | A1 |
Horse | 1994 | O:4,5,12 | Vestfold | A1 |
Horse | 1994 | O:4,5,12 | Oslo | A1 |
Swine | 1994 | O:4,5,12 | Hedmark | A1 |
Swine | 1994 | O:4,5,12 | Rogaland | A1 |
Swine feed | 1994 | O:4,5,12 | Oslo | A1 |
Bullfinch, Pyrrhula pyrrhula | 1969 | O:4,12 | Oslo | A2 |
Bullfinch, Pyrrhula pyrrhula | 1972 | O:4,12 | Vest-Agder | A2 |
Bullfinch, Pyrrhula pyrrhula | 1982 | O:4,12 | Oppland | A2 |
Bullfinch, Pyrrhula pyrrhula | 1982 | O:4,12 | Nord-Trøndelag | A2 |
Bullfinch, Pyrrhula pyrrhula | 1988 | O:4,12 | Oslo | A2 |
Bullfinch, Pyrrhula pyrrhula | 1988 | O:4,12 | Møre og Romsdal | A2 |
Bullfinch, Pyrrhula pyrrhula | 1992 | O:4,12 | Oslo | A2 |
Bullfinch, Pyrrhula pyrrhula | 1999 | O:4,12 | Østfold | A2 |
Bullfinch, Pyrrhula pyrrhula | 1999 | O:4,12 | Nordland | A2 |
Bullfinch, Pyrrhula pyrrhula | 1999 | O:4,12 | Nord-Trøndelag | A2 |
Bullfinch, Pyrrhula pyrrhula | 2000 | O:4,12 | Nordland | A2 |
Bullfinch, Pyrrhula pyrrhula | 2000 | O:4,12 | Troms | A2 |
Cat | 1998 | O:4,12 | Østfold | A2 |
Cat | 2000 | O:4,12 | Nordland | A2 |
Dairy cattle | 1995 | O:4,12 | Rogaland | A2 |
Common redpoll, Carduelis flammea | 2000 | O:4,12 | Nordland | A2 |
Eurasian siskin, Carduelis spinus | 1974 | O:4,12 | Akershus | A2 |
Eurasian siskin, Carduelis spinus | 1999 | O:4,12 | Hedmark | A2 |
Eurasian siskin, Carduelis spinus | 1999 | O:4,12 | Telemark | A2 |
Fur animal feed | 1997 | O:4,12 | Unknown | A2 |
Geese, breeding | 1995 | O:4,12 | Østfold | A2 |
Great tit, Parus major | 1975 | O:4,12 | Akershus | A2 |
Great tit, Parus major | 1994 | O:4,12 | Vest-Agder | A2 |
Greenfinch, Carduelis chloris | 1969 | O:4,12 | Oslo | A2 |
Greenfinch, Carduelis chloris | 1969 | O:4,12 | Vestfold | A2 |
Greenfinch, Carduelis chloris | 1969 | O:4,12 | Oslo | A2 |
Greenfinch, Carduelis chloris | 1972 | O:4,12 | Østfold | A2 |
Greenfinch, Carduelis chloris | 1972 | O:4,12 | Akershus | A2 |
Eurasian tree sparrow, Passer montanus | 1982 | O:4,12 | Akershus | A2 |
Poultry | 1995 | O:4,12 | Rogaland | A2 |
Poultry | 1995 | O:4,12 | Oppland | A2 |
Swine | 1995 | O:4,12 | Rogaland | A2 |
Swine | 1995 | O:4,12 | Østfold | A2 |
Swine | 1995 | O:4,12 | Østfold | A2 |
Swine | 1996 | O:4,12 | Rogaland | A2 |
Swine | 1999 | O:4,12 | Østfold | A2 |
Black-headed gull, Larus ridibundus | 1977 | O:4,12 | Rogaland | B1 |
Bullfinch, Pyrrhula pyrrhula | 1972 | O:4,12 | Oslo | B1 |
Canada goose, Branta canadensis | 1989 | O:4,12 | Oslo | B1 |
Common guillemot, Uria aalge | 1997 | O:4,12 | Oslo | B1 |
Mew gull, Larus canis | 1997 | O:4,12 | Oslo | B1 |
Mew gull, Larus canis | 2000 | O:4,12 | Hordaland | B1 |
Mew gull, Larus canis | 2001 | O:4,12 | Hordaland | B1 |
Feed plant | 1998 | O:4,12 | Vestfold | B1 |
Feed plant | 1995 | O:4,5,12 | Oslo | B1 |
Great black-backed gull, Larus marinus | 2001 | O:4,5,12 | Møre og Romsdal | B1 |
Herring gull, Larus argentatus | 1999 | O:4,12 | Nordland | B1 |
Herring gull, Larus argentatus | 2000 | O:4,5,12 | Oslo | B1 |
Herring gull, Larus argentatus | 2000 | O:4,12 | Hordaland | B1 |
Herring gull, Larus argentatus | 2000 | O:4,12 | Buskerud | B1 |
Duck, breeding | 1995 | O:4,5,12 | Telemark | B2 |
Abattoir | 1999 | O:4,12 | Hedmark | B3/PICK> |
Blue tit, Cyanistes caeruleus | 1989 | O:4,12 | Hordaland | B3 |
Bullfinch, Pyrrhula pyrrhula | 1972 | O:4,12 | Hedmark | B3 |
Bullfinch, Pyrrhula pyrrhula | 1972 | O:4,12 | Akershus | B3 |
Bullfinch, Pyrrhula pyrrhula | 1982 | O:4,12 | Nordland | B3 |
Bullfinch, Pyrrhula pyrrhula | 1982 | O:4,12 | Nordland | B3 |
Bullfinch, Pyrrhula pyrrhula | 1988 | O:4,12 | Telemark | B3 |
Bullfinch, Pyrrhula pyrrhula | 1990 | O:4,12 | Nordland | B3 |
Bullfinch, Pyrrhula pyrrhula | 1998 | O:4,12 | Vest-Agder | B3 |
Bullfinch, Pyrrhula pyrrhula | 1998 | O:4,12 | Sør-Trøndelag | B3 |
Bullfinch, Pyrrhula pyrrhula | 1999 | O:4,12 | Buskerud | B3 |
Cat | 1998 | O:4,12 | Nord-Trøndelag | B3 |
Cat | 2000 | O:4,12 | Rogaland | B3 |
Dairy cattle | 2000 | O:4,12 | Sør-Trøndelag | B3 |
Common redpoll, Carduelis flammea | 1999 | O:4,12 | Sør-Trøndelag | B3 |
Eurasian siskin, Carduelis spinus | 1999 | O:4,12 | Nord-Trøndelag | B3 |
Eurasian siskin, Carduelis spinus | 1999 | O:4,12 | Oslo | B3 |
Eurasian siskin, Carduelis spinus | 1999 | O:4,12 | Sogn og Fjordane | B3 |
Eurasian siskin, Carduelis spinus | 1999 | O:4,12 | Østfold | B3 |
Great tit, Parus major | 1988 | O:4,12 | Oslo | B3 |
House sparrow, Passer domesticus | 1999 | O:4,12 | Nord-Trøndelag | B3 |
House sparrow, Passer domesticus | 2000 | O:4,12 | Nord-Trøndelag | B3 |
Red fox | 1995 | O:4,12 | Oppland | B3 |
Greenfinch, Carduelis chloris | 1969 | O:4,12 | Oslo | C |
Dairy cattle | 1991 | O:4,12 | Buskerud | D |
Bullfinch, Pyrrhula pyrrhula | 1971 | O:4,12 | Hedmark | E |
Turkey | 2000 | O:4,12 | Østfold | F |
Black-headed gull, Larus ridibundus | 1984 | O:4,5,12 | Sør-Trøndelag | G1 |
Black-headed gull, Larus ridibundus | 1993 | O:4,5,12 | Oslo | G1 |
Black-headed gull, Larus ridibundus | 1994 | O:4,5,12 | Hedmark | G1 |
Black-headed gull, Larus ridibundus | 1997 | O:4,12 | Oslo | G1 |
Dairy cattle | 1995 | O:4,5,12 | Nord-Trøndelag | G1 |
Dairy cattle | 1996 | O:4,5,12 | Vest-Agder | G1 |
Dairy cattle | 1997 | O:4,5,12 | Østfold | G1 |
Dairy cattle | 1999 | O:4,5,12 | Rogaland | G1 |
Dairy cattleb | 1992 | O:4,12 | Hordaland | G1 |
City pigeon, Columbia livia | 1993 | O:4,5,12 | Oslo | G1 |
Mew gull, Larus canis | 1997 | O:4,5,12 | Oslo | G1 |
Mew gull, Larus canis | 2000 | O:4,5,12 | Hordaland | G1 |
Feed plant | 1997 | O:4,5,12 | Østfold | G1 |
Great black-backed gull, Larus marinus | 2000 | O:4,5,12 | Hordaland | G1 |
Herring gull, Larus argentatus | 1999 | O:4,5,12 | Sogn og Fjordane | G1 |
Herring gull, Larus argentatus | 2000 | O:4,5,12 | Hordaland | G1 |
Herring gull, Larus argentatus | 2000 | O:4,5,12 | Hordaland | G1 |
Herring gull, Larus argentatus | 2000 | O:4,5,12 | Akershus | G1 |
Horse | 1999 | O:4,5,12 | Rogaland | G1 |
Horse | 2000 | O:4,12 | Sør-Trøndelag | G1 |
Lesser black-backed gull, Larus fuscus | 2000 | O:4,5,12 | Oslo | G1 |
Magpie, Pica pica | 1993 | O:4,5,12 | Oslo | G1 |
Passerine birdb | 1992 | O:4,12 | Hordaland | G1 |
Swine | 2000 | O:4,12 | Nordland | G1 |
Domestic pigeon | 1999 | O:4,12 | Aust-Agder | G2 |
Feed plant | 1997 | O:4,12 | Vestfold | H1 |
Wheat-based feed | 1995 | O:4,5,12 | Unknown | H1 |
Domestic pigeon | 2001 | O:4,12 | Hordaland | H2 |
Domestic pigeon | 2001 | O:4,12 | Sogn og Fjordane | H2 |
Dairy cattle | 1997 | O:4,5,12 | Møre og Romsdal | H3 |
Dairy cattle | 2001 | O:4,5,12 | Rogaland | H3c |
Grain for human consumption | 1997 | O:4,5,12 | Oslo | H3c |
Ostrich | 1996 | O:4,5,12 | Hordaland | I |
Dairy cattle | 1996 | O:4,5,12 | Hordaland | J1 |
Gull feathers sample from water supply | 1999 | O:4,5,12 | Møre og Romsdal | J1 |
Herring gull, Larus argentatus (adult) | 1999 | O:4,5,12 | Møre og Romsdal | J1 |
Herring gull, Larus argentatus (chick) | 1999 | O:4,5,12 | Møre og Romsdal | J1 |
Herring gull, Larus argentatus (chick) | 1999 | O:4,5,12 | Møre og Romsdal | J1 |
Sheep | 1998 | O:4,5,12 | Hordaland | J2 |
Gull, unknown species | 1997 | O:4,5,12 | Østfold | K |
Hooded crow, Corvus corone | 1997 | O:4,5,12 | Østfold | K |
Poultry | 1993 | O:4,5,12 | Akershus | L |
Swine | 1994 | O:4,5,12 | Oppland | L |
Swine | 1995 | O:4,5,12 | Hedmark | L |
Feed plant | 1998 | O:4,5,12 | Oslo | M |
The genus and species of the wild-living birds are specified. The cluster capital letters and subcluster suffixes correspond to the dendrogram in Fig. 1.
Serovar Typhimurium was isolated from cattle and from a small passerine bird found dead within the same cowshed.
Serovar Typhimurium DT 104 isolate, multiresistant to ACSSuT.
A total of 63 isolates of serovar Typhimurium isolated from sources other than wild-living birds from 1990 to 2001 were included (Table 1). All but four of the nonavian isolates originated from southern Norway. All available epidemiologically unrelated isolates from domestic animals were examined. If more than one isolate was obtained from the same herd or production unit, only one of the isolates was included. The total number comprised 50 isolates from cattle (n = 13), swine (n = 10), horses (n = 4), cats (n = 4), sheep (n = 1), poultry (n = 3), waterfowl (n = 2), turkey (n = 1), ostrich (n = 1), red fox (n = 1), and domestic pigeon (n = 10) (Table 1). In addition, 13 environmental isolates, recovered from a contaminated water supply (n = 1), from an abattoir (n = 1), and from feed (n = 10) and food (n = 1) plants were investigated. The isolates were obtained from the National Veterinary Institute and the National Salmonella Reference Laboratory at the Norwegian Institute of Public Health.
Phenotypic and genotypic characterization.
All isolates included in the present study were analyzed by PFGE. DNA preparation, restriction enzyme digestion (XbaI), and PFGE were performed as previously described (17). Lambda DNA (Sigma, St. Louis, Mo.) served as a molecular size standard in all PFGE investigations. After electrophoresis, PFGE gels were stained with ethidium bromide and photographed with GelDoc 2000 using Quantity One software (Bio-Rad, Hercules, Calif.). Thirty-one of the passerine isolates included in our study have previously been phage typed (27) by the typing scheme of Callow (8), as extended by Anderson et al. (2). In addition, three isolates from cattle and a grain source, which showed a PFGE profile characteristic for phage type DT 104 (16), were phage typed and subjected to antibiotic susceptibility testing as described by Leegaard et al. (24).
Computerized numerical analysis of PFGE data.
Images saved in TIFF format were transferred to the GelCompar II software (Applied Maths, Kortrijk, Belgium) for computer analysis. Similarity between fingerprints was determined on the basis of the Dice coefficient. A band position tolerance of 2% was used for analysis of PFGE patterns. Dendrograms were generated by the unweighted pair group method with arithmetic averages. Capital letters (A to M) were used to designate the main cluster lineages of serovar Typhimurium isolates in the dendrogram, while subclusters were given numerical suffixes.
RESULTS
In our study, 13 main clusters (designated A to M) were discernible at the 90% similarity level (Fig. 1). Most of the isolates (83%) were grouped into three main clusters: A (39%; n = 55) B (27%; n = 38), and G (18%; n = 25) (Fig. 1; Table 1). The main clusters could be further divided into 20 subclusters at the 95% similarity level. Most of the wild-bird isolates (90%) belonged to only five of these subclusters (Fig. 1 and 2), whereas isolates from domestic animals and other sources belonged to many different subclusters, with no predominance of isolates in distinct subclusters.
FIG. 1.
Dendrogram based on PFGE macrorestriction profiles of 142 isolates from avian wildlife, domestic animals, and the environment in Norway. The 13 clusters (90% similarity level) are designated by capital letters (A to M), while the subclusters (95% similarity level) are assigned numerical suffixes.
FIG. 2.
PFGE of serovar Typhimurium isolates from avian wildlife in Norway. Representatives of the five most prevalent subclusters and typical origin are shown. Lanes: 1 and 7, molecular weight marker, lambda ladder; 2, A1 (pigeon); 3, A2 (small passerine); 4, B1 (gull); 5, B3 (small passerine); 6, G1 (gull).
The A2 and B3 subclusters comprised 42 (91%) of the passerine isolates. No isolates from other wild-bird species belonged to these subclusters. Subcluster A2 also harbored 12 isolates from swine, poultry, cats, cows, breeding geese, and fur animal feed, whereas B3 contained five isolates originating from domestic cats, cows, red foxes, and an abattoir. All isolates within subclusters A2 and B3 belonged to the antigenic variant serovar Typhimurium O:4,12. Both subclusters contained passerine isolates originating from all over the country. Of the 31 phage-typed passerine isolates, all 16 isolates belonging to phage type DT 40 fell into subcluster A2, whereas all 12 isolates of phage type U277 fell into subcluster B3 together with two DT 99 isolates and one isolate classified as RDNC (routine dilution no conformity).
In parallel to passerine bird isolates, 20 (77%) of the isolates from gulls belonged to two subclusters, B1 and G1. Subcluster B1 was made up predominantly of isolates from gulls (n = 9) although sporadic isolates from other wild-living birds and two feed plants also fell into this subcluster. Subcluster G1 included 12 isolates from gulls in addition to 13 isolates from other wild-living birds, cattle, horse, swine, and a feed plant. Both subcluster B1 and G1 clones were geographically widespread.
The A1 subcluster (n = 19) was made up predominantly of isolates from pigeons, including seven domestic pigeons and two wild-living city pigeons. This subcluster also included isolates from horses, cattle, swine, a black-headed gull, and animal feed plants. Both antigenic variants of serovar Typhimurium were represented in the cluster. All the A1 isolates originated from southern Norway.
The other main clusters (C to F and H to M) were composed of the remaining 24 isolates (17%) (Table 1). The three isolates within subcluster H3, which originated from cattle and from grain meant for human consumption, showed a PFGE pattern previously found to be characteristic of phage type DT 104 (15). Phage typing confirmed that they belonged to this type, and two of them expressed a multiresistant pattern typical for DT 104 strains (ACSSuT: resistance to ampicillin, chloramphenicol, streptomycin, sulfonamides and tetracycline).
Subcluster J1 contained isolates from gulls and a gull feather sample collected from a contaminated surface drinking-water supply in northwestern Norway, as well as an isolate from a cow in western Norway. Two isolates from a gull and a crow in southeastern Norway fell into subcluster K. Subcluster L comprised two isolates from swine and one isolate from poultry. This subcluster PFGE L pattern was not obtained from any of the isolates from wild birds.
DISCUSSION
The high similarity found between isolates from wild-living birds indicates a close genetic relationship between avian serovar Typhimurium isolates compared to that of isolates from humans and other sources. Previous investigations reporting clonal relationships of serovar Typhimurium from humans (16) and various other sources (26) showed that isolates of this serovariant were clustered within a window of similarity of 70%. In spite of the tight genetic relationship, it was possible to divide the majority of the wild avian isolates into five subclusters. With four exceptions, isolates from small passerines, gulls, and pigeons fell into different subclusters. The PFGE results thus indicate little crossover of Salmonella bacteria among those birds. However, it is also possible that this observation represents different host preferences of the genotypes. The three subclusters made up predominantly of isolates from gulls and pigeons also contained isolates from other wild-living bird species. It is impossible to determine whether or not this represents transmission from gull and pigeon reservoirs.
Previous investigations including a case-control study and plasmid profile and phage type analyses (21, 22, 23) have shown an epidemiological link between small passerines and humans. Recently, Heir et al. (16) have estimated that the clones within subclusters A2 and B3 (designated F1 and F3, respectively, by Heir et al.) were responsible for 32% of the sporadic, domestic human cases of serovar Typhimurium O:4,12 infection during 1996 to 1999. Thus, our PFGE results reinforce previous investigations suggesting that wild passerine birds are an important source of human serovar Typhimurium infections.
The pigeon patterns, of which the majority belonged to the heterogeneous A1 subcluster, were detected only twice in strains isolated from Norwegian patients by Heir et al. (16) (designated F9). Their study included a representative collection of 102 isolates of both foreign and domestic origins. Our results might thus support previous studies based on biochemical and phage type analyses, which suggest that the zoonotic infection hazard is of limited significance (14, 28, 33, 36, 37).
The most common gull profiles (B1 and G1) were also seen only twice among the human isolates studied by Heir et al. (designated F6 and L1, respectively, by Heir et al.) (16). It has been suggested that Salmonella-carrying gulls are of little significance as a health hazard to domestic animals and humans (11, 13). Nevertheless, gulls washing and roosting in drinking-water supplies constitute a potential human health hazard, especially if the water is consumed without prior disinfection (6, 12). Gulls were considered the most likely source of infection in a waterborne human outbreak in northwestern Norway in 1999 (1). In the present study, isolates from gulls, sampled in the municipality where the outbreak occurred, were found to be identical to the outbreak clone (J1) (Fig. 1; Table 1). However, in the follow-up survey of gulls along the Norwegian coast (Refsum, Holstad, and Kapperud, submitted), we failed to detect this clone elsewhere.
Among sporadic human isolates, the J1 profile (termed E5 by Heir et al. [16]) was observed throughout 1996 to 1999 but was geographically restricted to only two counties in western Norway. Both the J1 and L clones were implicated in an outbreak in Bergen and in two neighboring municipalities during autumn 2000 (16, 30). The L clone caused previous outbreak in southeastern Norway in 1996 (16, 34). Based on findings of the J1 and K clones in extensively infected hedgehog populations within the areas of the outbreaks in 1996 and 2000 (15), one might suggest that hedgehogs constitute the primary reservoir of these clones and that opportunistic birds like gulls might have been infected from hedgehogs.
The five subclusters which included most of the avian wildlife isolates also contained isolates from several domestic animal species and from feed plant samples. The PFGE patterns of isolates from cats and passerines were identical (A2 and B3), supporting an epidemiological link reported previously in a Swedish study, using phage type analysis (32). Sparrows frequently visit animal sheds and barns in Norway during the winter, and it is thus not surprising that carrier birds could represent a potential health hazard to domestic animals. Previously, we have demonstrated that passerines, including sparrows, maintain a reservoir of serovar Typhimurium O:4,12 (Refsum, Vikøren, et al., submitted). The present results also support the assumption that serovar Typhimurium may be transmitted from gulls to domestic animals or vice versa. Transmission of different salmonella serovars from gulls to cattle and sheep through contaminated drinking water and pastures has previously been suggested (10, 20, 29, 35). Since gulls and pigeons often visit feed and food plants, it is not unreasonable to consider wild birds a potential source of contamination of the factory environment or vice versa.
In Norway, only a few domestically acquired cases of human salmonellosis caused by the multiresistant isolates of serovar Typhimurium DT 104 have been reported (25), and the sources of infection in these cases remain unknown. The two isolates of multiresistant serovar Typhimurium DT 104 reported in this study represent the first known isolates from sources other than humans in Norway. Multiresistant serovar Typhimurium DT 104 has not yet been detected in wild-living birds in Norway. None of the avian isolates in our study exhibited a XbaI PFGE profile identical to the DT 104 prevailing in Europe (4). However, this phage type has previously been detected in passerines, pigeons, and gulls in other countries (7, 18, 19), although information on antibiotic resistance is lacking in these studies.
The L pattern demonstrated in isolates from poultry and swine in our study was also seen in a human outbreak in 1993, but it has not been possible to establish an epidemiological link, and the primary source of infection still remains unknown (Norwegian Institute of Public Health, unpublished data).
Interestingly, we detected a relationship between the PFGE patterns in our study and the phage types previously obtained from analysis of passerine isolates of serovar Typhimurium O:4,12 (27). Characteristic PFGE patterns of different phage types have previously been demonstrated, including serovar Typhimurium DT 104 (4, 5, 7, 16). In this study, PFGE patterns proved to be stable over time, a finding supported by others (5). The patterns of the passerine isolates within the most common subclusters were identical, in spite of a range of 20 to 30 years in their date of collection. This suggests that PFGE is a robust method, not only for discriminative short-term outbreak investigations but also for showing epidemiological significance and applicability in long-term surveillance of serovar Typhimurium epidemiology.
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