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Frontiers in Microbiology logoLink to Frontiers in Microbiology
. 2019 Apr 18;10:728. doi: 10.3389/fmicb.2019.00728

Antimicrobial Resistance, Virulence Determinants, and Biofilm Formation of Enterococcus Species From Ready-to-Eat Seafood

Etinosa O Igbinosa 1,2,*, Abeni Beshiru 1
PMCID: PMC6482160  PMID: 31057497

Abstract

Enterococcus species form an important population of commensal bacteria and have been reported to possess numerous virulence factors considered significantly important in exacerbating diseases caused by them. The present study was designed to characterize antibiotic-resistant and virulent enterococci from ready-to-eat (RTE) seafood. A total of 720 RTE shrimp samples comprising sauced shrimp (n = 288), boiled shrimp (n = 216), and smoked shrimp (n = 216) obtained from open markets in Delta State, Nigeria, were assessed. Standard classical methods and polymerase chain reaction (PCR) were used in identifying the Enterococcus species. Potential virulence factors (β-hemolysis, gelatinase activity, S-layer, and biofilm formation) were assessed using standard procedures. The antibiotic susceptibility profile of the identified enterococci isolates was assayed using the Kirby–Bauer disc diffusion method. PCR was further used to screen selected antibiotic resistance and virulence genes. Prevalence of Enterococcus species from shrimp varieties is as follows: sauced, 26 (9.03%); boiled, 6 (2.78%); and smoked, 27 (12.50%), with an overall prevalence of 59 (8.19%) based on the occurrence of black hallow colonies after incubation. Enterococcus species detected include E. faecalis, 17 (28.8%); E. faecium, 29 (49.2%); E. gallinarum, 6 (10.2%); E. casseliflavus, 2 (3.4%); E. hirae, 3 (5.1%); and E. durans, 2 (3.4%). Biofilm occurrence among the shrimp varieties is as follows: 19/26 (73.1%) for sauced shrimps, 5/6 (83.3%) for boiled shrimps, and 16/27 (59.3%) for smoked shrimps. The phenotypic expression of the enterococci virulence revealed the following: S-layer, 59 (100%); gelatinase production, 19 (32.2%); and β-hemolysis, 21 (35.6%). An average of 3–11 virulence genes were detected in the Enterococcus species. The resistance profile of Enterococcus species is as follows: erythromycin, 29 (49.2%); vancomycin, 22 (37.3%); and tetracycline, 27 (45.8%). The frequency of occurrence of antibiotic resistance genes from the phenotypic resistant enterococci isolates to the macrolide, glycopeptide, and tetracycline antibiotics is as follows: ermA, 13/29 (44.8%); vanA, 14/22 (63.6%); tetA, 14/27 (51.9%); tetM, 15/27 (55.6%); ermB, 4/29 (13.8%); and vanB, 5/22 (22.7%). Findings from this study reveal the antibiotic resistance of enterococci strains of such species as E. durans, E. casseliflavus, E. gallinarum, and E. hirae. This study further revealed that RTE food products are reservoirs of potential virulent enterococci with antibiotic-resistant capabilities. This provides useful data for risk assessment and indicates that these foods may present a potential public health risk to consumers.

Keywords: shrimp varieties, enterococci, antibiotic-resistant, biofilm producers, risk assessment

Introduction

The world shrimp production for both farmed and captured shrimp is approximately six million tons, with 60% entering the world market. Shrimp has been reported to be the most essentially traded fishery product internationally as it translates to value. Yearly shrimp exports presently value above US $10 billion, or 16% of total fish product exports (Food and Agriculture Organization of the United Nations [FAO], 2008). Shrimp makes up 20% of exported fishery products for more than 20 years (CAC, 2002). Imports of shrimps into developed nations are responsible for about 40% of trade in intra-developed countries, while approximately 60% comes from developing nations. From developing nation exports, 80% goes to developed nations with only 20% left behind (Josupeit, 2005). Shrimps are one of the important exported aquaculture products from the tropics.

Enterococcus species are found commonly in the gastrointestinal tract of farmed animals and humans. They form an essential population of commensal bacteria encompassed in the functional microbiota (Lebreton et al., 2014). Epidemiological and ecological findings specify that, along with fecal matter, these commensal bacteria are released into environs they colonize easily as a result of their high adaptability. This translates to their disseminated occurrence in water, soil, sewage, fruits, and plants. Through this means, they consequently exist in raw materials of plant and animal origin (meat, vegetables, and milk) (Giraffa, 2002). Enterococcus spp. occurrence in foods, with ready-to-eat (RTE) food type inclusive, occurs particularly from their adaptability to severe conditions in the environment as it relates to production and storage conditions. The capability of Enterococcus species to proliferate in the occurrence of NaCl (5–10%), bile salt (40%), pH range (4.6–9.9), and anaerobic and aerobic conditions, and its capacity to survive for 30 min in a temperature of 63.5°C revealed that they usually account for the lingering microflora in RTE food (Van-den-Berghe et al., 2006).

Enterococci have been implicated in serious infections, reduced production in the grow-out ponds and hatchery, and decreased growth rates and feed conversion in surviving individuals, thereby eliciting a negative impact on the complete financial productivity of the business (El-Far et al., 2015). Most pathogenesis of infectious enterococci comprises series of events such as establishment, adhering to the host’s cell structure, tissue invasion, and unspecific resistance defense mechanism (Upadhyaya et al., 2009). Literature has reported enterococci that expressed virulence phenotypically to express infections severely compared to those that did not express them at all. The elevated mechanism of enterococci as causative agents that cause infections in patients having their immunity compromised has invigorated further investigations to characterize the elements and/or factors that allow bacteria to inhabit the host effectively through the barriers of the immune system causing pathological alterations (Chajecka-Wierzchowska et al., 2017).

Continuous proliferation in the amount of Enterococcus strains that are antimicrobial resistant has been documented (Carlet et al., 2012). Vancomycin-resistant Enterococcus species presently accounts for the foremost opportunistic pathogen in nosocomial environments (O’Driscoll and Crank, 2015). As such, an upsurge in literature that concerns the mechanisms of resistance of these bacteria to several antibiotics has occurred. Occurrence of resistance determinants only does not signify strain pathogenesis. Conversely, when in conjunction with the occurrence of virulence potentials, it may result in dangerous strains (Heidari et al., 2016). This occurs in particular since genes expressing/conveying resistance virulence factors/elements and antibiotics are usually sited on similar or same genetic determinants. Antibiotic resistance plasmids, transposons, and virulence genes with transmissible characteristics have been reported in literature to be transmissible via highly proficient mechanisms of gene transfer (Eaton and Gasson, 2001).

Enterococci are described as vital hospital-associated pathogens and have thus been reported to withhold lots of virulence potentials considered significantly essential in exacerbating ailments caused by them. Enterococcus strains of clinical origin have been described extensively in literature with limited information of the phenotypic virulence factors coupled with its genetic structure from RTE seafood. Furthermore, enterococci have demonstrated intrinsic antimicrobial resistance to numerous antibiotic agents and can adapt to obtain resistance to antimicrobials from the environment (Beshiru et al., 2017). Multiresistance to a diverse class and subclass of antibiotics along with occurrence of virulence potentials strengthens the vital roles of Enterococcus species as opportunistic pathogens. Vancomycin-resistant Enterococcus faecium have increasingly been reported since the 1980s. Despite the significant number of literature about vancomycin-resistant Enterococcus epidemiology, the evolution and dynamics of these microorganisms are yet to be fully understood. Freitas et al. (2016) reported that both plasmids and strains contributed to the persistence and spread of vancomycin resistance among E. faecium. Horizontal gene transfer from different clonal lineages (different or same species) results in chimeras with dissimilar host range and stability, thwarting the surveillance of epidemic plasmids.

Outbreaks of Enterococcus species from hospital and environmental sources have been reported in literature in recent times (Gassiep et al., 2015; Lister et al., 2015; O’Driscoll et al., 2015; Pinholt et al., 2015; Sivertsen et al., 2016; Ulrich et al., 2017) with little or no information on outbreaks of enterococci infection of food origin. However, consumption of RTE food conveying virulence potentials is an important route of transfer (Chajecka-Wierzchowska et al., 2017). The current study was carried out to characterize antibiotic-resistant and virulent enterococci from RTE seafood.

Materials and Methods

Sample Collection and Isolation

Seven hundred and twenty RTE shrimp samples were obtained from markets in Delta State, Nigeria. The different markets sampled from Delta State and their respective coordinates coupled with the sampling procedure have been described previously by Beshiru et al. (2018). A total of six different open markets were sampled, with a total of 60 samples from each market within a 12-month sampling duration. Ten shrimp samples were obtained from each market (four sauced, three boiled, and three smoked shrimps) monthly. The total distribution of the different varieties of shrimp sampled in Delta State is as follows: sauced shrimp, n = 288; boiled shrimp, n = 216; and smoked shrimp, n = 216.

Twenty-five grams of each RTE shrimp sample was homogenized in 225 mL of sterile tryptone soy broth (Lancashire, United Kingdom) and incubated overnight at 37°C. A streak plate method was adopted via streaking from the overnight broth cultures on bile esculin agar (Darmstadt, Germany), which were incubated for 24 h at 37°C. Two to three distinct colonies with black hallow characteristics on the bile esculin agar were purified on nutrient agar (Lancashire, United Kingdom) and incubated for 24 h at 37°C. Purified isolates were stored on nutrient agar slants and maintained at 4°C in the refrigerator.

Identification of Enterococcus Species

Gram-positive cocci were characterized further using the Analytical Profile Index 20E (BioMerieux, Marcy-l’Etoile, France) in accordance with the instructions of the manufacturer. Enterococcus faecalis (ATCC 19433) was used as a positive control. Strips were examined accordingly and identification was secured via an API lab plus software (BioMerieux, Marcy l’Etoile, France). Isolates screened using API were thereafter subjected to DNA extraction using the modified boiling method (Beshiru et al., 2017). PCR using genus-specific and species-specific primers in Table 1 and PCR conditions previously described was used in the identification of the Enterococcus species (Dutka-Malen et al., 1995; Deasy et al., 2000; Kariyama et al., 2000; Jackson et al., 2004). Positive controls used include E. faecalis (ATCC 19433), E. faecium (ATCC 19434), Enterococcus casseliflavus (ATCC 25788), Enterococcus durans (ATCC 19432), Enterococcus hirae (ATCC 8043), and Enterococcus gallinarum (ATCC 700425). For the negative control, deionized water was used in place of the template for each test procedure. The Peltier-Based Thermal Cycler (MG96Þ/Y, Zhejiang China) was used in the amplification process. Electrophoresis of the PCR amplicons was performed with 1.5% agarose gel (CLS-AG100, Warwickshire, United Kingdom) in 0.5× TAE buffer (40 mM Tris-HCl, pH 8.5, 1 mM EDTA, and 20 mM Na acetate) and allowed to run for 55 min at 100 V. The gels are visualized under a UV transilluminator (EBOX VX5, Vilber Lourmat, France).

Table 1.

Primers used in the study.

Species/gene targeted Primer sequence Amplicon size (bp) References
Enterococcus spp. TCA ACC GGG GAG GGT
ATT ACT AGC GAT TCC GG
733 Deasy et al., 2000
E. faecalis TCA AGT ACA GTT AGT CTT TAT TAG
ACG ATT CAA AGC TAA CTG AAT CAGT
941 Dutka-Malen et al., 1995
E. faecium TTG AGG CAG ACC AGA TTG ACG
TAT GAC AGC GAC TCC GAT TCC
658 Dutka-Malen et al., 1995
E. casseliflavus CGG GGA AGA TGG CAG TAT
CGC AGG GAC GGT GAT TTT
488 Kariyama et al., 2000
E. gallinarum GGT ATC AAG GAA ACC TC
CTT CCG CCA TCA TAG CT
822 Kariyama et al., 2000
E. durans CCT ACT GAT ATT AAG ACA GCG
TAA TCC TAA GAT AGG TGT TTG
295 Jackson et al., 2004
E. hirae CTT TCT GAT ATG GAT GCT GTC
TAA ATT CTT CCT TAA ATG TTG
187 Jackson et al., 2004
cylA ACT CGG GGA TTG ATA GGC
GCT GCT AAA GCT GCG CTT
688 Vankerckhoven et al., 2004
Ace AAA GTA GAA TTA GAT CCA CAC
TCTA TCA CAT TCG GTT GCG
320 Mannu et al., 2003
efaA CGT GAG AAA GAA ATG GAG GA
CTA CTA ACA CGT CCA CGA ATG
499 Mannu et al., 2003
gelE AGT TCA TGT CTA TTT TCAC
CTT CAT TAT TTA CAC GT TTG
402 Mannu et al., 2003
Agg CCA GTA ATC AGT CCA GAA ACA AACC
TAG CTT TTT TCA TTC TTG TGT TTG TT
406 Mannu et al., 2003
Esp TTA CCA AGA TGG TTC TGT AGG CAC
CCA AGT ATA CTT AGC ATC TTT TGG
913 Shankar et al., 1999
Cpd TGG TGG GTT ATT TTT CAA TTC
TAC GGC TCT GGC TTA CTA
782 Eaton and Gasson, 2001
Ccf GGG AAT TGA GTA GTG AAG AAG
AGC CGC TAA AAT CGG TAA AAT
543 Eaton and Gasson, 2001
Cob AAC ATT CAG CAA ACA AAGC
TTG TCA TAA AGA GTG GTCAT
1405 Eaton and Gasson, 2001
cylL GATGGAGGGTAAGAATTATGG
GCTTCACCTCACTAAGTTTTATAG
253 Semedo et al., 2003
Hyl ACAGAAGAGCTGCAGGAAATG
GACTGACGTCCAAGTTTCCAA
276 Vankerckhoven et al., 2004
sprE TTGAGCTCCGTTCCTGCCGAAAGTCATTC
TTGGTACCGATTGGGGAACCAGATTGACC
591 Nakayama et al., 2001
mphC GAGA CTAC CAAG AAGA CCTGACG
CATA CGCC GATT CTCC TGAT
722 Lüthje and Schwarz, 2006
vanB AGACATTCCGGTCGAGGAAC
GCTGTCAATTAGTGCGGGAA
220 Nam et al., 2012
vanA GCGCGGTCCACTTGTAGATA
TGAGCAACCCCCAAACAGTA
314 Nam et al., 2012
vanC-2/3 CTAGCGCAATCGAAGCACTC
GTAGGAGCACTGCGGAACAA
582 Nam et al., 2012
vanC-1 ATCCAAGCTATTGACCCGCT
TGTGGCAGGATCGTTTTCAT
402 Nam et al., 2012
ermA GCGGTAAACCCCTCTGAG
GCCTGTCGGAATTGG
434 Werckenthin and Schwarz, 2000
ermB CATT TAAC GACG AAAC TGGC
GGAA CATC TGTG GTAT GGCG
425 Jensen et al., 1999
ermC ATCT TTGA AATC GGCT CAGG
CAAA CCCG TATT CCAC GATT
295 Jensen et al., 1999
tetM GTGGACAAAGGTACAACGAG
CGGTAAAGTTCGTCACACAC
406 Ng et al., 2001
tetA GCT ACA TCC TGC TTG CCTTC
CAT AGA TCG CCG TGA AGAGG
210 Ng et al., 2001
tetB TTG GTTA GGG GCA AGT TTTG
GTA ATG GGC CAA TAA CACCG
659 Ng et al., 2001
tetC CTTGAGAGCCTTCAACCCAG
ATGGTCGTCATCTACCTGCC
418 Ng et al., 2001
tetD AAA CCA TTAC GGCA TTC TGC
GAC CGG ATA CAC CAT CCATC
787 Ng et al., 2001

Antibiotic Susceptibility Profile of Enterococcus Isolates

The antimicrobial susceptibility profile of the Enterococcus species was determined using the Kirby–Bauer disc diffusion method. Briefly, the purified isolates were inoculated in 5.0 mL of Mueller–Hinton Broth (MHB; Lab M, Lancashire, United Kingdom) and incubated overnight. The optical density (OD) of the turbidity of the broth was determined to conform to the OD 0.5 of the McFarland standard where the cells are equivalent to 106 cfu/mL. Using sterile swab sticks, the respective broth cultures were aseptically swabbed on Mueller–Hinton Agar (Lab M, Lancashire, United Kingdom). A total of 14 antibiotic discs (Mast Diagnostics, United Kingdom) that include penicillin G (10 units), piperacillin(100 μg), clindamycin (2 μg), vancomycin (30 μg), teicoplanin (30 μg), erythromycin (15 μg), tetracycline (30 μg), tigecycline (15 μg), kanamycin (30 μg), imipenem (10 μg), norfloxacin (10 μg), ciprofloxacin (5 μg), chloramphenicol (30 μg), and rifampin (5 μg) were used for susceptibility testing. The respective discs were also aseptically impregnated on the agar plates using sterile forceps spaced equidistant apart. Plates were allowed to stand at 28 ± 2°C for 5 min to allow the media to absorb effectively and incubated at 37°C for 18–24 h. Characterization of the resistance, susceptibility, or intermediate profile of the isolates was elucidated by measuring the zone of inhibition and compared with a standard interpretative chart to determine the sensitive, intermediate, and resistance pattern of the isolates to the antibiotics used using the Clinical and Laboratory Standards Institute [CLSI] (2017) interpretative chart.

The multiple antibiotic resistance index (MARI) was calculated as previously described by Krumperman (1983). Multidrug resistance profile was described as resistance to a minimum of one antibiotic in a minimum of three antimicrobial classes (Magiorakos et al., 2012).

Multiple antibiotic resistance index=Number of antibiotics to which resistance occuredTotal number of antibiotics to which the isolates were tested (1)

Phenotypic Virulence and Biofilm Formation

The phenotypic virulence profile of the isolates was determined as previously modified by Beshiru and Igbinosa (2018). Colonies cultivated on tryptone soy agar (TSA; Merck, Darmstadt, Germany) were resuspended in 20 mL of TSB. The turbidity of this suspension was adjusted to 106 cells/mL. Hemolytic activity was determined on a sheep blood agar plate. Lipase activity was elucidated on TSA. Gelatinase production was determined on gelatin medium. DNA-degrading activity was ascertained on DNase agar plates. The presence of surface-layer (S-layer) was assessed by streaking cultures on TSA plates, enhanced with 0.1 mg/mL Coomassie brilliant blue R 250 (Merck, Darmstadt Germany). All experiments were performed in triplicate.

Biofilm formation was assessed using the modified protocol of Igbinosa et al. (2017). Briefly, purified colonies of Enterococcus species were resuspended in 10 mL of tryptone soy broth, incubated at 37°C for 18 h, and centrifuged for 2 min at 12,000 rpm. The cell pellets were washed in phosphate-buffered solution (PBS) with their adherence properties determined via the wells of sterile 96-well polystyrene microtiter plates with sterile TSB broth as negative control. E. faecalis (ATCC 19433) was used as a positive control. The microtiter plates were incubated for 24 h at 37°C, washed with sterile PBS, allowed to dry at 28 ± 2°C, and stained with crystal violet for 30 min. The wells were washed again with sterilized deionized water and left to dry at room temperature. Crystal violet dye bound to adherent cells was resuspended in 150 mL of 99% ethanol. The OD readings from respective wells were determined at 570 nm via a microtiter plate reader (Synergy Mx Biotek®, United States). Each assay was determined three times to obtain the mean value. Biofilm formation was characterized as a negative, weak, moderate, or strong producer in accordance with methods previously described by Basson et al. (2007).

Antibiotic Resistance and Virulence Gene Determination

Macrolide-resistant genes (mphC, ermC, ermB, and ermA) were detected via PCR following the procedure of Sauer et al. (2008) using primers presented in Table 1. PCR program conditions include an initial denaturation step for 5 min at 94°C followed by 30 cycles, which includes denaturation for 60 s at 94°C, with the following respective annealing temperature regimen: ermA (51°C), ermB (51°C), ermC (51°C), and mphC (55°C) for 60 s, and extension for 60 s at 72°C with a final extension for 5 min at 72°C in one cycle, which ended the procedure. PCR conditions for vanA, vanB, vanC-1, and vanC-2/3 include a denaturation step of 94°C for 3 min, 35 cycles of denaturation at 94°C for 1 min, annealing at 56.5°C for 1 min, extension at 72°C for 1 min, followed by an elongation step at 72°C for 10 min. PCR conditions for tetA, tetB, tetC, tetD, and tetM genes include an initial denaturation for 5 min at 94°C, followed by 10 cycles of denaturation for 30 s at 94°C; annealing for 30 s at 58°C for tetA, tetB, tetC, and tetD; annealing for 30 s at 57°C for tetM; and extension for 45 s at 72°C. The Peltier-Based Thermal Cycler (MG96Þ/Y, Hangzhou, Zhejiang China) was used in the amplification process. Electrophoresis of the PCR amplicons was performed with 1.5% agarose gel (CLS-AG100, Warwickshire, United Kingdom) in 0.5× TAE buffer (40 mM Tris-HCl, pH 8.5, 1 mM EDTA, and 20 mM Na acetate) and allowed to run for 1 h at 100 V. The gels are visualized under a UV transilluminator (EBOX VX5, Vilber Lourmat, France).

Virulence genes such as enterococcal surface protein (esp), serine protease (sprE), gelatinase (gelE), enterococcal surface adhesion (ace), enterococcal cytolysin (cylL), cytolysin operon (cylA), aggregation substance (agg), sex pheromones (ccf, cob, and cpd), hyaluronidase (hyl), and cell wall adhesins (efaA) were amplified via PCR using specific primers in Table 1 and conditions previously described (Shankar et al., 1999; Eaton and Gasson, 2001; Nakayama et al., 2001; Mannu et al., 2003; Semedo et al., 2003; Vankerckhoven et al., 2004). The Peltier-Based Thermal Cycler (MG96Þ/Y, Hangzhou, Zhejiang, China) was used in the amplification process. Electrophoresis of the PCR amplicons was performed with 1.5% agarose gel (CLS-AG100, Warwickshire, United Kingdom) in 0.5× TAE buffer (40 mM Tris-HCl, pH 8.5, 1 mM EDTA, and 20 mM Na acetate) and allowed to run for 1 h at 100 V. The gels are visualized under a UV transilluminator (EBOX VX5, Vilber Lourmat, France).

Results

Prevalence of Enterococcus Species From the Shrimps

Prevalence of Enterococcus species from shrimp varieties as shown in Table 2 is as follows: sauced, 26 (9.03%); boiled, 6 (2.78%); and smoked, 27 (12.50%). From the different markets sampled, the prevalence is as follows: ESM (Enterococcus from Sapele market), 7 (5.83%); EUMM (Enterococcus from Ughelli main market), 9 (7.50%); EOMA (Enterococcus from Ogbegonogo market, Asaba), 8 (6.67%); EAMA (Enterococcus from Ashafor market, Aniocha), 10 (8.33%); EIMN (Enterococcus from Igbudu market, Warri), 14 (11.67%); and MOI (Enterococcus from main market, Oleh, Isoko), 11 (9.17%). An overall prevalence of 59 (8.19%) was recorded from the shrimps.

Table 2.

Prevalence of Enterococcus species from ready-to-eat shrimp variety.

No. of samples examined No. of positive samples (%)
Shrimp variety Sauced 288 26 (9.03)
Boiled 216 6 (2.78)
Smoked 216 27 (12.50)
Total 720 59 (8.19)
Market sampled ESM 120 7 (5.83)
EUMM 120 9 (7.50)
EOMA 120 8 (6.67)
EAMA 120 10 (8.33)
EIMN 120 14 (11.67)
MOI 120 11 (9.17)
Total 720 59 (8.19)

ESM, Enterococcus from Sapele market; EUMM, Enterococcus from Ughelli main market; EOMA, Enterococcus from Ogbegonogo market, Asaba; EAMA, Enterococcus from Ashafor market, Aniocha; EIMW, Enterococcus from Igbudu market, Warri; MOI, Enterococcus from main market, Oleh, Isoko.

Distribution Profile of Enterococci From the Shrimps

The distribution of Enterococcus species is as follows: E. faecalis, 17 (28.8%); E. faecium, 29 (49.2%); E. gallinarum, 6 (10.2%); E. casseliflavus, 2 (3.4%); E. hirae, 3 (5.1%); and E. durans, 2 (3.4%). Four different Enterococcus species (E. faecium, E. faecalis, E. hirae, and E. gallinarum) were recovered from sauced shrimps; two different Enterococcus species (E. faecium and E. faecalis) were recovered from boiled shrimps, while five different Enterococcus species (E. casseliflavus, E. faecalis, E. durans, E. faecium, and E. hirae) were recovered from smoked shrimps (Table 3).

Table 3.

Phenotypic and genotypic virulence characterization of Enterococcus species from RTE shrimps varieties.

Isolate code Enterococcus sp. Phenotypic virulence Genotypic virulence Shrimp variety Biofilm formation
ESM-1 E. faecium S-layer, gel gelE-sprE-agg-efaA-cpd-cob-ccf-esp-hyl Sauced Moderate
ESM-2 E. faecalis S-layer agg-efaA-ace-cpd-cob-ccf-ccf-esp-hyl Boiled Strong
ESM-3 E. casseliflavus S-layer agg-ace-cpd-cob-ccf-esp Smoked Negative
ESM-4 E. faecium S-layer, β-hem, gel gelE-sprE-agg-efaA-ace-cpd-cob-ccf-esp-hyl Sauced Moderate
ESM-5 E. faecalis S-layer efaA-cpd-ace-cob-esp-hyl Smoked Moderate
ESM-6 E. casseliflavus S-layer cob-ace-ccf-esp Smoked Moderate
ESM-7 E. faecalis S-layer, gel sprE-agg-efaA-ace-cob-ccf-esp-hyl Sauced Strong
EUMM-1 E. faecalis S-layer, β-hem cylL-agg-efaA-cpd-cob-ccf-hyl Smoked Negative
EUMM-2 E. faecium S-layer efaA-cob-ace-ccf-esp-hyl Sauced Moderate
EUMM-3 E. faecium S-layer, β-hem, gel- gelE-ace-sprE-cylL-agg-efaA-cpd-cob-ccf-esp-hyl Smoked Negative
EUMM-4 E. hirae S-layer cpd-efaA-cob-ace-esp Sauced Negative
EUMM-5 E. faecalis S-layer, gel gelE-efaA-sprE-cob-ace-ccf-esp-hyl Boiled Weak
EUMM-6 E. faecium S-layer agg-efaA-ace-cpd-cob-ccf-esp-hyl Smoked Moderate
EUMM-7 E. faecium S-layer, β-hem cpd-efaA-cob-ace-ccf-esp-hyl Sauced Weak
EUMM-8 E. faecium S-layer, β-hem, gel- gelE-efaA-sprE-agg-ace-cob ccf-esp-hyl Smoked Negative
EUMM-9 E. faecium S-layer, β-hem cpd-efaA-ace-cob-ccf-esp-hyl Smoked Moderate
EOMA-1 E. faecalis S-layer, gel gelE-ace-sprE-agg-efaA-cpd-cob-ccf-esp Sauced Moderate
EOMA-2 E. faecalis S-layer cpd-efaA-ace-cob-ccf-esp Boiled Strong
EOMA-3 E. faecium S-layer cob-efaA-ccf-ace-esp-hyl Smoked Weak
EOMA-4 E. faecium S-layer, gel gelE-efaA-sprE-cpd-ace-cob-ccf-esp-hyl Sauced Moderate
EOMA-5 E. faecium S-layer, gel gelE-efaA-sprE-cpd-ace-cob-ccf-esp-hyl Smoked Moderate
EOMA-6 E. durans S-layer agg-esp-cpd-cob-ccf Smoked Negative
EOMA-7 E. faecium S-layer, gel gelE-ace-sprE-agg-efaA-cpd-cob-ccf-esp-hyl Boiled Negative
EOMA-8 E. gallinarum S-layer cpd-esp-cob-ccf Smoked Moderate
EAMA-1 E. gallinarum S-layer agg-esp-cpd-cob-ccf Smoked Negative
EAMA-2 E. faecium S-layer, β-hem, gel gelE- efaA-ace-sprE-cylL-agg-cob-ccf-esp-hyl Smoked Negative
EAMA-3 E. faecalis S-layer, β-hem, gel gelE-efaA-sprE-agg-ace-cpd-cob-ccf-esp-hyl Sauced Weak
EAMA-4 E. faecium S-layer cob-efaA-ccf-ace-esp-hyl Smoked Moderate
EAMA-5 E. faecium S-layer agg-efaA-cpd-ace-cob-ccf-esp-hyl Smoked Strong
EAMA-6 E. faecalis S-layer cob-efaA-ccf-esp-ace-hyl Sauced Weak
EAMA-7 E. faecium S-layer, β-hem cpd-efaA-ace-cob-ccf-esp-hyl Smoked Negative
EAMA-8 E. faecium S-layer, β-hem, gel gelE-ace-sprE-agg-efaA-cpd-cob-ccf-esp-hyl Sauced Moderate
EAMA-9 E. gallinarum S-layer cob-esp-ccf Smoked Moderate
EAMA-10 E. faecium S-layer, β-hem agg-efaA-cpd-ace-cob-ccf-esp-hyl Sauced Moderate
EIMW-1 E. faecium S-layer agg-efaA-cob-ace-esp-hyl Sauced Strong
EIMW-2 E. faecium S-layer, gel gelE-sprE-efaA-agg-cpd-cob-ace-ccf-esp-hyl Sauced Negative
EIMW-3 E. faecalis S-layer agg-efaA-cob-ace-ccf-esp-hyl Sauced Weak
EIMW-4 E. faecalis S-layer, β-hem cylL-agg-efaA-ace-cob-ccf-esp-hyl Smoked Weak
EIMW-5 E. faecium S-layer cob-efaA-ccf-ace-esp-hyl Smoked Moderate
EIMW-6 E. faecium S-layer, β-hem, gel gelE-ace-sprE-agg-efaA-cpd-cob-ccf-esp-hyl Smoked Moderate
EIMW-7 E. faecium S-layer, β-hem cob-efaA-ace-ccf-esp-hyl Sauced Weak
EIMW-8 E. faecalis S-layer agg-efaA-cob-ace-ccf-esp-hyl Boiled Weak
EIMW-9 E. faecium S-layer agg-efaA-cob-ace-ccf-esp-hyl Smoked Moderate
EIMW-10 E. faecium S-layer, β-hem, gel gelE-efaA-sprE-agg-ace-cpd-cob-ccf-esp-hyl Sauced Negative
EIMW-11 E. faecalis S-layer, β-hem cylL-ace-agg-cpd-efaA-cob-ccf-esp-hyl Smoked Negative
EIMW-12 E. gallinarum S-layer cob-esp-ccf Sauced Negative
EIMW-13 E. gallinarum S-layer agg-esp-cpd-cob-ccf Sauced Moderate
EIMW-14 E. faecium S-layer, gel gelE-efaA-ace-sprE-agg-ccf-esp-hyl Sauced Strong
MOI-1 E. faecalis S-layer, β-hem agg-efaA-ace-cpd-cob-ccf-esp-hyl Smoked Negative
MOI-2 E. faecalis S-layer, β-hem agg-efaA-esp-cpd-cob-ccf-hyl Smoked Weak
MOI-3 E. faecium S-layer, β-hem, gel gelE-ace-sprE-agg-efaA-cpd-cob-ccf-esp-hyl Sauced Negative
MOI-4 E. durans S-layer agg-esp-cpd-cob-ccf Smoked Moderate
MOI-5 E. faecium S-layer, β-hem cylL-ace-agg-efaA-cob-ccf-esp-hyl Sauced Negative
MOI-6 E. faecium S-layer cob-ace-efaA-ccf-esp-hyl Sauced Moderate
MOI-7 E. faecalis S-layer, β-hem, gel gelE-ace-sprE-agg-efaA-cob-ccf-esp-hyl Boiled Moderate
MOI-8 E. faecalis S-layer cpd-ace-cob-ccf-esp-hyl Sauced Strong
MOI-9 E. hirae S-layer cpd-esp-cob-ccf Sauced Negative
MOI-10 E. hirae S-layer agg-esp-cob-ccf Smoked Negative
MOI-11 E. gallinarum S-layer agg-ace-cpd-esp-cob Sauced Weak

ESM, Enterococcus from Sapele market; EUMM, Enterococcus from Ughelli main market; EOMA, Enterococcus from Ogbegonogo market, Asaba; EAMA, Enterococcus from Ashafor market, Aniocha; EIMW, Enterococcus from Igbudu market, Warri; MOI, Enterococcus from main market, Oleh, Isoko; β-hem, beta-hemolysis; gel, gelatinase activity.

Biofilm formation of the Enterococcus species includes the following: non-formers, 19 (32%); weak formers, 11 (19%); moderate formers, 22 (37%); and strong formers, 7 (12%). Overall, 40 (67.8%) were biofilm formers. Biofilm occurrence among the shrimp varieties is as follows: 19/26 (73.1%) for sauced shrimps, 5/6 (83.3%) for boiled shrimps, and 16/27 (59.3%) for smoked shrimps (Table 3).

Phenotypic and Genotypic Expression of Virulence Determinants in the Enterococci

The phenotypic expression of the enterococci isolates for virulence in this study as presented in Table 3 revealed the following: 59 (100%) for S-layer, 19 (32.2%) for gelatinase production, and 21 (35.6%) for β-hemolysis. The genotypic expression of virulence as presented in Table 3 is as follows: gelE, 18 (30.5%); sprE, 19 (32.2%); cylL, 6 (10.2%); agg, 37 (62.7%); cpd, 36 (61.0%); cob, 58 (98.3%); ccf, 56 (94.9%); efaA, 46 (77.9%); esp, 58 (98.3%); ace, 47 (79.7%); and hyl, 44 (74.6%). An average of 3–11 virulence genes was detected in the Enterococcus species. None of the enterococci isolates was simultaneously positive to all tested virulence genes. Screened sex pheromone genes (cpd, cob, and ccf) were detected in 32 (54.2%) of the enterococci isolates. Furthermore, 52 (88.1%) enterococci isolates had both the cob and ccf genes. The cylA gene was not detected in any of the enterococci. The cylL gene was present in E. faecalis and E. faecium, which were isolated from five smoked and one sauced shrimp variety (Table 3).

No isolate produced lipase or was positive for DNA-degrading activity. All gelE gene-carrying enterococci phenotypically expressed the gelatinase activity. However, one of the isolates that phenotypically expressed the gelatinase activity lacked the gelE gene. All cylL gene-carrying isolates expressed β-hemolytic activity. However, not all the isolates that phenotypically expressed the β-hemolytic activity harbored the cylL gene (Table 3). From the esp gene detected, all the isolates phenotypically expressed the S-layer activity. However, one isolate with S-layer expressed phenotypically lacked the esp gene but harbored the efaA gene (Table 3). Although 40 (67.8%) of the isolates were biofilm formers phenotypically, all 40/40 (100%) of the biofilm producers harbored the esp gene and displayed S-layer characteristics, and 12/40 (30%) harbored the gelE gene. However, some of the isolates with the esp gene, gelE gene, and S-layer characteristics did not produce biofilm (Table 3).

Antibiotic Susceptibility Profile of the Enterococcus Species

The resistance profile of Enterococcus species in Table 4 is as follows: penicillin G, 52 (88.1%); piperacillin, 23 (38.9%); clindamycin, 40 (67.8%); erythromycin, 29 (49.2%); vancomycin, 22 (37.3%); teicoplanin, 32 (54.2%); and tetracycline, 27 (45.8%).

Table 4.

Antibiotic susceptibility profile of the Enterococcus species from shrimps.

Antimicrobial class Antibiotics E. faecalis (n = 17)
E. faecium (n = 29)
E. gallinarum (n = 6)
E. casseliflavus (n = 2)
E. hirae (n = 3)
E. durans (n = 2)
Total (n = 59)
R I S R I S R I S R I S R I S R I S R I S
Penicillins PEN 100 0 0 82.8 0 17.2 66.7 0 33.3 100 0 0 100 0 0 100 0 0 88.1 0 11.9
PTZ 41.2 29.4 29.4 37.9 34.5 27.6 33.3 50 16.7 0 50 50 66.7 0 33.3 50 0 50 38.9 32.2 28.8
Lincosamides CLI 70.6 29.4 0 72.4 10.4 17.2 33.3 16.7 50 50 0 50 66.7 33.3 0 100 0 0 67.8 16.9 15.3
Macrolides ERY 52.9 47 0 62.1 27.6 10.4 33.3 66.7 0 0 100 0 0 100 0 0 100 0 49.2 45.8 5.1
Glycopeptides VAN 47.1 17.7 35.3 44.8 31.1 24.1 16.7 50 33.3 0 0 100 0 0 100 0 50 50 37.3 27.1 36.6
TEC 58.8 29.4 11.8 62.1 10.4 27.6 33.3 0 66.7 50 50 0 33.3 0 66.7 0 0 100 54.2 12.3 30.5
Tetracyclines TET 52.9 17.7 29.4 51.7 27.6 20.7 33.3 16.7 50 0 50 50 33.3 66.7 0 0 50 50 45.8 27.1 27.1
TGC 64.7 11.8 23.5 62.1 13.8 24.1 33.3 16.7 50 0 0 100 33.3 0 66.7 0 0 100 54.2 11.9 33.9
Aminoglycosides KAN 17.7 5.8 76.4 10.4 20.7 68.9 0 0 100 0 0 100 0 0 100 0 0 100 10.2 11.9 77.9
Carbapenems IMI 17.7 0 82.3 10.4 31.1 58.6 0 0 100 0 0 100 0 33.3 66.7 0 0 100 10.2 18.9 72.9
Quinolones NOR 41.1 17.6 41.1 10.4 6.9 82.8 0 0 100 0 0 100 0 0 100 0 0 100 16.9 8.5 74.6
CIP 47.1 11.8 41.1 41.4 3.5 55.2 16.7 0 83.3 0 0 100 0 0 100 0 0 100 35.6 5.1 59.3
Phenicols CHL 23.5 58.8 17.7 24.1 41.4 34.5 33.3 66.7 0 0 100 0 0 100 0 0 100 0 22.0 55.9 22.0
Ansamycins RIF 29.4 0 70.5 17.2 3.5 79.3 16.7 16.7 66.7 0 0 100 0 0 100 0 0 100 18.6 3.4 77.9

PEN, penicillin G; PTZ, piperacillin; CLI, clindamycin; ERY, erythromycin; VAN, vancomycin; TEC, teicoplanin; TET, tetracycline; TGC, tigecycline; KAN, kanamycin; IMI, imipenem; NOR, norfloxacin; CIP, ciprofloxacin; CHL, chloramphenicol; RIF, rifampin.

Multiple Antibiotic Resistance Profile and Antibiotic Resistance Determinants

The multiple drug resistance (MDR) profile of the Enterococcus species revealed resistance to a minimum of three antibiotics that belong to three antimicrobial classes with a MARI of 0.21 and a maximum of 14 antibiotics that belong to 10 antimicrobial classes with a MARI of 1. A total of 37 (62.7%) isolates were multidrug resistant (Table 5). The occurrence of antibiotic resistance elements detected in Table 5 from the phenotypically resistant enterococci isolates to the macrolide, glycopeptide, and tetracycline antibiotics is as follows: ermA, 13/29 (44.8%); mphC, 13/29 (44.8%); vanA, 14/22 (63.6%); tetA, 14/27 (51.9%); tetM, 15/27 (55.6%); ermB, 4/29 (13.8%); and vanB, 5/22 (22.7%). None of vanC-1, vanC-2/3, tetB, tetC, and tetD was detected.

Table 5.

Multidrug resistance profile, resistance phenotype, and resistance determinants of Enterococcus species from shrimps.

Isolate code Enterococcus sp. Shrimp variety Biofilm formation No. of antimicrobial class No. of antibiotics Resistance phenotype MAR index Resistance gene
ESM-1 E. faecium Sauced Moderate 6 7 PENR-CLIR-ERYR-VANR-TGCR-TECR-RIFR 0.50 ermA-mphC-vanA-tetA-tetM
ESM-2 E. faecalis Boiled Strong 3 4 PENR-CLIR-TGCR-TECR 0.29
ESM-3 E. casseliflavus Smoked Negative 1 1 PENR 0.07
ESM-4 E. faecium Sauced Moderate 7 8 PENR-KANR-TETR-CLIR-CIPR-VANR-TGCR-TECR 0.57 tetA
ESM-5 E. faecalis Smoked Moderate 1 1 PENR 0.07
ESM-6 E. casseliflavus Smoked Moderate 3 3 PENR-CLIR-TECR 0.21
ESM-7 E. faecalis Sauced Strong 8 12 PENR-PTZR-IMIR-TETR-CLIR-ERYR-CIPR-VANR-TGCR-TECR-RIFR-NORR 0.86 ermA-ermB-mphC-tetA
EUMM-1 E. faecalis Smoked Negative 1 1 PENR 0.07
EUMM-2 E. faecium Sauced Moderate 8 11 PENR-KANR-TETR-CLIR-ERYR-CIPR-VANR-TGCR-TECR-NORR-CHLR 0.79 ermA-ermB-mphC-vanA-tetA-tetM
EUMM-3 E. faecium Smoked Negative 6 9 PENR-PTZR-TETR-CLIR-ERYR-CIPR-VANR-TGCR-TECR 0.64 mphC-vanA
EUMM-4 E. hirae Sauced Negative 1 1 PENR 0.07
EUMM-5 E. faecalis Boiled Weak 4 4 PENR-CLIR-TGCR-TECR 0.29
EUMM-6 E. faecium Smoked Moderate 2 2 PENR-CLIR 0.14
EUMM-7 E. faecium Sauced Weak 10 14 PENR-PTZR-IMIR-KANR-TETR-CLIR-ERYR-CIPR-VANR-TGCR-TECR-RIFR-NORR-CHLR 1 ermA-vanA-vanB-tetA-tetM
EUMM-8 E. faecium Smoked Negative
EUMM-9 E. faecium Smoked Moderate 2 2 PENR-CLIR 0.14
EOMA-1 E. faecalis Sauced Moderate 7 11 PENR-PTZR-KANR-TETR-CLIR-ERYR-CIPR-VANR-TGCR-TECR-NORR 0.79 ermA-mphC-vanA-vanB-tetA
EOMA-2 E. faecalis Boiled Strong 8 12 PENR-PTZR-IMIR-TETR-CLIR-ERYR-CIPR-VANR-TGCR-TECR-NORR-CHLR 0.86 ermA-mphC-tetM
EOMA-3 E. faecium Smoked Weak 1 1 PENR 0.07
EOMA-4 E. faecium Sauced Moderate
EOMA-5 E. faecium Smoked Moderate 6 7 PENR-CLIR-ERYR-VANR-TGCR-TECR-RIFR 0.50 ermA
EOMA-6 E. durans Smoked Negative 2 2 PENR-CLIR 0.14
EOMA-7 E. faecium Boiled Negative 7 10 PENR-PTZR-TETR-CLIR-ERYR-CIPR-VANR-TGCR-TECR-RIFR 0.71 ermA-tetA
EOMA-8 E. gallinarum Smoked Moderate 6 8 PENR-PTZR-TETR-CLIR-ERYR-TGCR-TECR-CHLR 0.57 tetM
EAMA-1 E. gallinarum Smoked Negative 1 1 PENR 0.07
EAMA-2 E. faecium Smoked Negative 5 5 PENR-CLIR-ERYR-TGCR-TECR 0.36
EAMA-3 E. faecalis Sauced Weak 7 10 PENR-PTZR-IMIR-KANR-TETR-CIPR-VANR-TGCR-NORR-CHLR 0.71 vanA-tetA
EAMA-4 E. faecium Smoked Moderate 5 6 PENR-TETR-CLIR-ERYR-TGCR-TECR 0.43 mphC-tetM
EAMA-5 E. faecium Smoked Strong 1 1 PENR 0.07
EAMA-6 E. faecalis Sauced Weak 6 6 PENR-CLIR-ERYR-TGCR-TECR-RIFR 0.43 ermA-ermB
EAMA-7 E. faecium Smoked Negative 1 1 PENR 0.07
EAMA-8 E. faecium Sauced Moderate 5 7 PENR-PTZR-TETR-CLIR-ERYR-TGCR-TECR 0.50 mphC-tetA
EAMA-9 E. gallinarum Smoked Moderate
EAMA-10 E. faecium Sauced Moderate 8 11 PENR-PTZR-IMIR-TETR-CLIR-ERYR-CIPR-VANR-TGCR-TECR-CHLR 0.79 mphC-vanA
EIMW-1 E. faecium Sauced Strong 7 9 PENR-PTZR-IMIR-TETR-CLIR-ERYR-CIPR-TGCR-TECR 0.64 tetM
EIMW-2 E. faecium Sauced Negative 3 3 TETR-CLIR-ERYR 0.21
EIMW-3 E. faecalis Sauced Weak 1 1 PENR 0.07
EIMW-4 E. faecalis Smoked Weak 9 12 PENR-KANR-TETR-CLIR-ERYR-CIPR-VANR-TGCR-TECR-RIFR-NORR-CHLR 0.86 ermA-vanA-vanB-tetA-tetM
EIMW-5 E. faecium Smoked Moderate 1 1 PENR 0.07
EIMW-6 E. faecium Smoked Moderate 4 5 PENR-TETR-CLIR-TGCR-TECR 0.36 tetM
EIMW-7 E. faecium Sauced Weak 2 2 PENR-ERYR 0.14
EIMW-8 E. faecalis Boiled Weak 3 3 PENE-CLIR-ERYR 0.21
EIMW-9 E. faecium Smoked Moderate 7 11 PENR-PTZR-TETR-CLIR-ERYR-CIPR-VANR-TGCR-TECR-NORR-CHLR 0.79 vanA-tetM
EIMW-10 E. faecium Sauced Negative 6 9 PENR-PTZR-TETR-CLIR-ERYR-CIPR-VANR-TGCR-TECR 0.64 ermA-tetM
EIMW-11 E. faecalis Smoked Negative 8 11 PENR-PTZR-TETR-CLIR-ERYR-CIPR-VANR-TGCR-TECR-RIFR-CHLR 0.79 vanA-vanB-tetA
EIMW-12 E. gallinarum Sauced Negative 1 1 PENR 0.07
EIMW-13 E. gallinarum Sauced Moderate
EIMW-14 E. faecium Sauced Strong
MOI-1 E. faecalis Smoked Negative 1 1 PENR 0.07
MOI-2 E. faecalis Smoked Weak 6 10 PENR-PTZR-TETR-CLIR-ERYR-CIPR-VANR-TGCR-TECR-NORR 0.71 ermA-ermB-mphC-vanA-tetM
MOI-3 E. faecium Sauced Negative 8 11 PENR-PTZR-TETR-CLIR-ERYR-CIPR-VANR-TGCR-TECR-RIFR-CHLR 0.79 vanA-vanB-tetA-tetM
MOI-4 E. durans Smoked Moderate 3 3 PENR-PTZR-CLIR 0.21
MOI-5 E. faecium Sauced Negative 7 9 PENR-PTZR-CLIR-ERYR-CIPR-VANR-TGCR-TECR-CHLR 0.64 mphC
MOI-6 E. faecium Sauced Moderate 7 10 PENR-PTZR-TETR-CLIR-ERYR-CIPR-VANR-TGCR-TECR-CHLR 0.71 ermA-vanA-tetA-tetM
MOI-7 E. faecalis Boiled Moderate 3 3 PENR-TETR-CLIR 0.21
MOI-8 E. faecalis Sauced Strong 8 11 PENR-PTZR-TETR-CLIR-ERYR-CIPR-VANR-TGCR-TECR-RIFR-NORR 0.79 mphC
MOI-9 E. hirae Sauced Negative 4 6 PENR-PTZR-TETR-CLIR-TGCR-TECR 0.43
MOI-10 E. hirae Smoked Negative 2 3 PENR-PTZR-CLIR 0.21
MOI-11 E. gallinarum Sauced Weak 8 11 PENR-PTZR-TETR-CLIR-ERYR-CIPR-VANR-TGCR-TECR-RIFR-CHLR 0.79 mphC-vanA-tetA-tetM

ESM, Enterococcus from Sapele market; EUMM, Enterococcus from Ughelli main market; EOMA, Enterococcus from Ogbegonogo market, Asaba; EAMA, Enterococcus from Ashafor market, Aniocha; EIMW, Enterococcus from Igbudu market, Warri; MOI, Enterococcus from main market, Oleh, Isoko; PEN, penicillin G; PTZ, piperacillin; CLI, clindamycin; ERY, erythromycin; VAN, vancomycin; TEC, teicoplanin; TET, tetracycline; TGC, tigecycline; KAN, kanamycin; IMI, imipenem; NOR, norfloxacin; CIP, ciprofloxacin; CHL, chloramphenicol; RIF, rifampin.

A total of 19/26 (73.1%) isolates from sauced shrimps were MDR; all 6/6 (100%) isolates from boiled shrimp were MDR while 12/27 (44.4%) isolates from smoked shrimps were MDR. The relationship between antibiotic resistance and biofilm formation in this study is as follows: moderate biofilm formation (resistant between 0 and 11 antibiotics), weak biofilm formation (resistant between 1 and 14 antibiotics), strong biofilm formation (resistant between 1 and 12 antibiotics), and negative biofilm formation (resistant between 0 and 11 antibiotics; Table 5).

Discussion

Enterococci make up the most predominant bacteria group that occur in foods, particularly as a consequence of their resistance to severe conditions in the environment during production technology, coupled with their high adaptability and conditions of food storage. Studies have reported enterococci incidence of seafood origin. Several studies have reported seafood contamination to naturally occur from an environment where fish are usually collected. Cross-contamination can occur as a result of food preparation or processing where bacteria are conveyed from utensils or from contaminated surfaces to seafood that are hygienically safe (Shikongo-Nambabi, 2011). When shrimps are harvested, they are usually processed by washing and exported frozen. During washing and freezing, decrease in the levels of bacteria can occur. However, resistant survivors can adulterate the final product traded at an open market, which can be distributed to consumers (Yano et al., 2011). An overall prevalence of 59 (8.19%) was recorded from the shrimps in this study. The prevalence of E. faecalis from cultured Indian prawn at Damietta governorate, Egypt, was 7% (El-Far et al., 2015), which was similar to the findings of this study. However, higher prevalence within the range of 16.7–74.1% has been documented previously (Koluman et al., 2009; Jamet et al., 2012; Jahan et al., 2013; Pesavento et al., 2014; Boss et al., 2016; Chajecka-Wierzchowska et al., 2016; Mus et al., 2017; Naas et al., 2017).

Higher incidence of E. faecium was recovered from the Enterococcus species in this study. This contradicts the findings from previous studies that reported E. faecalis as the most predominant enterococci from food sampled (Hammad et al., 2014; Pesavento et al., 2014; Chajecka-Wierzchowska et al., 2016). Similarly, investigations carried out in Tunisia (Belgacem et al., 2010) and Portugal (Barbosa et al., 2014) also revealed contamination of fermented meat products principally with E. faecium and E. faecalis isolates. Mus et al. (2017) did not isolate E. gallinarum from their study; however, Jahan et al. (2013) isolated E. gallinarum from meat and fermented meat products, which coincide with the findings from this study. PCR detection of five species isolated from RTE food samples tested by Chajecka-Wierzchowska et al. (2016) includes E. faecium, E. hirae, E. faecalis, E. casseliflavus and E. durans, with E. faecium (39.7%) and E. faecalis (48.7%) accounting for majority of the strains. This was in line with the findings of this study.

Literature has connected virulence in enterococci to diverse factors, such as esp, gelE, ace, ccf, cylL, cpd, agg, cob, and efaA and formation of biofilm (Chuang et al., 2009). PCR detection of these genes coding virulence showed distinctiveness in virulence between enterococci. E. faecalis and E. faecium strains harbored extra virulence elements compared to other species, which was in line with findings from previous studies (Martin et al., 2005; Han et al., 2011). Barbosa et al. (2014) explained that there were no virulence genes detected in E. faecium isolates with the detection of the esp, efa, gelE, and agg genes in E. faecalis, which contradicts the findings of this study. Jahan and Holley (2014) reported the detection of numerous virulence elements in E. faecium (esp, efa, agg, and gelE) and E. faecalis (esp, efa, gelE, ace, and agg) strains recovered from meat and meat products. In addition, Jahan and Holley (2014) observed the ace gene in one E. gallinarum isolate. Belgacem et al. (2010) revealed that E. faecium strains were positive for efa and gelE genes. These were in line with the findings of this study.

Tsikrikonis et al. (2012) reported that the gelE gene is responsible for gelatinase production. Gelatinase is a metalloproteinase that can cleave hemoglobulin, insulin, casein, collagen, gelatin, and fibrinogen, in addition to numerous peptides/proteins (Giridhara-Upadhyaya et al., 2010). The findings from this study revealed that all enterococci positive for the gelE gene produced the enzyme phenotypically. Marra et al. (2007) reported that occurrence of the gelE gene is not particularly linked to gelatinase production, since Lindenstrau et al. (2011) suggest that other elements can be ascribed to gelE expression phenotypically. All cylL gene-carrying isolates in this study expressed β-hemolytic activity. However, not all the isolates that phenotypically expressed the β-hemolytic activity harbored the cylL gene. A contrasting situation was reported previously where some cytolysin gene-carrying isolates did not express β-hemolytic activity phenotypically (Eaton and Gasson, 2001; Togay et al., 2010).

Most enterococci strains from this study harbored the esp and efaA genes. Both genes appear to add to the persistence and colonization of enterococci in urinary tract infections (UTIs). The genes ccf, cob, and cpd (sex pheromone elements) were likewise detected in significant amounts of enterococci strains. Sex pheromone elements were identified solely in strains of E. faecalis, with all strains of E. faecium clear of the sex pheromone genes (Eaton and Gasson, 2001). This was not in agreement with our findings as a minimum of two out of the three sex pheromone elements were detected in all species tested and in line with the findings of Chajecka-Wierzchowska et al. (2016). Pheromone genes are occasionally followed with, and other times deprived of, the agg element (Eaton and Gasson, 2001). The S-layer and ace are surface proteins with adherence characteristics. The ace factor plays a significant role in enterococci establishment via adherence to the extracellular protein matrix. It also partakes in adhering type I and type IV collagen together (Nallapareddy et al., 2000). It has been reported in the literature via molecular methods that genes homologous to efaA occur in strains of Enterococcus asini, Enterococcus avium, Enterococcus solitarius, and E. durans (Semedo et al., 2003; Jimenez et al., 2013).

The esp gene is situated on the pathogenicity island and similarly comprises proteins that are liable for the dynamics of antibiotic release (Leavis et al., 2004). Literature reports on the esp protein established its involvement in biofilm and its role as a significant mechanism in exchanging genetic determinants inherently and elevating their antibiotic resistance characteristics (Foulquie-Moreno et al., 2006; Latasa et al., 2006). The occurrence of the esp gene in E. faecium has been reported to correlate imipenem, ampicillin, and ciprofloxacin resistance (Billstrom et al., 2008). Current reports propose a correlation of the occurrence of resistance to vancomycin and surface protein. Ochoa et al. (2013) reported that nosocomial strains have revealed that 83.3% of vancomycin-resistant E. faecium were positive for the esp gene, which was similar to the findings of this study where all the enterococci isolates that were vancomycin resistant harbored the esp gene. Most of the enterococci that simultaneously harbored the esp genes with vancomycin resistance by Billstrom et al. (2008) were multidrug resistant, which was also similar to the findings from our study. Oancea et al. (2004) reported that the esp element can be disseminated within strains of E. faecalis via the chromosome–chromosome transposition as well as within strains of E. faecium via conjugation of plasmid.

Hyaluronidase enzyme is crucial in breaking down mucopolysaccharides of the cartilage and connective tissue resulting in bacteria spread. The hyl element harboring isolates of nosocomial origin has been established to be frequent in E. faecium and rarely occurring in E. faecalis (Vankerckhoven et al., 2004). In addition, the hyl determinant has also been detected in other Enterococcus species such as E. durans, E. mundtii, and E. casseliflavus recovered from food (Trivedi et al., 2011). The aggregation substance (agg gene) being a virulence factor conveys antibiotic resistance determinants (Chajecka-Wierzchowska et al., 2017). The aggregation substance encompasses diverse adhesins, coded on conjugative plasmids conveyed in an expedited conjugation pathway, intermediated by sex pheromones determinants (Strzelecki et al., 2011). Clewell et al. (2000) described sex pheromones as small, non-water-loving peptides, which goes into aggregation substance and intermingle with a definite conjugative plasmid. The mechanism is essential in the dissemination of determinants among cells. Aggregation substance functions in the propagation within a particular plasmid, where factors encode virulence such as antibiotic resistance elements and cytolysin determinants. Cytolysin and aggregation elements can function together at the same time, elevating virulence by activating cytolysin regulation within the quorum-sensing pathway, thus conceivable to harm innermost tissues (Gilmore et al., 2002; Foulquie-Moreno et al., 2006).

A significant factor in enterococci pathogenesis is the formation of biofilm. Creti et al. (2004) reported that the higher amount of biofilm formed among E. faecalis compared to other Enterococcus species is not dependent on their source. Previous studies have reported that biofilm formation is not dependent on the presence or absence of the esp gene (Hufnagel et al., 2004; Kristich et al., 2004; Mohamed et al., 2004) while other researchers have stated clearly that there exists a positive correlation between biofilm formation and the occurrence of esp (Tendolkar et al., 2004; Chuang-Smith et al., 2010). Hancock and Perego (2004) reported that gelatinase production/determinant has also been reported to mediate signals that arrive through the quorum-sensing fsr system leading to biofilm formation. Mohamed and Murray (2005) documented that no relationship exists between biofilm and gelatinase activity in a significant amount of E. faecalis isolates. Serine protease (sprE) encodes enzymes that hydrolyze peptide bonds in proteins, in which case serine serves as the nucleophilic amino acid at the active site. Mohamed et al. (2004) stated that serine protease was more vital than gelatinase in biofilm production. Findings from our study revealed that the occurrence of gelE and esp elements was independent of biofilm formation, which was also in line with those of Chajecka-Wierzchowska et al. (2016).

The most prevailing issue of enterococci includes resistance to antibiotics used as therapeutics in treating human patients. This is of particular interest since 54 (91.5%) enterococci from this study were resistant to ≥1 antibiotics, with a total of 37 (62.7%) enterococci isolates being multidrug resistant. Multiple antibiotic resistances to ≥4 antibiotics were reported in enterococci from abattoir and aquaculture environs (Akinbowale et al., 2006; Igbinosa et al., 2017). The relatively high percentage of MDR enterococci recovery from RTE shrimps portrays them as an important reservoir of antibiotic resistance. Lack of antibiotic sensitivity to subclasses and classes of antibiotics such as quinolones and fluoroquinolones could result in difficulty in handling enterococci infections. Isolates recovered from RTE shrimp samples in this study resisted ciprofloxacin (used in the treatment regimen of meningitis and pneumonia) and norfloxacin (used in the treatment regimen of UTI as well as in infections as a consequence of enterococci that resisted vancomycin with bacteremia inclusive). Resistance to quinolone antibiotics was observed solely in E. faecalis, E. gallinarum, and E. faecium. The proportion of quinolone-resistant enterococci recovered from RTE shrimp calls for concern, in view of the astonishing capacity of enterococci to disseminate resistance.

The highest frequency of resistance by Mus et al. (2017) was observed for tetracycline (21.7%), followed by ciprofloxacin (2.0%), penicillin (2.0%), and ampicillin (1.0%), which were lower compared to our finding. E. faecalis revealed a higher prevalence of antibiotic resistance than other enterococci as described by Mus et al. (2017), which was in line with the findings of this study. The percentage of MDR enterococci by Mus et al. (2017) was 3.4%, which was lower than the findings of this study. An overall total of 54 (91.5%) isolates in our study that harbored a virulence gene were simultaneously resistant to a minimum of one antibiotic. All E. durans, E. casseliflavus, E. hirae, and E. faecalis in our study simultaneously harbor a virulent trait and were resistant to at least one antibiotic while 3 (10.4%) E. faecium and 2 (33.3%) E. gallinarum only harbor a virulent trait and completely sensitive to all antibiotics tried. This contradicts the study by Mus et al. (2017) where E. faecalis 29 (26.6%), which carries one of the virulence-associated determinants, were simultaneously resistant to a minimum of one antibiotic. All enterococci strains screened for their antibiotic-resistant profiles revealed high multiresistance phenotype (Naas et al., 2017), which was contradicted by the findings from this study. Species-specific primers by Mus et al. (2017) revealed E. faecalis as the predominant Enterococcus species carrying one or more virulence-associated determinants. Although all E. faecalis from this study harbored ≥3 virulence elements in this study, E. faecium was the most predominant of the Enterococcus species.

Boss et al. (2016) reported that 16% of E. faecalis of sampled shrimp imported into Switzerland were resistant to tetracycline. A significant proportion of enterococci by Chajecka-Wierzchowska et al. (2016) revealed that a significant proportion of the isolates were resistant to erythromycin (42.7%). Significant level of erythromycin resistance was also witnessed in this study. Enterococci are particularly resistant intrinsically (Chow, 2000). Intrinsic mechanisms usually result in decreased level of resistance while acquirement of mobile determinants particularly underscores a high level of resistance. The findings by Arumugam et al. (2017) showed that E. faecalis from seafood possess multiple antibiotic resistances. These reports further consolidate the findings from this study. The dynamics and emergence of antimicrobial resistance determinants in bacteria that circulate between the environment, humans, and animals are not completely known. Selective pressure resulting from antimicrobials on the microbiomes of human and animal and their environments (particularly healthcare institutions and farms) as well as soil and sewage systems can likely confer persistence benefits on bacteria with antimicrobial resistance elements, which may further be spread via integrons, plasmids, or transposons (Cheng et al., 2015).

Application of antibiotics as growth promoters is prohibited in Europe as far back as 2006. They are frequently applied in veterinary medicine for prophylactic purposes and as a treatment regimen. Antibiotics that are used as therapeutics for infections in humans might not be applied but can be important in the selection of resistant enterococci. Tetracyclines are usually applied as they are permitted by the Food and Drug Administration and the European Union for use in treating gastritis and hepatitis; diseases of the urinary, reproductive, and respiratory system; and bacterial infections that emanate from the skin (Martinez, 2009). Tetracycline antibiotics are used in swine, cattle, poultry, sheep, fish, and goats (Bea-Ven et al., 2014). Its application in veterinary medicine has resulted in an upsurge in the number of antibiotic-resistant strains and selective pressure. It has also been documented that tetracycline-resistant enterococci usually portray combined resistance to aminoglycoside (gentamicin) and, to some extent, glycopeptide (vancomycin) (Choi and Woo, 2014). High occurrence of tetracycline resistance has previously been documented among enterococci strains from divergent sources (Templer and Baumgartner, 2007; Chajecka-Wierzchowska et al., 2012). The occurrence of MDR enterococci isolates in the food chain is of a significant concern due to the ease of resistance gene dissemination to other bacteria. Enterococci have been described as a major concern in the last decades, as they have become one of the most vital nosocomial infections that cause serious illnesses in humans. The occurrence of Enterococcus spp. in seafood may act as gene pools of antibiotic resistance determinants (Valenzuela et al., 2009). Chajecka-Wierzchowska et al. (2016) reported that enterococci extensively occur in retail RTE meat or meat products with lots of enterococci strains such as E. durans, E. casseliflavus, E. gallinarum, and E. hirae harboring antibiotic resistance and conveying exchangeable resistance determinants.

Vancomycin-resistant enterococci (VRE) have been described as clinical pathogens that have been recovered from environmental habitats. The dissemination of opportunistic pathogens that harbor vancomycin-resistant genes further than hospital environments into the community is an impending public health threat as vancomycin is referred to as the last line of defense against enterococci infections. A total of 35 VRE outbreaks have been systematically reviewed and documented by Ulrich et al. (2017), from which 757 patients were affected and 77 died; the prevalent site of pathogen recovery was rectal swabs or stool samples. The principal modes of documented spread were contact-to-contaminated environment, patient-to-patient, and hands of healthcare workers, while the predominant risk factor was previous antibiotic treatment regimen (Ulrich et al., 2017). The prevalent infection control procedures carried out by Ulrich et al. (2017) were screening and isolation patient cohort. Sivertsen et al. (2016) reported a vancomycin variable vanA+ enterococci outbreak that deviated from phenotypic expression via Clinical Laboratory Standards Institute guidelines and demonstrated the molecular machineries for switching in vivo into vancomycin resistance with lateral dissemination of the vanA cluster. Schwaiger et al. (2009) revealed that genetic elements have an impact on resistance levels. A cluster of the silenced vanA gene from patients on an exchangeable plasmid resulted in an outbreak of variable vancomycin enterococci (Sivertsen et al., 2016).

Kümmerer (2009) reported that genetic elements are frequently recovered from environmental isolates compared to food isolates. Genes that harbor resistance to tetracyclines in significant numbers of enterococci are confined to transposons frequently compared to plasmids (Chajecka-Wierzchowska et al., 2016). Such genes are sited on a transposon close to the ermB element, often considered as the prevalent determinant coding macrolide resistance. Erythromycin is an antibiotic that belongs to the macrolide class and used in the therapeutic regimen of infection in humans, particularly those with a documented allergic history to penicillin. The pattern of antibiotic resistance comprises disruption of the antibiotic passage into cells, which alters the target site of the antibiotic. The ermB gene is usually detected in enterococci strains recovered from clinical, environmental, and food sources and other Gram-positive cocci such as Staphylococcus aureus (Ding et al., 2012), Streptococcus pyogenes (Palmieri et al., 2012), or Streptococcus pneumoniae (Reijtman et al., 2013). Aside from the ermB gene, E. faecalis and E. faecium from food samples had a significant range of elements, which code for N-6 methyltransferase (ermC; ermA) or those accountable for the enterococci efflux characteristics (mefA/E; msrC). It has been described that ermA is frequently recovered in phenotypically macrolide-resistant S. aureus and other staphylococci (Zmantar et al., 2011).

Antibiotic usage must be firmly controlled to eradicate selective pressure, including regulating the application of antibiotic in veterinary practice and human medicine and incorporation of antibiotics as growth enhancers in animal feed. Increased attentiveness to infection control procedures to decrease the risk of obtaining resistant enterococci is crucial, particularly during institutionalization in healthcare facilities or antimicrobial use. The cycle of dissemination must be interjected through environmental cleaning, proper hand hygiene, avoidance of raw or undercooked food, and compliance with infection control procedures by healthcare personnel, patients, and visitors, specifically in the course of treatment with antibiotics. Furthermore, practical microbiological screening of patients hospitalized with associated risk factors for conveying resistant bacteria, as well as history of transfer from other hospitals, prolonged hospitalization, and transfer to endemic countries; directly pragmatic hand hygiene prior to intake of oral drugs, drinks, and food; and specific disinfection of mutual-touch or high-touch items, such as bed curtains and bed rails, are imperative. Final eradication and containment of the epidemic clones were attained by environmental decontamination using hydrogen peroxide vapor, absolute isolation deterrents, a vancomycin-resistant confinement ward, and antimicrobial stewardship (Frakking et al., 2018).

Auto-inducing peptides have been reported to be part of the intercellular network in Gram-positive bacteria (Sturme et al., 2002). Majority of these peptides are released via posttranslational modification in different ways and dedicated systems and are lastly sensed by other cells through receptors located in the membrane that are part of two-component regulatory systems. In this mechanism, the expression of different functions including genetic competence, virulence, and production of antimicrobials can be moderated in a coordinated cell-density- and growth-phase-dependent manner. Wide and indiscriminate application of antibiotics has led to serious ecological and biological concerns, particularly the development of antibiotic resistance. Probiotics are being suggested as an eco-friendly and effective substitute to antibiotics (Zorriehzahra et al., 2016). Ethyl acetate and methanol root extract of Anethum sowa L. have been reported to show good antibacterial activity against Enterococcus species (Saleh-e-In et al., 2016). Enterococcus lactis strain has been demonstrated to display bacteriocin-like activities against Gram-positive bacteria (Braïek et al., 2017).

Conclusion

This study revealed that Enterococcus species with biofilm potentials and extracellular virulence properties extensively occur in retail RTE shrimps. A significant number of isolated strains are resistant to antibiotics and harbor resistant and virulent genes, denoting a significant route of resistance and virulence dissemination to bacteria in humans. There is an inadequate understanding of the intricacies of antibiotic-resistant enterococci of food origin that belong to enterococci aside from E. faecium and E. faecalis. Findings from this study reveal detailed antibiotic resistance of E. durans, E. casseliflavus, E. gallinarum, and E. hirae. Finally, this study reveals that RTE seafood products are reservoirs of potential virulent enterococci with antibiotic-resistant capabilities that provide useful data for risk assessment and indicates that these foods may present a public health risk to consumers.

Author Contributions

AB carried out the sampling, laboratory procedures, data interpretation, and writing of the manuscript. EI conceptualized, designed, and supervised the research, and contributed in the laboratory methodologies and data interpretation, as well as in the writing of the manuscript. Both authors have read and approved the manuscript.

Conflict of Interest Statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Footnotes

Funding. This work was funded by an existing grant from The World Academy of Science (TWAS) and the Alexander von Humboldt (AvH) Foundation for the Return AvH Fellowship to EI.

References

  1. Akinbowale O. L., Peng H., Barton M. D. (2006). Antimicrobial resistance in bacteria isolated from aquaculture sources in Australia. J. Appl. Microbiol. 100 1103–1113. 10.1111/j.1365-2672.2006.02812.x [DOI] [PubMed] [Google Scholar]
  2. Arumugam U., Stalin N., Rebecca G. P. (2017). Isolation, molecular identification and antibiotic resistance of Enterococcus faecalis from diseased Tilapia. Int. J. Curr. Microbiol. Appl. Sci. 6 136–146. 10.20546/ijcmas.2017.606.016 28623336 [DOI] [Google Scholar]
  3. Barbosa J., Borges S., Teixeira P. (2014). Selection of potential probiotic Enterococcus faecium isolated from Portuguese fermented food. Int. J. Food Microbiol. 191 144–148. 10.1016/j.ijfoodmicro.2014.09.009 [DOI] [PubMed] [Google Scholar]
  4. Basson A., Flemming L. A., Chenia H. Y. (2007). Evaluation of adherence, hydrophobicity, aggregation characteristics and biofilm development of Flavobacterium johnsoniae-like isolates from South African aquaculture systems. Microb. Ecol. 55 1–14. 10.1007/s00248-007-9245-y [DOI] [PubMed] [Google Scholar]
  5. Bea-Ven C., Fu-Yin H., Hung-Yu L. (2014). Biodegradation of three tetracyclines in swine wastewater. J. Environ. Sci. Health Part B 49 449–455. 10.1080/03601234.2014.894784 [DOI] [PubMed] [Google Scholar]
  6. Belgacem Z. B., Abriouel H., Omar N. B., Lucas R., Martinez-Canamero M., Galvez A., et al. (2010). Antimicrobial activity, safety aspects, and some technological properties of bacteriocinogenic Enterococcus faecium from artisanal Tunisian fermented meat. Food Control 21 462–470. 10.1016/j.foodcont.2009.07.007 [DOI] [Google Scholar]
  7. Beshiru A., Igbinosa E. O. (2018). Characterization of extracellular virulence properties and biofilm-formation capacity of Vibrio species recovered from ready-to-eat (RTE) shrimps. Microb. Pathog. 119 93–102. 10.1016/j.micpath.2018.04.015 [DOI] [PubMed] [Google Scholar]
  8. Beshiru A., Igbinosa I. H., Igbinosa E. O. (2018). Biofilm formation and potential virulence factors of Salmonella strains isolated from ready-to-eat shrimps. PLoS One 13:e0204345. 10.1371/journal.pone.0204345 [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Beshiru A., Igbinosa I. H., Omeje F. I., Ogofure A. G., Eyong M. M., Igbinosa E. O. (2017). Multi-antibiotic resistant and putative virulence gene signatures in Enterococcus species isolated from pig farms environment. Microb. Pathog. 104 90–96. 10.1016/j.micpath.2017.01.020 [DOI] [PubMed] [Google Scholar]
  10. Billstrom H., Lund B., Sullivan A., Nord C. E. (2008). Virulence and antimicrobial-resistance in clinical Enterococcus faecium. Int. J. Antimicrob. Agents 32 374–377. 10.1016/j.ijantimicag.2008.04.026 [DOI] [PubMed] [Google Scholar]
  11. Boss R., Overesch G., Baumgartner A. (2016). Antimicrobial resistance of Escherichia coli, Enterococci, Pseudomonas aeruginosa, and Staphylococcus aureus from raw fish and seafood imported into Switzerland. J. Food Prot. 79 1240–1246. 10.4315/0362-028X.JFP-15-463 [DOI] [PubMed] [Google Scholar]
  12. Braïek O. B., Cremonesi P., Morandi S., Hani K., Ghrairi T. (2017). Antimicrobial activity and safety aspect of a multiple enterocin-producing Enterococcus lactis 4CP3 strain isolated from a fresh shrimp (Palaemon serratus). J. Bioresour. Valorization 2 56–63. [Google Scholar]
  13. CAC (2002). Discussion Paper on Risk Management Strategies for Vibrio spp. in Seafood. Rome: Food and Agriculture Organization. [Google Scholar]
  14. Carlet J., Jarlier V., Harbarth S., Voss A., Goossens H., Pittet D. (2012). Ready for a world without antibiotics? The Pensieres antibiotic resistance call to action. Antimicrob. Resist. Infect. Control 1:11. 10.1186/2047-2994-1-11 [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Chajecka-Wierzchowska W., Zadernowska A., Łaniewska-Trokenheim L. (2016). Diversity of antibiotic resistance genes in Enterococcus strains isolated from ready-to-eat meat products. J. Food Sci. 81 M2799–M2807. 10.1111/1750-3841.13523 [DOI] [PubMed] [Google Scholar]
  16. Chajecka-Wierzchowska W., Zadernowska A., Łaniewska-Trokenheim L. (2017). Virulence factors of Enterococcus spp. presented in food. LWT Food Sci. Technol. 75 670–676. 10.1016/j.lwt.2016.10.026 [DOI] [Google Scholar]
  17. Chajecka-Wierzchowska W., Zadernowska A., Nalepa B., Łaniewska-Trokenheim Ł. (2012). Occurrence and antibiotic resistance of Enterococci in ready-to-eat food of animal origin. Afr. J. Microbiol. Res. 6 6773–6780. 10.5897/AJMR12.322 [DOI] [Google Scholar]
  18. Cheng V. C. C., Wong S. C. Y., Ho P., Yuen K. (2015). Strategic measures for the control of surging antimicrobial resistance in Hong Kong and mainland of China. Emerg. Microbes Infect. 4:e8. 10.1038/emi.2015.8 [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Choi J. M., Woo G. J. (2014). Transfer of tetracycline resistance genes with aggregation substance in food-borne Enterococcus faecalis. Curr. Microbiol. 70 476–484. 10.1007/s00284-014-0742-1 [DOI] [PMC free article] [PubMed] [Google Scholar]
  20. Chow J. W. (2000). Aminoglycoside resistance in enterococci. Clin. Infect. Dis. 31 586–589. 10.1086/313949 [DOI] [PubMed] [Google Scholar]
  21. Chuang O. N., Schlievert P. M., Wells C. L., Manias D. A., Tripp T. J. (2009). Multiple functional domains of Enterococcus faecalis aggregation substance Asc10 contribute to endocarditis virulence. Infect. Immunol. 77 539–548. 10.1128/IAI.01034-08 [DOI] [PMC free article] [PubMed] [Google Scholar]
  22. Chuang-Smith O. N., Wells C. L., Henry-Stanley M. J., Dunny G. M. (2010). Acceleration of Enterococcus faecalis biofilm formation by aggregation substance expression in an ex vivo model of cardiac valve colonization. PLoS One 5:e15798. 10.1371/journal.pone.0015798 [DOI] [PMC free article] [PubMed] [Google Scholar]
  23. Clewell D. B., An F. Y., Flannagan S. E., Antiporta M., Dunny G. M. (2000). Enterococcal sex pheromone precursors are part of signal sequences for surface lipoproteins. Mol. Microbiol. 35 246–247. 10.1046/j.1365-2958.2000.01687.x [DOI] [PubMed] [Google Scholar]
  24. Clinical and Laboratory Standards Institute [CLSI] (2017). Performance Standards for Antimicrobial Susceptibility Testing M02-A12 M07-A10 and M11-A8 27th Edn. Philadelphia, PA: Clinical and Laboratory Standards Institute; 282. [Google Scholar]
  25. Creti R., Imperi M., Bertuccini L., Fabretti F., Orefici G., Di Rosa R. (2004). Survey for virulence determinants among Enterococcus faecalis isolated from different sources. J. Med. Microbiol. 53 13–20. 10.1099/jmm.0.05353-0 [DOI] [PubMed] [Google Scholar]
  26. Deasy B. M., Rea M. C., Fitzgerald G. F., Cogan T. M., Beresford T. P. (2000). A rapid PCR based method to distinguish between Lactococcus and Enterococcus. Syst. Appl. Microbiol. 23 510–522. 10.1016/S0723-2020(00)80025-9 [DOI] [PubMed] [Google Scholar]
  27. Ding Z. F., Zhang H., Tang W., Tong C. Y., Li R. T., Chen L. X., et al. (2012). Methylase genes-mediated erythromycin resistance in Staphylococcus aureus from bovine mastitis in China. Isr. J. Vet. Med. 67 170–179. [Google Scholar]
  28. Dutka-Malen S., Evers S., Courvalin P. (1995). Detection of glycopeptide resistance genotypes and identification to the species level of clinically relevant enterococci by PCR. J. Clin. Microbiol. 33 24–27. [DOI] [PMC free article] [PubMed] [Google Scholar]
  29. Eaton T. J., Gasson M. J. (2001). Molecular screening of Enterococcus virulence determinants and potential for genetic exchange between food and medical isolates. Appl. Environ. Microbiol. 67 1628–1635. 10.1128/AEM.67.4.1628-1635.2001 [DOI] [PMC free article] [PubMed] [Google Scholar]
  30. El-Far S. A. H., Khalil R. H., Saad T. T., El-Tanekhy M., Abdel-Latif H. M. R. (2015). Occurrence, characterization and antibiotic resistance patterns of bacterial communities encountered in mass kills of pond cultured Indian prawn (Fenneropenaeus indicus) at Damietta governorate, Egypt. Int. J. Fish. Aquat. Stud. 2 271–276. [Google Scholar]
  31. Food and Agriculture Organization of the United Nations [FAO] (2008). Global Study of Shrimp Fisheries. FAO Fisheries Technical Paper No. 475. Rome: FAO; 331. [Google Scholar]
  32. Foulquie-Moreno M. R., Sarantinopoulos P., Tsakalidou E., De-Vuyst L. (2006). The role and application of enterococci in food and health. Int. J. Food Microbiol. 106 1–24. 10.1016/j.ijfoodmicro.2005.06.026 [DOI] [PubMed] [Google Scholar]
  33. Frakking F. N. J., Bril W. S., Sinnige J. C., van-Klooster J. E., de-Jong B. A. W., van-Hannen E. J., et al. (2018). Recommendations for the successful control of a large outbreak of vancomycin-resistant Enterococcus faecium in a non-endemic hospital setting. J. Hosp. Infect. 100 216–225. 10.1016/j.jhin.2018.02.016 [DOI] [PubMed] [Google Scholar]
  34. Freitas A. R., Tedim A. P., Francia M. V., Jensen L. B., Novais C., Peixe L., et al. (2016). Multilevel population genetic analysis of vanA and vanB Enterococcus faecium causing nosocomial outbreaks in 27 countries (1986–2012). J. Antimicrob. Chemother. 71 3351–3366. 10.1093/jac/dkw312 [DOI] [PubMed] [Google Scholar]
  35. Gassiep I., Armstrong M., Van-Havre Z., Schlebusch S., McCormack J., Griffin P. (2015). Acute vancomycin-resistant enterococcal bacteraemia outbreak analysis in haematology patients: a case-control study. Infect. Dis. Health 20 115–123. 10.1071/HI15013 11886387 [DOI] [Google Scholar]
  36. Gilmore S. M., Coburn P. S., Nallapareddy S. R., Murray B. E. (2002). “Enterococcal virulence,” in The Enterococci: Pathogenesis, Molecular Biology, and Antibiotic Resistance ed. Gilmore M. S. (Washington, DC: American Society for Microbiology; ) 301–354. 10.1128/9781555817923.ch8 [DOI] [Google Scholar]
  37. Giraffa G. (2002). Enterococci from foods. FEMS Microbiol. Rev. 26 163–171. 10.1111/j.1574-6976.2002.tb00608.x [DOI] [PubMed] [Google Scholar]
  38. Giridhara-Upadhyaya P. M., Umapathy B. L., Ravikumar K. L. (2010). Comparative study for the presence of enterococcal virulence factors gelatinase, hemolysin and biofilm among clinical and commensal isolates of Enterococcus faecalis. J. Lab. Phys. 2 100–104. 10.4103/0974-2727.72159 [DOI] [PMC free article] [PubMed] [Google Scholar]
  39. Hammad A. M., Shimamoto T., Shimamoto T. (2014). Genetic characterization of antibiotic resistance and virulence factors in Enterococcus spp. from Japanese retail ready-to-eat raw fish. Food Microbiol. 38 62–66. 10.1016/j.fm.2013.08.010 [DOI] [PubMed] [Google Scholar]
  40. Han D., Unno T., Jang J., Lim K., Lee S. N., Ko G. (2011). The occurrence of virulence traits among high-level aminoglycosides resistant Enterococcus isolates obtained from feces of humans, animals, and birds in South Korea. Int. J. Food Microbiol. 144 387–392. 10.1016/j.ijfoodmicro.2010.10.024 [DOI] [PubMed] [Google Scholar]
  41. Hancock L. E., Perego M. (2004). The Enterococcus faecalis fsr two-component system controls biofilm development through production of gelatinase. J. Bacteriol. 186 5629–5639. 10.1128/JB.186.17.5629-5639.2004 [DOI] [PMC free article] [PubMed] [Google Scholar]
  42. Heidari H., Emaneini M., Dabiri H., Jabalameli F. (2016). Virulence factors, antimicrobial resistance pattern and molecular analysis of Enterococcal strains isolated from burn patients. Microb. Pathog. 90 93–97. 10.1016/j.micpath.2015.11.017 [DOI] [PubMed] [Google Scholar]
  43. Hufnagel M., Koch S., Creti R., Baldassarri L., Huebner J. (2004). A putative sugar-binding transcriptional regulator in a novel gene locus in Enterococcus faecalis contributes to production of biofilm and prolonged bacteremia in mice. J. Infect. Dis. 189 420–430. 10.1086/381150 [DOI] [PubMed] [Google Scholar]
  44. Igbinosa I. H., Beshiru A., Odjadjare E. E., Ateba C. N., Igbinosa E. O. (2017). Pathogenic potentials of Aeromonas species isolated from aquaculture and abattoir environments. Microb. Pathog. 107 185–192. 10.1016/j.micpath.2017.03.037 [DOI] [PubMed] [Google Scholar]
  45. Jackson C. R., Fedorka-Cray P. J., Barrett J. B. (2004). Use of a genus-and species-specific multiplex PCR for identification of enterococci. J. Clin. Microbiol. 42 3558–3565. 10.1128/JCM.42.8.3558-3565.2004 [DOI] [PMC free article] [PubMed] [Google Scholar]
  46. Jahan M., Holley R. A. (2014). Incidence of virulence factors in enterococci from raw and fermented meat and biofilm forming capacity at 25°C and 37°C. Int. J. Food Microbiol. 170 65–69. 10.1016/j.ijfoodmicro.2013.11.002 [DOI] [PubMed] [Google Scholar]
  47. Jahan M., Krause D. O., Holley R. A. (2013). Antimicrobial resistance of Enterococcus species from meat and fermented meat products isolated by a PCR-based rapid screening method. Int. J. Food Microbiol. 163 89–95. 10.1016/j.ijfoodmicro.2013.02.017 [DOI] [PubMed] [Google Scholar]
  48. Jamet E., Akary E., Poisson M. A., Chamba J. F., Bertrand X., Serror P. (2012). Prevalence and characterization of antibiotic resistant Enterococcus faecalis in French cheeses. Food Microbiol. 31 191–198. 10.1016/j.fm.2012.03.009 [DOI] [PubMed] [Google Scholar]
  49. Jensen L. B., Frimodt-Moller N., Aarestrup F. M. (1999). Presence of erm gene classes in Gram-positive bacteria of animal and human origin in Denmark. FEMS Microbiol. Lett. 170 151–158. 10.1111/j.1574-6968.1999.tb13368.x [DOI] [PubMed] [Google Scholar]
  50. Jimenez E., Ladero V., Chico I., Maldonado-Barragan A., Lopez M., Martín V. (2013). Antibiotic resistance, virulence determinants and production of biogenic amines among enterococci from ovine, feline, canine, porcine and human milk. BMC Microbiol. 13:288. 10.1186/1471-2180-13-288 [DOI] [PMC free article] [PubMed] [Google Scholar]
  51. Josupeit H. (2005). Trade Flows Between Developed and Developing Countries. Rome: FAO. [Google Scholar]
  52. Kariyama R., Mitsuhata R., Chow J. W., Clewell D. B., Kumon H. (2000). Simple and reliable multiplex PCR assay for surveillance isolates of vancomycin-resistant enterococci. J. Clin. Microbiol. 38 3092–3095. [DOI] [PMC free article] [PubMed] [Google Scholar]
  53. Koluman A., Akan L. S., Cakiroglu F. P. (2009). Occurrence and antimicrobial resistance of enterococci in retail foods. Food Control 20 281–283. 10.1016/j.foodcont.2008.05.007 [DOI] [Google Scholar]
  54. Kristich C. J., Li Y. H., Cvitkovitch D. G., Dunny G. M. (2004). Esp-independent biofilm formation by Enterococcus faecalis. J. Bacteriol. 186 154–163. 10.1128/JB.186.1.154-163.2004 [DOI] [PMC free article] [PubMed] [Google Scholar]
  55. Krumperman P. H. (1983). Multiple antibiotic resistance indexing of Escherichia coli to identify high risk sources of faecal contamination of foods. Appl. Environ. Microbiol. 46 165–170. [DOI] [PMC free article] [PubMed] [Google Scholar]
  56. Kümmerer K. (2009). Antibiotics in the aquatic environment – a review – part I. Chemosphere 75 417–434. 10.1016/j.chemosphere.2008.11.086 [DOI] [PubMed] [Google Scholar]
  57. Latasa C., Solano C., Penade S. J. R., Lasa I. (2006). Biofilm associated proteins. C. R. Biol. 329 849–857. 10.1016/j.crvi.2006.07.008 [DOI] [PubMed] [Google Scholar]
  58. Leavis H., Top J., Shankar N., Borgen K., Bonten M., van-Embden J. (2004). A novel putative pathogenicity Island linked to esp virulence gene of Enterococcus faecium and associated with epidemicity. J. Bacteriol. 186 672–682. 10.1128/JB.186.3.672-682.2004 [DOI] [PMC free article] [PubMed] [Google Scholar]
  59. Lebreton F., Willems R. J. L., Gilmore M. S. (2014). “Enterococcus diversity, origins in nature, and gut colonization,” in Enterococci: from Commensals to Leading Causes of Drug Resistant Infection eds Gilmore M. S., Clewell D. B., Ike Y. (Boston, MA: Massachusetts Eye and Ear Infirmary; ) 1–46. [PubMed] [Google Scholar]
  60. Lindenstrau A. G., Pavlovic M., Bringmann A., Behr J., Ehrmann M. A., Vogel R. F. (2011). Comparison of genotypic and phenotypic cluster analyses of virulence determinants and possible role of CRISPR elements towards their incidence in Enterococcus faecalis and Enterococcus faecium. Syst. Appl. Microbiol. 34 553–560. 10.1016/j.syapm.2011.05.002 [DOI] [PubMed] [Google Scholar]
  61. Lister D. M., Kotsanas D., Ballard S. A., Howden B. P., Carse E., Tan K., et al. (2015). Outbreak of vanB vancomycin-resistant Enterococcus faecium colonization in a neonatal service. Am. J. Infect. Control 43 1061–1065. 10.1016/j.ajic.2015.05.047 [DOI] [PubMed] [Google Scholar]
  62. Lüthje P., Schwarz S. (2006). Antimicrobial resistance of coagulase negative Staphylococci from bovine subclinical mastitis with particular reference to macrolide-lincosamide resistance phenotypes and genotypes. J. Antimicrob. Chemother. 57 966–969. 10.1093/jac/dkl061 [DOI] [PubMed] [Google Scholar]
  63. Magiorakos A. P., Srinivasan A., Carey R. B., Carmeli Y., Falagas M. E., Giske C. G., et al. (2012). Multidrug-resistant, extensively drug-resistant and pandrug-resistant bacteria: an international expert proposal for interim standard definitions for acquired resistance. Clin. Microbiol. Infect. 18 268–281. 10.1111/j.1469-0691.2011.03570.x [DOI] [PubMed] [Google Scholar]
  64. Mannu L., Paba A., Daga E., Comunian R., Zanetti S., Dupre I. (2003). Comparison of the incidence of virulence determinants and antibiotic resistance between Enterococcus faecium strains of dairy, animal and clinical origin. Int. J. Food Microbiol. 88 291–304. 10.1016/S0168-1605(03)00191-0 [DOI] [PubMed] [Google Scholar]
  65. Marra A., Dib-Hajj F., Lamb L., Kaczmarek F., Shang W., Beckius G. (2007). Enterococcal virulence determinants may be involved in resistance to clinical therapy. Diagn. Microbiol. Infect. Dis. 58 59–65. 10.1016/j.diagmicrobio.2006.11.024 [DOI] [PubMed] [Google Scholar]
  66. Martin B., Garriga M., Hugas M., Aymerich T. (2005). Genetic diversity and safety aspects of Enterococci from slightly fermented sausages. J. Appl. Microbiol. 98 1177–1190. 10.1111/j.1365-2672.2005.02555.x [DOI] [PubMed] [Google Scholar]
  67. Martinez J. L. (2009). Environmental pollution by antibiotics and by antibiotic resistance determinants. Environ. Pollut. 157 2893–2902. 10.1016/j.envpol.2009.05.051 [DOI] [PubMed] [Google Scholar]
  68. Mohamed J. A., Huang W., Nallapareddy S. R., Teng F., Murray B. E. (2004). Influence of origin of isolates, especially endocarditis isolates, and various genes on biofilm formation by Enterococcus faecalis. Infect. Immunol. 72 3658–3663. 10.1128/IAI.72.6.3658-3663.2004 [DOI] [PMC free article] [PubMed] [Google Scholar]
  69. Mohamed J. A., Murray B. E. (2005). Lack of correlation of gelatinase production and biofilm formation in a large collection of Enterococcus faecalis isolates. J. Clin. Microbiol. 43 5405–5407. 10.1128/JCM.43.10.5405-5407.2005 [DOI] [PMC free article] [PubMed] [Google Scholar]
  70. Mus T. E., Cetinkaya F., Cibik R., Soyutemiz G. E., Simsek H., Coplu N. (2017). Pathogenicity determinants and antibiotic resistance profiles of enterococci from foods of animal origin in Turkey. Acta Vet. Hung. 65 461–474. 10.1556/004.2017.044 [DOI] [PubMed] [Google Scholar]
  71. Naas H. T., Almajdoubi Z., Garbaj A. M., Azwai S. M., Gammoudi F. T., Abolghait S. K., et al. (2017). Molecular identification and antibiogram of Enterococcus spp. isolated on Enterococcus selective differential (ESD) media from meat, meat products and seafood in Libya. J. Microbiol. Biotechnol. Food Sci. 6 1264–1268. 10.15414/jmbfs.2017.6.6.1264-1268 [DOI] [Google Scholar]
  72. Nakayama J., Cao Y., Horii T., Sakuda S., Akkermans A. D. L., de-Vos W. M., et al. (2001). Gelatinase biosynthesis-activating pheromone: a peptide lactone that mediates a quorum sensing in Enterococcus faecalis. Mol. Microbiol. 41 145–154. 10.1046/j.1365-2958.2001.02486.x [DOI] [PubMed] [Google Scholar]
  73. Nallapareddy S. R., Qin X., Weinstock G. M., Hook M., Murray B. E. (2000). Enterococcus faecalis adhesin, Ace, mediates attachment to extracellular matrix proteins collagen type IV and laminin as well as collagen type I. Infect. Immun. 68 5218–5224. 10.1128/IAI.68.9.5218-5224.2000 [DOI] [PMC free article] [PubMed] [Google Scholar]
  74. Nam S., Kim M. J., Park C., Park J. G., Lee G. C. (2012). Detection and genotyping of vancomycin-resistant Enterococcus spp. by multiplex polymerase chain reaction in Korean aquatic environmental samples. Int. J. Hyg. Environ. Health 216 421–427. 10.1016/j.ijheh.2012.12.004 [DOI] [PubMed] [Google Scholar]
  75. Ng L. K., Martin I., Alfa M., Mulvey M. (2001). Multiplex PCR for the detection of tetracycline resistant genes. Mol. Cell. Probes 15 209–215. 10.1006/mcpr.2001.0363 [DOI] [PubMed] [Google Scholar]
  76. Oancea C., Klare I., Witte W., Werner G. (2004). Conjugative transfer of the virulence gene, esp, among isolates of Enterococcus faecium and Enterococcus faecalis. J. Antimicrob. Chemother. 54 232–235. 10.1093/jac/dkh249 [DOI] [PubMed] [Google Scholar]
  77. Ochoa S. A., Escalona G., Cruz-Cordova A., Davila L. B., Saldana Z., CazaresDomímguez V. (2013). Molecular analysis and distribution of multidrug-resistant Enterococcus faecium isolates belonging to clonal complex 17 in a tertiary care center in Mexico City. BMC Microbiol. 13:291. 10.1186/1471-2180-13-291 [DOI] [PMC free article] [PubMed] [Google Scholar]
  78. O’Driscoll C., Murphy V., Doyle O., Wrenn C., Flynn A., O’Flaherty N., et al. (2015). First outbreak of linezolid-resistant vancomycin-resistant Enterococcus faecium in an Irish hospital, February to September 2014. J. Hosp. Infect. 91 367–370. 10.1016/j.jhin.2015.09.006 [DOI] [PubMed] [Google Scholar]
  79. O’Driscoll T., Crank C. W. (2015). Vancomycin-resistant enterococcal infections: epidemiology, clinical manifestations, and optimal management. Infect. Drug Resist. 8 217–230. 10.2147/IDR.S54125 [DOI] [PMC free article] [PubMed] [Google Scholar]
  80. Palmieri C., Mingoia M., Massidda O., Giovanetti E., Varaldo P. E. (2012). Streptococcus pneumoniae transposon Tn1545/Tn6003 changes to Tn6002 due to spontaneous excision in circular form of the ermB- and aphA3-containing macrolide-aminoglycoside-streptothricin (MAS) element. Antimicrob. Agents Chemother. 56 5994–5997. 10.1128/AAC.01487-12 [DOI] [PMC free article] [PubMed] [Google Scholar]
  81. Pesavento G., Calonico C., Ducci B., Magnanini A., Lo-Nostro A. (2014). Prevalence and antibiotic resistance of Enterococcus spp. isolated from retail cheese, ready-to-eat salads, ham, and raw meat. Food Microbiol. 41 1–7. 10.1016/j.fm.2014.01.008 [DOI] [PubMed] [Google Scholar]
  82. Pinholt M., Larner-Svensson H., Littauer P., Moser C. E., Pedersen M., Lemming L. E., et al. (2015). Multiple hospital outbreaks of vanA Enterococcus faecium in Denmark, 2012–13, investigated by WGS, MLST and PFGE. J. Antimicrob. Chemother. 70 2474–2482. 10.1093/jac/dkv142 [DOI] [PubMed] [Google Scholar]
  83. Reijtman V., Gagetti P., Faccone D., Fossati S., Sommerfleck P., Hernandez C., et al. (2013). Macrolide resistance in Streptococcus pneumoniae isolated from Argentinian pediatric patients suffering from acute otitis media. Rev. Argent. Microbiol. 45 262–266. 10.1016/S0325-7541(13)70034-8 [DOI] [PubMed] [Google Scholar]
  84. Saleh-e-In M., Sultana N., Hossain N., Hasan S., Islam R. (2016). Pharmacological effects of the phytochemicals of Anethum sowa L. root extracts. BMC Complement. Altern. Med. 16:464. 10.1186/s12906-016-1438-9 [DOI] [PMC free article] [PubMed] [Google Scholar]
  85. Sauer P., Sila J., Stosova T., Vecerova R., Hejnar P. (2008). Prevalence of genes encoding extracellular factors among methicillin-resistant Staphylococcus aureus isolates from the University Hospital, Olomouc Czech Republic. J. Med. Microbiol. 57 403–410. 10.1099/jmm.0.47413-0 [DOI] [PubMed] [Google Scholar]
  86. Schwaiger K., Harms K., Holzel C., Meyer K., Karl M., Bauer J. (2009). Tetracycline in liquid manure selects for co-occurrence of the resistance genes tet(M) and tet(L) in Enterococcus faecalis. Vet. Microbiol. 139 386–392. 10.1016/j.vetmic.2009.06.005 [DOI] [PubMed] [Google Scholar]
  87. Semedo T., Santos M. A., Lopes M. F., Marques J. J. F., Crespo M. T., Tenreiro R. (2003). Virulence factors in food, clinical and reference enterococci: a common trait in the genus? Syst. Appl. Microbiol. 26 13–22. 10.1078/072320203322337263 [DOI] [PubMed] [Google Scholar]
  88. Shankar V., Baghdayan A. S., Huycke M. M., Lindahl G., Gilmore M. S. (1999). Infection-derived Enterococcus faecalis strains are enriched in esp, a gene encoding a novel surface protein. Infect. Immunol. 67 193–200. [DOI] [PMC free article] [PubMed] [Google Scholar]
  89. Shikongo-Nambabi M. (2011). Control of bacterial contamination during marine fish processing. J. Biol. 3 1–17. 10.5296/jbls.v3i1.1033 10898459 [DOI] [Google Scholar]
  90. Sivertsen A., Pedersen T., Larssen K. W., Bergh K., Rønning T. G., Radtke A., et al. (2016). Silenced vanA gene cluster on a transferable plasmid cause outbreak of vancomycin variable enterococci. Antimicrob. Agents Chemother. 60 4119–4127. 10.1128/AAC.00286-16 [DOI] [PMC free article] [PubMed] [Google Scholar]
  91. Strzelecki J., Sadowy E., Hryniewicz W. (2011). Enterococcal surface proteins responsible for interactions with host tissues. Adv. Microbiol. 50 31–42. [Google Scholar]
  92. Sturme M. H. J., Kleerebezem M., Nakayama J., Akkermans A. D. L., Vaughan E. E., de-Vos W. M. (2002). Cell to cell communication by autoinducing peptides in Gram-positive bacteria. Antonie Van Leeuwenhoek 81 233–243. 10.1023/A:1020522919555 [DOI] [PubMed] [Google Scholar]
  93. Templer S. P., Baumgartner A. (2007). Enterococci from Appenzeller and Schabziger raw milk cheeses: antibiotic resistance, virulence factors and persistence of particular strains in the products. J. Food Prot. 70 450–455. 10.4315/0362-028X-70.2.450 [DOI] [PubMed] [Google Scholar]
  94. Tendolkar P. M., Baghdayan A. S., Gilmore M. S., Shankar N. (2004). Enterococcal surface protein, Esp, enhances biofilm formation by Enterococcus faecalis. Infect. Immunol. 72 6032–6039. 10.1128/IAI.72.10.6032-6039.2004 [DOI] [PMC free article] [PubMed] [Google Scholar]
  95. Togay S. O., Keskin A. C., Açik L., Temiz A. (2010). Virulence genes, antibiotic resistance and plasmid profiles of Enterococcus faecalis and Enterococcus faecium from naturally fermented Turkish foods. J. Appl. Microbiol. 109 1084–1092. 10.1111/j.1365-2672.2010.04763.x [DOI] [PubMed] [Google Scholar]
  96. Trivedi K., Cupakova S., Karpiskova R. (2011). Virulence factors and antibiotic resistance in Enterococci isolated from food-stuffs. Vet. Med. 56 352–357. 10.17221/1584-VETMED [DOI] [Google Scholar]
  97. Tsikrikonis G., Maniatis A. N., Labrou M., Ntokou E., Michail G., Daponte A. (2012). Differences in biofilm formation and virulence factors between clinical and fecal enterococcal isolates of human and animal origin. Microb. Pathog. 52 336–343. 10.1016/j.micpath.2012.03.003 [DOI] [PubMed] [Google Scholar]
  98. Ulrich N., Vonberg R., Gastmeier P. (2017). Outbreaks caused by vancomycin-resistant Enterococcus faecium in hematology and oncology departments: a systematic review. Heliyon 3:e00473. 10.1016/j.heliyon.2017.e00473 [DOI] [PMC free article] [PubMed] [Google Scholar]
  99. Upadhyaya P. M., Ravikumar K. L., Umapathy B. L. (2009). Review of virulence factor of Enterococcus: an emerging nosocomial pathogen. Indian J. Med. Microbiol. 27 301–305. 10.4103/0255-0857.55437 [DOI] [PubMed] [Google Scholar]
  100. Valenzuela A. S., Ben-Omar N., Abrioue H., López R. L., Veljovic K., Cañamero M. M., et al. (2009). Virulence factors, antibiotic resistance, and bacteriocins in enterococci from artisan foods of animal origin. Food Control 20 381–385. 10.1016/j.foodcont.2008.06.004 [DOI] [Google Scholar]
  101. Van-den-Berghe E., De-Winter T., De-Vuyst L. (2006). Enterocin a production by Enterococcus faecium FAIR-e 406 is characterised by a temperature- and pH-dependent switch-off mechanism when growth is limited due to nutrient depletion. Int. J. Food Microbiol. 107 159–170. 10.1016/j.ijfoodmicro.2005.08.027 [DOI] [PubMed] [Google Scholar]
  102. Vankerckhoven V., Van-Autgaerden T., Vael C., Lammens C., Chapelle S., Rossi R. (2004). Development of multiplex PCR for the detection of asa1, gelE, cylA, esp, and hyl genes in Enterococci and survey for virulence determinants among European hospital isolates of Enterococcus faecium. J. Clin. Microbiol. 42 4473–4479. 10.1128/JCM.42.10.4473-4479.2004 [DOI] [PMC free article] [PubMed] [Google Scholar]
  103. Werckenthin C., Schwarz S. (2000). Molecular analysis of the translational attenuator of a constitutively expressed ermA gene from Staphylococcus intermedius. J. Antimicrob. Chemother. 46 785–788. 10.1093/jac/46.5.785 [DOI] [PubMed] [Google Scholar]
  104. Yano Y., Hamano K., Satomi M., Tsutsui I., Aueumneoy D. (2011). Diversity and characterization of oxytetracycline-resistant bacteria associated with non-native species, white-leg shrimp (Litopenaeus vannamei), and native species, black tiger shrimp (Penaeus monodon), intensively cultured in Thailand. J. Appl. Microbiol. 110 713–722. 10.1111/j.1365-2672.2010.04926.x [DOI] [PubMed] [Google Scholar]
  105. Zmantar T., Kouidhi B., Miladi H., Bakhrouf A. (2011). Detection of macrolide and disinfectant resistance genes in clinical Staphylococcus aureus and coagulase-negative staphylococci. BMC Res. Notes 4:453. 10.1186/1756-0500-4-453 [DOI] [PMC free article] [PubMed] [Google Scholar]
  106. Zorriehzahra M. J., Delshad S. T., Adel M., Tiwari R., Karthik K., Dhama K., et al. (2016). Probiotics as beneficial microbes in aquaculture: an update on their multiple modes of action: a review. Vet. Q. 36 228–241. 10.1080/01652176.2016.1172132 [DOI] [PubMed] [Google Scholar]

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