Abstract
Poultry products such as eggs provide essential nutrients to the human body and thus play vital roles in the human food network. Salmonella is one of the most notorious foodborne pathogens and has been found to be prevalent in eggs. To better understand the characteristics of Salmonella in eggs, we investigated the prevalence of Salmonella spp. in 814 fresh eggs collected from poultry farms and retail marketplaces in Yangling, Shaanxi Province, China. The serotype, genotype, and antibiotic susceptibilities of 61 Salmonella isolates recovered from the eggs were analyzed. The average detection rate of Salmonella-positive eggs was 5.6%, with 6.6% of the eggs collected from poultry farms and 5.1% from marketplaces. Thirteen serotypes were identified from the 61 isolates, among which Salmonella Typhimurium (24.5%) and Salmonella Indiana (22.9%) were the most prevalent serotypes. Other dominant serotypes included Salmonella Thompson (13.1%) and Salmonella Enteritidis (11.4%), with the remaining nine serotypes detected at low rates (1.6–4.9%). All the Salmonella isolates tested were resistant to sulfisoxazole (100.0%). The majority (77.1%) of the isolates were resistant to nalidixic acid, amoxicillin-clavulanate, and ampicillin, while nearly two-thirds (63.9–68.9%) were resistant to trimethoprim–sulfamethoxazole, kanamycin, tetracyclines, and chloramphenicol. The rate of resistance to ciprofloxacin was 40.1%; the resistance rates to streptomycin, ceftiofur, and ceftriaxone ranged from 21.3 to 26.2%; and those to gentamicin, amikacin, and cefoxitin were relatively low (3.3–16.4%). Forty-nine (80.3%) Salmonella isolates exhibited resistance to multiple antibiotics, 20 (32.8%) of which were resistant to at least 10 antibiotics. Subtyping by pulse-field gel electrophoresis revealed a close genetic relatedness of Salmonella isolates from poultry farms, in striking contrast to the high diversity of the isolates obtained from marketplaces. Isolates of the same serotype always shared identical genotype and antibiotic resistance profiles, even the ones that were recovered from eggs sampled at different locations and times. These findings indicate that diverse Salmonella spp. with high rates of multidrug resistance are prevalent in fresh eggs in the study area. More attention should be paid to egg production, transportation, and storage to prevent foodborne outbreaks caused by Salmonella.
Keywords: antibiotic resistance, eggs, genotype, Salmonella, serotype
Introduction
Salmonella spp. are notorious foodborne pathogens that can cause diarrhea in humans and animals (Cowen et al., 2016). Reportedly, there are approximately 9.38 million cases of Salmonella infections and 15,000 deaths from the infection worldwide every year (Patchanee et al., 2017). Among the various vehicles of Salmonella, poultry and poultry products are not only identified as the predominant reservoirs, but are also considered to be the primary sources of human salmonellosis based on evidence from epidemiological traceback investigations (Andino and Hanning, 2015; McWhorter and Chousalkar, 2019). A previous study has indicated that the egg white possesses unique physical and biochemical properties, creating a complex antimicrobial environment to resist antigens (Huang et al., 2019). However, egg white and egg yolk membranes are the major infection sites for Salmonella, which means that Salmonella still has the opportunity to survive in the resistant environment of eggs (Raspoet et al., 2019).
Currently, the outbreak of foodborne diseases caused by the consumption of eggs contaminated with Salmonella remains severe worldwide. According to reports from the United States Food and Drug Administration (FDA) and the Centers for Disease Control and Prevention (CDC), there were 52 foodborne outbreaks in Missouri in 2015 due to eggs contaminated by Salmonella Oranienburg. In 2016, the CDC again notified the FDA of eight clinical cases from three states, i.e., Illinois, Kansas, and Missouri, which were closely related to the hereditary strains of the S. Oranienburg outbreak in 2015 (FDA, 2019c). In March 2018, the FDA learned about 45 Salmonella Braenderup-infected consumers in 10 states, 11 of whom were hospitalized without death. The outbreak was tracked down to Rose Acre Farms’ Hyde County farm in North Carolina and 207 million eggs were recalled around the United States (FDA, 2019a).
Recently, Salmonella was detected in eggs collected from 41 (63.5%) of 63 farms in Australia that underwent environmental sampling (Moffatt et al., 2017). In addition, 88.6% (124/140) of the eggs and all of the 19 farms sampled in the western region of Cameroon were found to be Salmonella-positive (Kouam et al., 2018). So far, multiple Salmonella serotypes including Salmonella Typhimurium, Salmonella Indiana, and Salmonella Enteritidis have been commonly detected from eggs, poultry, and poultry farm environments (Moffatt et al., 2017). To prevent infection by pathogenic bacteria and promote the growth of laying hens, a large number of antibiotics are used in the feeding process. A nationwide market survey indicated that the total amount of 36 antibiotics that are frequently detected in livestock farms, wastewater treatment plants, and environment settings reached 92,700 tons in China in 2015. Notably, the rate of antibiotic usage in poultry farms was as high as 19.6% (18,100/92,700) (Zhang et al., 2015).
β-Lactams, cephalosporins, and fluoroquinolones are the most frequently used antibiotics in the poultry industry (Fardsanei et al., 2017). Taking into account the antibiotics used in other fields, Salmonella has developed high resistance to a broad range of antibiotics, leading to increased healthcare costs and clinical treatment failure (Cui et al., 2016). Many studies have characterized Salmonella in poultry and poultry-associated foods globally, especially eggs (Moffatt et al., 2017; Kouam et al., 2018; Li et al., 2018; FDA, 2019a,b,c; Karimiazar et al., 2019; Kingsbury et al., 2019; Sanchez-Salazar et al., 2019). Evidence suggests that the genetic diversity of Salmonella isolated from various sources is abundant, whereas the isolates from the same poultry farms are closely related (Xie et al., 2019). Moreover, the occurrence and characteristics of Salmonella in poultry products including eggs always show dynamic variation during production, storage, and handling (Li et al., 2018). Therefore, it is of great significance to continuously monitor this group of pathogens in eggs to ensure food safety.
In this study, we characterized Salmonella isolates from fresh eggs in poultry farms and retail marketplaces in Yangling, Shaanxi Province, China. The objective of the study was to further explore the prevalence and transmission of Salmonella during egg production and sales links in order to prevent Salmonella outbreaks.
Materials and Methods
Sample Collection
A total of 814 fresh eggs were collected in Yangling and its surrounding districts in Shaanxi Province, China, from mid-2013 to late 2014. Specifically, 304 eggs were collected from three different poultry farms. Farm X in Xiajiagou Village is a large modern laying hen farm with fully automated cage raising equipment, including equipment for heating, ventilation, water supply, feeding, egg collection, manure removal, cages, and lighting. In this farm, there are approximately 20,000 laying hens with a breeding density of 9–10/m2. Farm C in Cuixigou Village is a semi-automated laying hen farm of a medium production scale, with basic equipment for heating, ventilation, cages, lighting, and water feeding. In this farm, there are approximately 9000 laying hens with a breeding density of 11–12/m2. Farm F in Fuzeyuan Company is the smallest laying hen farm with basic equipment for heating, ventilation, cages, and lighting. In this farm, there are approximately 4000 laying hens with a breeding density of 9–10/m2. Additionally, 510 eggs of seven brands were collected from seven supermarkets (eight retail outlets) and four wet markets (10 retail outlets).
At each sampling location, the eggs were sampled weekly in August, September, and October 2013 and in March, June, August, October, and November 2014. At each sampling time, three, six, or nine eggs (depending on the total number of eggs for sale) were collected at random in a supermarket or wet market. In each poultry farm, no more than 50 eggs were collected at random from egg-laying troughs. The egg samples were delivered to the Microbiology Laboratory in the College of Food Science and Engineering, Northwest A&F University (Yangling, Shaanxi Province China) for Salmonella isolation within 12 h of collection.
Isolation and Identification of Salmonella
Salmonella isolates were recovered from egg samples according to the method described by Yang et al. (2010) with some modifications. Briefly, each egg (ca. 60 g, including the shell) was broken and uniformly mixed with 540 mL of buffered peptone water (BD, Cockeysville, MD, United States) in a homogenization bag, then homogenized for 2 min. Before handling the next egg, a new pair of germ-free gloves was used to avoid bacterial cross-contamination throughout the process. The mixed cultures were pre-incubated at 37°C with shaking at 100 rpm for 6 h. Subsequently, 10 mL cultures were transferred into 100 mL of tetrathionate broth (TT; BD) and 1 mL cultures were transferred to 100 mL of Rappaport–Vassiliadis broth (RV; BD). The inoculated TT and RV broths were incubated at 42°C with shaking at 100 rpm for 24 h. Afterward, TT cultures were streaked on to xylose lysine tergitol 4 agar (XLT4; BD) and RV cultures were streaked on to xylose lysine deoxycholate agar (XLD; BD). The inoculated XLT4 and XLD plates were incubated at 35°C for 48 h, and two putative colonies with a typical Salmonella phenotype were picked from each plate and subcultured on a fresh XLT4 plate for purification. The purified isolates were stabbed into one triple sugar iron (BD) slant and one urea-agar (BD) slant, respectively, followed by incubation at 35°C for 18–24 h to exclude Escherichia coli and Proteus species.
Presumptive Salmonella isolates were identified by polymerase chain reaction (PCR) using the primers invAF (5′-GTGAAATTATCGCCACGTTCGGGCAA-3′) and invAR (5′-TCATCGCACCGTCAAAGGAACC-3′) (Rahn et al., 1992). Polymerase chain reaction was carried out in a 25-μL reaction mixture containing 0.5 μM of each primer, 250 μM of dNTP, 1 × PCR buffer, 1.5 mM MgCl2, 0.5 U of Taq DNA polymerase (TaKaRa, Dalian, China), and 5 μL of DNA template. All PCR reactions were performed on a MyCircle thermocycler (Bio-Rad, Hercules, CA, United States) with pre-denaturation at 95°C for 5 min, followed by 35 cycles of 95°C for 30 s, 64°C for 30 s, and 72°C for 30 s, and a final extension of 72°C for 5 min. Polymerase chain reaction products were stained with ethidium bromide and visualized under UV light after gel electrophoresis in 1% agarose (Kasturi and Drgon, 2017). S. Typhimurium LT2 was used as the positive control strain.
Serotyping of Somatic and Flagellar Antigens
After PCR identification, Salmonella isolates were serotyped in the Henan Center of Disease Control and Prevention (Zhengzhou, Henan Province, China). Somatic (O) and flagellar (H) antigens were determined by the slide agglutination method using Salmonella-specific hyperimmune sera (S&A Company, Bangkok, Thailand). The serotype was identified by the antigen form according to the Kauffman–White scheme (Ben Aissa et al., 2007). S. Typhimurium LT2 was used as the positive control strain.
Antibiotic Susceptibility Test
Table 1 lists the antibiotics used for the susceptibility test. The agar dilution method suggested by the Clinical and Laboratory Standards Institute (CLSI, 2015) was used to determine the minimum inhibitory concentrations of the antibiotics to Salmonella isolates on Mueller-Hinton agar (Beijing Land Bridge Technology Co., Ltd, Beijing, China). The results of resistance, intermediate resistance, and susceptibility were interpreted via the guidelines established by the CLSI, except for streptomycin, the breakpoint of which was interpreted by that specified by the National Antimicrobial Resistance Monitoring System (U.S. Food and Drug Administration, 2013; FAO, 2018a,b). E. coli ATCC25922 and ATCC35218 and Enterococcus faecalis ATCC29212 were used as the quality control strains.
TABLE 1.
Antibiotic agent | Abbreviation | Antibiotic concentration range (μg/mL) |
Breakpoint interpretive criteria (μg/mL)* |
||
S | I | R | |||
Aminoglycosides | |||||
Amikacin | AMK | 0.5–64 | ≤16 | 32 | ≥64 |
Gentamicin | GEN | 0.25–16 | ≤4 | 8 | ≥16 |
Kanamycin | KAN | 1–64 | ≤16 | 32 | ≥64 |
Streptomycin # | STR | 4–64 | ≤32 | NA | ≥64 |
Penicillin β-lactamase inhibitor combinations | |||||
Amoxicillin–clavulanic acid | AMC | 0.25/0.12–32/16 | ≤8/4 | 16/8 | ≥32/16 |
Ampicillin | AMP | 0.5–32 | ≤8 | 16 | ≥32 |
Cephalosporins (3rd and 4th generations) | |||||
Cefoxitin | FOX | 2–32 | ≤8 | 16 | ≥32 |
Ceftriaxone | CRO | 0.03–4 | ≤8 | 16-32 | ≥64 |
Ceftiofur | TIO | 0.25–8 | ≤8 | 16-32 | ≥64 |
Quinolone | |||||
Nalidixic acid | NAL | 1–32 | ≤16 | NA | ≥32 |
Fluoroquinolones | |||||
Ciprofloxacin | CIP | 0.004–4 | ≤0.06 | 0.12–0.5 | 1≥ |
Tetracyclines | |||||
Tetracyclines | TET | 0.5–16 | ≤4 | 8 | ≥16 |
Chloramphenicol | |||||
Chloramphenicol | CHL | 2–32 | ≤8 | 16 | ≥32 |
Folate pathway inhibitors | |||||
Sulfisoxazole | FIS | 8–512 | ≤256 | NA | ≥512 |
Trimethoprim-sulfamethoxazole | SXT | 0.5/9.5-4/76 | ≤2/38 | NA | ≥4/76 |
*S, sensitive; I, intermediate resistance; and R, resistance. #No CLSI interpretative criteria are available for streptomycin; thus, provisional breakpoint from NARMS was used.
Subtyping by Pulse-Field Gel Electrophoresis
Pulse-field gel electrophoresis (PFGE) was used to determine the genetic relationship between Salmonella isolates according to the PulseNet protocol (Centers for Disease Control and Prevention [CDC], 2013). Briefly, Salmonella subcultures were grown on Luria–Bertani agar overnight at 37°C to reach an optical density of 0.5 and then embedded in SeaKem Gold agarose (Lonza, Rockland, ME, United States). Then culture plugs were lysed in cell lysis buffer with 100 μg mL–1 protease K (TaKaRa) by incubation at 55°C in a shaking water bath for 2 h. Subsequently, the lysed plugs were washed twice with sterile water and then washed four times with sterilized Tris–EDTA buffer. A slice was cut from the plug and digested using 50 U of XbaI (TaKaRa) by incubation in a 37°C water bath for 1.5–2 h. The digested DNA fragments in each slice were separated in 0.5 × Tris-borate-EDTA buffer at 14°C for 20 h using a Chef Mapper electrophoresis system (Bio-Rad) with pulse times of 2.16–63.8 s. The gel was stained using ethidium bromide (100 μg mL–1), and the DNA bands were visualized via UV transillumination (Bio-Rad). Pulse-field gel electrophoresis results were manually analyzed using BioNumerics v3.0 (Applied Maths, Kortrijk, Belgium), and the extent of variability was determined using the Dice coefficient and clustering by the unweighted pair-group average method (Yang et al., 2014). S. Braenderup H9812 was used as the standard DNA control.
Statistical Analysis
Statistical analysis was performed using IBM SPSS Statistics v22 (IBM Corp., Armonk, NY, United States). Pearson’s chi-square test was used to determine the differences in the detection rates of Salmonella-positive samples and Salmonella serotypes in eggs across different sampling locations (i.e., wet markets, supermarkets, and poultry farms) and times. The results were analyzed at the 5% (α = 0.05) level to determine whether differences were significant. Data were edited using Microsoft Excel 2016 (Microsoft Corp., Redmond, WA, United States), with environmental variables (i.e., serotype, sampling location, and sampling time) and explanatory environmental variables (i.e., number and category of the antibiotics to which Salmonella exhibited resistance) organized into the form of “row representing samples and column representing variables.” The edited data were imported into Canoco v5.0 (Microcomputer Power, Ithaca, NY, United States) for redundancy analysis. The rate of antibiotic-resistant Salmonella isolates between different serotypes was analyzed using R v3.4.41, and a heatmap was created using the R package “pheatmap” v3.0.12.
Results
Prevalence of Salmonella
Of the 814 eggs, 46 (5.6%) were detected to be Salmonella-positive (Table 2). The detection rate of Salmonella-positive eggs from poultry farms was slightly higher (6.6%, 20/304) than that from retail markets (5.1%, 26/510). Among the different marketplaces, the detection rate of Salmonella-positive eggs was slightly higher in supermarkets (5.8%, 15/259) than in wet markets (4.4%, 11/251). However, the differences in the detection rates of Salmonella-positive eggs were not significant among retail markets and poultry farms.
TABLE 2.
Location or time (egg number) | Number (percentage) of Salmonella-positive eggs | Number (percentage) of Salmonella isolates | |
Source | Retail market (510) | 26 (5.1) | 40 (65.6) |
Poultry farm (304) | 20 (6.6) | 21 (34.4) | |
Retail | Supermarket (259) | 15 (5.8) | 22 (36.1) |
market | Wet market (251) | 11 (4.4) | 18 (29.5) |
Poultry | C (88) | 19 (21.6)## | 20 (32.8) |
farm | X (108) | 1 (0.9) | 1 (1.6) |
F (108) | 0 | 0 | |
Sampling | 2013 (134) | 2 (1.5) | 2 (3.3) |
year | 2014 (680) | 44 (6.5)* | 59 (96.7) |
Sampling | Aug. 2013 (98) | 2 (2.0)c | 2 |
month | Spt. 2013 (12) | 0c | 0 |
Oct. 2013 (24) | 0c | 0 | |
Mar. 2014 (66) | 20 (30.3)a | 33 | |
Jun. 2014 (175) | 4 (2.3)c | 5 | |
Aug. 2014 (135) | 0c | 0 | |
Oct. 2014 (196) | 19 (9.7)b | 20 | |
Nov. 2014 (108) | 1 (0.9)c | 1 | |
Total | 814 | 46 (5.6) | 61 (100) |
##P < 0.01; *P < 0.05, P = 0.023. a,b,cValues (percentage) with different superscripted letters are significantly different between groups.
Among the three poultry farms, no Salmonella-positive eggs were detected from farm F, only one (0.9%) Salmonella-positive egg was detected in farm X, while 19 (21.6%) were detected in farm C. The detection rate of Salmonella in eggs from farm C was significantly (P < 0.01) higher than those from the other two poultry farms. During the investigation period, the detection rate of Salmonella-positive eggs was significantly higher (P < 0.05) in 2014 (6.5%, 44/680) than in 2013 (1.5%, 2/134). Additionally, the detection rates of Salmonella-positive eggs in March 2014 (30.3%, 20/60) and October 2014 (9.7%, 19/196) were significantly (P < 0.05) higher than those from the other sampling times (Table 2).
In total, 61 Salmonella isolates were recovered from XLD and XLT4 plates derived from the 46 Salmonella-positive eggs. Among them, 40 (65.6%) isolates were obtained from eggs collected from retail markets and 21 (34.4%) were from eggs sampled from poultry farms (Table 2).
Serotype of Salmonella
Thirteen serotypes were identified from the 61 Salmonella isolates, among which S. Typhimurium (24.5%) and S. Indiana (22.9%) were the most commonly detected serotypes (Figure 1). The detection rates of Salmonella Thompson (13.1%) and Salmonella Enteritidis (11.4%) were moderately high. Additionally, Salmonella Norwich and Salmonella Virchow accounted for 4.9% of all the identified isolates each; Salmonella Derby, Salmonella Senftenberg, Salmonella Infantis, and Salmonella Albany accounted for 3.2% each; and Salmonella Blockley, Salmonella Mbandaka, and S. Braenderup were detected at the lowest rates (1.6% each).
The 39 Salmonella isolates recovered from retail eggs covered 10 serotypes, while the 22 isolates recovered from poultry farms covered five serotypes (Figure 1). Considering their source, all S. Indiana, S. Blockley, and S. Mbandaka isolates and the majority (71.4%) of S. Enteritidis isolates were from poultry farms. All S. Thompson, S. Infantis, S. Senftenberg, and S. Braenderup isolates and 40.0% of S. Typhimurium isolates were from supermarkets. All S. Virchow, S. Derby, and S. Albany isolates and more than half of S. Norwich (66.7.%) and S. Typhimurium (53.3%) isolates were from wet markets.
Antibiotic Susceptibility of Salmonella
All the 61 Salmonella isolates were resistant to sulfisoxazole (100%), and the rate of sulfisoxazole resistance was significantly (P < 0.05) higher than the rates of resistance to the other 13 antibiotics tested for (Figure 2). For example, 77.1% of the isolates were resistant to amoxicillin-clavulanate, ampicillin, and nalidixic acid, while nearly two-thirds (63.9–68.9%) of the tested isolates exhibited resistance to trimethoprim-sulfamethoxazole, kanamycin, tetracyclines, and chloramphenicol. Less than half (40.1%) of the isolates were resistant to ciprofloxacin; around one-fifth (21.3–26.2%) of the isolates were resistant to streptomycin, ceftiofur, and ceftriaxone; and the resistance rates to gentamicin, amikacin, and cefoxitin were relatively low (3.3–16.4%).
There were no significant differences in the resistance rates of Salmonella isolates to amoxicillin-clavulanate, ampicillin, and nalidixic acid; however, these resistance rates were significantly (P < 0.05) higher than the rates of resistance to the other antibiotics tested, except the resistance rate to sulfisoxazole. Additionally, significant (P < 0.05) differences were found in the resistance rates to amikacin, gentamicin, kanamycin, streptomycin, chloramphenicol, cefoxitin, ceftiofur, ceftriaxone, ciprofloxacin, and trimethoprim-sulfamethoxazole. Moreover, the resistance rates to aminoglycosides (amikacin, gentamicin, and kanamycin) and cephalosporins (cefoxitin, ceftriaxone, and ceftiofur) differed significantly (P < 0.05; Figure 2).
A total of 49 (80.3%) Salmonella isolates were resistant to more than three categories of antibiotics. Specifically, 10 (20.4%) isolates were resistant to 3–5 categories (3–8 species) of antibiotics and the remaining 39 (79.6%) isolates were resistant to 6–8 categories (8–12 species) of antibiotics. The Salmonella isolates that were resistant to the 15 antibiotics based on different serotypes could be grouped into two clusters (G1 and G2; Figure 3).
Isolates resistant to ceftriaxone, amikacin, ciprofloxacin, ceftiofur, nalidixic acid, kanamycin, chloramphenicol, and cefoxitin were grouped in cluster G1. Of these, isolates resistant to ceftriaxone, amikacin, and ciprofloxacin were grouped in a secondary cluster (G1-1), and isolates resistant to the other five antibiotics were grouped in another secondary cluster (G1-2). Isolates resistant to sulfisoxazole, tetracyclines, trimethoprim-sulfamethoxazole, streptomycin, amoxicillin-clavulanate, and gentamicin were grouped in cluster G2. In this cluster, isolates resistant to sulfisoxazole and tetracycline were grouped in a secondary cluster (G2-1), and those resistant to trimethoprim-sulfamethoxazole, streptomycin, amoxicillin-clavulanate, and gentamicin were grouped in another secondary cluster (G2-2).
The RDA biplot (Figure 4) indicated that the contribution of serotype to the antibiotic susceptibility of Salmonella isolates was the highest (42.3%, P = 0.004), followed by sampling location (39.1%, P = 0.018) and time (18.6%, P = 0.138). The serotype of the isolates was correlated with their susceptibility to most of the antibiotics tested for, except amoxicillin-clavulanate, ampicillin, kanamycin, and chloramphenicol. Additionally, sampling location and time were (closely) correlated with the susceptibility of the isolates to streptomycin, ciprofloxacin, ceftiofur, nalidixic acid, amoxicillin-clavulanate, ampicillin, kanamycin, tetracyclines, and chloramphenicol.
PFGE Subtype of Salmonella
When the Salmonella isolates were subtyped by PFGE, the genomic DNA of each isolate produced 13–21 bands with the typing rate of 100% (Figure 5). Isolates derived from the eggs collected in the same month always belonged to the same serotype, and they exhibited the same or similar antibiotic resistance phenotype, despite being recovered from different locations (C1-1, C2-3, and C5). In contrast, some of the isolates recovered from the eggs sampled from different locations belonged to various serotypes, yet they also showed identical PFGE profiles and antibiotic resistance phenotypes (C1-2 and C1-3). Moreover, some isolates recovered from the eggs collected at the same location and time belonged to the same serotype, but they showed distinct PFGE and antibiotic resistance profiles (C2-2, C2-4, and C2-5).
Discussion
The total egg production reached 24,446 million metric tons in 2013 and 4539 billion in 2014 (FAO, 2018a,b). If contaminated eggs were produced by laying hens infected with Salmonella, it would be difficult to effectively eliminate such contamination through vaccination and other interventions. Therefore, not only could this lead to outbreaks of foodborne illness in humans, but chickens hatched from contaminated eggs may also have inherent defects (Barrow, 2007; Kouam et al., 2018). The detection and characterization of Salmonella spp. in eggs can provide useful information for the mitigation of socioeconomic losses caused by contamination with Salmonella. In the present study, the average detection rate of Salmonella-positive eggs in poultry farms, supermarkets, and wet markets in Yangling (5.6%) was higher than those reported in Shandong Province (2.1%, 49/2342) and Hebei Province (4.8%) (Li et al., 2018; Yang et al., 2019); however, it was much lower than the detection rates in some conventional farms in Sichuan Province (12.2%) and Jiangsu Province (17.4%, 160/920), China (Li et al., 2013; Hai et al., 2020). During the study period, a high detection rate of Salmonella-positive eggs in 2014 was mainly found in the samples collected in March and October, and all the Salmonella-positive samples in October were obtained from the medium-scale poultry farm C. Although these results indicate that Salmonella is still prevalent in the eggs, the tendency of reduced prevalence suggests that in recent years, China has achieved remarkable results in monitoring and controlling the contamination of eggs with pathogens including Salmonella from farm to table.
Based on our results, the detection rate of Salmonella-positive eggs in the production (6.6%) and sales (5.1%) links were similar. A previous investigation provided a detailed description of contamination during five breeder farm production stages (i.e., laying, hatching, rearing, brooding, and post-hatching), with a considerably high prevalence of egg samples containing Salmonella found at the laying (29.2%) and hatching (21.6%) stages (Fei et al., 2017). In the current study, a total of 304 eggs were collected from three different poultry farms of different scales in Yangling. Although the number of eggs collected from each farm was similar, the detection rate of Salmonella-positive eggs varied in a broad range across different farms. Except one from the large-scale farm X, all the remaining Salmonella-positive eggs were detected from medium-scale farm C, while no Salmonella-positive eggs were detected from the small-scale farm F. Farm C was a conventional poultry farm with a smaller production scale and a higher density of breeding hens compared to poultry farm X. According to our observations during sampling, raw eggs in farm C all rolled to the same egg tray and were harvested by hand. Moreover, there was no separate space between the breeding and egg collection areas in farm C. Thus, cross-contaminations may be a major factor responsible for the high prevalence of Salmonella in the eggs collected from this farm. Conversely, in the large-scale and modernized farm X, the production units were completely closed off, with feed supply and egg collection occurring through different conveyor belts; this could reduce the chance of cross-contamination caused by Salmonella present in the environment, especially in the feces of hens. Changes in the management of stocking density at the laying stage can influence Salmonella contamination (Gast et al., 2014). In addition, immunological changes in breeder chickens at the laying stage can increase the contamination rates (Johnston et al., 2012).
Salmonella Typhimurium and S. Enteritidis are the two most commonly identified serotypes and causative agents involved in foodborne salmonellosis (Galis et al., 2013; Whiley and Ross, 2015). In the present study, 13 different serotypes were identified from the 61 Salmonella isolates from the eggs. The top four serotypes were S. Typhimurium, S. Indiana, S. Thompson, and S. Enteritidis. Generally, our results were consistent with the results of previous studies reporting that S. Typhimurium was the most prevalent serotype in eggs obtained from Penang in Malaysia and 50 poultry farms throughout Korea (Adzitey et al., 2012; Bae et al., 2013). Additionally, S. Indiana, S. Typhimurium, and S. Enteritidis were found to be the predominant Salmonella serovars in eggs sampled in Yangzhou, China (Li et al., 2017), while S. Enteritidis was the most prevalent serotype in eggs collected from Shandong, Shanghai, and Guangdong in China (Ni et al., 2018; Xie et al., 2019; Yang et al., 2019). Particularly, S. Enteritidis has always been a common foodborne pathogen associated with salmonellosis caused by consumption of contaminated eggs or egg products, and this is mainly due to its specific survival mechanism in egg white with the assistance of the outer membrane channel TolC (Huang et al., 2019; Raspoet et al., 2019). Here, although S. Enteritidis was not the most dominant serotype in all egg samples, over 70% of S. Enteritidis isolates were derived from poultry farms, and the remaining isolates were recovered from wet markets. It could be considered that S. Enteritidis remained to be the predominant serotype of Salmonella in contaminated eggs from poultry farms in the study area.
In total, 10 Salmonella serotypes were detected in the isolates derived from retail eggs, while five serotypes were identified from eggs collected from poultry farms. Both S. Typhimurium and S. Enteritidis were detected in the eggs from poultry farms and retail markets, whereas the other eight serotypes were detected in the eggs from retail markets only. Interestingly, S. Indiana and S. Blockley isolates that were commonly detected from poultry farms were absent in the eggs from marketplaces. These results indicate that the prevalent serotypes of Salmonella in eggs differed between retail markets and poultry farms. Previous studies have reported that the pathways of pathogen contamination could be influenced by the egg production, storage, and handling procedures; in other words, cross-contamination may occur during egg storage, transportation, and sales, although some Salmonella strains die in these periods (Namata et al., 2008; Food Drug Administration, 2009; Gast et al., 2014). In addition, S. Indiana accounted for a large proportion (23.0%; 15/61) of the Salmonella isolates from eggs in the current study, and it was frequently detected in poultry in China during 2006–2012 (Gong et al., 2017). However, this serotype has not been commonly documented in other countries. Since Salmonella, especially S. Typhimurium, could maintain a high survival rate on eggshells and S. Enteritidis within the egg, potential multiple outbreaks associated with these two serotypes in eggs could occur (McAuley et al., 2015). Therefore, apart from improving the hygienic conditions of egg production, efficient measures should be implemented to reduce exposure and surface contact of eggs during transportation and handling in order to prevent contamination by foodborne pathogens including Salmonella.
In poultry rearing, excessive antibiotics are commonly used for disease prevention and growth promotion, leading to the occurrence of antibiotic-resistant bacteria (Krishnasamy et al., 2015; Haskell et al., 2018). A considerable increase in multidrug-resistant (MDR) Salmonella has been observed, and the number of MDR Salmonella infections has increased worldwide over the past few years (Fardsanei et al., 2018). In the present study, all the 61 Salmonella isolates from eggs exhibited resistance to one or more antibiotic agents, and only three isolates were non-MDR. Notably, one-third of the isolates were resistant to at least 10 antibiotics. Similarly, Al et al. (2015) found that the rate of MDR Salmonella isolated from eggs and poultry products reached up to 86.5%, and S. Thompson isolates exhibited higher antibiotic resistance than isolates of other serotypes recovered from the same marketplace. Moreover, Sanchez-Salazar et al. (2019) obtained 31 Salmonella isolates from layer poultry farms in central Ecuador in 2017, 58.1% (18/31) of which were MDR. Taken together, these findings corroborate reports showing that MDR Salmonella is prevalent in eggs (Garedew et al., 2015; Bezerra et al., 2016; Taddese et al., 2019). In the current study, almost all S. Indiana and S. Enteritidis isolates derived from poultry farm C were MDR strains. This result might be attributed to excessive use and overdosage of antibiotics in poultry farm C associated with poor production environment and sanitary conditions.
According to the PFGE profiles, some Salmonella isolates within the same serotype were derived from the same location and/or time; these isolates had a close genetic relatedness while they shared the same or similar antibiotic resistance phenotypes. This result is consistent with a previous study of Salmonella contamination in layer poultry farms in Shandong and Hebei Provinces, China, that certain samples within henhouses and egg-collecting areas showed relatively high genetic similarities (Li et al., 2018). Here, almost all the Salmonella isolates recovered from poultry farms were identified to be the same serotype with similar PFGE and antibiotic resistance profiles. Likewise, the Salmonella isolated from different backyard eggs in Portugal displayed identical PFGE profiles, indicating that they belonged to a prevalent clone in the region (Ferreiraa et al., 2020). Moreover, some isolates of a certain serotype sampled from different locations and at different times exhibited the same or similar PFGE profiles and antibiotic resistance phenotypes. This result indicates that Salmonella isolates of these serotypes might have existed in the parturient canal of laying hens, poultry rearing environments, or transportation and storage systems for a long period of time. In contrast, some isolates of the same serotype showed diverse PFGE profiles and antibiotic resistance phenotypes. From a poultry slaughterhouse in Brazil, 40 Salmonella isolates obtained over a 20-week period showed diverse PFGE profiles in the same serotype, except S. Enteritidis, which could occur due to the low genetic diversity in this serovar (Dantas et al., 2020). Our results indicate that the prevalence of Salmonella in eggs could pose potential hazards for consumers and result in Salmonella outbreaks over a certain period of time.
This study indicated that Salmonella was prevalent in fresh eggs from poultry farms and retail marketplaces with diverse serotypes, and the majority of the isolates were resistant to the multiple antibiotics tested. Some isolates of the same serotype were sampled from the same location and/or time, which shared identical or highly similar PFGE profiles and antibiotic resistance profiles. As eggs play a vital role in daily human life and can be easily contaminated by MDR Salmonella, it is crucial for local health departments to monitor the occurrence of Salmonella in eggs and prevent egg contamination via the food production and supply chains, including poultry farms and retail markets.
Data Availability Statement
All datasets generated for this study are included in the article/supplementary material.
Author Contributions
WL conceived the study and drafted the manuscript. WL, HL, SZ, ZW, and QN performed the experiments and collected the data. HS conducted data analysis. BY supervised the project, experimental design, data collection and analysis, and manuscript preparation. CS and XS guided the experimental design and assisted with manuscript revision. All authors contributed to manuscript revision and agreed to the published version of the manuscript.
Conflict of Interest
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.
Funding. This study was supported by the National Key R&D Program of China (2017YFC1600100).
References
- Adzitey F., Rusul G., Huda N. (2012). Prevalence and antibiotic resistance of Salmonella serovars in ducks, duck rearing and processing environments in Penang, Malaysia. Food Res. Int. 45 947–952. 10.1016/j.foodres.2011.02.051 [DOI] [PubMed] [Google Scholar]
- Al S., Hizlisoy H., Ertas Onmaz N., Yildirim Y., Gonulalan Z. (2015). Occurrence and antimicrobial resistance of Salmonella enterica subsp. enterica serovars Typhimurium, Enteritidis, and Typhi isolated from chicken eggs and poultry products. Turk. J. Vet. Anim. Sci. 40 737–743. 10.3906/vet-1601-17 31411186 [DOI] [Google Scholar]
- Andino A., Hanning I. (2015). Salmonella enterica: survival, colonization, and virulence differences among serovars. Sci. World J. 2015:520179. 10.1155/2015/520179 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Bae D. H., Dessie H. K., Baek H. J., Kim S. G., Lee H. S., Lee Y. J. (2013). Prevalence and characteristics of Salmonella spp. isolated from poultry slaughterhouses in Korea. J. Vet. Med. Sci. 75 1193–1200. 10.1292/jvms.13-0093 [DOI] [PubMed] [Google Scholar]
- Barrow P. A. (2007). Salmonella infections: immune and non-immune protection with vaccines. Avian Pathol. 36 1–13. 10.1080/03079450601113167 [DOI] [PubMed] [Google Scholar]
- Ben Aissa R., Al-Gallas N., Troudi H., Bethadj N., Belhadj A. (2007). Trends in Salmonella enterica serotypes isolated from human, food, animal, and environment in Tunisia, 1994–2004. J. Infect. 55 324–339. 10.1016/j.jinf.2007.06.007 [DOI] [PubMed] [Google Scholar]
- Bezerra W. G. A., da Silva I. N. G., Vasconcelos R. H., Machado D. N., Lopes E. D., Lima S. V. G., et al. (2016). Isolation and antimicrobial resistance of Escherichia coli and Salmonella enterica subsp. enterica in broiler chickens. Acta Sci. Vet. 44 1–7. 10.22456/1679-9216.80957 [DOI] [Google Scholar]
- Centers for Disease Control and Prevention [CDC] (2013). Standard Operating Procedure for PulseNet PFGE of Escherichia coli O157:H7, Escherichia coli Non-O157 (STEC), Salmonella Serotypes, Shigellasonnei and Shigellaflexneri, National Center for Infectious Diseases. Atlanta, GA: Centers for Disease Control and Prevention. [Google Scholar]
- CLSI (2015). Clinical and Laboratory Standards Institute. Performance Standards for Antimicrobial Susceptibility Testing: Twentieth-third Informational Supplement M100-S23. Wayne, PA: Clinical and Laboratory Standards Institute. [Google Scholar]
- Cowen P., Currier R. W., Steele J. H. (2016). A short history of one health in the United States. Vet. Herit. 39 1–15. [PubMed] [Google Scholar]
- Cui M. Q., Xie M. Y., Qu Z. N., Zhao S. J., Wang J. W., Wang Y., et al. (2016). Prevalence and antimicrobial resistance of Salmonella isolated from an integrated broiler chicken supply chain in Qingdao China. Food Control 62 270–276. 10.1016/j.foodcont.2015.10.036 [DOI] [Google Scholar]
- Dantas S. T. A., Camargo C. H., Tiba-Casas M. R., Vivian R. C., Pinto J. P. A. N., Pantoja J. C. F., et al. (2020). Environmental persistence and virulence of Salmonella spp. Isolated from a poultry slaughterhouse. Food Res. Int. 129:108835. 10.1016/j.foodres.2019.108835 [DOI] [PubMed] [Google Scholar]
- FAO (2018a). Available online at: http://faostat3.fao.org/browse/Q/QA/E (accessed June 6, 2018a). [Google Scholar]
- FAO (2018b). Available online at: http://faostat3.fao.org/browse/Q/QL/E (accessed June 6, 2018b). [Google Scholar]
- Fardsanei F., Dallal M. M. S., Douraghi M., Memariani H., Bakhshi B., Salehi T. Z., et al. (2018). Antimicrobial resistance, virulence genes and genetic relatedness of Salmonella enterica serotype Enteritidis isolates recovered from human gastroenteritis in Tehran, Iran. J. Glob. Antimicrob. Resist. 12 220–226. 10.1016/j.jgar.2017.10.005 [DOI] [PubMed] [Google Scholar]
- Fardsanei F., Dallal M. M. S., Douraghi M., Salehi T. Z., Mahmoodi M., Memariani H., et al. (2017). Genetic diversity and virulence genes of Salmonella enterica subspecies enterica serotype Enteritidis isolated from meats and eggs. Microb. Pathog. 107 451–456. 10.1016/j.micpath.2017.04.026 [DOI] [PubMed] [Google Scholar]
- FDA (2019a). Investigated Multistate Outbreak of Salmonella Braenderup Linked to Shell Eggs from Rose Acre Farms. Silver Spring, MD: FDA. [Google Scholar]
- FDA (2019b). Investigated Multistate Outbreak of Salmonella Enteritidis Linked to Shell Eggs from Gravel Ridge Farms. Silver Spring, MD: FDA. [Google Scholar]
- FDA (2019c). Investigates Outbreak of Salmonella Oranienburg Linked to Shell Eggs. Silver Spring, MD: FDA. [Google Scholar]
- Fei X., He X., Guo R. X., Yin C., Geng H. P., Wu K. Y., et al. (2017). Analysis of prevalence and CRISPR typing reveals persistent antimicrobial-resistant Salmonella infection across chicken breeder farm production stages. Food Control. 77 102–109. 10.1016/j.foodcont.2017.01.023 [DOI] [Google Scholar]
- Ferreiraa V., Cardosoa M. J., Magalhãesa R., Maiab R., Neaguc C., Dumitraşcuc L., et al. (2020). Occurrence of Salmonella spp. in eggs from backyard chicken flocks in Portugal and Romania - Results of a preliminary study. Food Control. 113:107180 10.1016/j.foodcont.2020.107180 [DOI] [Google Scholar]
- Food Drug Administration (2009). Prevention of Salmonella enteritidis in shell eggs during production, storage, and transportation. Final rule. Fed. Regist. 74 33030–33101. [PubMed] [Google Scholar]
- Galis A. M., Marcq C., Marlier D., Portetelle D., Van I., Beckers Y., et al. (2013). Control of Salmonella contamination of shell eggs-Preharvest and postharvest methods: a review. Compr. Rev. Food Sci. Food Saf. 12 155–182. 10.1111/1541-4337.12007 [DOI] [Google Scholar]
- Garedew L., Hagos Z., Addis Z., Tesfaye R., Zegeye B. (2015). Prevalence and antimicrobial susceptibility patterns of Salmonella isolates in association with hygienic status from butcher shops in Gondar town, Ethiopia. Resist. Infect. Control. 4:21. 10.1186/s13756-015-0062-7 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Gast R. K., Guraya R., Jones D. R., Anderson K. E. (2014). Contamination of eggs by Salmonella enteritidis in experimentally infected laying hens housed in conventional or enriched cages. Poult. Sci. 93 728–733. 10.3382/ps.2012-02811 [DOI] [PubMed] [Google Scholar]
- Gong J., Kelly P., Wang C. (2017). Prevalence and antimicrobial resistance of Salmonella 537 enterica serovar Indiana in China (1984-2016). Zoonoses Public Health 64 239–251. 10.1111/zph.12328 [DOI] [PubMed] [Google Scholar]
- Hai D., Yin X. P., Lu Z. X., Lv F. X., Zhao H. Z., Bie X. M. (2020). Occurrence, drug resistance, and virulence genes of Salmonella isolated from chicken and eggs. Food Control. 113 107109 10.1016/j.foodcont.2020.107109 [DOI] [Google Scholar]
- Haskell K. J., Schriever S. R., Fonoimoana K. D., Haws B., Hair B. B., Wienclaw T. M., et al. (2018). Antibiotic resistance is lower in Staphylococcus aureus isolated from antibiotic-free raw meat as compared to conventional raw meat. PLoS One 13:e0206712. 10.1371/journal.pone.0206712 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Huang X. Z., Zhou X. J., Jia B., Li N., Jia J. Y., He M., et al. (2019). Transcriptional sequencing uncovers survival mechanisms of Salmonella enterica serovar Enteritidis in antibacterial egg white. mSphere 4:e00700-18. 10.1128/mSphere.00700-18 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Johnston C. E., Hartley C., Salisbury A. M., Wigley P. (2012). Immunological changes at point-of lay increase susceptibility to Salmonella enterica serovar Enteritidis infection in vaccinated chickens. PLoS One 7:e48195. 10.1371/journal.pone.0048195 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Karimiazar F., Soltanpour M. S., Aminzare M., Hassanzadazar H. (2019). Prevalence, genotyping, serotyping, and antibiotic resistance of isolated Salmonella strains from industrial and local eggs in Iran. J. Food Saf. 39:e12585 10.1111/jfs.12585 [DOI] [Google Scholar]
- Kasturi K. N., Drgon T. (2017). Real-Time PCR method for detection of Salmonella spp. in environmental samples. Appl. Environ. Microbiol. 83:e00644-17. 10.1128/AEM.00644-17 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kingsbury J. M., Thom K., Erskine H., Olsen L., Soboleva T. (2019). Prevalence and genetic analysis of Salmonella enterica from a cross-sectional survey of the new zealand egg production environment. J. Food Prot. 82 2201–2214. 10.4315/0362-028x.jfp-19-159 [DOI] [PubMed] [Google Scholar]
- Kouam M. K., Biekop M. H. F., Katte B., Teguia A. (2018). Salmonella status of table eggs in commercial layer farms in Menoua Division, West region of Cameroon. Food Control. 85 345–349. 10.1016/j.foodcont.2017.09.037 [DOI] [Google Scholar]
- Krishnasamy V., Otte J., Silbergeld E. (2015). Antimicrobial use in Chinese swine and broiler poultry production. Antimicrob. Resist. Infect. Control. 4:17. 10.1186/s13756-015-0050-y [DOI] [PMC free article] [PubMed] [Google Scholar]
- Li Q. C., Yin K. Q., Xie X. L., Zhao F., Xia J., Chen Y., et al. (2017). Detection and CRISPR subtyping of Salmonella spp. isolated from whole raw chickens in Yangzhou from China. Food Control. 82 291–297. 10.1016/j.foodcont.2017.07.008 [DOI] [Google Scholar]
- Li R. C., Lai J., Wang Y., Liu S. L., Li Y., Liu K. Y., et al. (2013). Prevalence and characterization of Salmonella species isolated from pigs, ducks and chickens in Sichuan Province, China. Int. J. Food Microbiol. 163 14–18. 10.1016/j.ijfoodmicro.2013.01.020 [DOI] [PubMed] [Google Scholar]
- Li X. Z., Liu L., Li Q. L., Xu G. Y., Zheng J. X. (2018). Salmonella contamination in layer farms in China: detection and genetic analysis. J. Poult. Sci. 55 1–9. 10.2141/jpsa.0160144 [DOI] [PMC free article] [PubMed] [Google Scholar]
- McAuley C. M., Duffy L. L., Subasinghe N., Hogg G., Coventry J., Fegan N. (2015). Salmonella Typhimurium and Salmonella sofia: growth in and persistence on eggs under production and retail conditions. Biomed. Res. Int. 2015:914987. 10.1155/2015/914987 [DOI] [PMC free article] [PubMed] [Google Scholar]
- McWhorter A. R., Chousalkar K. K. (2019). From hatch to egg grading: monitoring of Salmonella shedding in free-range egg production systems. Vet. Res. 50:58. 10.1186/s13567-019-0677-4 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Moffatt C. R. M., Musto J., Pingault N. (2017). Recovery of Salmonella enterica from Australian layer and processing environments following outbreaks linked to eggs. Foodborne Pathog. Dis. 14 478–482. 10.1089/fpd.2016.2268 [DOI] [PubMed] [Google Scholar]
- Namata H., Meroc E., Aerts M., Faes C., Abrahantes J. C., Imberechts H., et al. (2008). Salmonella in Belgian laying hens: an identification of risk factors. Prev. Vet. Med. 83 323–336. 10.1016/j.prevetmed.2007.09.002 [DOI] [PubMed] [Google Scholar]
- Ni P. E., Xu Q., Yin Y. J., Liu D. L., Zhang J. M., Wu Q. P., et al. (2018). Prevalence and characterization of Salmonella serovars isolated from farm products in Shanghai. Food Control. 85 269–275. 10.1016/j.foodcont.2017.10.009 [DOI] [Google Scholar]
- Patchanee P., Eiamsam-ang T., Vanaseang J., Boonkhot P., Tadee P. (2017). Determination of regional relationships among Salmonella spp. isolated from retail pork circulating in the Chiang Mai municipality area using a WGS data approach. Int. J. Food Microbiol. 254 18–24. 10.1016/j.ijfoodmicro.2017.05.006 [DOI] [PubMed] [Google Scholar]
- Rahn K., Degrandis S. A., Clarke R. C., Mcewen S. A., Galan J. E., Ginocchio C., et al. (1992). Amplification of an invA gene sequence of Salmonella-typhimurium by polymerase chain-reaction as a specific method of detection of Salmonella. Mol. Cell Probes 6 271–279. 10.1016/0890-8508(92)90002-F [DOI] [PubMed] [Google Scholar]
- Raspoet R., Eeckhaut V., Vermeulen K., De Smet L., Wen Y., Nishino K., et al. (2019). The Salmonella enteritidis TolC outer membrane channel is essential for egg white survival. Poult. Sci. 98 2281–2289. 10.3382/ps/pey584 [DOI] [PubMed] [Google Scholar]
- Sanchez-Salazar E. M., Gudino M. E., Sevillano G., Zurita J., Guerrero-Lopez R., Jaramillo K., et al. (2019). Antibiotic resistance of Salmonella strains from layer poultry farms in central Ecuador. J. Appl. Microbiol. 128 1347–1354. 10.1111/jam.14562 [DOI] [PubMed] [Google Scholar]
- Taddese D., Tolosa T., Deresa B., Lakow M., Olani A., Shumi E. (2019). Antibiograms and risk factors of Salmonella isolates from laying hens and eggs in Jimma Town, South Western Ethiopia. BMC Res. Note 12:472. 10.1186/s13104-019-4516-5 [DOI] [PMC free article] [PubMed] [Google Scholar]
- U.S. Food and Drug Administration (2013). NARMS Retail Meat Annual Report, 2011. Rockville, MD: U.S. Food and Drug Administration. [Google Scholar]
- Whiley H., Ross K. (2015). Salmonella and eggs: from production to plate. Int. J. Environ. Res. Public. Health. 12 2543–2556. 10.3390/ijerph120302543 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Xie T. F., Wu G., He X. J., Lai Z. Z., Zhang H. T., Zhao J. (2019). Antimicrobial resistance and genetic diversity of Salmonella enterica from eggs. Food Sci. Nutr. 7 2847–2853. 10.1002/fsn3.1126 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Yang B. W., Cui Y., Shi C., Wang J. Q., Xia X. D., Xi M. L., et al. (2014). Counts, serotypes, and antimicrobial resistance of Salmonella isolates on retail raw poultry in the people’s republic of China. J. Food Prot. 77 894–902. 10.4315/0362-028X.JFP-13-439 [DOI] [PubMed] [Google Scholar]
- Yang B. W., Qu D., Zhang X. L., Shen J. L., Cui S. H., Shi Y., et al. (2010). Prevalence and characterization of Salmonella serovars in retail meats of marketplace in Shaanxi, China. Int. J. Food Microbiol. 141 63–72. 10.1016/j.ijfoodmicro.2010.04.015 [DOI] [PubMed] [Google Scholar]
- Yang J., Ju Z. J., Yang Y., Zhao X. N., Jiang Z. Y., Sun S. H. (2019). Serotype, antimicrobial susceptibility and genotype profiles of Salmonella isolated from duck farms and a slaughterhouse in Shandong province, China. BMC Microbiol. 19:202. 10.1186/s12866-019-1570-z [DOI] [PMC free article] [PubMed] [Google Scholar]
- Zhang Q. Q., Ying G. G., Pan C. G., Liu Y. S., Zhao J. L. (2015). Comprehensive evaluation of antibiotics emission and fate in the river basins of China: source analysis, multimedia modeling, and linkage to bacterial resistance. Environ. Sci. Technol. 49 6772–6782. 10.1021/acs.est.5b00729 [DOI] [PubMed] [Google Scholar]
Associated Data
This section collects any data citations, data availability statements, or supplementary materials included in this article.
Data Availability Statement
All datasets generated for this study are included in the article/supplementary material.