THE PREVALENCE AND EPIZOOTIOLOGY OF SALMONELLOSIS AMONG GROUPS OF HORSES IN SOUTH EAST QUEENSLAND

Over a 3-year period, 1178 faecal samples were cultured from 462 horses admitted to the equine clinic of the University of Queensland; 185 samples were positive for salmonella yielding 213 isolations consisting of 21 serotypes. S. anatum was the predominant serotype isolated (54%) followed by S. ohio (11.27%) and S. typhimurium (9.4%). One hundred and ten horses (23.81%) were positive on one or more occasion, and 42 (9.09%) on more than one occasion.
S. anatum was the most common serotype isolated (71.43%) from the main drains in the stable block (33.57% positive samples).
The prevalence of salmonella excretors among a large non-clinic population of horses in south east Queensland was 1.65%.
Acute salmonellosis did not occur in the hospitalised animals. However, salmonellas were incriminated in 6 cases of chronic diarrhoea, which all yielded S. anatum , although the most severe involved both S. anatum and S. typhimurium , and these serotypes were isolated from multiple locations at the subsequent autopsy of 3 cases.     

Salmonellosis in hospitalized horses: seasonality and case fatality rates

Salmonellosis was studied during an 11-year period (July 1971 through June 1982) in 245 hospitalized horses. Ten years' data (207 cases) were analyzed in a time series study. Peak seasonality of the disease was from June through September. The cycle curve revealed 3 major outbreaks, with no apparent periodicity. Eighteen Salmonella serotypes caused clinical salmonellosis in horses, but 84% of the cases and 90% of the deaths were caused by 5 serotypes: Salmonella typhimurium, S typhimurium var copenhagen, S anatum, S kottbus, and S saint-paul. Overall, the case fatality rate was 44.9%. Excluding mixed infections, horses infected with S typhimurium and S typhimurium var copenhagen, had a significantly higher (P less than 0.001) case fatality rate (60.4%) than those infected with other Salmonella serotypes (32.3%).     

Prevalence and epizootiology of equine salmonellosis.

Feces from 1,451 horses entering a veterinary hospital over a 13-month period were cultured for salmonella. A total of 46 horses (3.2%) yielded 1 or more salmonella-positive fecal cultures. Twenty horses were found to be excreting salmonella in the feces on admission, and 5 of these later had severe diarrhea associated with enteric salmonellosis. Abdominal surgery and other severe stresses were associated with all cases of severe enteric salmonellosis. Serotypes of salmonella isolated included Salmonella agona (15), S anatum (14), S typhimurium (7), S typhimurium var copenhagen (4), S infantis (2), S montevideo (1), S meleagridis (1), S drypool (1), and an unnamed Salmonella serotype (1). Seven deaths were attributed to 4 serotypes (S typhimurium, 3; S anatum, 2; S typhimurium var copenhagen, 1; and S montevideo, 1). A marked seasonal incidence is isolations was found with isolations highest in later summer to early fall and lowest in the spring. It was also found that horses can shed salmonella intermittently, and a minimal of 5 consecutive negative fecal cultures is recommended before considering a horse not to be infected with salmonella.     

Comparative plasmid profile analysis of Salmonella typhimurium var. Copenhagen strains from a Salmonella outbreak in hospitalized horses]

From April 1990 through June 1991 clinical salmonellosis and asymptomatic faecal excretion of Salmonella spp. were seen in hospitalized horses at two veterinary hospitals. 76 Salmonella strains from hospitalized horses and 18 strains from horses without any clinical contact were characterized by serotyping and plasmid profile analysis. From April 1990 through January 1991 97.8% of the hospitalized horses were infected with strains of S. typhimurium var. Copenhagen, which were closely related according to their similar plasmid patterns. Other strains of S. typhimurium var. Copenhagen and serotype S. enteritidis were isolated not before February 1991. In the same period various plasmid profile types of S. typhimurium var. Copenhagen and strains of S. typhimurium, S. enteritidis and S. lexington were isolated from horses of the control group. Our results suggest that the high incidence of salmonellosis and latent salmonella infection in hospitalized horses was mainly due to the spread of one particular strain of S. typhimurium var. Copenhagen and that this strain was obviously acquired during hospitalisation.     

The prevalence of Salmonella infections in camels (Camelus dromedarius) in the United Arab Emirates.

One hundred and eighty-seven salmonella strains were isolated from 4006 samples collected from camels in the United Arab Emirates between 1987 and 1991. One hundred and sixty-five (4.3%) strains were isolated from 3801 faecal and 22 from 205 organ samples of 62 autopsied camels. In total, 28 different serotypes were identified with S. saintpaul being the most frequent (69), followed by S. frintrop (31) and S. hindmarsh (15). Salmonella typhimurium was isolated from only two faecal specimens. All salmonellas isolated from faecal samples originated from carrier camels, and those isolated from organs were secondary findings. The camels from which salmonella organisms were found died from diseases other than salmonellosis. Most of the S. saintpaul isolates originated from one herd suffering from Clostridium perfringens type A enterotoxaemia which suggests that salmonella infections may predispose camels to clostridial enterotoxaemias.     

Investigation and control of an outbreak of salmonellosis caused by multidrug-resistant Salmonella typhimurium in a population of hospitalized horses

An outbreak of salmonellosis in a population of hospitalized horses resulted in the closure of a teaching hospital for a period of 10 weeks. Fecal samples were collected from suspected cases and cultured for Salmonella. Salmonella isolates were characterized using antimicrobial susceptibility testing, pulsed-field gel electrophoresis (PFGE) and phage typing. Thirty-three cases of infection by a multidrug-resistant strain of S. typhimurium were detected. The index case was admitted on 26 August 1999. Fifteen (45%) cases occurred between April and June 2000. PFGE results suggested that this strain of S. typhimurium might have been introduced into the hospital environment by a foal presenting with diarrhea. The hospital was closed on June 13, and intensive environmental cleaning and disinfection were completed. Enforcement of infectious disease control protocols in hospitals and environmental and patient surveillance is needed to prevent outbreaks of salmonellosis.     

Prevalence of Helicobacter equorum in faecal samples from horses and humans

Recently, a new enterohepatic Helicobacter species, H. equorum, was isolated from faecal samples of two clinically healthy horses. At the onset of this study, nothing was known about the prevalence of this organism in horses, nor was there any information available on the possible zoonotic character of this agent. This study aimed to determine the prevalence of H. equorum in faecal samples from equine and human origin. Therefore, faecal samples of 120 healthy privately owned horses, 227 healthy riding-school horses and 239 hospitalised horses were screened for H. equorum-DNA by means of a PCR amplifying a 1074-bp fragment of the 23S rRNA gene with primers specific for H. equorum. The vast majority of the hospitalised horses were under treatment with an antimicrobial agent at the moment of sampling, while the other horses had not been treated with an antimicrobial agent in the 14 days preceding the sampling. Stool samples of 531 humans suffering from gastro-intestinal disease and 100 clinically healthy humans were likewise examined. H. equorum-DNA was demonstrated in faeces from 0.8% of the privately owned horses, 3.1% of the riding-school horses and 7.9% of the hospitalised horses. The prevalence of H. equorum was significantly higher in hospitalised than in healthy, privately owned horses (P=0.02). H. equorum-DNA was not detected in human samples. These results indicate that the prevalence of H. equorum in horses may be influenced by the health status of the investigated horse population and/or by antimicrobial treatment. We may additionally assume that this micro-organism does not commonly infect humans.     

Diagnosing salmonellosis in horses culturing of multiple versus single faecal samples

Summary

Three rectal faecal samples were taken at 24‐hour intervals from 136 horses in order to investigate whether multiple faecal cultures yield a greater number of Salmonella‐positive horses compared to single faecal cultures. Of these 136 horses, 89 were suspected of salmonellosis on clinical grounds and 47 belonged to a control group. From the ‘Salmonella suspected’ group, 22 horses (25 %) were Salmonella positive on one or more occasions. Only twelve of these 22 positive horses (55 %) were positive at first sampling. Of the control group, only three horses (6 %) were positive for Salmonella. Thirty‐one (69 %) of the 45 positive cultures from the ‘Salmonella suspected’ group were found only after enrichment in Selenite broth. From the results of the present study it is concluded that multiple faecal cultures are superior to single faecal cultures for diagnosing clinical salmonellosis in horses and that there is no relation between the course of the disease and whether the Salmonellae were cultured directly or indirectly, after enrichment in Selenite broth. Salmonellae were cultured from the faeces of horses treated with antibiotics before their referral, even when the isolated strain was sensitive to the antimicrobial drug used by the practitioner.     

Prevalence of Salmonella serotypes in pigs and evaluation of a rapid, presumptive test for detection of Salmonella in pig faeces

Two hundred faecal samples, collected from pigs at a Budapest abattoir, were examined for the presence of salmonellae. Ninety-six isolates, belonging to 7 different serotypes, were obtained. Salmonella derby (70.8%) was the most prevalent serotype. The other serotypes isolated were S. typhimurium (8.33%), S. bredeney (4.16%), S. agona (2.08%), S. infantis (9.22%), S. london (3.12%), and S. panama (2.08%). A modified rapid presumptive test to detect salmonellae in food and food ingredients was described by Hoben et al. (1973). This test medium was evaluated to determine its efficacy in detecting salmonellae in pig faecal samples. The test gave an efficiency of 88.67%. However, the incidence of false positive results was rather high (9.43%). The public health importance of the isolates obtained and the application of the rapid presumptive test at the farm level are discussed.     

Antimicrobial resistance in faecal Escherichia coli isolates from horses treated with antimicrobials: A longitudinal study in hospitalised and non-hospitalised horses

The objective of this study was to examine the emergence and persistence of antimicrobial resistant faecal Escherichia coli in horses treated with antimicrobial drugs in a hospital and community setting. Faecal samples were collected from hospitalised (n=56) and non-hospitalised (n=14) horses treated with antimicrobials, and 10 non-treated hospitalised controls. Samples were obtained pre-treatment and 5 days later in all horses, and 2 weeks and 2 months after treatment in treated horses. Susceptibility to 15 antimicrobials was tested via disc diffusion on up to 3 E. coli isolates per sample. Phenotypic extended spectrum beta-lactamase (ESBL) production was identified via a combination disc method, and ESBL-encoding sequences identified by PCR. A resistant E. coli isolate was identified in 138/228 (60.5%) samples. The proportion of resistant samples was not significantly different between hospitalised and non-hospitalised treated horses. The odds of a sample containing a resistant isolate increased significantly at day 5 in treated horses, but not in controls. Two weeks following treatment, the odds of resistance in non-hospitalised horses returned to pre-treatment levels, but remained significantly above pre-treatment levels in hospital-treated horses, returning to base-line 2 months after treatment. Seven samples (17 isolates) were positive for ESBL production. The genes bla(CTX-M) and bla(TEM) were identified in 12/17 isolates, with bla(SHV) in 4/17. Antimicrobial administration to horses in hospital and community settings is associated with an increased but transient risk of faecal shedding of antimicrobial-resistant E. coli. The high prevalence of resistant isolates suggests that methods to minimise their potential spread should be considered.     

Prévalence des infections à Salmonella spp. chez les bovins et les équins de l'Hôpital vétérinaire d'enseignement de la Faculté de médecine vétérinaire de l'Université de Montréal.

Bacteriologic detection of Salmonella spp. from feces of animals admitted to Veterinary Teaching Hospital of the Faculty of Veterinary Medicine, University of Montréal, in Saint-Hyacinthe was carried out during a 1-year period to estimate the prevalence of bovine and equine salmonellosis. Prevalence at the time of hospitalization was quite low: 1.4% in cattle and 1.7% in horses. Incidence was 15.1 cases/100 animal/year in cattle and 38.7 cases/100 animal/year in horses. Serotype typhimurium was the most prevalent in both species. In cattle, cases were evenly distributed over the year. In horses, a recrudescence of cases and a obviousness of transmission were apparent in April 1996.     

Risk factors for nosocomial Salmonella infection among hospitalized horses.

OBJECTIVE: To identify risk factors for nosocomial Salmonella infections among hospitalized horses. DESIGN: Longitudinal study. ANIMALS: 1,583 horses hospitalized in an intensive care unit between January 1992 and June 1996. PROCEDURE: Survivor functions were used to estimate time to shedding salmonellae for various Salmonella serotypes. Survival analysis was then used to determine how variables associated with patient management, environmental conditions, hospital conditions, and other disease processes affected the risk of nosocomial Salmonella infection. RESULTS: 78 horses shed Salmonella organisms: 35 shed Salmonella krefeld, 26 shed S typhimurium, and 17 shed other Salmonella serotypes. Mean time from admission to shedding was significantly longer for horses shedding S krefeld or S typhimurium than for horses shedding other Salmonella serotypes. Therefore, infection with S krefeld or S typhimurium was considered nosocomial. Seven variables were found to be significantly associated with risk of nosocomial Salmonella infection: mean number of horses in the hospital shedding S krefeld during the 4 days prior to and the day of admission, mean number of horses shedding S typhimurium during this period, a diagnosis of large colon impaction, withholding feed, number of days fed bran mash, duration of treatment with potassium penicillin G, and mean daily ambient temperature. CLINICAL IMPLICATIONS: Results suggest that risk of nosocomial Salmonella infections is greater for horses with large colon impactions. In addition to implementing hospital protocols that minimize cross contamination between patients, strategies to reduce the risk of nosocomial Salmonella infection should include minimizing use of potassium penicillin G and regulation of environmental temperature in the hospital.     

Characteristics of Salmonella isolated from an outbreak of equine salmonellosis in a veterinary teaching hospital

During an outbreak of equine salmonellosis in a veterinary teaching hospital 20 Salmonella isolates were cultured from sick horses (13 isolates) or from the hospital environment (7 isolates). Three serotypes were isolated from the environment including: S. give, S. newportand S. agona. The serotypes isolated from horses included: S. give, S. newport and S. anatum. Examination of antibiotic profiles, presence of plasmids, production of bacteriocins and hemagglutination of erythrocytes implied a common origin for the equine and environmental isolates.     

Endothelial hyperpolarizing factor increases acetylcholine-induced vasodilatation in pulmonary hypertensive broilers arterial rings

Salmonellosis is an important disease of cattle caused predominantly by Salmonella enterica serotypes Typhimurium (S. typhimurium) and Dublin (S. dublin). S. typhimurium causes acute enteritis and exudative diarrhea in calves. In addition to enteric disease, S. dublin can cause systemic infections, and may cause abortion in pregnant cows. Calves are considered a relevant model for non-typhoidal salmonellosis in humans. Experimental oral infections or inoculation of ligated ileal loops in calves have been extensively studied recently. This article reviews relevant published results regarding bovine salmonellosis as a natural disease or as an animal model.     

Antibody response to experimental Salmonella typhimurium infection in chickens measured by ELISA

An indirect ELISA has been developed to detect Salmonella typhimurium antibodies in chicken sera, using whole bacterial cell protein, flagellar protein or lipopolysaccharide as antigens. In experimental infections high concentrations of S typhimurium-specific IgG persisted after the faecal excretion of S typhimurium had ceased, whereas the specific IgM response was transitory. Some uninfected chickens placed in contact with experimentally infected birds developed high IgG titres in the absence of detectable faecal excretion. Other S typhimurium strains, which varied in their invasive abilities, also induced high titres of IgG. The ELISA allowed chickens infected experimentally with S typhimurium to be differentiated from chickens infected with 10 other serotypes, including S enteritidis. The use of whole blood in place of serum in the ELISA reduced the titres slightly. The storage of serum dried on to filter paper strips for four weeks produced little change in ELISA antibody titre, and the treatment of such strips with phenol or chloroform vapour had little or no effect on the antibody titre.     

An outbreak of equine neonatal salmonellosis

An outbreak of salmonellosis in foals occurred on a large Thoroughbred farm in California. Only foals less than 8 days of age exhibited clinical signs, which included depression, anorexia, and diarrhea. Three foals died from septicemia. The agent responsible was Salmonella ohio, which is rarely involved in salmonellosis in horses. During the course of the outbreak, S. ohio was isolated from 27 of 97 mares (27.8%) and 34 of 97 foals (35.1%). Mares were the presumed source of infection for foals. The absence of clinical signs in mares allowed for increased exposure of foals through environmental contamination. Although foals continued to become infected after strict control measures were adopted, none became ill. Salmonella serotypes of seemingly low virulence can produce serious disease outbreaks.     

The significance of the serotype in the clinical and pathological features of naturally occurring porcine salmonellosis.

Salmonellosis was the diagnosis in 63 of 327 consecutive porcine necropsy accessions during a one year period in Indiana, an incidence four to ten times that previously reported in other areas. A herd outbreak was usually either a septicemic disease characterized by sudden mortality. Little overlap between these two syndromes were seen. Animals dying with the septicemic form usually yielded Salmonella choleraesuis var. kunzendorf on culture. Salmonella typhimurium was the usual isolate from cases of enteric salmonellosis. Oral inoculation of SPF pigs with S. typhimurium resulted in a disease similar to naturally occurring enteric salmonellosis. The pathology of porcine salmonellosis due to S. typhimurium is described.     

Clostridium difficile associated with acute colitis in mature horses treated with antibiotics

Clostridium (C.) difficile, or its cytoxin, was demonstrated in faecal samples from 10 of 25 (40%) mature horses investigated with acute colitis treated primarily with antibiotics for disorders other than diarrhoea. C. difficile was not found in faecal samples from 140 horses without signs of enteric disorders, from 21 nondiarrhoeic horses treated with antibiotics, nor from 22 horses with colitis untreated with antibiotics. Except for C. difficile neither Salmonella nor any other investigated intestinal pathogen was isolated in any of the diarrhoeic horses. The findings strongly support some earlier reports that C. difficile is associated with acute colitis in mature horses treated with antibiotics. Of the 10 horses, 4 proved positive for C. difficile both in culture and in the cytotoxin test, 4 in culture only and 2 only in the cytotoxin test. Eight of 10 horses positive for C. difficile were or had recently been hospitalised, indicating that C. difficile may be a nosocomial infection in horses. All horses positive for C. difficile were treated with beta-lactam antibiotics.     

SALMONELLOSIS IN TRANSPORTED FERAL GOATS

SUMMARY: An outbreak of acute diarrhoea and deaths was investigated in a group of 1,016 feral goats of varying ages, on a 400 hectare Gippsland pine plantation. The goats had recently been captured in north western New South Wales and transported by truck to Melbourne, Victoria, a journey of 20 to 25 hours, and maintained in holding yards for up to 10 days. They were then transported for a further 3 hours, and released in the Gippsland plantation. Within 1 to 2 weeks of release many goats developed acute, severe diarrhoea, weakness and recumbency. Thirty-eight percent of all goats died in the first 2 months on the farm. Autopsy findings were characteristic of salmonellosis in 13 (43%) of the 30 goats examined and Salmonella sp were cultured from these and one other goat (47%). Four different serotypes of Salmonella were represented (S. adelaide, S. typhimurium, S. muenchen, S. singapore) . The findings support the view that stress due to transport and intensive handling caused carriers of Salmonella to develop into active excretors with high cross infection to susceptible goats.     

Antimicrobial resistance in commensal faecal Escherichia coli of hospitalised horses

The objective of this study was to examine the impact of hospitalisation and antimicrobial drug administration on the prevalence of resistance in commensal faecal E. coli of horses. Faecal samples were collected from ten hospitalised horses treated with antimicrobials, ten hospitalised horses not treated with antimicrobials and nine non-hospitalised horses over a consecutive five day period and susceptibility testing was performed on isolated E. coli. Results revealed that hospitalisation alone was associated with increased prevalence of antimicrobial resistance and multidrug resistance in commensal E. coli of horses. Due to the risk of transfer of resistance between commensal and pathogenic bacteria, veterinarians need to be aware of possible resistance in commensal bacteria when treating hospitalised horses.