Microbiological testing for the presence of Cronobacter sakazakii in infant formulae

Author(s):  
Renis Maçi ◽  
Halit Memoçi ◽  
Ardian Xinxo ◽  
Bizena Bijo ◽  
Fatmira Shehu
Author(s):  
Ibrahim Hassan Amer ◽  
Mohamed Ahmed Hassan Mansour ◽  
Eman Nabil Abdelfatah ◽  
Rowyda Mohamed Yousry Elshazely

Foods ◽  
2019 ◽  
Vol 8 (12) ◽  
pp. 688 ◽  
Author(s):  
Paloma Cal-Sabater ◽  
Irma Caro ◽  
María J. Castro ◽  
María J. Cao ◽  
Javier Mateo ◽  
...  

Cronobacter sakazakii is an opportunistic pathogen that is associated with outbreaks of neonatal necrotizing enterocolitis, septicaemia, and meningitis. Reconstituted powdered infant formulae is the most common vehicle of infection. The aim of the present study is to gain insight into the physiological states of C. sakazakii cells using flow cytometry to detect the compromised cells, which are viable but non-culturable using plate-based methods, and to evaluate the impact of milk heat treatments on those populations. Dead-cell suspensions as well as heat-treated and non-heat-treated cell suspensions were used. After 60 or 65 °C treatments, the number of compromised cells increased as a result of cells with compromised membranes shifting from the heat-treated suspension. These temperatures were not effective at killing all bacteria but were effective at compromising their membranes. Thus, mild heat treatments are not enough to guarantee the safety of powered infant formulae. Flow cytometry was capable of detecting C. sakazakii’s compromised cells that cannot be detected with classical plate count methods; thus, it could be used as a screening test to decrease the risk derived from the presence of pathogenic viable but non-culturable cells in this food that is intended for newborns’ nutrition.


2012 ◽  
Vol 75 (5) ◽  
pp. 989-997 ◽  
Author(s):  
ROBERT L. BUCHANAN ◽  
RUTH ONI

Microbiological testing for various indicator microorganisms is used extensively as a means of verifying the effectiveness of efforts to ensure the microbiological quality and safety of a wide variety of foods. However, for each use of an indicator organism the underlying scientific assumptions related to the behavior of the target microorganism, the characteristics of the food matrix, the details of the food manufacturing processes, environment, and distribution system, and the methodological basis for the assay must be evaluated to determine the validity, utility, and efficacy of potential microbiological indicator tests. The recent adoption by the Codex Alimentarius Commission of microbiological criteria for powdered infant formulae and related products provides an excellent example of an evidence-based approach for the establishment of consensus microbiological criteria. The present article reviews these criteria and those of various national governments in relation to emerging principles for the evidence-based establishment of effective indicator organisms.


2020 ◽  
Vol 34 ◽  
pp. 27-37
Author(s):  
C. Candel-Pérez ◽  
R. García-Iborra ◽  
J. García-Alonso ◽  
Mª Carmen Martínez-Gracia

Cronobacter sakazakii y Salmonella enterica son considerados patógenos capaces de causar sepsis y meningitis en lactantes. Se han descrito casos de infección por estos patógenos asociados al consumo de preparados para lactantes contaminados. La inclusión de probióticos en los preparados, además de su papel en la modulación de la microbiota intestinal, podría ser útil para contrarrestar la contaminación de microorganismos patógenos de estos productos una vez reconstituidos y, por lo tanto, reducir el riesgo de infección. El objetivo de esta investigación fue evaluar el efecto antimicrobiano de una mezcla de probióticos (Lactobacillus rhamnosus y Bifidobacterium infantis) frente a Cronobacter sakazakii y Salmonella enterica en preparados reconstituidos para lactantes. Las muestras (con o sin probióticos) se inocularon con C. sakazakii o S. enterica y se incubaron a 30 o 40ºC durante 72 horas. Los resultados muestran que la presencia de probióticos en los preparados lácteos no tiene un marcado efecto en el crecimiento de los patógenos. Sin embargo sí se ve potenciado su efecto inhibitorio frente a C. sakazakii por la interacción entre la temperatura de incubación y los probióticos. Los probióticos empleados fueron viables durante todo el período de incubación, por lo que el agotamiento de los nutrientes se descartó como posible mecanismo de inhibición. La disminución del pH en los preparados lácteos inoculados no explica de manera satisfactoria un comportamiento tan diferente entre ambos patógenos. Por lo tanto, se sugiere como posible mecanismo inhibidor la liberación de bacteriocinas específicas con acción contra C. sakazakii pero sin efecto contra Salmonella. Se deben realizar estudios adicionales para probar esta hipótesis.   Cronobacter sakazakii and Salmonella enterica have been implicated in outbreaks causing sepsis and meningitis in infants. Several infection cases have been associated with the consumption of contaminated powdered infant formulae. Besides its role in modulating gut microbiota, the inclusion of probiotics in infant formulae may be useful to counteract pathogen contamination in these products and thus to reduce the risk of infection. The aim of this research was to evaluate the antimicrobial effect of a mixture of the probiotics Lactobacillus rhamnosus and Bifidobacterium infantis against Cronobacter sakazakii and Salmonella enterica in reconstituted follow-on formulae. For that, infant formulae (with or without probiotics) were inoculated with either C. sakazakii or S. enterica and incubated at 30 or 40ºC for 72 hours. Overall, the results showed the presence of probiotics inhibiting the growth of C. sakazakii together with incubation temperature (interaction between both factors). Probiotics were viable throughout the incubation period so that nutrient exhaustion could be ruled out as the mechanism of C. sakazakii inhibition. Thus, the acidification of media observed during the study was hypothesized to be responsible for pathogen growth inhibition. However, since in the case of formulae inoculated with Salmonella the behavior of probiotics and pH values was similar to C. sakazakii, the decrease of pH does not satisfactorily explain such a different behavior. So, it is suggested that the production of specific bacteriocins by probiotics against C. sakazakii but not against Salmonellla could be the underlying inhibitory mechanism. Further studies should be carried out to test this hypothesis.


Author(s):  
Luma Abdal Hady Zwein ◽  
Tharieyt Abdulrahman Motlag ◽  
Mohamed Mousa

      The study included 200 samples were collected   from   children  under two   years included (50 samples from each of Cerebrospinal fluid, Blood, Stool and Urine) from, Central Children Hospital and Children's Protections Educational Hospital. Isolates bacterial were obtained cultural, microscopic and biochemical examination and diagnosed to the species by using vitek2 system. The results showed there were contamination in 6.5% of clinical samples. The diagnosed colonies which gave pink color on the MacConkey agar , golden yellow color on the Trypton Soy agar and green color on the Birillent Enterobacter sakazakii agar and gave  a probability of 99% in the vitek 2 and were identified as Cronobacter sakazakii. The identification revealed of thirteen isolates: 6(46.16%) isolated from Cerebrospinal fluid samples, 7(53.84%) isolated from blood samples and not isolated bacteria from stool and urine samples. The results of the investigation of some virulence factors showed that all bacteria isolates were able to swimming with a diameter ranging (1-9 mm) and swarming with a diameter ranging (1-40 mm) and their  ability to biofilm formation  by using three methods. The results show the ability  of  isolates to form biofilm by using  Congo red media  methods where it is 12 (92.30 %) out of 13 isolated bacteria belonging to C. sakazakii  able to form biofilm on the Congo red media  which is 3 (23.07%) were  strong production  biofilm ,   8 (61.53%)  were intermediate  production  biofilm and  1 (7.69% ) were weak  biofilm formation , while the 1 (7.69%)  unable to form biofilm.  Tubes method were all isolates were able to form biofilm, it were found that 3 (23.07%)  isolates strong, and 8 (61.53%) intermediate  and 2( 15.38%)  weak biofilm formation. Microtiter plate method  gave 5 (38.46 %) isolates strong, 6 (46.15%) intermediate and 1 (7.69%) weak biofilm formation.  


2021 ◽  
pp. 103851
Author(s):  
Yan Ma ◽  
Yingying Zhang ◽  
Ke Chen ◽  
Lingzhu Zhang ◽  
Yibei Zhang ◽  
...  

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Syeda Sahra ◽  
Abdullah Jahangir ◽  
Neville Mobarakai ◽  
Allison Glaser ◽  
Ahmad Jahangir ◽  
...  

Abstract Introduction Cronobacter sakazakii is an opportunistic Gram-negative, rod-shaped bacterium which may be a causative agent of meningitis in premature infants and enterocolitis and bacteremia in neonates and adults. While there have been multiple cases of C. sakazakii infections, there have been no acute cholangitis cases reported in humans. Case presentation An 81-year-old male with a past medical history of basal cell carcinoma, alcoholic liver cirrhosis, transjugular intrahepatic portosystemic shunt procedure, complicated by staphylococcus bacteremia, pituitary tumor, glaucoma, and hypothyroidism presented to the emergency room with the complaint of diffuse and generalized 10/10 abdominal pain of 1 day’s duration. There was a concern for pancreatitis, acute cholangitis, and possible cholecystitis, and the patient underwent a percutaneous cholecystostomy tube placement. Blood cultures from admission and biliary fluid cultures both grew C. sakazakii. The patient was treated with a carbapenem and clinically improved. Conclusions The case study described a patient with multiple medical comorbidities that presented with C. sakazakii bacteremia and cholangitis. While this bacterium has been implicated in other infections, we believe this is the first time the bacteria is being documented to have caused acute cholangitis.


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