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Robé C, Projahn M, Boll K, Blasse A, Merle R, Roesler U, Friese A. Survival of highly related ESBL- and pAmpC- producing Escherichia coli in broiler farms identified before and after cleaning and disinfection using cgMLST. BMC Microbiol 2024; 24:143. [PMID: 38664628 PMCID: PMC11044539 DOI: 10.1186/s12866-024-03292-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2023] [Accepted: 04/04/2024] [Indexed: 04/29/2024] Open
Abstract
BACKGROUND Broiler chickens are frequently colonized with Extended-Spectrum Beta-Lactamase- (ESBL-) and plasmid mediated AmpC Beta-Lactamase- (pAmpC-) producing Enterobacterales, and we are confronted with the potential spread of these resistant bacteria in the food chain, in the environment, and to humans. Research focused on identifying of transmission routes and investigating potential intervention measures against ESBL- and pAmpC- producing bacteria in the broiler production chain. However, few data are available on the effects of cleaning and disinfection (C&D) procedures in broiler stables on ESBL- and pAmpC- producing bacteria. RESULTS We systematically investigated five broiler stables before and after C&D and identified potential ESBL- and pAmpC- colonization sites after C&D in the broiler stables, including the anteroom and the nearby surrounding environment of the broiler stables. Phenotypically resistant E. coli isolates grown on MacConkey agar with cefotaxime were further analyzed for their beta-lactam resistance genes and phylogenetic groups, as well as the relation of isolates from the investigated stables before and after C&D by whole genome sequencing. Survival of ESBL- and pAmpC- producing E. coli is highly likely at sites where C&D was not performed or where insufficient cleaning was performed prior to disinfection. For the first time, we showed highly related ESBL-/pAmpC- producing E. coli isolates detected before and after C&D in four of five broiler stables examined with cgMLST. Survival of resistant isolates in investigated broiler stables as well as transmission of resistant isolates from broiler stables to the anteroom and surrounding environment and between broiler farms was shown. In addition, enterococci (frequently utilized to detect fecal contamination and for C&D control) can be used as an indicator bacterium for the detection of ESBL-/pAmpC- E. coli after C&D. CONCLUSION We conclude that C&D can reduce ESBL-/pAmpC- producing E. coli in conventional broiler stables, but complete ESBL- and pAmpC- elimination does not seem to be possible in practice as several factors influence the C&D outcome (e.g. broiler stable condition, ESBL-/pAmpC- status prior to C&D, C&D procedures used, and biosecurity measures on the farm). A multifactorial approach, combining various hygiene- and management measures, is needed to reduce ESBL-/pAmpC- E. coli in broiler farms.
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Affiliation(s)
- Caroline Robé
- Institute for Animal Hygiene and Environmental Health, Freie Universität Berlin, Berlin, Germany.
| | - Michaela Projahn
- Institute for Animal Hygiene and Environmental Health, Freie Universität Berlin, Berlin, Germany
- Department of Biological Safety, German Federal Institute for Risk Assessment, Berlin, Germany
| | - Katrin Boll
- Institute for Animal Hygiene and Environmental Health, Freie Universität Berlin, Berlin, Germany
- Department Food Safety, Federal Office of Consumer Protection and Food Safety, Berlin, Germany
| | - Anja Blasse
- Institute for Animal Hygiene and Environmental Health, Freie Universität Berlin, Berlin, Germany
- Centre for International Health Protection, Robert Koch Institute, Berlin, Germany
| | - Roswitha Merle
- Institute for Veterinary Epidemiology and Biostatistics, Freie Universität Berlin, Berlin, Germany
| | - Uwe Roesler
- Institute for Animal Hygiene and Environmental Health, Freie Universität Berlin, Berlin, Germany
| | - Anika Friese
- Institute for Animal Hygiene and Environmental Health, Freie Universität Berlin, Berlin, Germany
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Rapp D, Ross C, Cave V, Maclean P, Jauregui R, Brightwell G. Medium-term storage of calf beddings affects bacterial community and effectiveness to inactivate zoonotic bacteria. PLoS One 2023; 18:e0295843. [PMID: 38100478 PMCID: PMC10723701 DOI: 10.1371/journal.pone.0295843] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2023] [Accepted: 11/30/2023] [Indexed: 12/17/2023] Open
Abstract
Land-spreading of animal faecal wastes -such as animal beddings- can introduce zoonotic enteropathogens into the food system environment. The study evaluated the effectiveness of animal beddings naturally contaminated by calf manure to reduce E. coli O157:H7 or Salmonella enterica. The two pathogens were introduced separately as a four strains-cocktail and at high (>6.5 Log10 g-1) concentration into bedding materials, and their inactivation over a 10 weeks-period was monitored by using a Most Probable Number (MPN) enumeration method. Inactivation of E. coli O157:H7 was more effective in the bedding inoculated immediately after collection from calf pens than in the beddings inoculated after a 2 months-pre-storage period: E. coli O157:H7 levels were reduced by 6.6 Log10 g-1 in unstored bedding (0.5 Log10 g-1 recovered; 95%CI: 0.0-1.2), and by 4.9 Log10 g-1 in pre-stored bedding (2.2 Log10 g-1 recovered; 95%CI: 1.5-2.8) with a significant (p<0.05) difference between unstored and pre-stored. S. enterica was inactivated less effectively as counts were reduced by one order of magnitude, with no significant difference in inactivation between unstored and pre-stored beddings. Low levels of naturally occurring E. coli O157 and Salmonella spp. were detected in the non-inoculated beddings, as well as in the straw prior to use in the animal facility. To better understand the possible biological processes involved, the bacterial community present in the beddings was characterised by short-read 16S rRNA sequencing. Pre-storage of the bedding affected the composition but not the diversity of the bacterial community. Analyses of the key bacterial phyla suggested that the presence of a diverse and stable bacterial community might facilitate inactivation of the introduced pathogens, and a possible role of bacterial orders associated with lignocellulolytic resources. Overall, the study contributed to the understanding of the fate of zoonotic bacteria introduced in animal beddings during storage and identified bedding storage practices pre-and post-use in animal facilities that could be important to prevent the risk of zoonosis dissemination to the environment or to the dairy herds.
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Affiliation(s)
- Delphine Rapp
- Food System Integrity, AgResearch Ltd, Hopkirk Research Institute, Palmerston North, New Zealand
| | - Colleen Ross
- Food System Integrity, AgResearch Ltd, Hopkirk Research Institute, Palmerston North, New Zealand
| | - Vanessa Cave
- Data Science Team, AgResearch Ltd, Ruakura Research Centre, Hamilton, New Zealand
| | - Paul Maclean
- Data Science Team, AgResearch Ltd, Grasslands Research Centre, Palmerston North, New Zealand
| | - Ruy Jauregui
- Data Science Team, AgResearch Ltd, Grasslands Research Centre, Palmerston North, New Zealand
| | - Gale Brightwell
- Food System Integrity, AgResearch Ltd, Hopkirk Research Institute, Palmerston North, New Zealand
- New Zealand Food Safety Science & Research Centre, Hopkirk Research Institute, Palmerston North, New Zealand
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Menck-Costa MF, Baptista AAS, Gazal LEDS, Justino L, Sanches MS, de Souza M, Nishio EK, Queiroz Dos Santos B, Cruz VD, Berbert JVM, Gonçalves BC, Andrade G, Vespero EC, Nakazato G, Kobayashi RKT. High-Frequency Detection of fosA3 and bla CTX-M-55 Genes in Escherichia coli From Longitudinal Monitoring in Broiler Chicken Farms. Front Microbiol 2022; 13:846116. [PMID: 35663865 PMCID: PMC9158547 DOI: 10.3389/fmicb.2022.846116] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2021] [Accepted: 04/11/2022] [Indexed: 11/13/2022] Open
Abstract
Considering the worrying emergence of multidrug resistance, including in animal husbandry and especially in food-producing animals, the need to detect antimicrobial resistance strains in poultry environments is relevant, mainly considering a One Health approach. Thus, this study aimed to conduct longitudinal monitoring of antimicrobial resistance in broiler chicken farms, with an emphasis on evaluating the frequency of resistance to fosfomycin and β-lactams. Escherichia coli was isolated from broiler chicken farms (cloacal swabs, meconium, poultry feed, water, poultry litter, and Alphitobius diaperinus) in northern Paraná from 2019 to 2020 during three periods: the first period (1st days of life), the second period (20th to 25th days of life), and third period (40th to 42nd days of life). Antibiogram tests and the detection of phenotypic extended-spectrum β-lactamase (ESBL) were performed, and they were confirmed by seaching for genes from the blaCTX–M group. The other resistance genes searched were mcr-1 and fosA3. Some ESBL blaCTX–M–1 group strains were selected for ESBL identification by sequencing and enterobacterial repetitive intergenic consensus-polymerase chain reaction analysis. To determine the transferability of the blaCTX–M–1– and fosA3-carrying plasmids, strains were subjected to conjugation experiments. A total of 507 E. coli were analyzed: 360 from cloacal swabs, 24 from meconium samples, 3 from poultry feed samples, 18 from water samples, 69 from poultry litter samples, and 33 from A. diaperinus samples. Among the strain isolate, 80% (406/507) were multidrug-resistant (MDR), and 51% (260/507) were ESBL-positive, with the blaCTX–M–1 group being the most frequent. For the fosA3 gene, 68% (344/507) of the strains isolated were positive, deserves to be highlighted E. coli isolated from day-old chickens (OR 6.34, CI 2.34–17.17), when compared with strains isolated from other origins (poultry litter, A. diaperinus, water, and poultry feed). This work alerts us to the high frequency of the fosA3 gene correlated with the CTX-M-1 group (OR 3.57, CI 95% 2.7–4.72, p < 0.05), especially the blaCTX–M–55 gene, in broiler chickens. This profile was observed mainly in day-old chicken, with a high percentage of E. coli that were MDR. The findings emphasize the importance of conducting longitudinal monitoring to detect the primary risk points during poultry production.
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Affiliation(s)
- Maísa Fabiana Menck-Costa
- Department of Microbiology, Biological Sciences Center, State University of Londrina, Londrina, Brazil
| | - Ana Angelita Sampaio Baptista
- Department of Preventive Veterinary Medicine, Avian Medicine Laboratory, State University of Londrina, Londrina, Brazil
| | | | - Larissa Justino
- Department of Preventive Veterinary Medicine, Avian Medicine Laboratory, State University of Londrina, Londrina, Brazil
| | - Matheus Silva Sanches
- Department of Microbiology, Biological Sciences Center, State University of Londrina, Londrina, Brazil
| | - Marielen de Souza
- Department of Preventive Veterinary Medicine, Avian Medicine Laboratory, State University of Londrina, Londrina, Brazil
| | - Erick Kenji Nishio
- Department of Microbiology, Biological Sciences Center, State University of Londrina, Londrina, Brazil
| | - Beatriz Queiroz Dos Santos
- Department of Preventive Veterinary Medicine, Avian Medicine Laboratory, State University of Londrina, Londrina, Brazil
| | - Victor Dellevedove Cruz
- Department of Microbiology, Biological Sciences Center, State University of Londrina, Londrina, Brazil
| | - João Vitor Monteiro Berbert
- Department of Preventive Veterinary Medicine, Avian Medicine Laboratory, State University of Londrina, Londrina, Brazil
| | - Bruna Carolina Gonçalves
- Department of Microbiology, Biological Sciences Center, State University of Londrina, Londrina, Brazil
| | - Galdino Andrade
- Department of Microbiology, Biological Sciences Center, State University of Londrina, Londrina, Brazil
| | - Eliana Carolina Vespero
- Department of Pathology, Clinical Analysis and Toxicology, Health Sciences Center, State University of Londrina, Londrina, Brazil
| | - Gerson Nakazato
- Department of Microbiology, Biological Sciences Center, State University of Londrina, Londrina, Brazil
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Becker E, Correia-carreira G, Projahn M, Käsbohrer A. Modeling the Impact of Management Changes on the Infection Dynamics of Extended-Spectrum Beta-Lactamase-Producing Escherichia coli in the Broiler Production. Microorganisms 2022; 10:981. [PMID: 35630424 PMCID: PMC9144090 DOI: 10.3390/microorganisms10050981] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2022] [Revised: 05/02/2022] [Accepted: 05/05/2022] [Indexed: 11/17/2022] Open
Abstract
Livestock animals, especially poultry, are a known reservoir for extended-spectrum beta-lactamase (ESBL)-producing Escherichia coli (E. coli). They may enter the pen either via positive day-old chicks or via the environment. We developed a mathematical model to illustrate the entry and dissemination of resistant bacteria in a broiler pen during one fattening period in order to investigate the effectiveness of intervention measures on this infection process. Different management measures, such as varying amounts of litter, a slow-growing breed or lower stocking densities, were tested for their effects on broiler colonization. We also calculated the impact of products that may influence the microbiota in the chicks’ digestive tract, such as pre- or probiotics, feed supplements or competitive exclusion products. Our model outcomes show that a contaminated pen or positive chicks at the beginning of the fattening period can infect the entire flock. Increasing the amount of litter and decreasing the stocking density were shown to be effective in our model. Differences in the route of entry were found: if the chicks are already positive, the litter quantity must be increased to at least six times the standard of 1000 g/m2, whereas, if the pen is contaminated on the first day, three times the litter quantity is sufficient. A reduced stocking density of 20 kg/m2 had a significant effect on the incidence of infection only in a previously contaminated pen. Combinations of two or three measures were effective in both scenarios; similarly, feed additives may be beneficial in reducing the growth rate of ESBL-producing E. coli. This model is a valuable tool for evaluating interventions to reduce the transmission and spread of resistant bacteria in broiler houses. However, data are still needed to optimize the model, such as growth rates or survival data of ESBL-producing E. coli in different environments.
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Martínez-Álvarez S, Sanz S, Olarte C, Hidalgo-Sanz R, Carvalho I, Fernández-Fernández R, Campaña-Burguet A, Latorre-Fernández J, Zarazaga M, Torres C. Antimicrobial Resistance in Escherichia coli from the Broiler Farm Environment, with Detection of SHV-12-Producing Isolates. Antibiotics (Basel) 2022; 11:antibiotics11040444. [PMID: 35453196 PMCID: PMC9024766 DOI: 10.3390/antibiotics11040444] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2022] [Revised: 03/19/2022] [Accepted: 03/23/2022] [Indexed: 02/06/2023] Open
Abstract
Antimicrobial resistance is an important One Health challenge that encompasses the human, animal, and environmental fields. A total of 111 Escherichia coli isolates previously recovered from manure (n = 57) and indoor air (n = 54) samples from a broiler farm were analyzed to determine their phenotypes and genotypes of antimicrobial resistance and integron characterization; in addition, plasmid replicon analysis and molecular typing were performed in extended-spectrum-beta-lactamase (ESBL) producer isolates. A multidrug-resistance phenotype was detected in 46.8% of the isolates, and the highest rates of resistance were found for ampicillin, trimethoprim−sulfamethoxazole, and tetracycline (>40%); moreover, 15 isolates (13.5%) showed susceptibility to all tested antibiotics. None of the isolates showed imipenem and/or cefoxitin resistance. Twenty-three of the one hundred and eleven E. coli isolates (20.7%) were ESBL producers and carried the blaSHV-12 gene; one of these isolates was recovered from the air, and the remaining 22 were from manure samples. Most of ESBL-positive isolates carried the cmlA (n = 23), tet(A) (n = 19), and aac(6′)-Ib-cr (n = 11) genes. The following genetic lineages were identified among the ESBL-producing isolates (sequence type-phylogroup-clonotype): ST770-E-CH116−552 (n = 12), ST117-B2-CH45−97 (n = 4), ST68-E-CH26−382/49 (n = 3), ST68-E-CH26−49 (n = 1), and ST10992-A/B1-CH11−23/41/580 (n = 4); the latter two were detected for the first time in the poultry sector. At least two plasmid replicon types were detected in the ESBL-producing E. coli isolates, with IncF, IncF1B, IncK, and IncHI1 being the most frequently found. The following antimicrobial resistance genes were identified among the non-ESBL-producing isolates (number of isolates): blaTEM (58), aac(6′)-Ib-cr (6), qnrS (2), aac(3)-II (2), cmlA (6), tet(A)/tet(B) (22), and sul1/2/3 (51). Four different gene-cassette arrays were detected in the variable region of class 1 (dfrA1-aadA1, dfrA12-aadA2, and dfrA12-orf-aadA2-cmlA) and class 2 integrons (sat2-aadA1-orfX). This work reveals the worrying presence of antimicrobial-resistant E. coli in the broiler farm environment, with ESBL-producing isolates of SHV-12 type being extensively disseminated.
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Affiliation(s)
- Sandra Martínez-Álvarez
- Department of Agriculture and Food, University of La Rioja, 26006 Logroño, Spain; (S.M.-Á.); (S.S.); (C.O.); (R.H.-S.); (I.C.); (R.F.-F.); (A.C.-B.); (J.L.-F.); (M.Z.)
| | - Susana Sanz
- Department of Agriculture and Food, University of La Rioja, 26006 Logroño, Spain; (S.M.-Á.); (S.S.); (C.O.); (R.H.-S.); (I.C.); (R.F.-F.); (A.C.-B.); (J.L.-F.); (M.Z.)
| | - Carmen Olarte
- Department of Agriculture and Food, University of La Rioja, 26006 Logroño, Spain; (S.M.-Á.); (S.S.); (C.O.); (R.H.-S.); (I.C.); (R.F.-F.); (A.C.-B.); (J.L.-F.); (M.Z.)
| | - Raquel Hidalgo-Sanz
- Department of Agriculture and Food, University of La Rioja, 26006 Logroño, Spain; (S.M.-Á.); (S.S.); (C.O.); (R.H.-S.); (I.C.); (R.F.-F.); (A.C.-B.); (J.L.-F.); (M.Z.)
| | - Isabel Carvalho
- Department of Agriculture and Food, University of La Rioja, 26006 Logroño, Spain; (S.M.-Á.); (S.S.); (C.O.); (R.H.-S.); (I.C.); (R.F.-F.); (A.C.-B.); (J.L.-F.); (M.Z.)
- Department of Veterinary Sciences, University of Trás-os-Montes-and Alto Douro, 5000-801 Vila Real, Portugal
| | - Rosa Fernández-Fernández
- Department of Agriculture and Food, University of La Rioja, 26006 Logroño, Spain; (S.M.-Á.); (S.S.); (C.O.); (R.H.-S.); (I.C.); (R.F.-F.); (A.C.-B.); (J.L.-F.); (M.Z.)
| | - Allelen Campaña-Burguet
- Department of Agriculture and Food, University of La Rioja, 26006 Logroño, Spain; (S.M.-Á.); (S.S.); (C.O.); (R.H.-S.); (I.C.); (R.F.-F.); (A.C.-B.); (J.L.-F.); (M.Z.)
| | - Javier Latorre-Fernández
- Department of Agriculture and Food, University of La Rioja, 26006 Logroño, Spain; (S.M.-Á.); (S.S.); (C.O.); (R.H.-S.); (I.C.); (R.F.-F.); (A.C.-B.); (J.L.-F.); (M.Z.)
| | - Myriam Zarazaga
- Department of Agriculture and Food, University of La Rioja, 26006 Logroño, Spain; (S.M.-Á.); (S.S.); (C.O.); (R.H.-S.); (I.C.); (R.F.-F.); (A.C.-B.); (J.L.-F.); (M.Z.)
| | - Carmen Torres
- Department of Agriculture and Food, University of La Rioja, 26006 Logroño, Spain; (S.M.-Á.); (S.S.); (C.O.); (R.H.-S.); (I.C.); (R.F.-F.); (A.C.-B.); (J.L.-F.); (M.Z.)
- Correspondence:
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Yin Z, Zhou X, Kang J, Pei F, Du R, Ye Z, Ding H, Ping W, Ge J. Intraspecific and interspecific quorum sensing of bacterial community affects the fate of antibiotic resistance genes during chicken manure composting under penicillin G stress. Bioresour Technol 2022; 347:126372. [PMID: 34801721 DOI: 10.1016/j.biortech.2021.126372] [Citation(s) in RCA: 12] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/07/2021] [Revised: 11/12/2021] [Accepted: 11/13/2021] [Indexed: 06/13/2023]
Abstract
In this study, the effects of penicillin G (PENG) on the fate of bacterial communities and β-lactamase antibiotic resistance genes (ARGs) during chicken manure composting were assessed, to illustrate the roles of PENG in ARGs behavior. The results showed that the total absolute abundances of 9 ARGs and 4 mobile genetic elements (MGEs) was significantly increased by PENG (P < 0.05). Dozens of potential hosts for ARGs were predominantly affiliated with Firmicutes, Proteobacteria, and Actinobacteria. Meanwhile, the higher concentration of PENG significantly increased the abundance of luxI and luxS in quorum sensing (QS) (P < 0.05), which enhanced the frequency of inter/intraspecific gene "communication." Redundancy analysis and structural equation modeling further revealed that QS had a strong regulatory role in horizontal gene transfer of ARGs mediated via MGEs. These results provide new insight into the mechanism of ARGs propagation in aerobic composting modified by PENG.
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Affiliation(s)
- Ziliang Yin
- Key Laboratory of Microbiology, College of Life Sciences, Heilongjiang University, Harbin 150080, China; Engineering Research Center of Agricultural Microbiology Technology, Ministry of Education, Heilongjiang University, Harbin 150500, China
| | - Xiaohang Zhou
- College of Basic Medicine, Mudanjiang Medical University, Mudanjiang 157000, China
| | - Jie Kang
- Key Laboratory of Microbiology, College of Life Sciences, Heilongjiang University, Harbin 150080, China; Engineering Research Center of Agricultural Microbiology Technology, Ministry of Education, Heilongjiang University, Harbin 150500, China
| | - Fangyi Pei
- Key Laboratory of Microbiology, College of Life Sciences, Heilongjiang University, Harbin 150080, China; Engineering Research Center of Agricultural Microbiology Technology, Ministry of Education, Heilongjiang University, Harbin 150500, China
| | - Renpeng Du
- Key Laboratory of Microbiology, College of Life Sciences, Heilongjiang University, Harbin 150080, China; Engineering Research Center of Agricultural Microbiology Technology, Ministry of Education, Heilongjiang University, Harbin 150500, China
| | - Zeming Ye
- Key Laboratory of Microbiology, College of Life Sciences, Heilongjiang University, Harbin 150080, China; Engineering Research Center of Agricultural Microbiology Technology, Ministry of Education, Heilongjiang University, Harbin 150500, China
| | - Hao Ding
- Key Laboratory of Microbiology, College of Life Sciences, Heilongjiang University, Harbin 150080, China; Engineering Research Center of Agricultural Microbiology Technology, Ministry of Education, Heilongjiang University, Harbin 150500, China
| | - Wenxiang Ping
- Key Laboratory of Microbiology, College of Life Sciences, Heilongjiang University, Harbin 150080, China; Engineering Research Center of Agricultural Microbiology Technology, Ministry of Education, Heilongjiang University, Harbin 150500, China
| | - Jingping Ge
- Key Laboratory of Microbiology, College of Life Sciences, Heilongjiang University, Harbin 150080, China; Engineering Research Center of Agricultural Microbiology Technology, Ministry of Education, Heilongjiang University, Harbin 150500, China.
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Kabelitz T, Biniasch O, Ammon C, Nübel U, Thiel N, Janke D, Swaminathan S, Funk R, Münch S, Rösler U, Siller P, Amon B, Aarnink AJA, Amon T. Particulate matter emissions during field application of poultry manure - The influence of moisture content and treatment. Sci Total Environ 2021; 780:146652. [PMID: 34030313 DOI: 10.1016/j.scitotenv.2021.146652] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/27/2021] [Revised: 03/15/2021] [Accepted: 03/17/2021] [Indexed: 06/12/2023]
Abstract
Along with industry and transportation, agriculture is one of the main sources of primary particulate matter (PM) emissions worldwide. Bioaerosol formation and PM release during livestock manure field application and the associated threats to environmental and human health are rarely investigated. In the temperate climate zone, field fertilization with manure seasonally contributes to local PM air pollution regularly twice per year (spring and autumn). Measurements in a wind tunnel, in the field and computational fluid dynamics (CFD) simulations were performed to analyze PM aerosolization during poultry manure application and the influence of manure moisture content and treatment. A positive correlation between manure dry matter content (DM) and PM release was observed. Therefore, treatments strongly increasing the DM of poultry manure should be avoided. However, high manure DM led to reduced microbial abundance and, therefore, to a lower risk of environmental pathogen dispersion. Considering the findings of PM and microbial measurements, the optimal poultry manure DM range for field fertilization was identified as 50-70%. Maximum PM10 concentrations of approx. 10 mg per m3 of air were measured during the spreading of dried manure (DM 80%), a concentration that is classified as strongly harmful. The modeling of PM aerosolization processes indicated a low health risk beyond a distance of 400 m from the manure application source. The detailed knowledge about PM aerosolization during manure field application was improved with this study, enabling manure management optimization for lower PM aerosolization and pathogenic release into the environment.
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Affiliation(s)
- Tina Kabelitz
- Leibniz Institute for Agricultural Engineering and Bioeconomy e.V. (ATB), Department of Engineering for Livestock Management, Max-Eyth-Allee 100, 14469 Potsdam, Germany.
| | - Oliver Biniasch
- Leibniz Institute for Agricultural Engineering and Bioeconomy e.V. (ATB), Department of Engineering for Livestock Management, Max-Eyth-Allee 100, 14469 Potsdam, Germany
| | - Christian Ammon
- Leibniz Institute for Agricultural Engineering and Bioeconomy e.V. (ATB), Department of Engineering for Livestock Management, Max-Eyth-Allee 100, 14469 Potsdam, Germany
| | - Ulrich Nübel
- Leibniz Institute DSMZ-German Collection of Microorganisms and Cell Cultures, Department of Microbial Genome Research, Inhoffenstraße 7B, 38124 Braunschweig, Germany; German Center for Infection Research (DZIF), Partner site Hannover-Braunschweig, Inhoffenstraße 7B, 38124 Braunschweig, Germany; Braunschweig Integrated Center of Systems Biology (BRICS), Technical University, Rebenring 56, 38106 Braunschweig, Germany
| | - Nadine Thiel
- Leibniz Institute DSMZ-German Collection of Microorganisms and Cell Cultures, Department of Microbial Genome Research, Inhoffenstraße 7B, 38124 Braunschweig, Germany
| | - David Janke
- Leibniz Institute for Agricultural Engineering and Bioeconomy e.V. (ATB), Department of Engineering for Livestock Management, Max-Eyth-Allee 100, 14469 Potsdam, Germany
| | - Senthilathiban Swaminathan
- Leibniz Institute for Agricultural Engineering and Bioeconomy e.V. (ATB), Department of Engineering for Livestock Management, Max-Eyth-Allee 100, 14469 Potsdam, Germany
| | - Roger Funk
- Leibniz Centre for Agricultural Landscape Research (ZALF), Working group Landscape Pedology, Eberswalder Straße 84, 15374 Müncheberg, Germany
| | - Steffen Münch
- Leibniz Centre for Agricultural Landscape Research (ZALF), Working group Landscape Pedology, Eberswalder Straße 84, 15374 Müncheberg, Germany
| | - Uwe Rösler
- Freie Universität Berlin, Institute for Animal Hygiene and Environmental Health, Department of Veterinary Medicine, Robert-von-Ostertag-Str. 7-13, 14163 Berlin, Germany
| | - Paul Siller
- Freie Universität Berlin, Institute for Animal Hygiene and Environmental Health, Department of Veterinary Medicine, Robert-von-Ostertag-Str. 7-13, 14163 Berlin, Germany
| | - Barbara Amon
- Leibniz Institute for Agricultural Engineering and Bioeconomy e.V. (ATB), Department of Engineering for Livestock Management, Max-Eyth-Allee 100, 14469 Potsdam, Germany; University of Zielona Góra, Faculty of Civil Engineering, Architecture and Environmental Engineering, ul. Prof. Z. Szafrana 1, 65-516 Zielona Góra, Poland
| | - André J A Aarnink
- Wageningen University and Research, Department Livestock and Environment, De Elst 1, 6708, WD, Wageningen, the Netherlands
| | - Thomas Amon
- Leibniz Institute for Agricultural Engineering and Bioeconomy e.V. (ATB), Department of Engineering for Livestock Management, Max-Eyth-Allee 100, 14469 Potsdam, Germany; Freie Universität Berlin, Institute for Animal Hygiene and Environmental Health, Department of Veterinary Medicine, Robert-von-Ostertag-Str. 7-13, 14163 Berlin, Germany
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8
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Frentrup M, Thiel N, Junker V, Behrens W, Münch S, Siller P, Kabelitz T, Faust M, Indra A, Baumgartner S, Schepanski K, Amon T, Roesler U, Funk R, Nübel U. Agricultural fertilization with poultry manure results in persistent environmental contamination with the pathogen Clostridioides difficile. Environ Microbiol 2021; 23:7591-7602. [PMID: 33998128 DOI: 10.1111/1462-2920.15601] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2021] [Accepted: 05/13/2021] [Indexed: 11/30/2022]
Abstract
During a field experiment applying broiler manure for fertilization of agricultural land, we detected viable Clostridioides (also known as Clostridium) difficile in broiler faeces, manure, dust and fertilized soil. A large diversity of toxigenic C. difficile isolates was recovered, including PCR ribotypes common from human disease. Genomic relatedness of C. difficile isolates from dust and from soil, recovered more than 2 years after fertilization, traced their origins to the specific chicken farm that had delivered the manure. We present evidence of long-term contamination of agricultural soil with manure-derived C. difficile and demonstrate the potential for airborne dispersal of C. difficile through dust emissions during manure application. Clostridioides genome sequences virtually identical to those from manure had been recovered from chicken meat and from human infections in previous studies, suggesting broiler-associated C. difficile are capable of zoonotic transmission.
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Affiliation(s)
- Martinique Frentrup
- Leibniz-Institute DSMZ-German Collection of Microorganisms and Cell Cultures, Braunschweig, Germany
| | - Nadine Thiel
- Leibniz-Institute DSMZ-German Collection of Microorganisms and Cell Cultures, Braunschweig, Germany
| | - Vera Junker
- Leibniz-Institute DSMZ-German Collection of Microorganisms and Cell Cultures, Braunschweig, Germany
| | - Wiebke Behrens
- Leibniz-Institute DSMZ-German Collection of Microorganisms and Cell Cultures, Braunschweig, Germany
| | - Steffen Münch
- Leibniz Centre for Agricultural Landscape Research (ZALF), Müncheberg, Germany
| | - Paul Siller
- Institute for Animal Hygiene and Environmental Health (ITU), Free University Berlin, Berlin, Germany
| | - Tina Kabelitz
- Leibniz Institute for Agricultural Engineering and Bioeconomy (ATB), Potsdam, Germany
| | - Matthias Faust
- Leibniz-Institute for Tropospheric Research (TROPOS), Leipzig, Germany
| | - Alexander Indra
- AGES-Austrian Agency for Health and Food Safety, Vienna, Austria.,Paracelsus Medical University of Salzburg, Salzburg, Austria
| | | | | | - Thomas Amon
- Institute for Animal Hygiene and Environmental Health (ITU), Free University Berlin, Berlin, Germany.,Leibniz Institute for Agricultural Engineering and Bioeconomy (ATB), Potsdam, Germany
| | - Uwe Roesler
- Institute for Animal Hygiene and Environmental Health (ITU), Free University Berlin, Berlin, Germany
| | - Roger Funk
- Leibniz Centre for Agricultural Landscape Research (ZALF), Müncheberg, Germany
| | - Ulrich Nübel
- Leibniz-Institute DSMZ-German Collection of Microorganisms and Cell Cultures, Braunschweig, Germany.,German Center for Infection Research (DZIF), Partner Site Braunschweig-Hannover, Braunschweig, Germany.,Braunschweig Integrated Center of Systems Biology (BRICS), Technical University, Braunschweig, Germany
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9
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Siller P, Daehre K, Rosen K, Münch S, Bartel A, Funk R, Nübel U, Amon T, Roesler U. Low airborne tenacity and spread of ESBL-/AmpC-producing Escherichia coli from fertilized soil by wind erosion. Environ Microbiol 2021; 23:7497-7511. [PMID: 33655697 DOI: 10.1111/1462-2920.15437] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2020] [Accepted: 02/12/2021] [Indexed: 01/18/2023]
Abstract
ESBL-/AmpC-producing Escherichia coli from organic fertilizers were previously detected on soil surfaces of arable land and might be emitted by wind erosion. To investigate this potential environmental transmission path, we exposed ESBL-/AmpC-positive chicken litter, incorporated in agricultural soils, to different wind velocities in a wind tunnel and took air samples for microbiological analysis. No data exist concerning the airborne tenacity of ESBL-/AmpC-producing E. coli. Therefore, we explored the tenacity of two ESBL/AmpC E. coli strains and E. coli K12 in aerosol chamber experiments at different environmental conditions. In the wind tunnel, ESBL/AmpC-producing E. coli were detected in none of the air samples (n = 66). Non-resistant E. coli were qualitatively detected in 40.7% of air samples taken at wind velocities exceeding 7.3 m s-1 . Significantly increased emission of total viable bacteria with increasing wind velocity was observed. In the aerosol chamber trials, recovery rates of airborne E. coli ranged from 0.003% to 2.8%, indicating a low airborne tenacity. Concluding, an emission of ESBL/AmpC E. coli by wind erosion in relevant concentrations appears unlikely because of the low concentration in chicken litter compared with non-resistant E. coli and their low airborne tenacity, proven in the aerosol chamber trials.
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Affiliation(s)
- Paul Siller
- Institute for Animal Hygiene and Environmental Health, Freie Universität Berlin, Berlin, Germany
| | - Katrin Daehre
- Institute for Animal Hygiene and Environmental Health, Freie Universität Berlin, Berlin, Germany
| | - Kerstin Rosen
- Institute for Animal Hygiene and Environmental Health, Freie Universität Berlin, Berlin, Germany
| | - Steffen Münch
- Leibniz Centre for Agricultural Landscape Research (ZALF), Working Group Landscape Pedology, Müncheberg, Germany
| | - Alexander Bartel
- Institute for Veterinary Epidemiology and Biostatistics, Freie Universität Berlin, Berlin, Germany
| | - Roger Funk
- Leibniz Centre for Agricultural Landscape Research (ZALF), Working Group Landscape Pedology, Müncheberg, Germany
| | - Ulrich Nübel
- Leibniz Institute DSMZ-German Collection of Microorganisms and Cell Cultures, Braunschweig, Germany.,Braunschweig Integrated Center of Systems Biology (BRICS), Technical University, Braunschweig, Germany.,German Center for Infection Research (DZIF), Partner site Hannover-Braunschweig, Braunschweig, Germany
| | - Thomas Amon
- Institute for Animal Hygiene and Environmental Health, Freie Universität Berlin, Berlin, Germany.,Department of Engineering for Livestock Management, Leibniz Institute for Agricultural Engineering and Bioeconomy e.V. (ATB), Potsdam, Germany
| | - Uwe Roesler
- Institute for Animal Hygiene and Environmental Health, Freie Universität Berlin, Berlin, Germany
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10
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Gazal LEDS, Medeiros LP, Dibo M, Nishio EK, Koga VL, Gonçalves BC, Grassotti TT, de Camargo TCL, Pinheiro JJ, Vespero EC, de Brito KCT, de Brito BG, Nakazato G, Kobayashi RKT. Detection of ESBL/AmpC-Producing and Fosfomycin-Resistant Escherichia coli From Different Sources in Poultry Production in Southern Brazil. Front Microbiol 2021; 11:604544. [PMID: 33505374 PMCID: PMC7829455 DOI: 10.3389/fmicb.2020.604544] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2020] [Accepted: 12/08/2020] [Indexed: 12/30/2022] Open
Abstract
This study discussed the use of antimicrobials in the commercial chicken production system and the possible factors influencing the presence of Extended-spectrum β-lactamase (ESBL)/AmpC producers strains in the broiler production chain. The aim of this study was to perform longitudinal monitoring of ESBL-producing and fosfomycin-resistant Escherichia coli from poultry farms in southern Brazil (Paraná and Rio Grande do Sul states) and determine the possible critical points that may be reservoirs for these strains. Samples of poultry litter, cloacal swabs, poultry feed, water, and beetles (Alphitobius sp.) were collected during three distinct samplings. Phenotypic and genotypic tests were performed for characterization of antimicrobial resistant strains. A total of 117 strains were isolated and 78 (66%) were positive for ESBL production. The poultry litter presented ESBL positive strains in all three sampled periods, whereas the cloacal swab presented positive strains only from the second period. The poultry litter represents a significant risk factor mainly at the beginning poultry production (odds ratio 6.43, 95% confidence interval 1-41.21, p < 0.05). All beetles presented ESBL positive strains. The predominant gene was bla CTX-M group 2, which occurred in approximately 55% of the ESBL-producing E. coli. The cit gene was found in approximately 13% of the ESBL-producing E. coli as AmpC type determinants. A total of 19 out of 26 fosfomycin-resistant strains showed the fosA3 gene, all of which produced ESBL. The correlation between fosA3 and bla CTX-M group 1 (bla CTX-M55 ) genes was significant among ESBL-producing E. coli isolated from Paraná (OR 3.66, 95% CI 1.9-9.68) and these genetic determinants can be transmitted by conjugation to broiler chicken microbiota strains. Our data revealed that poultry litter and beetles were critical points during poultry production and the presence of fosfomycin-resistant strains indicate the possibility of risks associated with the use of this antimicrobial during production. Furthermore, the genetic determinants encoding CTX-M and fosA3 enzymes can be transferred to E. coli strains from broiler chicken microbiota, thereby creating a risk to public health.
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Affiliation(s)
| | - Leonardo Pinto Medeiros
- Department of Microbiology, Biological Sciences Center, State University of Londrina, Londrina, Brazil
| | - Miriam Dibo
- Department of Microbiology, Biological Sciences Center, State University of Londrina, Londrina, Brazil
| | - Erick Kenji Nishio
- Department of Microbiology, Biological Sciences Center, State University of Londrina, Londrina, Brazil
| | - Vanessa Lumi Koga
- Department of Microbiology, Biological Sciences Center, State University of Londrina, Londrina, Brazil
| | - Bruna Carolina Gonçalves
- Department of Microbiology, Biological Sciences Center, State University of Londrina, Londrina, Brazil
| | - Tiela Trapp Grassotti
- Postgraduate Program in Animal Health, Avian Health Laboratory, Veterinary Research Institute Desidério Finamor, Agricultural Diagnosis and Research Department, Secretariat of Agriculture Livestock Rural and Development, Eldorado do Sul, Brazil
| | - Taiara Carolaine Leal de Camargo
- Postgraduate Program in Animal Health, Avian Health Laboratory, Veterinary Research Institute Desidério Finamor, Agricultural Diagnosis and Research Department, Secretariat of Agriculture Livestock Rural and Development, Eldorado do Sul, Brazil
| | - João Juliano Pinheiro
- Postgraduate Program in Animal Health, Avian Health Laboratory, Veterinary Research Institute Desidério Finamor, Agricultural Diagnosis and Research Department, Secretariat of Agriculture Livestock Rural and Development, Eldorado do Sul, Brazil
| | - Eliana Carolina Vespero
- Department of Pathology, Clinical Analysis and Toxicology, Health Sciences Center, State University of Londrina, Londrina, Brazil
| | - Kelly Cristina Tagliari de Brito
- Postgraduate Program in Animal Health, Avian Health Laboratory, Veterinary Research Institute Desidério Finamor, Agricultural Diagnosis and Research Department, Secretariat of Agriculture Livestock Rural and Development, Eldorado do Sul, Brazil
| | - Benito Guimarães de Brito
- Postgraduate Program in Animal Health, Avian Health Laboratory, Veterinary Research Institute Desidério Finamor, Agricultural Diagnosis and Research Department, Secretariat of Agriculture Livestock Rural and Development, Eldorado do Sul, Brazil
| | - Gerson Nakazato
- Department of Microbiology, Biological Sciences Center, State University of Londrina, Londrina, Brazil
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11
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Szott V, Friese A. Emission Sources of Campylobacter from Agricultural Farms, Impact on Environmental Contamination and Intervention Strategies. Curr Top Microbiol Immunol 2021; 431:103-125. [PMID: 33620650 DOI: 10.1007/978-3-030-65481-8_5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/24/2023]
Abstract
Although extensive research has been carried out to describe the transmission pathways of Campylobacter entering livestock farms, the role of livestock farms as source of Campylobacter contamination of the environment is still poorly investigated. It is assumed that Campylobacter-positive livestock farms contribute to an environmental contamination, depending on the animal species on the farm, their Campylobacter status, the housing system, manure management as well as their general farm hygienic and biosecurity management. Different emission sources, like manure, air, water, insects and rodents as well as personnel, including equipment and vehicles, contribute to Campylobacter emission into the environment. Even though Campylobacter are rather fastidious bacteria, they are able to survive in the environment for even a longer period of time, when environmental conditions enable survival in specific niches. We conclude that a significant reduction of Campylobacter emission in the environment can be successfully achieved if various intervention strategies, depending on the farm type, are applied simultaneously, including proper general and personal hygiene, establishing of hygienic barriers, insect controls, manure management and hygienization of stables, barns and exhaust air.
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Affiliation(s)
- Vanessa Szott
- Institute for Animal Hygiene and Environmental Health, Free University Berlin, Centre for Infection Medicine, Robert-von-Ostertag-Str. 7-13, 14163, Berlin, Germany
| | - Anika Friese
- Institute for Animal Hygiene and Environmental Health, Free University Berlin, Centre for Infection Medicine, Robert-von-Ostertag-Str. 7-13, 14163, Berlin, Germany.
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12
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Thiel N, Münch S, Behrens W, Junker V, Faust M, Biniasch O, Kabelitz T, Siller P, Boedeker C, Schumann P, Roesler U, Amon T, Schepanski K, Funk R, Nübel U. Airborne bacterial emission fluxes from manure-fertilized agricultural soil. Microb Biotechnol 2020; 13:1631-1647. [PMID: 32697046 PMCID: PMC7415373 DOI: 10.1111/1751-7915.13632] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2020] [Accepted: 07/01/2020] [Indexed: 11/26/2022] Open
Abstract
This is the first study to quantify the dependence on wind velocity of airborne bacterial emission fluxes from soil. It demonstrates that manure bacteria get aerosolized from fertilized soil more easily than soil bacteria, and it applies bacterial genomic sequencing for the first time to trace environmental faecal contamination back to its source in the chicken barn. We report quantitative, airborne emission fluxes of bacteria during and following the fertilization of agricultural soil with manure from broiler chickens. During the fertilization process, the concentration of airborne bacteria culturable on blood agar medium increased more than 600 000-fold, and 1 m3 of air carried 2.9 × 105 viable enterococci, i.e. indicators of faecal contamination which had been undetectable in background air samples. Trajectory modelling suggested that atmospheric residence times and dispersion pathways were dependent on the time of day at which fertilization was performed. Measurements in a wind tunnel indicated that airborne bacterial emission fluxes from freshly fertilized soil under local climatic conditions on average were 100-fold higher than a previous estimate of average emissions from land. Faecal bacteria collected from soil and dust up to seven weeks after fertilization could be traced to their origins in the poultry barn by genomic sequencing. Comparative analyses of 16S rRNA gene sequences from manure, soil and dust showed that manure bacteria got aerosolized preferably, likely due to their attachment to low-density manure particles. Our data show that fertilization with manure may cause substantial increases of bacterial emissions from agricultural land. After mechanical incorporation of manure into soil, however, the associated risk of airborne infection is low.
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Affiliation(s)
- Nadine Thiel
- German Collection of Microorganisms and Cell CulturesLeibniz Institute DSMZBraunschweigGermany
| | - Steffen Münch
- Leibniz Centre for Agricultural Landscape Research (ZALF)MünchebergGermany
| | - Wiebke Behrens
- German Collection of Microorganisms and Cell CulturesLeibniz Institute DSMZBraunschweigGermany
| | - Vera Junker
- German Collection of Microorganisms and Cell CulturesLeibniz Institute DSMZBraunschweigGermany
| | - Matthias Faust
- Leibniz Institute for Tropospheric Research (TROPOS)LeipzigGermany
| | - Oliver Biniasch
- Leibniz Institute for Agricultural Engineering and Bioeconomy (ATB)PotsdamGermany
| | - Tina Kabelitz
- Leibniz Institute for Agricultural Engineering and Bioeconomy (ATB)PotsdamGermany
| | - Paul Siller
- Institute for Animal Hygiene and Environmental HealthFreie Universität BerlinBerlinGermany
| | - Christian Boedeker
- German Collection of Microorganisms and Cell CulturesLeibniz Institute DSMZBraunschweigGermany
| | - Peter Schumann
- German Collection of Microorganisms and Cell CulturesLeibniz Institute DSMZBraunschweigGermany
| | - Uwe Roesler
- Institute for Animal Hygiene and Environmental HealthFreie Universität BerlinBerlinGermany
| | - Thomas Amon
- Leibniz Institute for Agricultural Engineering and Bioeconomy (ATB)PotsdamGermany
- Institute for Animal Hygiene and Environmental HealthFreie Universität BerlinBerlinGermany
| | | | - Roger Funk
- Leibniz Centre for Agricultural Landscape Research (ZALF)MünchebergGermany
| | - Ulrich Nübel
- German Collection of Microorganisms and Cell CulturesLeibniz Institute DSMZBraunschweigGermany
- Partner Site Braunschweig‐HannoverGerman Center for Infection Research (DZIF)BraunschweigGermany
- Braunschweig Integrated Center of Systems Biology (BRICS)Technical UniversityBraunschweigGermany
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13
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Alegbeleye OO, Sant’ana AS. Manure-borne pathogens as an important source of water contamination: An update on the dynamics of pathogen survival/transport as well as practical risk mitigation strategies. Int J Hyg Environ Health 2020; 227:113524. [DOI: 10.1016/j.ijheh.2020.113524] [Citation(s) in RCA: 44] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2020] [Revised: 03/15/2020] [Accepted: 04/02/2020] [Indexed: 12/16/2022]
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