Prevalence of Gastrointestinal Clostridium difficile Carriage in Australian Sheep and Lambs

ABSTRACT Recently, Clostridium difficile has been isolated from a wide variety of animals, particularly production animals, mainly cattle and pigs. Concurrently, the incidence of C. difficile infection (CDI) in humans has increased in the community, with some suggestions that food-borne transmission of C. difficile is occurring. Interestingly, sheep and lambs appear not to have been investigated for carriage/colonization with C. difficile. The aim of this project was to determine the prevalence of carriage of C. difficile in sheep and lambs in Australia by culturing fecal samples. A total of 371 sheep and lamb fecal samples were received in seven batches from three different geographic areas in eastern Australia and two in Western Australia. The overall rate of detection in sheep and lambs was low (4.0%); however, carriage/colonization in lambs (6.5%) was statistically significantly higher than that in sheep (0.6%) (P = 0.005). Seven distinct PCR ribotype patterns were observed, three of which were known international ribotypes (UK 056 [n = 1], UK 101 [n = 6], and UK 137 [n = 2]), while the remainder were unable to be matched with our available reference library. This low rate of carriage/colonization in Australian ovines suggests they are unlikely to be a major source/reservoir of human infections.

[1]  D. Leffler,et al.  Clostridium difficile infection. , 2015, The New England journal of medicine.

[2]  T. Riley,et al.  Novel Molecular Type of Clostridium difficile in Neonatal Pigs, Western Australia , 2013, Emerging infectious diseases.

[3]  T. Riley,et al.  Cross-Sectional Study Reveals High Prevalence of Clostridium difficile Non-PCR Ribotype 078 Strains in Australian Veal Calves at Slaughter , 2013, Applied and Environmental Microbiology.

[4]  A. Roberts,et al.  Different Antibiotic Resistance and Sporulation Properties within Multiclonal Clostridium difficile PCR Ribotypes 078, 126, and 033 in a Single Calf Farm , 2012, Applied and Environmental Microbiology.

[5]  E. Kuijper,et al.  Clostridium difficile in Dutch animals: their presence, characteristics and similarities with human isolates. , 2012, Clinical Microbiology and Infection.

[6]  E. Kuijper,et al.  Clostridium difficile infection in the community: a zoonotic disease? , 2012, Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases.

[7]  D. Nathwani,et al.  Clinical and economic burden of Clostridium difficile infection in Europe: a systematic review of healthcare-facility-acquired infection. , 2012, The Journal of hospital infection.

[8]  A. Zinsmeister,et al.  The Epidemiology of Community-Acquired Clostridium difficile Infection: A Population-Based Study , 2012, The American Journal of Gastroenterology.

[9]  M. Rupnik,et al.  New types of toxin A-negative, toxin B-positive strains among clinical isolates of Clostridium difficile in Australia. , 2011, Journal of medical microbiology.

[10]  Philip M Polgreen,et al.  Incidence of and risk factors for community-associated Clostridium difficile infection: A nested case-control study , 2011, BMC infectious diseases.

[11]  S. Mcnamara,et al.  Carriage of Clostridium difficile and Other Enteric Pathogens Among a 4‐H Avocational Cohort , 2011, Zoonoses and Public Health.

[12]  E. Kuijper,et al.  Acquisition of Clostridium difficile by piglets. , 2011, Veterinary microbiology.

[13]  E. Kuijper,et al.  Clostridium difficile infection in Europe: a hospital-based survey , 2011, The Lancet.

[14]  S. Thakur,et al.  Prevalence of antimicrobial resistance and association with toxin genes in Clostridium difficile in commercial swine. , 2010, American journal of veterinary research.

[15]  E. Kuijper,et al.  Relatedness of Human and Animal Clostridium difficile PCR Ribotype 078 Isolates Determined on the Basis of Multilocus Variable-Number Tandem-Repeat Analysis and Tetracycline Resistance , 2010, Journal of Clinical Microbiology.

[16]  R. Stephan,et al.  Low occurrence of Clostridium difficile in fecal samples of healthy calves and pigs at slaughter and in minced meat in Switzerland. , 2010, Journal of food protection.

[17]  M. Wierup,et al.  Low occurrence of Clostridium difficile in retail ground meat in Sweden. , 2009, Journal of food protection.

[18]  Mark H. Wilcox,et al.  Clostridium difficile infection: new developments in epidemiology and pathogenesis , 2009, Nature Reviews Microbiology.

[19]  M. Barton,et al.  Antimicrobial use in the Australian pig industry: results of a national survey. , 2009, Australian veterinary journal.

[20]  B. Limbago,et al.  Clostridium difficile in Retail Meat Products, USA, 2007 , 2009, Emerging infectious diseases.

[21]  D. Gerding,et al.  Toxinotype V Clostridium difficile in Humans and Food Animals , 2008, Emerging infectious diseases.

[22]  C. Woods,et al.  Comparison of Seven Techniques for Typing International Epidemic Strains of Clostridium difficile: Restriction Endonuclease Analysis, Pulsed-Field Gel Electrophoresis, PCR-Ribotyping, Multilocus Sequence Typing, Multilocus Variable-Number Tandem-Repeat Analysis, Amplified Fragment Length Polymorphis , 2007, Journal of Clinical Microbiology.

[23]  J. Weese,et al.  Clostridium difficile PCR Ribotypes in Calves, Canada , 2006, Emerging infectious diseases.

[24]  M. Delmée,et al.  Laboratory diagnosis of Clostridium difficile-associated diarrhoea: a plea for culture. , 2005, Journal of medical microbiology.

[25]  T. Riley,et al.  Laboratory diagnosis ofClostridium difficile-associated diarrhoea , 1988, European Journal of Clinical Microbiology and Infectious Diseases.

[26]  T. Riley Nosocomial diarrhoea due to Clostridium difficile , 2004, Current opinion in infectious diseases.

[27]  M. Rupnik,et al.  Binary toxin producing Clostridium difficile strains. , 2003, Anaerobe.

[28]  M. Rupnik,et al.  Production of actin-specific ADP-ribosyltransferase (binary toxin) by strains of Clostridium difficile. , 2000, FEMS microbiology letters.

[29]  G. Fonty,et al.  Isolation of Clostridium difficile from the ruminal reservoir of newborn lambs , 1999, Veterinary Record.

[30]  J. Brazier,et al.  PCR Targeted to the 16S-23S rRNA Gene Intergenic Spacer Region ofClostridium difficile and Construction of a Library Consisting of 116 Different PCR Ribotypes , 1999, Journal of Clinical Microbiology.

[31]  Kunitomo Watanabe,et al.  Identification of Toxin A-Negative, Toxin B-Positive Clostridium difficile by PCR , 1998, Journal of Clinical Microbiology.

[32]  J. Brazier,et al.  The distribution of Clostridium difficile in the environment of South Wales. , 1996, Journal of medical microbiology.

[33]  P. Gumerlock,et al.  Use of the polymerase chain reaction for the specific and direct detection of Clostridium difficile in human feces. , 1991, Reviews of infectious diseases.

[34]  C. Ou,et al.  Identification of toxigenic Clostridium difficile by the polymerase chain reaction , 1991, Journal of clinical microbiology.

[35]  T. Riley,et al.  A Selective Broth for Clostridium Difficile , 1983, Pathology.

[36]  I. C. Hall,et al.  INTESTINAL FLORA IN NEW-BORN INFANTS: WITH A DESCRIPTION OF A NEW PATHOGENIC ANAEROBE, BACILLUS DIFFICILIS , 1935 .