Preliminary notes on invasion and proliferation of foodborne Listeria monocytogenes strains

In this study, virulence properties of L. monocytogenes strains isolated from food and food environments were evaluated. In particular, adhesion and invasion efficiencies were tested in a cell culture model (HeLa). Half of the isolates (9/18) exhibited a high invasion index. In particular, the strain isolated from smoked salmon had the highest invasion index. The remaining isolates showed an intermediate invasion index. All environmental isolates belonged to this group. Finally, no isolates revealed a low invasion index. Regarding intracellular growth, all tested isolates had a replication time between 2 and 6 hours. For this reason, they can be considered virulent. In spite of its capability to invade HeLa cells with a medium/high invasion index, a non-haemolytic rabbit isolate did not show any intracellular growth. In conclusion, differences in invasion efficiency and intracellular growth did not seem strictly related to the origin of the strains. Moreover, invasiveness of an organism is not the only requirement for establishing an infection. Virulence of L. monocytogenes also depends on ability to grow intracellularly and to spread from cell to cell. For these reasons, PCR detection of known virulence genes has the potential to gain additional insight into their pathogenic potential. A comprehensive comparative virulence characterization of different L. monocytogenes strains in studies that include tissue culture models and PCR detection of virulence genes will be necessary to investigate differences in human-pathogenic potentials among the subtypes of this bacterium

BIOMOLECULAR IDENTIFICATION OF METHICILLIN-RESISTANT STRAINS OF STAPHYLOCOCCUS AUREUS (MRSA) ISOLATED FROM MEAT AND MEAT PROCESSING ENVIRONMENTS

371 samples from meat and meat-environments were collected and examined for the detection of methicillin-resistant Staphylococcus aureus (MRSA). The structural gene for penicillin-binding protein 2a (mecA gene), was amplified by PCR and detected by agarose gel electrophoresis. 96 samples (25.8%), contained S. aureus and 2 of them (2.08%) were mecA positive. Further assays are necessary to evaluate the spread of MRSA in food and food-environments

Assessment of the antibiotic resistance profile, genetic heterogeneity and biofilm production of methicillin-resistant staphylococcus aureus (MRSA) isolated from the italian swine production chain

The main aim of the present study was to evaluate the level of antibiotic resistance, prevalence and virulence features of methicillin-resistant Staphylococcus aureus (MRSA) isolated from heavy swine at abattoir level and farming environments in Lombardy (Northern Italy). With this scope, 88 different heavy swine farms were surveyed, obtaining a total of n = 440 animal swabs and n = 150 environmental swabs. A total of n = 87 MRSA isolates were obtained, with an overall MRSA incidence of 17.50% (n = 77) among animal samples and a 6.67% (n = 10) among environmental. Molecular characterisation using multilocus sequence typing (MLST) plus spa-typing showed that sequence type ST398/t899 and ST398/t011 were the most commonly isolated genotypes, although other relevant sequence types such as ST1 or ST97 were also found. A lack of susceptibility to penicillins, tetracycline and ceftiofur was detected in >91.95, 85.05 and 48.28% of the isolates, respectively. Resistance to doxycycline (32.18%), enrofloxacin (27.59%) and gentamicin (25.29%) was also observed. Additionally, a remarkable level of antibiotic multiresistance (AMR) was observed representing a 77.01% (n = 67) of the obtained isolates. Genetic analysis revealed that 97.70% and 77.01% of the isolates harboured at least one antibiotic resistance or enterotoxin gene, respectively, pointing out a high isolate virulence potential. Lastly, 55.17% (n = 48) were able to produce measurable amounts of biofilm after 24 h. In spite of the current programmes for antibiotic reduction in intensively farming, a still on-going high level of AMR and virulence potential in MRSA was demonstrated, making this pathogen a serious risk in swine production chain, highlighting once more the need to develop efficient, pathogen-specific control strategies

Authoring and generation of individualized patient education materials

ABSTRACT Although the pre-surgical patient-surgeon encounter is the opportunity to educate the patient, it is essential that the patient be given educational materials to complement the face-to-face exchange. This is virtually impossible to do well with brochures, because many combinations of procedures are possible, different patients have different concerns, and patients have varying levels of literacy and knowledge. In the extreme, a patient would either be given a set of brochures selected from 100s of variants, or all patients would be given the same set of brochures without regard for differing needs. We have been developing an information brochure generator that customizes material for every individual patient regardless of the complexity of the surgical intervention

The Italian National Register of infants with congenital hypothyroidism: twenty years of surveillance and study of congenital hypothyroidism

All the Italian Centres in charge of screening, diagnosis, and follow-up of infants with congenital hypothyroidism participate in the Italian National Registry of affected infants, which performs the nationwide surveillance of the disease. It was established in 1987 as a program of the Health Ministry and is coordinated by the Istituto Superiore di Sanità. The early diagnosis performed by the nationwide newborn screening programme, the prompt treatment and the appropriate clinical management of the patients carried out by the Follow-up Centres, and the surveillance of the disease performed by the National Register of infants with congenital hypothyroidism are the components of an integrated approach to the disease which has been successfully established in our country

Patogenicità e fattori di virulenza di Listeria monocytogenes

Listeria monocytogenes è un importante patogeno intracellulare opportunista in grado di causare malattia nell’uomo. A causa delle differenze di patogenicità tra i ceppi, risulta fondamentale riuscire studiare l’epidemiologia della malattia e determinare il potenziale patogeno dei ceppi isolati per poter prevenire e controllare la possibilità che ulteriori episodi di malattia si possano verificare. Nonostante i progressi negli studi relativi a L. monocytogenes, la sua virulenza rimane ancora poco conosciuta. I mezzi a disposizione per valutarne la virulenza e la possibilità di sub tipizzarla, spesso non sono in grado di fornire dati significativi sui ceppi isolati dagli alimenti e sulla possibilità che possano causare malattia. Questo articolo mette in luce i recenti progressi che la ricerca ha fornito per comprendere gli aspetti di virulenza e di patogenesi di L. monocytogenes