2020
DOI: 10.26719/emhj.19.102
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Shiga toxin-producing bacteria as emerging enteric pathogens associated with outbreaks of foodborne illness in the Islamic Republic of Iran

Abstract: Background: Detection of the cause of diarrhoeal diseases is important for the management of the outbreaks. Aims: This study investigated the prevalence of Shiga toxin-producing bacteria in stool samples of patients with diarrhoea associated with outbreaks of foodborne illness in the Islamic Republic of Iran. Methods: A total of 532 stool and rectal swab samples from 70 sporadic outbreaks during May 2014 to August 2015 were examined for infection with Shiga toxin-producing bacteria. The isolates were examined … Show more

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Cited by 5 publications
(5 citation statements)
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“…DEC pathotypes from different locations around the globe are genetically diverse (Yu et al, 2018). In outbreak situations, Vibrio cholerae, Escherichia coli and Clostridium difficile have been reported as the causative agents of diarrhoea in Bangkok (Dalsgaard et al, 1999), China (Scheutz et al, 2011;Escher et al, 2014), Yemen (Camacho et al, 2018;Weill et al, 2019), Iran (Tajeddin et al, 2019) and Nigeria (Eko et al, 1994;Lawoyin et al, 1999;Usman et al, 2005;Elimian et al, 2019). The role of viruses as agents of diarrhoea outbreaks among children cannot be overemphasized.…”
Section: Aetiology Of Diarrhoeal Diseasesmentioning
confidence: 99%
“…DEC pathotypes from different locations around the globe are genetically diverse (Yu et al, 2018). In outbreak situations, Vibrio cholerae, Escherichia coli and Clostridium difficile have been reported as the causative agents of diarrhoea in Bangkok (Dalsgaard et al, 1999), China (Scheutz et al, 2011;Escher et al, 2014), Yemen (Camacho et al, 2018;Weill et al, 2019), Iran (Tajeddin et al, 2019) and Nigeria (Eko et al, 1994;Lawoyin et al, 1999;Usman et al, 2005;Elimian et al, 2019). The role of viruses as agents of diarrhoea outbreaks among children cannot be overemphasized.…”
Section: Aetiology Of Diarrhoeal Diseasesmentioning
confidence: 99%
“…In the group of non– E. coli strains from wastewater samples, the prevalence of Shiga toxin genes stx 1 (38% of non– E. coli strains) and stx 2 (21% of non– E. coli strains) was also considerably higher than in E. coli strains from wastewater samples, where stx 1 was identified in 5% of the strains and stx 2 was detected in only 3% of the strains. Shiga toxins are produced mainly by E. coli and Shigella dysenteriae, but they are also synthesized by other bacteria of the family Enterobacteriaceae, including Citrobacter freundii , Enterobacter cloacae , and Shigella flexneri (Herold et al 2004 ; Tajeddin et al 2020 ). Shiga toxins are encoded by bacteriophages, which is why they are highly mobile and can be easily transferred between bacteria (Bai et al 2018 ).…”
Section: Resultsmentioning
confidence: 99%
“…Moreover, using a different methodological approach, such as immunomagnetic concentration or chromogenic agars, could reveal additional STEC. Moreover, stx genes can be found in other E. coli (EPEC) and other bacterial species such as Citrobacter freundii , Shigella spp., among others which might explain part of these results [ 78 , 79 ]. However, it is important to clarify that this study was not designed to determine the actual non-O157 STEC prevalence in Chile; this study is a first approximation in assessing the problem of STEC in cattle in Chile, and further studies are necessary.…”
Section: Discussionmentioning
confidence: 97%