2018
DOI: 10.3389/fmicb.2018.02206
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Virulence and Antibiotic Resistance Profiles of Cronobacter sakazakii and Enterobacter spp. Involved in the Diarrheic Hemorrhagic Outbreak in Mexico

Abstract: Cronobacter spp. are bacterial pathogens that cause neonatal meningitis, septicemia, and necrotizing enterocolitis in infants with a lethality rate of 40–80%. Powdered infant formulas (PIF) have been implicated as the main vehicles of transmission. This pathogen can also cause infection through contaminated expressed breast milk, and it has been recovered from neonatal feeding tubes of neonates not fed reconstituted PIF and milk kitchen areas. This study analyzed antibiotic resistance profiles and the tissue v… Show more

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Cited by 36 publications
(29 citation statements)
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References 57 publications
(83 reference statements)
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“…This was also in agreement with a study conducted by Hochel, et al and Lee, et al that indicated Cronobacter sakazakii was the most prevalent species recovered from food sam-tural changes that are tolerant of hostile conditions such as antibiotics, sanitizing agents, and host immune systems [20]. Cronobacter sakazakii is resistant to many antibiotics such as ampicillin, cefotaxime, cephalothin, and ceftriaxone [21]. Therefore, biofilm formation along with antibiotic resistance becomes an escalating problem in health sector.…”
Section: Infant Food Contamination By Cronobacter Sakazakiisupporting
confidence: 90%
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“…This was also in agreement with a study conducted by Hochel, et al and Lee, et al that indicated Cronobacter sakazakii was the most prevalent species recovered from food sam-tural changes that are tolerant of hostile conditions such as antibiotics, sanitizing agents, and host immune systems [20]. Cronobacter sakazakii is resistant to many antibiotics such as ampicillin, cefotaxime, cephalothin, and ceftriaxone [21]. Therefore, biofilm formation along with antibiotic resistance becomes an escalating problem in health sector.…”
Section: Infant Food Contamination By Cronobacter Sakazakiisupporting
confidence: 90%
“…A study conducted by Parra-Flores, et al confirmed that Cronobacter sakazakii strains isolated from powdered infant formula were more invasive than other Enterobacter spp. which might be the attributes of virulence factors [21]. New and novel virulence factors known as labp have been discovered in Cronobacter sakazakii that promote the production of lipid A by using a binding partner called LpxA [65].…”
Section: Cronobacter Sakazakii and Breastfeedingmentioning
confidence: 99%
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“…So, PIFs were regarded as predominant sources of Cronobacter infections (Jason 2012) and the most likely media of transmission associated with hospital outbreaks (van Acker et al 2001). Cronobacter contamination has been repeatedly found in PIF and factories producing it, and in the ingredients used to make PIF and factories processing these ingredients (Parra-Flores et al 2018;Reich et al 2010). During the processing, PIF is not sterile.…”
Section: Discussionmentioning
confidence: 99%