key: cord-0930124-dm5q989k authors: Zhong, Z.; Chai, T.; Duan, H.; Miao, Z.; Li, X.; Yao, M.; Yuan, W.; Wang, W.; Li, Q.; Zucker, B.‐A.; Schlenker, G. title: REP‐PCR tracking of the origin and spread of airborne Staphylococcus aureus in and around chicken house date: 2009-07-21 journal: Indoor Air DOI: 10.1111/j.1600-0668.2009.00618.x sha: 7c9c5807840403c132be45b29a83f60739f08871 doc_id: 930124 cord_uid: dm5q989k Abstract Staphylococcus aureus was used as an indicator to study the origin and spread of microbial aerosol in and around chicken houses. Air samples indoor, upwind (10 and 50 m), and downwind (10, 50, 100, 200, and 400 m) of four chicken houses were collected using Andersen‐6 stages sampler. The concentrations of S. aureus were determined for every sample site. Isolation of S. aureus from chicken feces was performed according to the standard method. The genetic relationship among the isolates was determined by profiles of PCR‐amplified repetitive extragenic palindromic (REP‐PCR) elements. The results showed that the concentrations of S. aureus indoor of four chicken houses were higher than those upwind and downwind sites (P < 0.05 or P < 0.01), but there were no significant concentration differences among downwind sites (P > 0.05). The fingerprints and the phylogenetic tree indicated that a part of the S. aureus (55.6%, 10/18) isolates from indoor air had the same REP‐PCR fingerprints as feces isolates. Consequently, most isolates (57.1%, 20/35) from downwind 10, 50, 100, 200, even 400 m had the same REP‐PCR fingerprints as those from indoor or feces. These data indicated that some isolates from downwind and indoor originated from the chicken feces. However, those isolates from upwind had low similarity (similarity index 0.6–0.87) to those from indoor or feces. Therefore, the isolates upwind were not from the chicken feces or indoor. These results suggest that microbes in chicken feces can be aerosolized and spread indoor and outdoor, especially to downwind of the chicken houses. It should have an important epidemiological and public health significance. PRACTICAL IMPLICATIONS: Thus, the use of S. aureus as an indicator to study the origin and spread of airborne pathogens from chicken houses is potentially useful for enhancing public health and understanding the airborne epidemiology of this pathogen. Meanwhile it can provide evidence for studying the spreading model of airborne pathogens. In modern poultry industry, high animal density in relatively constricted space has led to the increase of harmful gases and microbial aerosols in and around animal houses (Jarnych, 1976) . The ventilation systems in poultry houses accelerate air exchange between inside and outside, which allows large amount of microbial and harmful materials to run off to the environment of the animal rooms, spreading common pathogens or drug-resistant pathogens (Donaldson, 1999; Shinn et al., 2000; Wathes et al., 1997) to humans and animals. Many studies have demonstrated that some airborne pathogens can spread to distant area through open air, including severe acute respiratory syndrome-associated coronavirus (Yu et al., 2004) and anthrax (Meselson et al., 1994) . In April and May 1979, an unusual anthrax epidemic occurred in Sverdlovsk, Union of Soviet Socialist Republics. The escape of an aerosol of anthrax pathogen at the military facility caused the outbreak (Meselson et al., 1994) . In 1981, foot-and-mouth virus transmitted from France to Southern England, leading to the outbreak of this disease (Donaldson et al., 1982) . In 2001 and 2002, aerosol of Bacillus anthracis infected postal workers and led to the death of many of them (CDC, 2003) . The transmission of severe acute respiratory syndrome that swiped Southeast Asia was partly because of aerial spread (Eubank et al., 2004; Weiss and McMichael, 2004) . The more typical aerial transmission is the measles, which had caused the infection in students who had not been vaccinated (Riley et al., 1978) . Recent studies have shown that airborne bacteria and fungi can disperse locally or over long distance (Brown and Hovmoller, 2002; Lee et al., 2007; Mims and Mims, 2004; Stewart et al., 1995) . It is very clear that microbial aerosol is a great threat to human and animal health. In the past, to determine whether microbial aerosol spread from animal shed to environment was to monitor the airborne microbial concentration, which is usually higher around or within the animal shed (Chai et al., 1999 (Chai et al., , 2001 Franz, 1980; Kim and Kim, 2007) . Alternatively, whether microbes come from animal house may be determined by their sensitivity to antibiotics (Chai et al., 2003; Yao et al., 2007) . However, the efficacy of these methods is limited, usually unable to confirm the ultimate source. Only do the genes are identified in bacteria from animal feces, indoor and outdoor aerosol, shall evidence be sufficient. Therefore, we performed PCR-amplified repetitive extragenic palindromic (REP-PCR) analysis on Staphylococcus aureus, comparing the genetic relationship of different isolates in the current study, in addition to the determination of the concentration of S. aureus inside and different distance outside of four poultry houses. These studies are necessary to resolve the source of microbial aerosols and their spreading path, providing scientific bases for animal disease control and warning. The chicken houses This study investigated four chicken farms in TaiÕan, Shandong Province, China between March 2006 and May 2007. These farms are similar geographically and are isolated from nearby villages. There are no buildings and high crops around the farms. Farm A was located to the side of a mound, 3000 m away from the nearest village. Farms B, C and D were located to the east of villages with distances about 500-1000 m. Farms A and B used fans for ventilation and farms C and D were not ventilated. A ÔThree Cups Wind Anemometer DEM6Õ (Marine Meteorological Instrument Factory, Tianjin, China) was used to measure velocity (direction and speed). Conditions of these chicken houses are shown in Table 1 . Two Andersen-6 stage samplers (Andersen, 1958) were used to collect indoor microbes. Samplers were set in the center of the chicken rooms, 1 m above ground. Samples were collected for 1-5 min at airflow rate 28.3 l/min. Outdoor microbes were collected, 1.5 m above ground, with airflow rate 40 l/min for 0.5-8 min using two Reuter-centrifugal sampler (RCS; Biotest Diagnostiken Corp., Fairfield, NJ, USA) samplers, which were set at upwind 10 and 50 m or downwind 10, 50, 100, 200, and 400 m from the houses. Each location was sampled 5 times. The sample media was Baird-Park agarose (lot number 060227; Tian He, Hangzhou, China). The collected samples were cultured at 37°C for 24 h. All positive colonies were test for ÔKOH reactionÕ to determine whether they were Gram-positive or Gram-negative. Gram-positive colonies were cultured in Bair-Park agarose media, followed by biochemistry identification with API 20 Steph (bioMerieux, Marcy-IÕEtoile, France). The number of S. aureus colonies was recorded and aerosol concentration (CFU/m 3 air) was calculated (CFU/m air) after correction according to Andersen correction table. Staphylococcus aureus cultures were frozen at )20°C in LB broth containing 20% glycerol. Twenty feces samples were collected at random from each poultry house and diluted to 10-and 10 3 -fold, and then inoculated in Baird-Park agarose media. Culture, identification, and storage were performed as described above. Staphylococcus aureus was inoculated in heart brain infusion broth with shaking for 18 h. The culture was then centrifuged in 1.5-ml Eppendorf tube (KD1876, Shanghai, China) for 2 min. Upon removal of the supernatant, the pellet was suspended in 100-ll TE buffer (10-mM Tris-HCl, 1-mM EDTA, pH 8.0) and The amplification was carried out by incubation of the mixture for 2 min at 94°C for pre-denaturation, followed by 35 cycles of denaturation at 94°C for 1 min, annealing at 42°C for 1 min and extension at 72°C for 1 min. A final extension was performed at 72°C for 5 min. PCR product was resolved by 1.0% agarose gel electrophoresis (1 · TAE, EB staining). Molecular size marker was DL2000Maker (TaKaRa). Gel image was photographed with Tanon-2500 (Shanghai, China). To reduce the variation of experiment, all isolates from the same poultry farm were analyzed by a single experiment. Variance analysis was performed using SPSS 13.0 (Statistical Package for the Social Science, Chicago, IL, USA). The concentration of the S. aureus was represented by the median, and the range was represented by the minimum and maximum. PCR product profile was recorded by computer software. A value Ô1Õ was assigned when a band exist and a value Ô0Õ was assigned when a band was absent in a sample. The matrix was automatically generated from the gel image by software (Gel Image System V4.00; Tianneng Technology Co., Ltd, Shanghai, China). Bacterial isolates were clustered with unweighted pair group method using average algorithm and dendrogram was constructed with NTSYS-pc 2.10 software (Applied Biostatistics Inc., Stony Brook, NY, USA) (Rohlf, 2006) . During the analysis, each isolate was regarded as an operational taxonomic unit. When two isolates had identical REP-PCR profile or when genetic similarity was greater than 90%, they were considered to be the progeny of the same cell population. Conversely, if the similarity was less than 90%, their genetic relationship was considered distinct (Borges et al., 2003; Van der Zee et al., 2005) . The densities of airborne S. aureus indoor were 45, 23, 27, and 51 CFU/m 3 air. At 10 and 50 m upwind, S. aureus was isolated from farms A and D. The densities were: 4 and 1 CFU/m at 10 and 50 m upwind of farm A; 5 and 2 CFU/m 3 at 10 and 50 m upwind of farm D. The S. aureus densities for the four farms were 10, 8, 4, and 9 CFU/m at 10 m downwind; 7, 3, 3, and 4 CFU/m at 50 m downwind. The densities gradually decline as the distance increased to 100 and 200 m downwind from the four farms (Table 2 ). At 400 m downwind, S. aureus can only be isolated from farms A and B (1 CFU/m for both). The densities of S. aureus indoor in farms B and C were significantly greater than that of outdoor, regardless of the distance from the poultry house (P < 0.05). In farms A and D, the densities indoor were greater than those at 10 and 50 m upwind (P < 0.05). There were no significant differences among different distances downwind for the four farms (P > 0.05%). However, the densities at 10 and 50 m downwind were significantly higher than those at the same distance upwind (P < 0.05) ( Table 2) . The similarity index is 100% when REP-PCR profiles are identical. The figure has clearly shown the similarities among the genes of isolates. In farm A (Figure 1a ), isolates Feces-3, Feces-4, Indoor-3, and Indoor-5 were identical (similarity index 100%). In addition, they were 91% similar to Feces-1. Feces-8 was identical to Indoor-6, Downwind10m-5, Down-wind50m-3. Indoor-8 was identical to Downwind50m-4, Downwind100m-2, 3, and 4. These data suggest that feces microbes can become aerosol, which may spread outdoor. However, Feces-3 was 80% and 77% similar to Upwind10m-1 and Upwind50m-2, respectively, suggesting their sources of origin were different. Similarly, in farm B (Figure 1b) , isolates Feces-2 and Feces-3 were identical to Indoor-6. Indoor-1 was identical to Downwind10m-3 and Downwind10m-4 and Downwind100m-2. Indoor-5 was identical to Indoor-7 and Downwind50m-2. Downwind10m-2 was identical to Downwind50m-1. Downwind10m-5 was identical to Downwind50m-3. However, Down-wind10m-1 was 78% similar to Feces-4, Feces-7, and Indoor-2. Downwind200m-1 was 63.6% similar to Feces-9 and Indoor-10. In farm C (Figure 1c) , isolate Feces-2 was identical to Indoor-4. Feces-4 was identical to Feces-7 and Indoor-1. Feces-1 was identical to Downwind10m-2 and Downwind10m-4. These data suggested that indoor airborne S. aureus, as well as some outdoor isolates, was from feces (60%, 3/5). Downwind10m-1 was identical to Downwind50m-3, suggesting that downwind microbes were from upwind. In contrast, Downwind50m-2 was 62% similar to Feces-3 and Indoor-4. In farm D (Figure 1d ), Feces-2 was identical to Indoor-3 and Indoor-7. Feces-3 was identical to Down-wind10m-1. Indoor-4 was identical to Downwind10m-2 and Downwind50m-2. However, Feces-9 was 75% similar to Upwind50m-1. No S. aureus was isolated from 400 m or further downwind farm D. Indoor-4 Indoor-1 Indoor-5 Indoor-2 Indoor-7 Indoor-9 Indoor-8 Indoor-6 Feces-3 Feces-6 Feces-2 (1994) . An REP element is a conserved genomic DNA sequence with a consensus sequence of 38 bp containing a 5-bp variable loop between the palindrome stem and six degenerated positions at both ends. The palindromic sequence and the ability to form a frame are the key for it to have high level of conservation. Using one or more pairs of primer, the REP element can be amplified. Upon clustering analysis of the REP-PCR product using computer program, similarity indices can be obtained. In turn, REP-PCR profile can represent the relatedness of bacterial strains. Theoretically, isolates of the same species, same type and identical genetic composition should have specific DNA fingerprints (Ichiyama et al., 1991) . Thus, REP-PCR can be applied to the identification of bacterial species, types or isolates. It has been shown that this method is reproducible and accurate. Vecchio et al. (1995) showed that their PCR products were highly reproducible and stable when trying to distinguish 170 stains of Mycoplasma pneumoniae using RW3A of RepMP3 as primer. Van der Zee et al. (1999) showed that REP-PCR results were similar to pulse field gel electrophoresis (PFGE) analysis. PFGE of large restriction fragment can distinguish many bacteria and yeast pathogens. The identification ability by PFGE can be as high as 87-100%. Echeverrigaray et al. (1999) analyzed 16 strains of commercial yeast strain and classified these strains into three groups. It is evident that REP-PCR is accurate and reliable. Many researchers have used it for bacterial pathogen studies and molecular epidemiology investigation (Francois et al., 2005; Ibenyassine et al., 2006; Jurkovicˇet al., 2007) . Comparing the densities of airborne S. aureus indoor with outdoor (Table 2) , it is clear that there were much more airborne microbes indoor than outdoor at any distance (P < 0.05), which suggests that microbial aerosol forms continuously from birds and feces, accumulates and spread to the environment. In the present experiment, no S. aureus was isolated from downwind 400 m from farms C and D, which might have resulted from the death of microbes under the effect of UV light, temperature and relative humidity (Che, 1986) . It is also possible that long-time sampling might have stressed the microbes resulting in death (Marthi et al., 1990; Stewart et al., 1995) . Although S. aureus was isolated from upwind of farms A and D, the concentration was very low, being 1 and 2 CFU/m 3 at 50 m upwind, 4 and 5 CFU/m at 10 m upwind, respectively. The microbial densities of downwind 10 and 50 m were higher than that of upwind, suggesting microorganism from upwind was not the major source of downwind of the chicken houses and those microbes downwind were originated from the poultry house. The insignificant differences between microbial concentration downwind 10 and 400 m (P > 0.05) indicate that S. aureus can spread long distance. As shown in Figure 1 , S. aureus isolated from feces were identical to 55.6% of the airborne isolates (four farms being respectively 4/5, 80%; 1/4, 25%; 2/5, 40%; and 3/4, 75%), suggesting that airborne isolates were the same genetic origin as that of feces isolates. Similarly, isolates downwind were identical to 57.1% (10/18, 55.6%; 4/8, 50%; 3/5, 60%; and 3/4, 75%, respectively for the four farms) those from indoor and feces. In contrast, upwind isolates were more distinct genetically from indoor and feces ones, with similarity indices being 60-87%. In farm A, Upwind10m-1 and Upwind10m-3 were 85.6% similar to Feces-2. Upwind50m-1 and Upwind50m-2 were 78.4% and 77.2% similar to Feces-6, respectively. In farm D, Upwind50m-1 was 74% similar to Feces-9. Upwind50m-2 was 60% similar to Feces-2. Upwind10m-1 and Upwind10m-2 were 87% and 72% similar to Feces-7, respectively. Upwind10m-3 was 82% similar to Feces-9. It can be seen from the figure that the greater the similarity index, the closer is the genetic relationship. Studies have confirmed that isolates with similarity indices greater than 90% are the same species or the same type, being the progeny of one cell. In contrast, isolates with similarity indices between 60 and 87% were genetically distant. Hence from this study, it can be seen that by using the accurate REP-PCR technology S. aureus in feces was found to have been aerosolized and had spread to the outdoor air, especially downwind of the chicken houses. This suggests that the ambient air outside of these chicken houses can be polluted by airborne pathogens, posing a threat to the health of neighboring human inhabitants and the chickens themselves. In their study on the transmission dynamics of antibiotics-resistant bacteria, Austin and Anderson (1999) pointed out that such transmission may prove difficult to eradicate, ultimately requiring careful surveillance and effective infection control measures. Thus, the use of S. aureus as an indicator to study the origin and spread of airborne pathogens from chicken houses is potentially useful for enhancing public health and understanding the airborne epidemiology of this pathogen. 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