Slov Vet Res 2012; 49 (3): 117-22 UDC 636.7/.8.09:579.83:616-078:616.036-22(55) Original Scientific Article PREVALENCE OF CAMPYLOBACTER SPECIES IN FECAL SAMPLES FROM CATS AND DOGS IN IRAN Ebrahim Rahimi*, Ali Chakeri, Kianoosh Esmizadeh Department of Food Hygiene, College of Veterinary Medicine, Islamic Azad University, Shahrekord Branch, Shahrekord, Iran Corresponding author, E-mail: rahimi@iaushk.ac.ir Summary: Campylobacter spp. are one of the most frequent pathogens of acute bacterial gastroenteritis in human beings. The present study was conducted to determine the prevalence of Campylobacter spp. from dog and cat fecal samples in Iran. From August 2010 to August 2011, a total of 173 samples of fresh feces from pet dogs (n = 126) and cats (n = 47) were collected by the owners in Fars and Isfahan provinces, Iran. In this study, 61 of 173 fecal samples (35.3%) were found to be contaminated with Campylobacter. Campylobacterspp. were isolated from 48 dogs (38.1%) and from 13 cats (27.7%). Twenty-five C. upsaliensis, 18 C. jejuni, 5 C. coliisolates from dogs and 1 C. upsaliensis, 8 C. helveticus, 4 C. jejuni, isolates from cats were identified using both the cultural method and the PCR assay. The prevalence of Campylobacterin adult dogs (29.6%) was lower than in young dogs (49.1%). However, there were not significant differences in the prevalence of Campylobacterbetween adult (29.4%) and juveniles cats (26.7%). Also, no statistically significant correlation was found between the isolation of Campylobacter, and the presence of gastroenteric disorders, in either dogs or cats. To the authors' knowledge, the present study is the first report on the prevalence of Campylobacterin dogs and cats in Iran. Key words: dogs; Campylobacter; cats; zoonosis Introduction The family Campylobacteriaceae comprises small, spiral form, Gram-negative bacteria with 25 species and 11 sub-species (1, 2). They are essentially microaerophilic, growing best in an atmosphere containing approximately 10% CO2 and approximately 5% O2. Campylobacter species, in particular C. jejuni and C. coli, are considered to be the most frequent bacterial cause of human enteritis but in a small proportion of cases C. upsaliensis has been reported (3, 4). Campylobacter species are widely distributed in nature and have been associated with poultry, pigs, cattle, sheep, shellfish, dogs and cats (5, 6). Consumption of undercooked meat, unpasteurized milk, and contaminated drinking water is considered an important risk factor for campylobacteriosis (7, 8). Received: 27 November 2011 Accepted for publication: 12 June 2012 Cross-contamination of ready to eat foods during food preparations with Campylobacter spp. as well as direct contact with pet animals have been reported (4, 8). There is evidence of increased risk of Campylobacter infection in humans associated with dog or pet ownership (6, 9) with studies indicating an association between C. jejuni (10), and C. upsaliensis (11) infection in humans and dogs in the same household. Dogs are regarded as important reservoir for C. upsaliensis, and cats were shown to be carriers of C. helveticus (5, 12) a thermophilic Campylobacter species which is difficult to differentiate from C. upsaliensis by biochemical tests (5, 12). The development of more sensitive detection methods has allowed for more accurate detection, isolation, and classification of Campylobacter spp. These advances in surveillance technology have provided improved information on the prevalence of Campylobacter spp. worldwide and now demonstrate that this 118 E. Rahimi, A. Chakeri, K. Esmizadeh pathogen can be interspecies specific rather than just limited to warm blooded hosts as was once thought (5). Such information is important for epidemiological purposes and could help in assessing the role of Campylobacter as a pathogen in these animals. Campylobacter has been reported in dogs and cats in some countries of the world (2, 4-12) and campylobacters in cat and dog populations are of concern for the animals themselves and for members of the public on account of the possible risks of zoonotic infection. Currently, there is limited information regarding the prevalence of Campylobacter in pet animals in Iran. The present study was conducted to determine the prevalence of Campylobacter spp. in dog and cat fecal samples in Fars and Isfahan provinces, Iran. Materials and methods Sample collection From August 2010 to August 2011, a total of 173 samples of fresh feces from pet dogs (n = 126) and cats (n = 47) were collected by the owners in Fars and Isfahan provinces, Iran. All samples were placed in separate sterile plastic bags to prevent spilling and cross contamination and were immediately transported to the laboratory in a cooler with ice packs. Age distribution of animals was as follows: 71 dogs were adult (>12 months), 55 dogs were younger than 1 year. Cat samples were obtained from 17 adult and 30 juveniles were provided. Diarrhea was reported in 38 dogs and 11 cats. The remaining animals had no clinical signs reported by their owner. Microbiological analysis The samples were processed immediately upon arrival and at latest six hours after sampling, using aseptic techniques. Approximately 5 g of feces were homogenized in 45 ml of Preston enrichment broth base containing Campylobacter selective supplement IV (HiMedia Laboratories, Mumbai, India) and 5% (v/v) defibrinated sheep blood. After inoculation at 42 oC for 24 h in a microaerophilic condition (85% N2, 10% CO2, 5% O2), 0.1 mL of the enrichment was then streaked onto Preston selective agar base (HiMedia Laboratories, Mumbai, India) supplemented with an antibiotic supplement for the selective isolation of Campylobacter species (HiMedia Laboratories, Mumbai, India) and 5% (v/v) defibrinated sheep blood and incubated at 42 oC for 48 h under the same condition. One presumptive Campylobacter colony from each selective agar plate was subcultured and identification of presumptive Campylobacter species was performed using standard microbiological and biochemical procedures including Gram staining, production of catalase, oxidase, hippurate hydrolysis, urease activity, indoxyl acetate hydrolysis, growth in the presence of 1% (w/v) glycine and 0.04% (w/v) 2,3,5-triphenyltetrazolium chloride (TTC), H2S production in triple sugar iron (TSI) agar and susceptibility to cephalotin (13, 14). DNA extraction and identification of Campylobacter species Only Campylobacter spp. isolates identified by bacteriological methods were tested by PCR. Briefly, 1 mL of pure culture of Campylobacter was centrifuged at 13000 g for 5 min at room temperature. The DNA was then extracted using a genomic DNA purification kit (Fermentas, GmbH, Germany, K0512) according to the manufacturer's protocol. The isolates underwent genus specific PCRs for Campylobacter (15). The isolates were identified at the species level by C. jejuni, and C. coli specific multiplex PCR (16), C. upsaliensis, and C. helveticus specific duplex PCR (17). Statistical analysis Data were transferred to Microsoft Excel spreadsheet (Microsoft Corp., Redmond, WA, USA) for analysis. Using SPSS 16.0 statistical software (SPSS Inc., Chicago, IL, USA), chi-square test and fisher's exact two-tailed test analysis were performed and differences were considered significant at values of P < 0.05. Results Table 1 shows the prevalence of Campylobacter spp. isolated from 173 samples of fresh feces from pet dogs and cats in Fars and Isfahan provinces, Iran. Overall, 61 of 173 fecal samples (35.3%) were positive for Campylobacter spp. using both the cultural method and the PCR assay. Campylobacter spp. were isolated from 48 dogs Prevalence of Campylobacterspecies in fecal samples from cats and dogs in Iran 119 Table 1: Prevalence of Campylobacter spp. from dogs and cats using both the cultural method and the PCR assay Samples No. of samples Campylobacter spp. positive* C. upsaliensis C. helveticus C. jejuni C. coli Dogs 126 48 (38.1) a 25 (52.1) a 0 (0.0)a 18 (37.5) a 5 (10.6) a Cats 47 13 (27.7) b 1 (7.7) b 8 (61.5) b 4 (30.8) a 0 (0.0) b Total 173 61 (35.3) 26 (42.6) 8 (13.1) 22 (36.1) 5 (8.2) * Results expressed as the number of Campylobacter-positive samples / number of samples analyzed (%). a b Values in the same column with different superscripts are significantly different (P < 0.05). Table 2: Prevalence of Campylobacter spp. isolated from healthy and diarrheic dogs and cats using both the cultural method and the PCR assay Samples No. of samples Campylobacter spp. positive* C. upsaliensis C. helveticus C. jejuni C. coli Dogs Healthy 88 19 (52.8)*a 0 (0.0) a 13 (36.1) a 13 (36.1) a 4 (11.1) a Diarrhoeic 38 6 (50.0) a 0 (0.0) a 5 (41.7) a 5 (41.7) a 1 (8.3) a Cats Healthy 36 0 (0.0) a 7 (70.0) a 3 (30.0) a 3 (30.0) a 0 (0.0) a Diarrhoeic 11 1 (33.3)b 1 (33.3) b 1 (33.3) a 1 (33.3) a 1 (33.3) b * Results expressed as the number of Campylobacter-positive samples / number of samples analyzed (%) a, b In each column values with no common superscripts are significantly different (P < 0.05) Table 3: Prevalence of Campylobacter spp. isolated from young and adult dogs and cats using both the cultural method and the PCR assay Samples No. of samples Campylobacter spp. positive C. upsaliensis C. helveticus C. jejuni C. coli Dogs Adult* 71 21 (29.6)**a 9 (42.9) a 0 (0.0) a 8 (38.1) a 4 (19.0) a Young 55 27 (49.1) b 16 (59.3) a 0 (0.0) a 10 (37.0) a 1 (37.0) b Cats Adult 17 5 (29.4) a 1 (20.0) a 2 (40.0) a 2 (40.0) a 0 (0.0) a Young 30 8 (26.7) a 0 (0.0) b 6 (75.0) b 2 (25.0) a 0 (0.0) a * Adult (> 12 months), Young (< 12 months) ** Results expressed as the number of Campylobacter-positive samples / number of samples analyzed (%) a, b In each column values with no common superscripts are significantly different (P < 0.05) Table 4: Seasonal prevalence of Campylobacter spp. isolated from dogs and cats using both the cultural method and the PCR assay Season Summer Fall Winter Spring Fecal samples* Dogs 17/40 (42.5) 11/38 (36.8) 9/24 (37.5) 11/24 (45.8) Cats 4/14 (28.6) 3/10 (30.0) 2/8 (25.0) 4/15 (26.7) Total 21/54 (38.9) 14/48 (29.2) 11/32 (34.4) 15/39 (38.5) * Results expressed as the number of Campylobacter-positive samples / number of samples analyzed (%) Table 4 shows the seasonal prevalence of Campylobacter spp. in dog and cat fecal samples. The highest prevalence of Campylobacter spp. occurred in summer (38.9%) followed by spring (38.5%). The prevalence rates of Campylobacter spp. in fall and winter were 29.2% and 34.4%, respectively. No significant differences in the prevalence rates of Campylobacter spp. were observed for dog and cat fecal samples taken in different seasons in Isfahan, and Fars provinces, Iran. 120 E. Rahimi, A. Chakeri, K. Esmizadeh (38.1%) and from 13 cats (27.7%). There were not significant differences (P > 0.05) in the prevalence of Campylobacter between different fecal samples. The most prevalent Campylobacter species isolated from canine samples was C. upsaliensis (52.1%), followed by C. jejuni(37.5%) and C. coli(10.4%). The most prevalence Campylobacter species isolated from cat samples was C. helveticus (61.5%); the remaining isolates were C. jejuni (30.8%) and C. upsaliensis (7.7%). No statistically significant correlation was found between the isolation of Campylobacter, and the presence of gastroenteric disorders, in either dogs or cats (Table 2). Also, no significant differences in the prevalence rates of Campylobacter spp. were observed between fecal samples isolated in Fars and Isfahan provinces (data not shown). In this study the prevalence of Campylobacter in adult dogs (29.6%) was lower than in young dogs (49.1%) (P < 0.05). However, there were not significant differences (P > 0.05) in the prevalence of Campylobacter between adult (29.4%) and juveniles cats (26.7%) (Table 3). Discussion The prevalence rate of Campylobacter spp. in dog and cat fecal samples was 38.1% and 27.7% respectively, which is comparable with those reported from Denmark, Norweg, Switzerland, Italy, Nigeria, The UK (3, 6, 12, 18-20); however, higher prevalence rates have been reported by others (21-24). C. upsaliensis was the most frequently isolated species in dogs and C. helveticus from cats while the isolation rates of C. jejuni were similar in both animals. The prevalence of dogs carrying Campylobacter spp. varies widely, depending on the population sampled and probably also on the detection methods used (3, 18-20, 23, 25). Frequently, C. upsaliensis has been found to be the most common species isolated from dogs (6, 19, 20, 25), although in other studies, C. jejuni predominated (18, 26, 27). In any case, cats predominantly carry C. helveticus rather than C. upsaliensis (3, 20, 22, 26). When age was investigated as a risk indicator for Campylobacter spp. carriage in dogs, the majority of studies found that younger rather than older dogs were more likely to carry C. upsaliensis and C. jejuni (3, 4, 6, 19, 21, 23). Similar to other studies, we found that younger dogs were more likely to be carriers of C. upsaliensis than older dogs and that this is probably a consequence of age-related immunity. However, a small number of reports have suggested that age is not a risk indicator for C. jejuni infection (3, 12, 20, 27). There was no statistically significant association between Campylobacter carrier status and clinical history or signs as has been reported by others (6, 19-21, 23, 26); however, higher prevalence rates in diarrheic cat rather than and healthy cat have been reported by Queen et al. (22). Although various outbreak and seasonal peak of Campylobacter have been reported in the warmer months (5), in our study no apparent pattern in the seasonality of Campylobacter prevalence was observed. This observation is in agreement with the findings reported by Hudson et al. (7). The high prevalence of Campylobacter carriers found in dogs and cats in this and previous studies suggests the bacteria may be intestinal commensals in this species. Although the relationship between the presence of C. upsaliensis and gastroenteritis in both dogs and humans is still unclear, it is worth highlighting that younger dogs in particular may pose a zoonotic risk (4). However the prevalence of C. jejuni, the most common Campylobacter spp. associated with disease in humans, was the second most common Campylobacter species isolated from dogs and cats in our study. To establish the zoonotic potential of canine Campylobacter isolates, both human and canine isolates have to be further characterized and compared. To the authors' knowledge, the present study is the first report on the prevalence of Campylobacter in dogs and cats in Iran. References 1. Vandamme P, Debruyne L, De Brandt E, Falsen E. Reclassification of Bacteroides ureolyticus as Campylobacter ureolyticus comb. nov., and emended description of the genus Campylobacter. Int J Syst Evol Microbiol 2010; 60: 2016-22. 2. Marks SL, Rankin SC, Byrne BA, Weese JS. Enteropathogenic bacteria in dogs and cats: diagnosis, epidemiology, treatment, and control. J Vet Intern Med 2011; 25: 1195-208. 3. Wieland B, Regula G, Danuser J, Wittwer M, Burnens AP, Wassenaar TM, Stark KD. Campylobacter spp. in dogs and cats in Switzerland: risk factor analysis and molecular characterization with AFLP. J Vet Med B Infect Dis Vet Public Health 2005; 52: 183-9. Prevalence of Campylobacterspecies in fecal samples from cats and dogs in Iran 121 4. Westgarth C, Pinchbeck GL, Bradshaw JW, Dawson S, Gaskell RM, Christley RM. Dog-human and dog-dog interactions of 260 dog-owning households in a community in Cheshire. Vet Rec 2008; 162: 436-42. 5. Horrocks SM, Anderson RC, Nisbet DJ, Ricke SC. Incidence and ecology of Campylobacter jejuni and coli in animals. Anaerobe 2009; 15: 18-25. 6. Parsons BN, Porter CJ, Ryvar R, et al. Prevalence of Campylobacter spp. in a cross-sectional study of dogs attending veterinary practices in the UK and risk indicators associated with shedding. Vet J 2010; 184: 66-70. 7. Hudson JA, Nicol C, Wright J, Whyte R, Hasell SK. Seasonal variation of Campylobacter types from human cases, veterinary cases, raw chicken, milk and water. J Appl Microbiol 1999; 87: 115-24. 8. Hussain I, Mahmood MS, Akhtar M, Khan A. Prevalence of Campylobacter species in meat, milk and other food commodities in Pakistan. Food Microbiol 2007; 24: 219-22. 9. Tenkate TD, Stafford RJ. Risk factors for Campylobacter infection in infants and young children: a matched case-control study. Epidemiol Infect 2001; 127: 399-404. 10. Damborg P, Olsen KE, Moller Nielsen E, Guardabassi L. Occurrence of Campylobacter jejuni in pets living with human patients infected with C. jejuni. J Clin Microbiol 2004; 42: 1363-4. 11. Lentzsch P, Rieksneuwohner B, Wieler LH, Hotzel H, Moser I. Highresolution genotyping of Campylobacter upsaliensis strains originating from three continents. J Clin Microbiol 2004; 42: 3441-8. 12. Salihu MD, Magaji AA, Abdulkadir JU, Kolawal A. Survey of thermophilic Campylobacter species in cats and dogs in north-western Nigeria. Vet Ital 2010; 46: 425-30. 13. Bolton FJ, Wareing DR, Skirrow MB, Hutchinson DN. Identification and biotyping of Campylobacter. In: Board GR, Jones D, Skinner, FA, eds. Identification methods in applied and environmental microbiology. Oxford : Blackwell Scientific Publications, 1992: 151-61. (Society for Applied Microbiology, Technical Series No. 29) 14. Misawa N, Shinohara S, Satoh H, et al. Isolation of Campylobacter species from zoo animals and polymerase chain reaction-based random amplified polymorphism DNA analysis. Vet Microbiol 2000; 71: 59-68. 15. Linton D. Owen RJ, Stanley J. Rapid identification by PCR of the genus Campylobacter and of five Campylobacter species enteropathogenic for man and animals. Res Microbiol 1996; 147: 707-18. 16. Denis M, Soumet C, Rivoal K, et al. Development of a m-PCR assay for simultaneous identification of Campylobacter jejuni and C. coli. Lett Appl Microbiol 1999; 29: 406-10. 17. Lawson AJ, Linton D, Stanley J, Owen RJ. Polymerase chain reaction detection and speciation of Campylobacter upsaliensis and C. helveticus in human faeces and comparison with culture techniques. J Appl Microbiol 1997; 83: 375-80. 18. Hald B, Madsen M. Healthy puppies and kittens as carriers of Campylobacter spp., with special reference to Campylobacter upsaliensis. J Clin Microbiol 1997; 35: 3351-2. 19. Sandberg M, Bergsjo B, Hofshagen M, Skjerve E, Kruse H. Risk factors for Campylobacter infection in Norwegian cats and dogs. Prev Vet Med 2002; 55: 241-53. 20. Rossi M, Ha'nninen ML, Revez J, Hannula M, Zanoni RG. Occurrence and species level diagnostics of Campylobacter spp., enteric Helicobacter spp. and Anaerobiospirillumn spp. in healthy and diarrheic dogs and cats. Vet Microbiol 2008; 129: 304-14. 21. Engvall EO, Brandstrom B, Andersson L, Baverud V, Trowald-Wigh G, Englund L. Isolation and identification of thermophilic Campylobacter species in faecal samples from Swedish dogs. Scand J Infect Dis 2003; 35: 713-8. 22. Queen EV, Marks SL, Farver TB. Prevalence of selected bacterial and parasitic agents in feces from diarrheic and healthy control cats from Northern California. J Vet Intern Med 2012; 26: 54-60. 23. Acke E, Whyte P, Jones BR, McGill K, Collins JD, Fanning S. Prevalence of thermophilic Campylobacter species in cats and dogs in two animal shelters in Ireland. Vet Rec 2006; 158: 51-54. 24. Chaban B, Ngeleka M, Hill JE. Detection and quantification of 14 Campylobacter species in pet dogs reveals an increase in species richness in feces of diarrheic animals. BMC Microbiol 2010; 10: e 73. 25. Hald B, Pedersen K, Waino M, Jorgensen JC, Madsen M. Longitudinal study of the excretion patterns of thermophilic Campylobacter spp. in young pet dogs in Denmark. J Clin Microbiol 2004; 42: 2003-12. 122 E. Rahimi, A. Chakeri, K. Esmizadeh 26. Workman SN, Mathison GE, Lavoie MC. Pet dogs and chicken meat as reservoirs of Campylobacter spp. in Barbados. J Clin Microbiol 2005; 43: 2642-50. 27. Tsai HJ, Huang HC, Lin CM, Lien YY, Chou CH. Salmonella and Campylobacters in household and stray dogs in Northern Taiwan. Vet Res Commun 2007; 31: 931-9. PREVALENCA BAKTERIJ VRSTE KAMPILOBAKTER V VZORCIH BLATA PSOV IN MAÈK V IRANU E. Rahimi, A. Chakeri, K. Esmizadeh Povzetek: Okužba z bakterijami kampilobakter (Campylobacter spp.) je eden izmed najpogostejših povzročiteljev akutnega bakterijskega gastroenteritisa pri ljudeh. Namen naše raziskave je bil določiti razširjenost bakterij Campylobacterspp.viztrebkih psov in mačk v Iranu. Od avgusta 2010 do avgusta 2011 smo s pomočjo lastnikov zbrali 173 vzorcev svežih iztrebkov hišnih psov (n = 126) in mačk (n = 47) v provincah Fars in Isfahan v Iranu. V 61 vzorcih (35,3 %) smo potrdili prisotnost bakterij kampilobakter, in sicer pri 48 vzorcih psov (38,1 %) in 13 vzorcih mačk (27,7 %). Posamezne vrste bakterij kampilobakter smo določili z mikrobiološko metodo in metodo PCR in pri psih ugotovili C. upsaliensisv25 vzorcih, C. jejuniv 18 in C. coliv 5. Pri mačkah smo potrdili C. upsa-liensisvenem vzorcu, C. helveticusv8 in C. jejuniv4 vzorcih. Razširjenost bakterij kampilobakter pri odraslih psih (29,6 %) je bila nižja kot pri mladih (49,1 %), pri mačkah pa ni bilo značilne razlike med odraslimi (29,4 %) in mladimi živalmi (26,7 %). Prav tako ni bilo statistično pomembne povezave med prisotnostjo bakterij kampilobakter v iztrebkih in gastrointestinalnimi motnjami tako pri psih kot pri mačkah. Ta raziskava je prvo poročilo o razširjenosti bakterij kampilobakter pri psih in mačkah v Iranu. Kljuène besede: psi; mačke; bakterije kampilobakter; zoonoza