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عضویت

فهرست مطالب mohammad-mehdi soltan dallal

  • Mohammadmehdi Soltan Dallal *, Zahra Rajabi, Moslem Papizadeh, Samaneh Amiri, Abbas Rahimi Foroushani, Ahmad Naser, Seyedeh Zohre Mirbagheri, Hossein Masoumi-Asl, Parisa Torabi, Mehrnaz Mirza Babaei

    The prevalence of antibiotic resistance has been demonstrated in various food-borne pathogens. Beta-lactam antibiotics are among the first-line antimicrobials that are normally administered in case of gastrointestinal infections. However, Escherichia coli (E. coli) and some other members of Enterobacteriaceae have indicated broad resistance against such antibiotics thanks to extended-spectrum beta-lactamase (ESBL) enzymes. In this research, 216 stool samples have been screened for ESBL-producing E. coli, using phenotypic antibiotic susceptibility tests. ESBL-producing E. coli isolates were further screened for the presence of antibiotic-resistance genes CTX-M, SHV, and TEM. Our isolation experiments resulted in 111 E. coli isolates among which 41 (36.9%) isolates were found as ESBL. Also, 51.2% of the above ESBL isolates harbored blaTEM. Furthermore, 18 (43.9%) and 2 (4.9%) of those ESBL isolates had blaCTX-M and blaSHV genes, respectively.  Our results revealed a detectable prevalence of ESBL E. coli in stool samples collected during food outbreaks. Results of such researches can guide how to control the distribution of drug-resistant pathogens in various environments. In this line, the considerable prevalence of ESBL E. coli seems to have originated from the wide administration of various beta-lactam antibiotics.

    Keywords: Beta-Lactamase, Clavulanic Acid, Drug-Resistant Pathogens, Food-Borne Infections, Gastroenteritis Symptoms, Klebsiella Pneumonia}
  • Mohammadmehdi Soltan- Dallal*, Seyedeh Zohre Mirbagheri, Saeed Vahedi, Mohammadreza Mohammadi, Hedroosha Molla Agha Mirzaei
    Background and Objective

    Investigating multidrug resistance and TEM and SHV broad-spectrum beta-lactamase genes in Escherichia coli bacteria isolated from patients with urinary tract infections is very useful to improve the treatment of infection and prevent the failure of treatment of urinary tract infections.The aim of this study was to investigate multidrug resistance and TEM and SHV broad-spectrum beta-lactamase genes in Escherichia coli bacteria isolated from patients with urinary tract infections.

    Materials and Methods

    In this study, 188 strains of Escherichia coli, which cause urinary tract infections in Alborz province, were studied. Urine samples were cultured on EMB and Blood Agar media. Differential tests were performed for final identification. ESBL-producing strains were identified, PCR was performed to survey the abundance of ESBL-producing genes.

    Results

    Based on the results of the disk diffusion and Double-disk synergy testS, 82 (43.6%) strains were determined as the final producer of ESBL. out of these isolates, the frequency of SHV, TEM, and CTX genes measured 64.3%, 55.9%, and 21.4%, respectively. These results showed that 12 (14.28%) of Escherichia coli isolated have all genes, 26 (30.95%) had 2 genes and 36 (42.85%) had one gene.

    Conclusion

    According to the results, it was found that imipenem with the lowest resistance is the best drug in the treatment, and carbapenems are the best drug for treating diseases caused by Escherichia coli. The results of the current study may be useful in replacing ESBL enzyme resistance screening with more modern sensitivity measurement methods such as MIC and Etest.

    Keywords: Escherichia Coli, Drug Resistance, Beta-Lactamases, Extended-Spectrum Beta-Lactamases (Esbls)}
  • MohammadMehdi Soltan Dallal*, Zohreh Didar, MohammadReza Mohammadi, Saeed Vahedi, Ronak Bakhtiari, Seyedeh Zohre Mirbagheri, Hedroosha Molla Agha Mirzaei
    Background

    There is a global threat of methicillin-resistant Staphylococcus aureus (S. aureus or MRSA), which has been regarded as a priority pathogen by the world health organization (WHO). Livestock and its products are the sources of MRSA which can often occur in poor breeding conditions. The present study aims to investigate the prevalence of MRSA and the rate of antibiotic residue in pasteurized and raw farm milk.

    Methods

    This was a cross-sectional study conducted from April to July 2020. 250 samples (200 samples of raw milk in farms around Tehran and 50 samples of pasteurized milk) were cultured to evaluate the occurrence of S. aureus and its antimicrobial susceptibility profile to 7 antimicrobial panels. Hansen Kit was used to monitor antibiotic residue in milk.

    Results

    63 S. aureus isolates (25.2%) were detected from 250 milk samples. Among 200 raw milk samples, 48 (24%) S. aureus isolates were detected and no strain of S. aureus was isolated from pasteurized milk. The highest rates of resistance belonged to ampicillin (95.8%), amoxicillin/clavulanic acid (87.5%), tetracycline (50%), and cefoxitin (45.8%). Moreover, 43 (17.2%) out of 250 milk samples had antibiotic residue in the antibiotic residue test using Danish Hansen kit.

    Conclusion

    The present study indicates a high prevalence of subclinical S. aureus in dairy herds in Tehran, Iran. The milk contaminated with S. aureus and MRSA, posed a risk to public health owing to the presence of a phenotype resistant to very common antibiotics

    Keywords: Milk, Staphylococcus aureus, Methicillin, Anti-bacterial agents}
  • Mohammad Mehdi Soltan Dallal, MohammadHassan Ehrampoush, Ramin Mazaheri Nezhad Fard, Farzaneh Aminharati*, Abbas Ali Dehghani Tafti, Mehdi Yaseri
    Background

    Ecological conditions can change infection routes and increase the risks of outbreaks. The aim of this study is risk assessment of foodborne disease outbreaks based on dispersed regional climatic and demographic variables in Yazd Province, Iran.

    Methods

    In this cross-sectional study, data of temporal climatic parameters and regional demographic factors linked to bacterial foodborne diseases were addressed. A multi-level regression analysis model was used to detect associations between the risk of outbreaks and ecological risk factors; the relationships were verified using (P<0.05).

    Results

    Significant associations were observed between the outbreaks and age )P<0.001(, community type (P<0.001), temperature (P=0.04), rainfall (P=0.03) and dust pollution (P<0.001) in scattered parts of the province. The maximum rate of outbreaks was seen in spring, while the frequency of the outbreaks increased during April and October, compared to other months of the year (2012–2016).

    Conclusion

    Consequences have revealed interventions of the environmental exposures in transmissions of microbial agents by complex ecological processes that caused the outbreaks.

    Keywords: Climate, Environment, Disease outbreaks, Risk, Iran}
  • Mohammadmehdi Soltan Dallal *, Zahra Rajabi, Mohammadreza Mohammadi, Arezoo Bagheri Sadegi

    Foodborne diseases are a global problem that is spreading day by day. These diseases are one of the most common causes of death in children and the elderly. This study was conducted to investigate the prevalence of water and foodborne diseases in Kurdistan province for six months from April to September 2022. Stool samples from patients were collected in the laboratory in a special container containing 10% formalin preservative. 134 stool samples from 28 food outbreaks from Kurdistan province were analyzed for the type of infected bacteria. The research results were analyzed in SPSS-19 software. Among the 28 outbreaks in Kurdistan province during the two seasons of spring and summer, the highest number of outbreaks was in the summer season with 20 and then in the spring season with 8 outbreaks. The dominant age group was children under 10 years (%21) old and people between 20-30 years old, and the dominant gender group was men. The most common clinical symptoms were nausea, vomiting, abdominal cramps, bloody diarrhea and non-bloody diarrhea. It is important to know the type of bacteria that cause water and foodborne diseases in reducing outbreaks and treatment costs and applying necessary measures for control and prevention.

    Keywords: Food Technology, Food-Borne Disease, Outbreaks, Salmonella Enterica, Shigellosis, Staphylococcus Aureus}
  • محمدمهدی سلطان دلال*، زهرا رجبی، مهدیه پورمرادیان، شهرداد محبعلی

    بیماری های منتقله از راه غذا foodborne diseases (FBD)  امروزه یکی از بزرگترین نگرانی ها در جهان می باشد. همچنین استفاده بی رویه و نادرست از آنتی بیوتیک ها باعث ایجاد مقاومت در بین باکتریهای فراوانی گشته است، که به صورت یک تهدید جدی برای سلامت عمومی مطرح گردیده است. این بررسی بر روی تمامی طغیان ناشی از مواد غذایی که  طی 1 سال از فروردین تا اسفند  1400 در استان سمنان اتفاق افتاده انجام شده است. نمونه ها به منظور جداسازی و تشخیص باکتری های سالمونلا ، شیگلا،اشریشیاکلی O:157: H7 مورد بررسی قرار گرفتند. اطلاعات دموگرافیک مورد نیاز بر اساس پرسشنامه و داده های آزمایشگاهی تکمیل شد و نتایج حاصل از مطالعه به کمک نرم افزارSPSS  نسخه 19 تجزیه و تحلیل آماری شدند. نتایج نشان داد فراوانی طغیان در زنان (46%) بیش از کودکان و مردان مشاهده شد. رده سنی 24 الی 44 (31،57%) بیشترین موارد مبتلا را شامل شدند.  درصد طغیان رخ داده در شهر (31/57%) بیش از روستا (69/42%) بود. فراوانی طغیان ناشی از مصرف غذا بیش از آب و مصرف غذای بیرون  (55/55%) بیش از غذای خانگی (45/44%)  بود. بیش از نیمی از فراوانی باکتریایی، متعلق به گونه های اشریشیاکلی بود (73%). آلودگی به شیگلا و سالمونلا (9/2%) بود.  هیچ جدایه اشریشیاکلی O157H7 شناسایی نشد. بر اساس نتایج این مطالعه گروه زنان جزو گروه های آسیب پذیر تر و مصرف غذای بیرون از خانه و شهر نشینی از علل مهم طغیان های غذایی در استان سمنان می باشد. همچنین سالمونلا و شیگلا را میتوان از علل اسهال ناشی از طغیان های غذایی سمنان دانست.

    کلید واژگان: اپیدمیولوژی, اتیولوژی, اسهال, طغیان, دموگرافیک}
    MohammadMehdi Soltan Dallal*, Zahra Rajabi, Mahdieh Pourmoradian, Shahrdad Mohebali

    Today, Foodborne diseases (FBD) are one the important concerns in the world. The indiscriminate and incorrect use of antibiotics has caused resistance in many bacteria, which is a serious threat to public health. This study was conducted on all food-borne outbreaks that occurred in Semnan Province during one year (April to March 2020). The samples were examined for isolation and detection of Salmonella, Shigella, and Escherichia coli O: 157: H7. Data were collected based on a questionnaire and laboratory data. The results of the study were analyzed by SPSS software version 19. The results showed that the prevalence of outbreaks in women (46 %) was higher than in men and children. The age group of 24 to 44 (31.57%) included the most affected cases. The frequency of the outbreak in the city (%57/31) was higher than in the village (%42/69). The incidence of bacterial agents in water was lower than in food and homemade food consumption was lower than takeout food (44/45%). About (73%) of the bacterial abundance belonged to Escherichia coli species. Shigella and Salmonella contamination of food was 2.9%. According to the results of the present study, women are the most vulnerable groups, and consumption of takeout foods and urbanization are important causes of food outbreaks in Semnan province. Also, Salmonella and Shigella can be considered as important causes of diarrhea in Semnan food outbreaks.

    Keywords: Epidemiology, Etiology, Diarrhea, Outbreak, Demographic}
  • Ahmad Nasser, MohammadMehdi Soltan Dallal*, Abbas Rahimi Foroushani, Jila Yavarian
    Objectives

    The purpose of this study is to determine the viability of enterotoxigenic Escherichia coli (ETEC) in a sample of diarrhea. The investigation focuses specifically on the lt gene and utilizes propidium monoazide (PMA) and quantitative real-time polymerase chain reaction (qPCR) to differentiate between live and dead bacteria.

    Methods

    Propidium monoazide is a chemical that can bind to and inhibit the amplification of free DNA during qPCR analysis. In this study, in addition to analyzing diarrhea samples, artificially spiked samples were used to assess the sensitivity and accuracy of the PMA treatment. The qPCR results were compared to the gold standard of culture-based methods both with and without PMA treatment.

    Results

    The method’s limit of detection was 8 CFU/mL, and it exhibited linearity from a 10-1 to a 10-9 dilution. The qPCR approach revealed a higher bacterial count than the culture method due to the detection of DNA released from dead bacteria. However, when PMA was employed, the bacterial count was similar to that obtained using colony count agar, which is attributed to the elimination of free DNA during investigation.

    Conclusions

    The present study developed a PMA-based qPCR approach that enables the detection of live bacterial DNA. This method involves PMA and real-time PCR and offers several advantages, including faster detection times (a few hours vs. several days with the traditional culture method) and the ability to exclusively detect live bacteria without interference from free DNA released by dead bacteria. Additionally, the use of real-time PCR enables precise quantification of the live bacterial load. Overall, this approach is cost-effective, rapid, highly sensitive, and specific, making it a valuable tool for various applications.

    Keywords: qPCR, ETEC, Propidium Monoazide, Escherichia coli}
  • Sara Sharifi Yazdi*, Behzad Mobasseri, Parisa Torabi Bonab, Sina Sharifi Yazdi, Zohre Mirbagheri, MohammadMehdi Soltan Dallal
    Background

    Foodborne diseases are caused by eating contaminated food. Yersinia species are among the bacteria involved in food contamination, such as meat, poultry, vegetables, and milk. This study aims to investigate the prevalence and characteristics of Yersinia enterocolitica and Yersinia pseudotuberculosis from raw milk in Tehran.

    Methods

    In this study, 360 samples of raw milk were collected from farms around Tehran and examined according to the FDA method. Then, 25 ml of milk samples were added to 225 ml of Peptone Sorbitol Bile Broth and kept for 10 days at 4 °C for enrichment. After 10 days, 0.5 ml of the sample was added to 0.5 ml of 0.72% KOH solution and 0.54% NaCl. After 30 sec, it was cultured in the selected Cefsulodin-Irgasan-Novobiocin agar (CINagar) medium to remove the normal flora. The plates were stored for 48 h at 28 °C. The suspected Bull's eye colonies were purified and phenotyping tests were carried out on the selected colony. The 20 E API kits were used for confirming identification.

    Results

    From 360 raw milk samples, 4 Yersinia isolates (1.1%) including one Y. pseudotuberculosis (0.27%) and three Y. enterocolitica (0.83%) were isolated. In addition to Yersinia, other bacteria such as Klebsiella, Serratia, Citrobacter, and Providencia were isolated from milk samples.

    Conclusion

    The findings showed that clean tap water and healthy cattle in livestock can be effective in preventing Yersinia contamination. Lack of personal and environmental hygiene could cause food contamination by Yersinia and other intestinal bacteria leading to gastrointestinal infections.

    Keywords: Yersinia enterocolitica, Yersinia pseudotuberculosis, Milk, Diarrhea}
  • محمدمهدی سلطان دلال*، فریبا نباتچیان، سارا شریفی یزدی، شبنم حقیقت خواجوی، مهدیه پورمرادیان
    زمینه و هدف

    تغییر شیوه تغذیه و سبک زندگی در سال های اخیر، باعث اهمیت بیشتر به کیفیت سبزیجات خشک مصرفی و ارزیابی سلامت در آن ها شده است. سبزیجات خشک محل مناسبی برای ماندگاری باکتری باسیلوس به دلیل داشتن اسپور می باشد. هدف از این پژوهش جداسازی و شناسایی باسیلوس سریوس در سبزیجات خشک فله و بسته بندی شده به روش کشت و PCR بود.

    روش کار

    در یک مطالعه توصیفی مقطعی از بهمن 98 الی مهر 99، تعداد 160 نمونه سبزی خشک شامل 80 نمونه فله و 80 نمونه بسته بندی شده آماده مصرف از نظر آلودگی به باسیلوس سریوس مورد ارزیابی قرار گرفتند. بدین منظور ابتدا 25 گرم از نمونه در 225 میلی لیتر پپتون واتر ریخته شد، سپس یک میلی لیتر از رقت 1/0 سوسپانسیون تهیه شده بر روی محیط اختصاصی باسیلوس سریوس (MYP Agar) تلقیح شد. در روز بعد کلنی ها از نظر واکنش های بیوشیمیایی طبق روش های استاندارد مورد ارزیابی قرار گرفتند. به منظور بررسی مولکولی این باکتری، واکنش زنجیره ای پلیمراز برای ژن های انتخابی انجام شد. برای تجزیه و تحلیل داده ها از آزمون کای اسکویر و نرم افزار SPSS استفاده شده و موارد 05/0 P< معنی دار در نظر گرفته شد.

    یافته ها:

     یافته های حاصل از این مطالعه نشان داد که 34 نمونه (25/21 درصد) با روش فنوتیپی از سبزی خشک ها دارای آلودگی مشکوک به باسیلوس سریوس بودند. با مطالعه ژن ITS، همه 34 جدایه باسیلوس سریوس شناسایی شدند. سبزی شوید با 7 مورد (37/4 درصد) بیشترین آلودگی را داشت.

    نتیجه گیری:

     با توجه به مقاومت بالای اسپور باسیلوس سریوس در برابر حرارت، این باکتری می تواند در فرایند خشک کردن سبزی زنده مانده و برای مصرف کنندگان ایجاد مسمومیت غذایی کند.

    کلید واژگان: باسیلوس سرئوس, سبزی خشک, مسمومیت غذایی, روش مولکولی}
    MohammadMehdi Soltan Dallal*, Fariba Nabatchian, Sara Sharifi-Yazdi, Shabnam Haghighat Khajavi, Mahdieh Pourmoradian
    Background & Aims

    Bacillus cereus is a Gram-positive, rod-shaped, facultative anaerobic, motile, beta-hemolytic, spore forming bacterium commonly The bacteria is commonly found in the environment, is often found in soil and vegetation, and can be present in foods. It can cause foodborne illness worldwide. B. cereus illness is related to many foods - beef, turkey, rice, beans, and vegetables. Specifically, the diarrheal illness is often related to meats, milk, vegetables, and fish. This product may be contaminated with many bacterial pathogens, including Bacillus cereus (4). There are several ways to store vegetables; one way is drying, which is important for several reasons: long-term storage, reducing the volume for the storage, and move products more easily and faster The emetic-type illness is most often associated with rice products, but it has also been associated with other types of starchy products such as potato, pasta, and cheese products (5). Some food-mixtures (sauces, puddings, soups, casseroles, pastries, and salads, have been associated with food-borne illness in general. There are two types of food-borne B. cereus illness. In the first, contaminated food (many types of food, often left at room temperature) makes its way to the small intestine where the toxin, in this case, a large-molecular-weight protein, is released. This can lead to diarrhea, cramps, and sometimes nausea. Usually, vomiting is not present in this form of illness (6, 7). Incubation for the first type is 6 to 15 hours. In the second type, affected food, most often starchy food, and classically, rice, contains a different type of toxin (cereulide, an ionophoric low-molecular-weight dodecadepsipeptide that is pH-stable and heat and protease-resistant). This toxin causes emetic-type B. cereus illness. The incubation period for this type is 30 minutes to 6 hours (9). Bacillus cereus is caused by the ingestion of food contaminated with either the enterotoxigenic B. cereus or with the emetic toxin. In non-gastrointestinal illness, reports of respiratory infections similar to respiratory anthrax have been attributed to B. cereus strains harboring B. anthracis toxin genes (10). The spore of this bacterium is resistant to severe environmental conditions including heat, freezing, drying, and radiation, and may be considered an infectious agent for this bacterium. Changes in diet and lifestyle in recent years and the growing trend of using ready-made products (4). In the gastrointestinal tract (small intestine), vegetative cells, ingested as viable cells or spores, produce and secrete a protein enterotoxin and induce a diarrheal syndrome, whereas emetic toxin, a plasmid-encoded cyclic peptide (cereulide), is produced in food products and ingested as a formed toxin. Dry vegetables it is suitable for the survival quickly multiply at room temperature (12). There are two main types of intestinal illnesses caused by B. cereus. One is diarrheal, and one leads more to nausea/vomiting. B. cereus has also been implicated in infections of the eye, respiratory tract, and in wounds. The pathogenicity of B. cereus, whether intestinal or nonintestinal, is intimately associated with the production of tissue-destructive exoenzymes. Among these secreted toxins are four hemolysins, three distinct phospholipases, an emesis-inducing toxin, and proteases. The specific name, cereus, meaning "waxy" in Latin, refers to the appearance of colonies grown on blood agar.Bacillus cereus is one of the most important causes of spore-bearing bacteria such as Bacillus (5, 7, 11). The aim of this study was to isolate and identify Bacillus cereus in bulk and packaged dried vegetables by culture and PCR.

    Methods

    This is a cross-sectional descriptive study from February 2019 to October 2020. In total 160 samples (80 from each of open and packed dried vegetables) were evaluated for the contamination of Bacillus cereus. 25 g of the sample was poured into 225 ml of peptone water and incubated at 37 ° C for 24 hours and then one ml of 0.1 dilutions of the suspension was inoculated into on the specific medium of Bacillus cereus (Scharlau, Spain). (MYP Agar) Mannitol Egg Yolk Polymyxin Agar. For the total count, 10 g of each dried vegetable was added into 90 ml of 0.1% peptone water and then 1 ml of dilutions (10-1, 10-2, 10-3), were inoculated into MYP Agar medium and incubated at 37 ° C for 24 hours.Large pink colonies (no fermentation of mannitol) with a precipitated halo (due to lecithinase production) were considered suspicious colonies. The identification was carried out by catalase and biochemical tests. anaerobic conditions, growth at 45 ° C, lestinase C test, hemolysis B in blood agar with 5% sheep blood, MR-VP test, penicillin sensitivity 10 IU test,and nitrate reduction(13). For molecular analysis, the polymerase chain reaction for the internal transcribed spacer (ITS) gene was used to confirm Bacillus cereus. In order to extract DNA from a pure colony of bacteria, it was cultured in an LB medium and after incubation, the resulting culture was precipitated and the genome was extracted using phenol-chloroform. The quality and quantity of DNA extracted were evaluated by spectrophotometry and electrophoresis. The extracted DNA was frozen at -20 ° C for later use (14). The PCR program consisted of an initial temperature of 94 ° C for 5 min, then 35 cycles consisting of 94 ° C for 30 s, 52 ° for 30 s, and 72 ° for 30 s. PCR reaction was performed in Thermal Cycler (Primus 96, Peqlab Biotechnologie GmbH, Erlangen, Germany). The standard strain of 11778 Bacillus cereus was used as a positive control. The PCR product was electrophoresed in 1% agarose gel at a voltage of 100-80 volts and after staining with ethidium bromide 1 mg/ml was observed and photographed by a gel dock device. Initially, the PCR gradient for the gene was placed in the annealing temperature range of 50 to 60 degrees, which was finally selected at an optimum temperature of 52 degrees (15). Using SPS software, data were analyzed by chi-square test. p<0.05 was considered significant.

    Results

    The B. cereus contamination were found in 21 (26.25%) and 13 (16.25%) of open and packed dried vegetable samples respectively. There was no statistically significant difference (p>0.05) between contamination rate of B. cereus in open and packed dried vegetable samples. Also, contamination rate of B. cereus was not significantly different (p>0.05) among various kinds of vegetable samples. The results of this study showed that 34 (21.25%) out of 160 samples of dried vegetables were infected with Bacillus cereus by the phenotypic method. PCR results of the ITS gene showed that all 34 strains isolated by culture were also identified by molecular method. In total 7 (4.37%) dill, 5 (3.12%) tarragon, 5 (3.12%) parsley, 5 (3.12%) mint, 6 (3.75%) soup, 4 (2.5%) coriander and 2 (1.25%) turmeric were identified as Bacillus cereus respectively.

    Conclusion

    Our study showed that despite the supply of packaged dried vegetables, there is still the possibility of microbial contamination, especially by anaerobic bacteria. Although the rate of contamination of dried vegetables in open packaged (13.2%) was more than dried packaged (12.8%).This percentage of contamination probably indicates a lack of hygiene in the drying process in both traditional and industrial forms.

    Keywords: Bacillus cereus, Dried vegetables, Food poisoning, Molecular method}
  • Mohammad Mehdi Soltan-Dallal, Zahra Rajabi, Sara Sharifi Yazdi*, Parisa Torabi-Bonab, Alireza Monadi Sefidan, Sina Sharifi Yazdi
    Background and Objective

     Breast milk contains nutrients such as carbohydrates, essential fatty acids, proteins, vitamins, minerals, and a source of communal bacteria with probiotic potential that is very effective in the prevention and treatment of neonatal infections. The aim of this study was the evaluation of probiotic properties of lactobacilli in breast milk and their inhibitory effect on pathogenic bacteria of the gastrointestinal tracts.

    Materials and Methods

     In a cross-sectional descriptive study, during 10 months from January to October 2018, 100 breast milk samples were collected by referring to health centers after isolation. Lactobacilli strains were evaluated based on morphological characteristics, catalase, and hot staining tests, survival tests in acidic conditions, and bile salt tolerance to evaluate probiotic properties. Antibiotic resistance of probiotic strains and ability to inhibit pathogenic bacteria was evaluated by well method and growth inhibition zone.

    Results

     122 lactobacilli belonging to 12 species were identified from 100 samples of breast milk by phototypical methods. The predominant species belonging to casei and other lactobacilli were Fermentum, Plantarum, and Gasseri, respectively.The highest antibiotic resistance was related to vancomycin (63.15%). The 3 isolates L4, L14 and L16 were able to strongly inhibit all the studied gastrointestinal pathogens.

    Conclusion

     Breast milk is a rich source of beneficial probiotic lactobacilli, which can be useful in breast milk for infants who are not breastfed to prevent neonatal infections.

    Keywords: Breast milk, Lactobacillus, Probiotic, Inhibitory effect}
  • محمدمهدی سلطان دلال*، محمدکاظم شریفی یزدی، علیرضا منادی سفیدان، غلامرضا حسن پور، سارا شریفی یزدی، شبنم حقیقت خواجوی، سعید واحدی، سیده معصومه ابریشمچیان لنگرودی، مهدیه پورمرادیان، هدروشا ملا آقامیرزایی
    زمینه و هدف

    یرسینیا یک عامل مهم بیماری های منتقله از آب و غذا است که باعث گاستروآنتریت کودکان می شود. این مطالعه به منظور تعیین بیوتایپینگ جدایه های یرسینیاانتروکلی تیکا از کودکان مبتلا به اسهال و گوشت مرغ در شهر تهران انجام شد.

    روش بررسی

    این مطالعه توصیفی مقطعی روی 250 نمونه اسهال کودکان مراجعه کننده به مرکز طبی کودکان در تهران و 250 نمونه مرغ جمع آوری شده طی تیر ماه 1399 لغایت اسفند 1399 انجام شد. نمونه ها از نظر آلودگی به یرسینیاانتروکلی تیکا با روش سرما گذاری و محیط CIN آگار بررسی شدند. روش جداسازی بر اساس غنی سازی اولیه در بافر فسفات به مدت 3 هفته در یخچال (سرماگذاری در 4 درجه سانتی گراد) و سپس استفاده از KOH به عنوان غنی سازی ثانویه و کشت بر روی محیط CIN آگار انجام گردید. برای تعیین سویه های بیماری زا از روش بیوتایپیگ استفاده شد.

    یافته ها

     5 جدایه (2 درصد) از نمونه های اسهال کودکان و 20 جدایه (8 درصد) از نمونه های گوشت مرغ به یرسینیا اینتروکلی تیکا بدست آمد. بیوتایپینگ جدایه های یرسینیاانتروکلی تیکای انسانی سبب شناسایی 3 مورد بیو تایپ 1A، یک مورد بیوتایپ 1B ، یک مورد بیوتایپ 2 و از جدایه های گوشت مرغ، 16 جدایه متعلق به بیوتیپ 1A و 4 جدایه متعلق به بیوتایپ 1B گردید.

    نتیجه گیری

    وجود بیوتایپ های مشترک بیماری زای 1B و غیربیماری زای 1A در نمونه های اسهال کودکان و گوشت مرغ می تواند بیانگر علت اسهال در کودکان باشد.

    کلید واژگان: یرسینیاانتروکلی تیکا, اسهال, کودک}
    MohammadMehdi Soltan Dallal*, MohammadKazem Sharifi Yazdi, Alireza Monadi Sefidan, Gholamreza Hassanpour, Sara Sharifi Yazdi, Shabnam Haghighat Khajavi, Saeed Vahedi, Seyedeh Masoomeh Abrichamchian Langaroudi, Mahdieh Pourmoradian, Hedroosha Molla Agha Mirzaei
    Background and Objective

    Yersinia is water and foodborne organism that cause human gastroenteritis. This study was done to evaluate the frequency of Yersinia species isolated from children diarrheal samples and chicken meat in Tehran, Iran.

    Methods

    In this descriptive study 250 sample of diarrhea of children referred to the Children's Medical Center, Tehran, Iran and 250 samples of chicken were collected and examined for Yersinia infection during July 2016 to March 2017. Isolation method was performed based on initial enrichment in phosphate buffer for 3 weeks in refrigerator (cooling in c4 +) and then using KOH as secondary enrichment and culture on CIN agar medium. Biotyping method was used to determine pathogenic strains.

    Results

    In this study, 5(2%) isolates from pediatric diarrhea samples and 20 isolates (8%) from chicken meat samples were obtained from Yersiniaenterocolitica. Biotyping of human Yersiniaenterocolitica isolates identified 3 cases of biotype 1A, one case of biotype 1B, one case of biotype 2 and from chicken meat isolates, 16 isolates belonged to biotype 1A and 4 isolates belonged to biotype 1B.

    Conclusion

    Presence of common pathogenic 1B and non-pathogenic 1A biotypes in pediatric diarrhea samples and chicken meat can indicate the cause of diarrhea in children.

    Keywords: Yersiniaenterocolitica, Diarrhea, Child}
  • محمدمهدی سلطان دلال*، محمدکاظم شریفی یزدی، زهرا رجبی، غلام رضا حسن پور، سعید واحدی، سیده معصومه ابریشمچیان لنگرودی، شبنم حقیقت خواجوی، سارا شریفی یزدی، مهدیه پورمرادیان، هدروشا ملا آقا میرزایی
    سابقه و هدف

    مقاومت در برابر طیف وسیعی از آنتی بیوتی کهای خانواده بتالاکتام، ناشی از ظهور بتالاکتامازهای جدیدی در میان سویه های باکتریایی است. هدف از این مطالعه تعیین میزان فراوانی بتالاکتامازهای طیف گسترده (ESBLs) در جدایه های کلبسیلا از نمونه های شیرخام و شیر مدرسه به رو شهای فنوتیپی و ژنوتیپی بوده است.

    مواد و روش ها

    در یک مطالعه توصیفی مقطعی، 200 نمونه شیرخام و شیر مدرسه از نظر وجود کلبسیلا روی محیط هکتون آگار بررسی شدند. کلنی های مشکوک به کلبسیلا پس از تایید با آزمون های افتراقی، برای غربالگری اولیه ارگانیسم های تولیدکننده ESBL ، از آزمون روش انتشار در آگار استفاده شد. تایید نهایی با PCRانجام شد.

    یافته ها

    در این مطالعه از 200نمونه، مجموع 44 کلبسیلا، 23 جدایه (72/7 درصد) از شیرخام و 21 جدایه (3/ 72 درصد) از شیرهای مدرسه جدا شد. بر این اساس 41 (13/8 درصد) جدایه که حداقل به یکی از آنتی بیوتیک های سفتازیدیم و سفوتاکسیم مقاوم بودند، برای تست تاییدی انتخاب شدند. در آزمایش ،RCP xelpitluM از میان شش (3درصد) جدایه غربال شده در تست تاییدی (نج شیر خام و یک شیر مدرسه)، چهار (2درصد) و یک (5/ 0درصد) جدایه به ترتیب حاوی ژ نهای ،MET AHD و دو (1درصد) و یک (5/ 0درصد) جدایه به ترتیب حاوی ژن های VHS و ژن MTIC بودند.

    نتیجه گیری

    شناسایی سویه های مولد این آنزیم ها از طریق تست های فنوتیپی به سختی امکان پذیر است، بنابراین لحاظ کردن بررس یهای مولکولی با استفاده از  پرایمرهای فراگیر (lasrevinU) در کنار آزمون فنوتیپی می تواند در تشخیص کامل این نوع مقاومت ها موثر بوده و سهم عمده ای را در کنترل عفونت ایفا کنند.

    کلید واژگان: الگوی مقاومت آنتی بیوتیکی, طیف گسترده ESBLs, کلبسیلا, شیر}
    MohammadMehdi Soltan Dallal*, MohammadKazem Sharifi Yazdi, Zahra Rajabi, Gholamreza Hassanpour, Saeid Vahedi, Seyedeh Masoomeh Abrichamchian Langaroodi, Shabnam Haghighat Khajavi, Sara Sharifi Yazdi, Mahdieh Pourmoradian, Hedroosha Molla Agha Mirzaei
    Background and Aim

    Resistance to a wide range of beta-lactam family antibiotics is due to the emergence of new beta-lactamases among bacterial strains. The aim of the present study was to determine the prevalence of ESBLs in Klebsiella speices isolated from raw and pasteurized school
    milk using phenotypic and genotypic methods. 

    Materials and Methods

    In a descriptive cross-sectional study, 200 samples of raw and pasteurized school milk were analyzed for the presence of Klebsiella spp. Samples were grown on Hektoen enteric agar medium. Suspected colonies of Klebsiella spp. were confirmed running differential tests. For the initial screening of ESBL producing organisms, the Disk Diffusion Agar method (DDA) was used. Final confirmation was done using PCR.

    Results

    Out of 200 samples tested, 44 isolates were identified as Klebsiella, 32 isolates (72.7%) from raw and 12 (27.3%) from pasteurized school milk. In general, 14 (31.8%) isolates that were resistant to at least ceftazidime or cefotaxime antibiotics were selected for confirmatory testing.In Multiplex PCR assay, 6 (3%) isolates were screened for the confirmatory test (5 raw and 1 pasteurized school milk). Out of 6 isolates, 4 (2%) and 1 (0.5%) isolates contained TEM and DHA genes, and 2 (1%) and 1 (0.5%) isolates contained SHV and CITM genes, respectively.

    Conclusion

    It is difficult to identify the enzymes producing strains through the phenotypic tests; therefore, the inclusion of molecular probes using universal primers along with phenotypic tests can be used for the detection of these types of resistance, which play a major role in infection control.

    Keywords: Antibiotic Resistance Pattern, Wide Range of ESBLs, Klebsiella, Milk}
  • Mohammad Reza Esmaeil Zadeh, Mohammad Kazem Sharifi Yazdi, Zahra Rajabi, Farzaneh Amin Harati, Farhad Nikkhahi, Sara Sharifi Yazdi, Gholamreza Hassanpour, Alireza Monadi Sefidan, Mohammad Mehdi Soltan Dallal*
    Background and Objective

     Phage therapy could be used as an alternative method to antibiotic treatments. The purpose of this study was to evaluate the antibacterial activities of isolated lytic bacteriophage against ciprofloxacin-resistant strain of Salmonella infanits in vitro conditions.

    Materials and Methods

     The standard strain of Salmonella infantis  and its specific bacteriophage was isolated by soft agar method. Phage susceptibility to heat and pH was evaluated by the Double-Layer Agar method.  In vitro assay was carried out on human epithelial type 2 (HEp-2) cells to investigate the effect of bacteriophage on the cytotoxic and invasion of Salmonella infantis to human epithelial cells.

    Results

     Head and tail morphology of bacteriophages against Salmonella infantis were identified by transmission electron microscopy and assigned to the Myoviridae family. The results of the double-layer agar assay showed that the titer of bacteriophages was 1.8×107 PFU/ml. bacteriophage was stable at 4 C and the best quantification of bacteriophage was determined at pH=8. The isolated bacteriophage was specific for Salmonella infantis and had no lytic activity against other pathogenic bacteria. In the evaluation of the binding and invasion of Salmonella infantis to the HEp-2 cell line, as expected, the lytic activity of specific bacteriophage was observed following inoculation.

    Conclusion

     Additional studies are needed for better understanding of the interaction between phage, microorganisms and human host before applying phage therapy on a large scale.

    Keywords: Salmonella, Salmonellosis, Lytic bacteriophage, Ciprofloxacin}
  • Mohammad Mehdi Soltan Dallal*, Farhad Nikkhahi, Seyed Mostafa Imeni, Saber Molaei, Seyed Kazem Hosseini, Zohreh Kalafi, Sara Sharifi Yazdi, Hedroosha Molla Agha Mirzaei
    Purpose

    The use of amniotic membrane has been suggested in the treatment of infectious keratitis for its intrinsic anti-infective properties probably mediated by its antiinflammatory effects. The aim of this study was to investigate the effect of amniotic membrane transplantation (AMT) along with ciprofloxacin to cure the primary stages of Pseudomonas keratitis.

    Methods

    In total, 28 rabbits were selected and divided in four groups as follows: group 1 as control, group 2 with amniotic membrane, group 3 with ciprofloxacin, and group 4 with amniotic membrane combined with ciprofloxacin. About 0.05 cc suspension of Pseudomonas aeruginosa, 27853 ATCC was injected into corneal stroma.

    Results

    The results showed groups of AMT, AMT + ciprofloxacin, and ciprofloxacin had 0% perforation while the control group had 85.6%. Average infiltration of 5.5 mm was observed in ciprofloxacin group, 5 mm in AMT + ciprofloxacin group, 24 mm in AMT group, and finally 23.75 mm for control. Amniotic membrane showed to be effective in prevention of cornea perforation as well as remission of Pseudomonas keratitis. There was no significant difference between ciprofloxacin groups in comparison with ciprofloxacin + AMT group. However, regarding the anti-inflammatory effect, the process of improvement of inflammation in ciprofloxacin + AMT group was faster.

    Conclusion

    Transplantation of amniotic membrane in the primary stages of Pseudomonas keratitis treatment remarkably prevents the disease and it can be used to control its process.

    Keywords: Ciprofloxacin, Human Amniotic Membrane, Keratitis, Pseudomonas aeruginosa, Rabbit}
  • محمد مهدی سلطان دلال*، محمدحسن منزوی پور، حسین معصومی اصل، محمدکاظم شریفی یزدی، فریبا نباتچیان، شبنم حقیقت خواجوی، سیده معصومه ابریشمچیان، هدروشا ملا آقا میرزایی، مهدیه پورمرادیان، شیدا اسدپور، سارا شریفی یزدی
    زمینه و هدف

    کمپیلوباکتر از مهم ترین پاتوژن های عامل گاستروآنتریت های باکتریایی هستند که عموما از طریق مواد غذایی با منشا حیوانی منتقل می شوند. این مطالعه به منظور ارزیابی وضعیت کمپیلوباکتر در اسهال طغیان های غذایی در مقایسه با سایر عوامل میکروبی انجام شد.

    روش بررسی

    این مطالعه توصیفی - تحلیلی روی 305 سواب اسهال ناشی از 102 طغیان غذایی در کشور طی شش ماه از بهار تا شهریور 1397 انجام شد. فراوانی گونه های کمپیلوباکتر طبق پروتکل اداره کل امور آزمایشگاه ها ارزیابی شدند.

    یافته ها: 

    تعداد 8 نمونه (2.6%) آلوده به کمپیلوباکتر از گونه های ژژونی 3 مورد (37.5%) و کلی 5 مورد (62.5%) بودند. جنس مونث (54.5%)، میانگین سنی 16 تا 30 سال (28.2%)، مصرف سالاد و سبزیجات (16.1%) و سکونت در شهرستان ها (59.7%) بیشترین موارد و علل را به خود اختصاص دادند. استان های زنجان (24.5%)، یزد (19.6%) و کردستان (17.6%) بیشترین موارد طغیان ها را در بر داشتند.

    نتیجه گیری: 

    علاوه بر پاتوژن های کلاسیک مانند سالمونلا، شیگلا و اشریشیاکلی بایستی به باکتری کمپیلوباکتر نیز توجه بیشتری شود. به علاوه شناخت عوامل اپیدمیولوژیک می توانند در پیشگیری و کنترل طغیان های غذایی نقش موثری داشته باشند.

    کلید واژگان: کمپیلوباکتر, طغیان غذایی, اسهال, باکتری های روده ای}
    MohammadMehdi Soltan Dallal*, MohammadHassan Monzavipour, Hossein Masoumi Asl, MohammadKazem Sharifi Yazdi, Fariba Nabatchian, Shabnam Haghighat Khajavi, Seyedeh Masoumeh Abrishamchian Langroudii, Hedroosha Molla Agha Mirzaei, Mahdieh Pourmoradian, Shida Asadpour, Sara Sharifi Yazdi
    Background and Objective

    Campylobacter is one of the most important pathogens causing bacterial gastroenteritis, which is usually transmitted through the food of animal origin. This study was done to evaluate the status of Campylobacter in diarrheal food outbreaks compared to other microbial agents.

    Methods

    This descriptive study was performed on 305 diarrheal swab samples from 102 food outbreaks during six months from spring to the end of summer 2018. Presence of Campylobacter species were assessed according to the protocol of the General Directorate of Laboratory Affairs.

    Results

    Out of 305 samples, 8 (2.6%) were identified as Campylobacter species, 3 (37.5%) Campylobacter and 5 (62.5%) Campylobacter coli. The epidemiology of the outbreaks showed that female (54.5%), average age of 16-30 years (28.2%), consumption of salads and vegetables (16.1%) and living in the cities (59.7%) were the most cases.

    Conclusion

    This study showed that in addition to classic pathogens such as Salmonella, Shigella, Escherichia coli, attention also should be paid to Campylobacter bacteria. In addition, recognizing epidemiological factors can play an important role in preventing and controlling food outbreaks.

    Keywords: Campylobacter, Disease Outbreaks, Diarrhea, Enteric Bacteria}
  • Fatemeh Fardsanei, Mohammad Mehdi Soltan Dallal *, Taghi Zahraei Salehi, Masoumeh Douraghi, Mojtaba Memariani, Hamed Memariani
    Objective(s)
    This study aimed to evaluate antibiotic resistance profiles and presence of virulence genes among Salmonella enterica serovar Enteritidis (S. Enteritidis) isolated from patients with gastroenteritis in various regions of Iran. Moreover, genetic relatedness among the strains was assessed by pulsed-field gel electrophoresis (PFGE).
    Materials and Methods
    From April through September 2017, 59 Salmonella strains were isolated from 2116 stool samples. Of these strains, 27 S. Enteritidis were recovered. These strains were subjected to disk diffusion tests, polymerase chain reaction (PCR) for detection of virulence genes (invA, hilA, pefA, rck, stn, ssrA, ssaR, sefA, spvC, sipA, sipC, sopB, sopE, and sopE2), and PFGE.
    Results
    High prevalence of resistance towards cefuroxime (n = 20, 74.1%) and ciprofloxacin (n = 13, 48.2%) were demonstrated. All tested strains possessed invA, hilA, sefA, sipA, sopB, and sopE. The least prevalent virulence gene was rck (n = 6; 22.2%). Based on combinations of virulence genes, 12 virulotypes were observed. The most common virulotype was VP2 (n = 12; 44.4%), harboring all of the virulence genes except for rck. PFGE typing showed only two distinct fingerprints among tested strains. Each fingerprint had completely different virulotypes. Notably, VP4 (harboring all genes except for rck and spvC) was only presented in pulsotype A, while VP2 was confined to pulsotype B.
    Conclusion
    S. Enteritidis strains were derived from a limited number of clones, suggesting that it is highly homogenous. Future works should consider combinations of other genotyping methods together with larger sample sizes from more diverse sources.
    Keywords: Antibiotic resistance, Gastroenteritis, PFGE, Salmonella enterica serotype Enteritidis, Virulence genes}
  • Zoleikha Mamizadeh, Mohamad Reza Kalani*, Masoud Parsania, Mohammad Mehdi Soltan Dallal, Abdolvahab Moradi*
    Background and Aim

    Autophagy is a highly conserved mechanism in eukaryotic cells which removes the dysfunctional organelles from the cell. Autophagy has immense physiological and pathological roles in cells. There are a variety of reports showing the dual function of autophagy as a tumor suppression and promotion phenomenon. Therefore, targeted therapy approaches like virotherapy can be a promising cancer treatment. Vesicular stomatitis virus (VSV) is a well-known oncolytic virus which mutations in its matrix (M) protein including M51R, make it a better candidate for oncotargeting. Moreover, beclin-1 is one of the key regulators of autophagy and also apoptosis.

    Methods

    In the present study, the level of autophagy markers such as beclin-1 and LC3 were investigated concerning the apoptosis process induction by VSV M-protein. Two colorectal cancer cell lines HCT116 and SW480 and one normal colon epithelial cell line (FHC) which expressing VSV M51R mutant M-protein were compared regarding autophagy versus apoptosis. All experiments were conducted at least in triplicate.

    Results

    The results showed that the elevated level of caspase 3 and reduced amount of beclin-1 in transfected SW480 cells may be an acceptable description for apoptosis.

    Conclusion

    In HCT116 cells domination of autophagy, plays a supportive mechanism for the cells to survive in response to M51R M-protein stress. Suppression of autophagy as an adjunct can be a promising way to eliminate resistance to cancer treatment. We have quantitively evaluated the Beclin-1 and LC3-II as autophagy markers, Future evaluation of these two along with other markers like P62 will reduce the limitations of this study.

    Keywords: Apoptosis, Autophagy, Colorectal Cancer, M-protein, Oncolytic Virus, VSV}
  • ژیلا فریدی، محمد مهدی سلطان دلال، پالیز کوهی کمالی، نسرین حاجی سیدجوادی، زهرا هادیان، رامین مظاهری نژاد فرد*
    Zhila Faridi, Mohammad Mehdi Soltan Dallal, Paliz Koohy-Kamaly, Nasrin Haji Seyed Javadi, Zahra Hadian, Ramin Mazaheri Nezhad Fard*
    Background and Objective

    One of the major sources of Listeria monocytogenes, as the causative agent of invasive listeriosis, is raw milk. The aim of the present study was to detect Listeria monocytogenes in raw milk samples collected from dairy stores in Tehran, Iran, 2019.

    Material and Methods

    A total of 100 raw milk samples were assessed using cultural techniques. Furthermore, antimicrobial resistance profiles of the Listeria isolates were assessed against eight antimicrobials using disc diffusion method. Results and

    Conclusion

    Listeria spp., including Listeria grayi (5%), Listeria ivanovii (3%) and Listeria monocytogenes (2%), were detected in 10% of the samples. Listeria monocytogenes isolates were susceptible to major antimicrobials used for the treatment of listeriosis with no multidrug resistances. The highest frequencies of resistance were seen against streptomycin (60%), gentamicin (50%) and tetracycline (50%). In conclusion, potential risks of listeriosis still threaten consumers of the raw milk in Tehran.

    Keywords: Antimicrobial resistance, Listeria species, Raw milk, Tehran}
  • محمد مهدی سلطان دلال*، ام البنین بیگلری، زهرا رجبی، محمدکاظم شریفی یزدی، عباس رحیمی فروشانی، شبنم حقیقت خواجوی
    زمینه و هدف

    شایع ترین سویه اشریشیاکلی انتروهموراژیک، سروتیپ O157:H7 است که از مهم ترین پاتوژن های روده ای محسوب شده و عوارضی مانند کولیت هموراژیک، سندرم اورمی همولیتیک و نارسایی حاد کلیوی را ایجاد می کنند. این مطالعه به منظور ارزیابی اشریشیاکلی انتروهموراژیک ایجاد کننده طغیان های ناشی از بیماری های منتقله از غذا به روش مولکولی انجام شد.

    روش بررسی

    این مطالعه توصیفی - تحلیلی روی 189 نمونه اسهال از 50 طغیان ارسال شده از مراکز بهداشتی درمانی برخی شهرستان های ایران طی فروردین لغایت شهریور 1397 انجام شد. همه جدایه های مشکوک از نظر تست های بیوشیمیایی مورد آزمایش قرار گرفتند. هویت جدایه ها به روش مولکولی PCR تایید گردید و با آزمون های حساسیت ضدمیکروبی ارزیابی شدند.

    یافته ها:

     از 189 نمونه سوآپ مدفوع مورد مطالعه، 98 جدایه اشریشیاکلی بر اساس تست های فنوتیپی جداسازی گردید. بیشترین میزان طغیان در فصل تابستان رخ داده بود و میزان فراوانی پاتوتایپ اشریشیاکلی انتروهموراژیک 24 جدایه (24.5%) بود که 4 درصد آن non O157H7 تعیین شد. بیشترین مبتلایان بین سنین 1 تا 12 ساله بودند و بیشترین میزان مقاومت به آنتی بیوتیک های کوتریموکسازول و کلرامفنیکل به ترتیب با فراوانی 80 درصد و 79 درصد مشاهده گردید.

    نتیجه گیری: 

    در این مطالعه بر اساس مقایسه با مطالعات قبلی افزایش اشریشیاکلی انتروهموراژیک و همچنین افزایش مقاومت آنتی بیوتیکی نسبت به آنتی بیوتیک های خانواده کلرامفنیکل و کوتریموکسازول و کارباپنم ها مشاهده شد. افزایش مقاومت به آنتی بیوتیک های ایمی پنم و مروپنم درمان سویه های مقاوم به بتالاکتامازها را با مشکل مواجه می کند.

    کلید واژگان: اشریشیاکلی انتروهموراژیک, طغیان غذایی, بیماری های منتقله از غذا}
    MohammadMehdi Soltan Dallal*, Omolbanin Biglari, Zahra Rajabi, MohammadKazem Sharifi Yazdi, Abbas Rahimi Foroushani, Shabnam Haghighat Khajavi
    Background and Objective

    The most common enterohemorrhagic Escherichia coli strain is the O157: H7 serotype, which is one of the most important intestinal pathogens and can cause complications such as hemorrhagic colitis, hemolytic uremic syndrome and acute renal failure. The aim of this study was to evaluate the enterohemorrhagic Escherichia coli causing molecular outbreaks of foodborne illness in Iran.

    Methods

    In this descriptive cross-sectional study, 189 fecal swab specimens were examined during April to September 2018. All suspected isolates were tested for biochemical tests. The isolates were confirmed by molecular PCR and evaluated by antimicrobial susceptibility tests.

    Results

    From 189 stool swab samples studied, 98 Escherichia coli isolates were detected based on phenotypic tests. Most of the outbreaks occurred in summer and the prevalence of enterohemorrhagic Escherichia coli was 24.5%, which 4% of them were non-O157H7. Most patients were between 1 and 12 years of age and the highest antibiotic resistance to cotrimoxazole and chloramphenicol was observed at 80% and 79%, respectively.

    Conclusion

    This study showed an increase in enterohemorrhagic Escherichia coli with 24.5% and an increase in antibiotic resistance to the antibiotics of chloramphenicol, cotrimoxazole and carbapenems. Increased resistance to imipenem and meropenem antibiotics makes it difficult to treat beta-lactamase-resistant strains.

    Keywords: Enterohemorrhagic Escherichia coli, Disease Outbreaks, Foodborne Disease}
  • MohammadMehdi Soltan Dallal *, Milad Abdi, Mahya Khalilian, Zahra Rajabi, Ronak Bakhtiari, MohammadKazem Sharifi Yazdi, Somayeh Yaslianifard, Seyedeh Masoumeh Abrishamchian Langroudi
    Background

    Foodborne diseases are a major problem worldwide. The epidemiological investigations in many parts of the world have shown an increase in infections caused by Salmonella serovars. Furthermore, the emergence of drug resistance among them has become a major global concern and awareness of the resistance patterns of Salmonella could be very useful in treatment of diseases.

    Objective

    This study aimed to investigate Salmonella serotypes in foodborne outbreaks by sequencing of ITS region of 16S-23SrRNA gene and to determine their antimicrobial susceptibility pattern.

    Materials and Methods

    A total of 614 diarrheal stool samples were collected from 173 foodborne outbreaks in different provinces of Iran during one year. Identification of Salmonella was carried out by phenotypic and molecular (16s-23srRNA gene detection) methods and antibiotic susceptibility was performed using disc diffusion method.

    Results

    Out of 614 samples, 18 isolates were identified as Salmonella of which 16 (88.9%) isolates were Salmonella Enteritidis and 2 (11.1%) isolates as Salmonella Paratyphi A. All isolates were sensitive to ceftazidime, and high resistance was seen with nalidixic acid with 14 (77.8%) isolates.

    Conclusion

    Increasing antibiotic resistance in many bacterial pathogens such as Salmonella has been a major threat for human health. Therefore, identifying the antibiotic resistance patterns of Salmonella serovars may help in treatment of the associated infections.

    Keywords: Salmonella, Foodborne diseases, Outbreak, Diarrhea, Antibioticsusceptibility testing}
  • محمد مهدی سلطان دلال*، محمدرضا افرادی، زهرا رجبی، کتایون صمیمی راد، یوسف عرفانی
    سابقه و هدف

    پلاک دندان در واقع یک بیوفیلم است که در سطح دندان ایجاد می شود. ضایعات پوسیدگی به علت تغییرات اکولوژیکی نامناسب در فلور میکروبی بیوفیلم پلاک، ایجاد می شود. در این مطالعه اثر باکتریوسین لاکتوباسیلوس کازیی پروبیوتیک جدا شده از شیر بر تشکیل بیوفیلم توسط استرپتوکوکوس سالیواریوس مورد بررسی قرار گرفت.

    مواد و روش ها

    در این مطالعه مقطعی ، جداسازی 3سویه لاکتوباسیلوس کازیی پروبیوتیک از نمونه های شیر غنی سازی و کشت در محیط MRS Broth و MRS Agar در جار شمع دار ((Candle jar صورت گرفت. شناسایی اولیه لاکتوباسیلوس کازیی با تست های تخمیری قند و سایر تست های بیوشیمیایی مربوطه صورت پذیرفت، سپس با PCR و سکانس 16srDNAتوالی های به دست آمده، تایید شد. تخلیص نسبی باکتریوسین از روش رسوب دهی با سولفات آمونیوم انجام و وزن مولکولی آن به وسیله SDS-PAGE اندازه گیری و فعالیت آن سنجیده شد. جدایه های استرپتوکوکوس سالیواریوس از پلاک دندانی جداسازی و به صورت فنوتیپی و بیوتیپی شناسایی شدند. تایید مولکولی جدایه های به دست آمده با استفاده از ژن اختصاصی  gtfKبا روشPCR  انجام شد. توانایی تشکیل بیوفیلم استرپتوکوکوس سالیواریوس و بررسی اثر باکتریوسین بر تشکیل بیوفیلم با میکروتیترپلیت سنجیده شد.

    یافته ها

    پس از تخلیص نسبی باکتریوسین 3 سویه لاکتوباسیلوس کازیی پروبیوتیک جداسازی شده از شیر، در سنجش وزن مولکولی آن ها به روشSDSPAGE دو نمونه 3LC و LC1 باندهایی به ترتیب با وزن مولکولی 35 تا 40 کیلودالتون و حدود 75 کیلو دالتون تشکیل دادند. مایع رویی حاصل از کشت لاکتوباسیلوس کازیی و باکتریوسین ها، اثرات ضدباکتریایی علیه جدایه های استرپتوکوکوس سالیواریوس از پلاک دندانی و تشکیل بیوفیلم توسط این باکتری را نشان دادند.

    استنتاج

    طبق نتایج این مطالعه باکتریوسین لاکتوباسیلوس کازیی توانایی مهار رشد استرپتوکوکوس سالیواریوس و نیز کاهش تشکیل بیوفیلم را دارند و جایگزین مناسبی برای استفاده در صنایع بهداشت دهان می باشند.

    کلید واژگان: پروبیوتیک, لاکتوباسیلوس کازئی, باکتریوسین, بیوفیلم, استرپتوکوکوس سالیواریوس, پلاک دندانی}
    Mohammad Mehdi Soltan Dallal*, Mohammad Reza Afradi, Zahra Rajabi, Katayoon Samimirad, Yousef Erfani
    Background and purpose

    Dental plaque is a biofilm that is formed on the surface of the tooth. Carious lesions are caused by inappropriate ecological changes in microbial flora of the plaque biofilm. In this study, the effect of Lactobacillus casei bacteriocin, isolated from dairy products, was investigated on Streptococcus salivarius biofilm formation.

    Materials and methods

    In this experimental study, MRS Broth and MRS Agar medium were used to isolate three strains of Lactobacillus casei probiotic from milk samples under microaerophilic conditions. The initial identification of Lactobacillus casei was performed by sugar fermentation and other biochemical tests. Then, 16SrRNA encoding gene was confirmed by PCR and sequenced. At last, Bacteriocin was isolated by ammonium sulfate sedimentation and its molecular weight was measured by SDS-PAGE and the antimicrobial activities were investigated. The Streptococcus salivarius were isolated from dental plaque and phenotypically and biotypically identified. Molecular confirmation of the isolates was performed using gtfK specific gene by PCR. The ability to form Streptococcus salivarius biofilm and the effect of bacteriocin on biofilm formation were measured by microtiter plate.

    Results

    After partial purification of Lactobacillus casei probiotic from dairy products, two LC3 and LC1 protein samples formed bands (35-40 kDa and about 75 kDa, respectively). The supernatant fluid from the cultivation of Lactobacillus casei and bacteriocins showed antibacterial effects against Streptococcus salivarius isolates from dental plaque and the formation of biofilm by this bacterium.

    Conclusion

    According to this study, bacteriocin and supernatant fluid from Lactobacillus casei cultures could inhibit the growth of Streptococcus salivarius and also reduced biofilm formation, so, it could be used in oral care products.

    Keywords: probiotics, Lactobacillus casei, bacteriocin, biofilm, tooth decay, Streptococcus salivarius, dental plaque}
  • Zahra Rajabi, Rouha Kermanshahi *, Mohammad Mehdi Soltan Dallal, Yousef Erfani, Reza Ranjbar
    Background

    The potential of Streptococcus mutans for biofilm formation makes it one of the main organisms causing dental caries. Various preventive strategies have been applied to reduce tooth decay.

    Objectives

    In the current study, we aimed to isolate S. mutans bacteriophages from sewage and to investigate their effects on the expression of the genes involved in bacterial biofilm formation in dental caries.

    Methods

    Eighty-one dental plaque samples were collected. Then to isolate and identify S. mutans, bacterial culture media and molecular tests were used. Moreover, the biofilm formation capability of the isolated S. mutans was determined. Also, lytic bacteriophages were isolated from raw urban sewage, and phage morphology was determined by transmission electron microscopy (TEM). Real-time PCR was used to assess the effects of the isolated bacteriophages on the expression of the genes involved in biofilm formation.

    Results

    Overall, 32 (39.5%) samples were positive for the presence of S. mutans. All of the isolates contained the gtfD gene. The frequencies of other genes were as follows: gtfB (17, 53.12%), gtfC (19, 53.37%), SpaP (13, 40.62%), and luxS (23, 17.87%). The isolated S. mutans bacteria presented different ranges of biofilm formation ability. Based on TEM results, two sewage-isolated bacteriophages, belonging to Siphoviridae and Tectiviridae families, were able to prevent biofilm formation up to 97%.

    Conclusions

    Our findings indicate that phage therapy can be an optional way for controlling biofilm development and reducing the colonization of teeth surface by S. mutans.

    Keywords: Dental Plaque, Streptococcus mutans, Bacteriophages, Biofilms}
  • محمد مهدی سلطان دلال*، حامد اصغرزاده، روناک بختیاری، محمدکاظم شریفی یزدی، مهدیه پورمرادیان، فریبا نباتچیان
    زمینه و هدف

    آب میوه ها بخش مهمی از رژیم های غذایی مدرن است، که در صورت آلوده بودن به باکتری های پاتوژن می توانند باعث عفونت های مختلف دستگاه گوارشی گردند. مطالعه ی حاضر با هدف تعیین میزان فراوانی یرسینیا انتروکلی تیکا در آب میوه های سنتی آب میوه فروشی های جنوب شهر تهران انجام شده است.

    روش بررسی

    در یک مطالعه ی توصیفی مقطعی، 100 نمونه آب میوه شامل آب انبه، هویج، سیب و کرفس(از هرکدام 5 نمونه در هر آب میوه فروشی) از جنوب شهر تهران جمع آوری و طبق استاندارد ملی ایران 2946 و 9236 از نظر وجود اشریشیاکلی، سالمونلا، شیگلا و یرسینیا انتروکلی تیکا بررسی گردید. تجزیه و تحلیل داده ها با بهره گیری از آمار توصیفی و با استفاده از نرم افزار SPSS‎‏ انجام شد.

    یافته ها: 

    میزان آلودگی به باکتری یرسینیا انتروکلی تیکا 2 درصد،  اشریشیاکلی 25 درصد، شیگلا 14 درصد و سالمونلا 1 درصد بود. در بررسی آب میوه های مورد مطالعه در این تحقیق اشریشیاکلی در تمام آب میوه ها؛ شیگلا در آب هویج و کرفس و سیب؛ یرسینیا انتروکلی تیکا در آب کرفس و آب انبه؛ و سالمونلا فقط در آب هویج مشاهده شد.

    نتیجه گیری:

     بر اساس نتایج حاصل از این مطالعه می توان بیان نمود که شمارش باکتری های مورد مطالعه در این تحقیق در آب میوه فروشی های سطح تهران، لزوم پیگیری های لازم جهت کاهش میزان بیماری های حاصل از این باکتری ها را بیش از پیش نمایان می کند.

    کلید واژگان: آب میوه, آلودگی باکتریایی, یرسینیاانتروکلی تیکا}
    MohammadMehdi Soltan Dallal*, Hamed Asgharzadeh, Ronak Bakhtiari, MohammadKazem Sharifi Yazdi, Mahdieh Pourmoradian, Fariba Nabatchian
    Background and Aim

    Fruit juices are an important part of modern diets that can infect various gastrointestinal tract infections if infected with pathogenic bacteria. The aim of this study was to determine the Frequency of Yersinia enterocolitica in traditional fruit juices shop in southern part of Tehran.

    Materials and Methods

    This was a descriptive cross-sectional study, 100 samples of fruit juice including orange juice, mango, carrot, apple and celery(5 samples from each fruit juice shop) were collected from south of Tehran and examined according to the national standard of Iran number 2946 and 9236 for Escherichia coli, Salmonella, Shigella and Yersinia enterocolitica. Data were analyzed using descriptive statistics and SPSS19 software. 

    Results

    The rate of contamination by Yersinia enterocolitica was 2% followed by Escherichia coli 25%, Shigella 14% and Salmonella 1% respectively. The Escherichia coli were isolated from all the tested fruit juice samples, Shigella in carrot and celery, and Yersinia enterocolitica in mango and apple and Salmonella in carrot juice.

    Conclusion

    The results of this study suggest more attention and regular checking should be paid in preparation of juices in order to minimize the rate of 
    contaminations to public health.

    Keywords: Juice, Bacterial contamination, Yersinia enterocolitica}
  • Siamak HEIDARZADEH, MohammadReza POURMAND, Saeedeh HASANVAND, Reyhaneh PIRJANI, Davoud AFSHAR, Matina NOORI, MohammadMehdi SOLTAN DALLAL
    Background

    Listeria monocytogenes show high mortality among pregnant women and newborns. This study aimed to detect L. monocytogenes in pregnant women with a history of abortion and assess the serotypes, antibiotic susceptibility patterns, and its resistance genes.

    Methods

    Overall, 400 vaginal swabs were taken from pregnant women with a history of abortion in the past few years in a tertiary care hospital in Tehran, Iran, during 2015-2018. Antibiotics susceptibility to a panel of 10 antibiotics was determined using the standard disk diffusion method and the isolates serotyped by the agglutination method. The antimicrobial-resistant isolates were also screened for the presence of tetM, ermB and dfrD genes by PCR.

    Results

    Overall, 22 L. monocytogenes isolates were identified. High rates of resistance were observed for trimethoprim (50%; n=11), sulphamethoxazole (50%; n=11), tetracycline (45.45%; n=10) and gentamicin (36.36%; n=8). From 22 L. monocytogenes isolates, 13 (59.10 %), 5 (22.73%), 3 (13.63%) and 1 (4.54%) belonged to serotypes 4b, 1/2a, 1/2b, and 3c, respectively. The genetic determinant tetM was detected in 70% of the tetracycline-resistant isolates. Out of 11 trimethoprim-resistant isolates, 27.27% isolates contained dfrD. Moreover, the ermB gene was found in 83.33% of the erythromycin-resistant isolates.

    Conclusion

    Ampicillin and partly penicillin consider to be suitable antimicrobial agents to treat human listeriosis. Moreover, due to resistance against many antibiotics, it is necessary to continue monitoring and managing antimicrobial resistance.

    Keywords: Listeria monocytogenes, Genes, Pregnant women}
  • Sedighe Ghourchian, Masoumeh Douraghi, Akram Baghani, MohammadMehdi Soltan Dallal*
    Background and Objective

    Clostridium perfringens is an anaerobic bacterium, commonly present in retail foods. Its enterotoxin-producing ability, short generation time, ability to grow at elevated temperatures, and spore-forming ability, allows it to survive in food-processing temperatures, and cause foodborne illness. The aim of study was to screen dehydrated vegetables contaminated with cpe and cpa carrying C.perfringens.

    Materials and Methods

    This is descriptive-analytical study, was carried out on 140 samples (70 unpacked and  70 packed) dehydrated vegetables collected from different areas of Tehran. Samples were inoculated on peptone and sulfite polymyxin sulfadiazine (SPS) agar for enrichment. The enrichment culture was then incubated on anaerobic condition for 48 hours. The black colonies were selected for identification test and PCR. The bacterial colonies were identified by biochemical tests, and duplex PCR was performed for α-toxin (cpa) and enterotoxin (cpe) genes.

    Results

     In general 13 samples (9.3%) were identified as C. perfringens using phenotypic methods, all of the isolates were also positive for cpa but negative for cpe gene. The contamination rate for packed vegetables was 12.8% and for unpacked was 5.7%.

    Conclusion

    Our finding showed that contamination of packed dehydrated vegetables was higher than unpacked; this might be due to drying as well as packaging process. We found that these isolates were negative for enterotoxin.

    Keywords: Clostridium perfringens, Dehydrated Vegetables, Enterotoxin}
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سامانه نویسندگان
  • دکتر محمدمهدی سلطان دلال
    سلطان دلال، محمدمهدی
    استاد
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