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Journal ArticleDOI

Acid Resistance of Twelve Strains of Enterobacter sakazakii, and the Impact of Habituating the Cells to an Acidic Environment

TLDR
While there was diversity observed among the strains, in general the stationary-phase acid resistances of several of the strains were enhanced, at least transitorily, by growth in the acidogenic medium.
Abstract
The association of powdered infant formula with cases of severe Enterobacter sakazakii infections in immunocompromised and premature neonates has led to a need to learn about the basic behavior of this emerging pathogen in food systems and the environment. The current study examines the microorganism's stationary-phase acid resistance using 12 strains that had been previously used to characterize its thermal resistance. Acid resistance was determined by initially culturing the isolates for 18 h in brain heart infusion broth (BHI) at 36 °C, transferring the cells to tryptic soy broth (TSB) adjusted to pH 3.0 and 3.5, and determining E. sakazakii survival over the course of 5 h incubation at 36 °C. At pH 3.5, 10 of the 12 strains showed less than a 1 log cycle decline over the 5-h incubation period, with the most acid sensitive strain showing an approximate 3.5 log cycle decline. At pH 3.0, the decline over the 5-h incubation period ranged from 4.9 to >6.3 log cycles; however, substantial diversity was evident when the 1-h/pH 3.0 results were compared. The effect of habituating the cells to a moderately acidic environment was determined by growing the strains in TSB with 0% (nonacidogenic) and 1% glucose (acidogenic), transferring the cells to acidified (pH 3.0) BHI, and determining E. sakazakii survival over the course of 5 h of incubation at 36 °C. While there was diversity observed among the strains, in general the stationary-phase acid resistances of several of the strains were enhanced, at least transitorily, by growth in the acidogenic medium. No apparent correlation between the stationary-phase relative acid resistances of the strains based on the 1-h/pH 3.0 acid inactivation values and the previously reported thermal D-values was observed.

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Neonatal enteral feeding tubes as loci for colonisation by members of the Enterobacteriaceae

TL;DR: This study shows that neonatal enteral feeding tubes, irrespective of feeding regime, act as loci for the bacterial attachment and multiplication of numerous opportunistic pathogens within the Enterobacteriaceae family.
Journal ArticleDOI

Effectiveness of disinfectants in killing Enterobacter sakazakii in suspension, dried on the surface of stainless steel, and in a biofilm.

TL;DR: Findings show that disinfectants routinely used in hospital, day-care, and food service kitchen settings are ineffective in killing some cells of E. sakazakii embedded in organic matrices.
Journal ArticleDOI

Cronobacter spp.--opportunistic food-borne pathogens. A review of their virulence and environmental-adaptive traits.

TL;DR: It was reported that Cronobacter employ phosphatidylinositide 3-kinase/Akt signalling, which activates protein kinase C-α and impairs the host cell's mitogen-activatedprotein kinase pathway, in order to invade cells.
Journal ArticleDOI

Specific probiotic strains and their combinations counteract adhesion of Enterobacter sakazakii to intestinal mucus

TL;DR: It is suggested that the selection of specific probiotic strains and their combinations may be a useful means of counteracting E. sakazakii contamination in infant formula and thus to reduce the risk of emerging infection and the development of new probiotic combinations to counteract the risks associated with other pathogens by improving the intestinal barrier against pathogens.
References
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Journal ArticleDOI

Adaptation of Microorganisms to Cold Temperatures, Weak Acid Preservatives, Low pH, and Osmotic Stress: A Review

TL;DR: The application of physical stress to microorganisms is the most widely used method to induce cell inactivation and promote food stability, and such mechanisms of adaptation may be possible to prevent growth of key microorganisms in food products.
Journal ArticleDOI

Outbreak of Necrotizing Enterocolitis Associated with Enterobacter sakazakii in Powdered Milk Formula

TL;DR: It is shown that intrinsic microbiological contamination of powdered milk formula can be a possible contributive factor in the development of NEC, a condition encountered almost exclusively in formula-fed premature infants.
Journal ArticleDOI

Acid resistance in enteric bacteria.

TL;DR: The ability of Shigella species to survive at low pHs does not require the presence of the large virulence plasmid or growth at 37 degrees C but is strikingly dependent on growth phase, and it is found that Shiglla isolates exposed to acid lose the ability to invade epithelial cells.
Journal ArticleDOI

The growth profile, thermotolerance and biofilm formation of Enterobacter sakazakii grown in infant formula milk

TL;DR: The objective is to study the growth, thermotolerance and biofilm formation of the emergent pathogen Enterobacter sakazakii in infant formula milk (IFM).
Journal ArticleDOI

Desiccation and heat tolerance of Enterobacter sakazakii.

TL;DR: This study was performed to demonstrate that Ent.
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