A study was conducted to determine the prevalence, antibiotics resistant and plasmid patterns of Salmonella enteritidis on chicken meat samples. A total of 578 chicken meat samples were examined over a period of 2 years from different retail outlets of a residential area of Namakkal City, South India. S.enteritidis prevalence was recorded 92 of 578 (15.91%). Seasonal variations in the prevalence pattern were identified with, a higher prevalence during monsoon months (19.68%) followed by post-monsoon (17.61%) and premonsoon. Present finding revealed that S. enteritidis isolates recovered from retail raw meats are resistant to more than one antibiotics, including those commonly used antibiotics in poultry feed were erythromycin, ampicillin, kanamycin, cephalothin and tetracyclin. All the isolates exhibited Multiple Antibiotic Resistance (MAR) and more than one plasmid. The plasmid size ranged between 0.43 and 115 MDa. Prevalence of multiple antimicrobial resistance among these strains suggesting possible prior selection by use of antimicrobials in meat production.
PDF Abstract XML References Citation
How to cite this article
The emergence of antibiotic-resistant Salmonella strains has become a major public health concern. Salmonella species are widely distributed in the environment that causes a diverse spectrum of diseases in human and animals. Nontyphoidal Salmonella species are among the foremost bacterial pathogens implicated in food-borne gastroenteritis worldwide (Foley et al., 2006). The World Health Organization (WHO) has estimated that annually 1.3 billion cases of acute gastroenteritis or diarrhea due to non typhoid salmonellosis causing 3 million deaths. In India an estimated 4,00,000 children below 5 years age die each year due to diarrhoea (Sudershan et al., 2009). Salmonella is most often transmitted to humans through the food chain, with over 95% of salmonellosis cases attributable to the consumption of undercooked or mishandled beef, chicken and eggs etc., (Foley et al., 2006). A variety of antimicrobial agents have been used to treat the salmonellosis. An increasing rate of antimicrobial resistance in Salmonella has been reported in many developing and developed countries (Threlfall et al., 1993). Briggs and Fratamsco (1999) reported that the frequency of resistance is presumably due to extensive use of antimicrobial agents in human and veterinary medicine. Furthermore, resistance to combinations of several classes of antimicrobials has led to the emergence of Multi-Drug Resistant (MDR) strains that may pass from food animals to humans (White et al., 2001). The genes involved in resistance in Salmonella are often plasmid-born and therefore potentially transmissible to other pathogenic enteric microorganism with genetic factors which control antibiotic resistance. Spread of antibiotic resistance plasmids in Salmonella from chickens to human handlers (White et al., 2001) or of antibiotic-resistant microorganisms from poultry to humans in various countries (Poppe et al., 2002) has been reported.
Poultry in India started as a backyard activity and in the past three decades it has gone through a revolutionary change. Today India ranks 8th in broiler production in the world. Statistics of 2002 show that India produced 1.2 billion kg of broiler meat per annum which gave an annual per capita consumption of 1.2 kg (Asha, 2004). Chicken is considered to be the most widely produced in Namakkal (Latitude:11°.13 48 N; Longitude: 78° 10 12 E). Thus, the poultry industry is one of the major sources of economy. There are mass production centres in various parts of the country especially in Southern states, Tamil Nadu, Karnaka and Andhra Pradesh. Though the consumption has been promoted, no effective steps are taken to monitor the quality of chicken meat and no guidelines have been prescribed for the meat processing in retail markets. The present study has been taken up primarily to assess the level of Salmonella contamination in meat with special reference to S. enteritidis. The export of poultry product from this region is increasingly on the rise. The possibility for transfer of antibiotic resistance genes among humans, animals and the environment is a direct threat to public health. The incidence of antibiotic-resistant Salmonella may pose health risk to many populations in world.
MATERIALS AND METHODS
Sample Collection and Processing
Chicken meat samples were purchased from five retail chicken outlets in Namakkal, Southern India. A total of 578 samples were obtained once in every 2 weeks for period of 2 year from June 2003 to May 2005. The samples were collected aseptically in pre-sterilized (box) and transported in a thermo-cool box to the Microbiology Laboratory, K.S. Rangasamy College of Arts and Science (Tiruchengode, Namakkal District, Tamilnadu, India) for immediate processing upon arrival. The samples were stored at 4°C if it will be processed within 1h. Twenty-five gram of chicken sample was aseptically weighed, minced into small pieces and transferred to 225 mL of sterile Buffered Pepton Water (BPW) (Hi-Media laboratories, Mumbai, India) for isolation of Salmonella. The sample was homogenized in a sterile blender for 2 min. The homogenate was taken up and thereby transferred into a sterile wide mouth, screw capped jar and incubated for 60 min at room temperature. After this pre-enrichment step, 1 mL from this homogenate was transferred into 10 mL of Tetrathionate broth (Hi-Media) and incubated at 37°C for 24 h (Vongsawasdi et al., 2008).
Isolation of Salmonella
A loopful from the Tetrathionate broth culture was streaked onto MacConkey agar, Xylose lysine deoxycholate agar, Bismuth sulphate agar and hektoen enteric agar (Himedia, Bombay) and incubated at 37°C for 24-48 h. The plates were observed for typical Salmonella-like colonies and three isolated colonies per plate were picked and subjected to primary biochemical screening which involved reactions on indole production in tryptone broth, carbon utilization test in Simmons citrate medium, triple sugar iron agar and urea splitting ability in Christesens urea agar (Himedia, Bombay). Cultures that matched typical reactions of Salmonella in preliminary screening were further subjected to carbohydrate utilization involving glucose, lactose, sucrose, manitol, salicin, dulcitol and melibiose fermentation test which differentiate S. enteritidis and S. typhimurium (Cox and Williams, 1976) and further confirmed by slide agglutination test using commercial polyvalent O antisera (King Institute of India, Tamilnadu, India).
Antibiotic Sensitivity Testing
Resistance of all the 92 isolates of S. enteritidis to antibiotics was tested using the disc diffusion susceptibility test (Bauer et al., 1966). The cultures were grown in peptone water broth, the density compared with McFerland standard 0.5. The antibiotic tested were Amikacin (Ak-30 μg), ampicillin (A-10 μg) erythromycin (E-15 μg) cephalothin (Ch-30 μg), tetracyclin (T-30 μg), cotrimoxazole (Co-23.75 μg), chloramphenicol (C-30 μg), gentamycin (G-10 μg) ciprofloxacin (Cf-5 μg), amoxicillin (Ac-30 μg), kanamycin (K-30 μg) and nalidixic acid (Na-30 μg). Multiple antibiotic resistance index was calculated according to method of Krumperman (1983). The MAR index is a/b where a number of resistant antibiotics, b total number of antibiotics exposed. The MAR index values greater than 0.2 indicate high risk source of contamination where antibiotics are often used. The MAR index values less than 0.2 indicate a strain from sources where antibiotics are seldom or never used.
Isolation of Plasmid DNA
A single bacterial colony was transferred into a conical flask containing Luria Broth (LB) medium amended with the appropriate antibiotics and incubated at 37°C overnight with mild shaking (120 rpm). After incubation, 1 mL of the culture was taken and centrifuged (Sigma, Germany) at 12,000 rpm for 30 sec at 4°C. The supernatant was removed and the pellet was dried. The pellet was resuspended in 150 μL of Tris- EDTA buffer [10 mM Tris chloride (pH 8), 1mM EDTA (pH 8)] solution by vigorous vortexing. Two hundred microliter of NaOH-SDS (0.2 M NaOH, 1% SDS) solution and 150 μL of 3M potassium acetate (pH 4.8) were then added and vortexed for 10 sec. It was centrifuged again at 12000 rpm for 5 min at 4°C and the supernatant was precipitated with 600 μL of ice cold ethanol (Birnboim and Doly, 1979). A 15 μL plasmid DNA was loaded on to a 1.0% agarose gel containing 0.5 μg m L-1 ethidium bromide and electrophoresed in TBE (Tris Boric acid EDTA) buffer. The plasmid DNA were visualized by placing the gel on a UV (300 nm) transilluminator and the gel recorded using the Alfa Digital documentation imaging system (Alfa Innotech Corporation, USA).
Two way ANOVA was used in the statistical analysis to evaluate the data. Correlation factors were calculated based on the average of replication and treatment. Degree of freedom was analyzed based on the replication and treatment. The p-value at 5% level of was calculated based on the standard errors comparisons. The method was followed according to the procedure described by Gomez and Gomez (1984).
We isolated 92 strains of S. enteritidis from a total of 578 health chicken samples during the period two years. The incidence of S. enteritidis contamination was high in the seasons of monsoon and post monsoon (Table 1). The samples were replicated three times. The statistical result revealed that the incidence of Salmonella contamination was found to highest during monsoon (19.68%) followed by post-monsoon (17.61%) and pre-monsoon seasons (10.10%). However, no significant differences were observed between the years. On the other hands, a strong Critical Differences (CD) was observed between the seasons at 5% level (p = 0.05).
All the isolates further confirmed agglutinated with the antiserum O and D based on which it was inferred that the isolates are S. enteritidis. The highest percentage of antibiotics resistance was found against erythromycin, ampicillin, kanamycin, cephalothin and tetracyclin with 91.30, 84.78, 81.52, 71.17 and 70.65% resistance, respectively. Less than 50% of isolates were resistant against nalidixic acid, amoxacillin, co-trimoxazole, chloramphenicol, amikacin and gentamycin with the resistances of 46.73, 32.60, 29.34, 20.65, 15.21, 5.73, 5. 96 and 3.26%, respectively (Fig. 1).
Eleven MAR patterns were observed among 92 S. enteritidis (Table 2). Ten isolates have the MAR frequency of 0.2-0.3 and were resistant against three antibiotics AEK. They exhibited a plasmid with molecular weight of 83 MDa. Eleven isolates were resistant to four antibiotics (AEChNa) with a MAR frequency of 0.31-0.4 and exhibited plasmid with molecular weight 95, 7.5, 3.7 and 0.43. Twenty nine isolates showed resistance towards five to six antibiotics and exhibited three resistance patterns (AEAChT, AEChTKand AEChTAcK) (Table 2) with three plasmid profile of molecular weight 90, 7.0, 3.95, 0.41 MDa, 101, 7.5, 4.1 0.46 MDa and 101, 7.5, 4.2, 0.46 MDa.
Twenty four isolates with a MAR frequency of 0.51-0.6 were resistant to seven antibiotics (AEChTCAcK, AEChTCoKNa and AEChCoCKNa) (Table 2) and exhibited three plasmid profiles. They had a molecular weight 115, 83, 7.8, 3.9, 0.41 MDa; 115, 1.9 MDa and 115, 53, 22, 4.21, 0.53 MDa (Fig. 2).
|Table 1:||No. of samples collected in individual season and percentage of Salmonella enteritidis contamination in different seasons|
|Fig. 1:||Salmonella enteritidis resistant percentage of different antibiotics|
|Table 2:||The MAR value patterns and plasmid profiles of S. enteritidis isolated from chicken sample|
|MAR (Multiple antibiotic resistance) index is a/b where a is number of resistant antibiotics, b is total number of antibiotics exposed. Amikacin (Ak-30 μg), Ampicillin (A-10 μg). Erythromycin (E-15 μg), Cephalothin (Ch-30 μg), Tetracyclin (T-30 μg), Co-trimoxazole (Co-23.75 μg), Chloramphenicol (C-30 μg), Gentamycin (G-10 μg) and Ciprofloxacin (Cf-5 μg). Amoxicillin (Ac-30 μg), Kanamycin (K-30 μg) and Nalidixic acid (Na-30 μg)|
|Fig. 2:||Plasmid profiles of Salmonella enteritidis isolates from chicken meat samples. Lane 1: Mwt. 83 MDa (AEK), Lane 2: SE 46 with Mwt. 95, 7.5, 3.7 and 0.43 MDa (AEChNa), Lane 3: SE 78 with Mwt. 90, 7, 3.95 and 0.41 MDa (AEAChT), Lane 4: SE 51 with Mwt. 101, 7.5, 4.2 0.2 and 0.46 MDa (AEChTAcK), Lane 5 and 6: SE 45 and 38 with Mwt. 101, 4.2, 1.93 and 0.41 MDa, (AEChTK), Lane 7: Molecular weight Marker 15.3, 6.3, 4.4, 2.9 and 1.5 MDa, Lane 8: SE 43 with Mwt. 115, 7.8, 3.9 and 0.41 MDa (AEChTCAcK), Lane 9: SE 70 with Mwt. 115 Mda, Lane 10: SE 28 with Mwt 115, 53, 22, 4.21 and 0.53 (AEChCoKNa), Lane 11: SE 15 with Mwt. 89, 7, 3.9 and 0.41 MDa (AEChTCGAcKNa), Lane 12: SE90 with Mwt. 101, 60, 7.5, 3.95, 1.8 and 0.46 MDa (AkAEChTCoCGAcKNa) and Lane 13: SE 3 with Mwt. 115, 3.9 and 0.46 MDa (AEChTCoCfKNa)|
Seven isolates were with in the MAR frequency of 0.61 to 0.7. They were resistance towards eight antibiotics (AEChTCoCfK Na) and exhibited one plasmid profile of molecular weight 115, 3.9 and 0.46 MDa. Five isolates which fell with in the MAR frequency of 0.71-0.8, showed resistance against nine antibiotics (AEChTCGAcKNa) with plasmid profile molecular weight of 89, 7.0, 3.9 and 0.41 MDa. Six isolates were within the MAR frequency of 0.91-1.0 and exhibited resistance against 11 antibiotics (AkAEChTCoCGAcKNa), the plasmid profile was with molecular weight 101, 60, 7.5, 3. 95, 1.8 and 0. 46 MDa.
Present results showed that all the S. enteritidis from chicken samples were positive for melibiose fermentation. The similar confirmation were made by Kauffman (1966) and Ewing (1986), who have isolated and identified S. enteritidis from chicken samples based on melibiose fermentation. Chicken samples are more commonly contaminated with S. enteritidis and S. typhimurium (Herikstad et al., 2002). Both these S. enteritidis are differentiated based on the ability to ferment sugar melibiose at 37°C in 18 to 24 h.
Salmonellosis is considered as one of the most widespread food borne infection in industrialized as well as developing countries even though the incidence seems to vary among countries. The prevalence level in the present investigation observed that Salmonella infection was high in the months of monsoon and post monsoon (Table 1). It may be noted that an average consumer in India is not very aware of the consequences of food-poisoning and often the producers and retailers take advantage of the situation. Similar results reported by Suresh et al. (2006) from Coimbatore, South India reported survival of Salmonella on eggshells results revealed seasonal variations in the prevalence pattern of S. enteritidis were identified with, a higher prevalence during monsoon months followed by post-monsoon and pre-monsoon. Among the isolates revealed high prevalence of multiple antimicrobial resistances in commonly used antibiotics ampicillin, neomycin, polymyxin-B and tetracycline. Studies in other countries have reported on the prevalence of Salmonella in poultry, with incidence percentage ranging from 13.7 to 66% (Fuzihara et al., 2000; Duffy et al., 1999). Number of other authors from different countries has reported different prevalence rates of Salmonella in poultry and poultry product. In United Kingdom 22.8% (Plummer et al., 1995), in Malaysia 35.5% (Rusul et al., 1996), in Spain 35.8% (Dominguez et al., 2002), in Belgium 36.7% (Uyttendaele et al., 1998) and 66% in Thailand (Jerngklinchan et al., 1994) have been reported. These results indicate wide spread contamination of poultry products with S. enteritidis, regardless of the retail outlets and their potential as a risk factor for human health. Thornley et al. (2002) investigated that the incidence of non-typhoidal cases affected largest proportion in late summer and early autumn, peaking in March (13.1%) and smallest proportion were reported in winter with lowest incidence in July (4.9%). This report is from New Zealand which may vary in India.
In Nepal, the prevalence of Salmonella was found highest during the months of April and May (Maharjan et al., 2006). The temperatures rise as high as 38°C during late Spring and early Summer in India. This might be due to the fact that prevalence of Salmonella is higher during hot dry and monsoon seasons (Mohanty et al., 2006). Salmonella enteritidis showed resistance to a minimum of 3 antimicrobial agents to as many as 11 antimicrobial agents of the 12 drugs tested. Similar antibiotic resistance results were observed by Gebreves and Altier (2002). In the present study the highest number of isolates showed resistance against erythromycin (91.30%) followed by ampicilin (84.78%), kanamycin (81.52%), cephalothin (77.17%), tetracycline (70.65%) and nalidixic acid (46.73%), amoxcillin (32.60%), co-trimoxazole (29.34%), chloroamphenicol (20.65%), gentamycin (15.21%), amikacin (5.69%) and ciprofloxacin (3.26%).
Murugkar et al. (2005) reported that Salmonella isolated from diarrhoeal samples collected from adult patients who consumed chicken meat in Addis Ababa, 71.1% were resistance to tetracycline, 68.9% to ampicilin, 66.7% to cephalothin, (57.8%) to cotrimoxazole, 53.9% to kanamycin and 46.7% to chloroamphenicol. The high level of antimicrobial resistance observed in present study is probably due to indiscriminate and widespread use of the commonly available antimicrobials both in the veterinary and public health practices since in our countries people have easy access to various antimicrobial and purchase them without prescription (Poppe et al., 1995; Lee et al., 1993).
The findings observed in the present study indicate that the Salmonella strains exhibit multiple resistances up to eleven antimicrobials. Salmonellae are known to carry genes in their plasmids, which encode for drug resistance (R plasmids). It implies that wide spread use of antimicrobials in animals or human may cause an increase in the frequency of occurrence of bacterial resistant to other antimicrobials as the R. Plasmid may encode resistance to additional antimicrobials (Poppe et al.,1995, 2002). Plasmid profiles were correlated with antibiotic resistance of S. enteritidis with MAR values. Seven MAR values (Table 2) and eleven plasmid profiles were observed (Fig. 2) In all the isolates of S. enteritidis more than one plasmid was found. The plasmid size ranged between 0.43 and 115 MDa. Similar findings were reported by Brown et al. (2003) in Salmonella and plasmid size was between 1.5 and 133 kDa. Eman and Mohamed (2008) reported that molecular sizes of S. typhimurium plasmids ranged between 3.8 and 90 kb while in S. enteritidis the molecular size ranged between 4 and 65 kb. The high molecular determinants. weight plasmids, 90 kb was observed in all tested S. typhimurium and the high molecular weight 65 kb was detected in all tested and S. enteritidis. The geographical location of isolates and antibiotics exposure of Salmonella sp. which vary the revealing patterns of plasmid may differ from country to country. The high prevalence of multidrug-resistant Salmonella in retail chicken meats reflects a reservoir of resistance in animals that can be transmitted to humans.
It was concluded that it is a first report from global Namakkal poultry centre, the prevalence of most frequently isolated serogroup of S. enteritidis present in retail chicken carcasses. S. enteritidis strains isolated from retail outlet exhibiting different plasmid patterns were observed. This high incidence of plasmids may reflect the prophylactic and therapeutic uses of antimicrobial agents and recommends that the plasmids analysis of S. enteritidis isolates could be useful for epidemiological study. Continuous monitoring and control methodologies, which should be applied in poultry farms and slaughterhouses and by retailers, for the control of spread and eradication of this pathogen, where possible, are strongly recommended. Efforts including critical control point programs in food production are needed to reduce the incidence of Salmonella in food. The judicious use of antibiotics, erythromycin, ampicillin, kanamycin, cephathion and tetracyclin in food animals, is also critical to control the rapid spread of antimicrobial-resistance bacteria. Consumer-awareness efforts would protect public health from food borne salmonellosis.
The authors are thankful to the Principal and the Management, K.S.R. College of Educational Trust, Tiruchengode, Tamilnadu, India, for providing necessary facilities and constant encouragement to carry out this study.
- Bauer, A.W., W.M.M. Kirby, J.C. Sherris and M. Turck, 1966. Antibiotic susceptibility testing by a standardized single disk method. Am. J. Clin. Pathol., 45: 493-496.
- Birnboim, H.C. and J. Doly, 1979. A rapid alkaline extraction procedure for screening recombinant plasmid DNA. Nucleic Acids Res., 7: 1513-1523.
- Briggs, C.E. and P.M. Fratamsco, 1999. Molecular characterization of an antibiotic resistance gene cluster of Salmonella typhimurium DT 104. Antimicrob. Agents Chemother., 43: 846-849.
- Brown, D.J., H. Mather, L.M. Browning and J.E. Coia, 2003. Investigation of human infections with Salmonella enterica serovar java in Scottland and possible association with imported poultry. Eur. Surveill, 8: 35-40.
- Cox, N.A. and J.E. Williams, 1976. A simplified biochemical system to screen Salmonella isolates from poultry for serotyping. Poult. Sci., 55: 1968-1971.
- Dominguez, C., I. Gomez and J. Zumalacarregui, 2002. Prevalence of Salmonella and Campylobacter in retail chicken meat in Spain. Int. J. Food Microbiol., 72: 165-168.
- Duffy, G., M.O. Cloak, M.G.O Sullivan, A. Guillet, J.J. Sheridan, I.S. Blair and D.A. McDowell, 1999. The incidence and antibiotic resistance profiles of Salmonella enteritidis. on Irish retail meat products. Food Microbiol., 16: 623-631.
- Foley, S.L., D.G. White, P.F. McDermott, R.D. Walker and B. Rhodes et al., 2006. Comparison of subtyping methods for differentiating Salmonella enterica serovar typhimurium ısolates obtained from food animal sources. J. Clin. Microbiol., 44: 3569-3577.
- Fuzihara, T.O., S.A. Fernandes and B.D. Franco, 2000. Prevalence and dissemination of Salmonella serotypes along the slaughtering process in brazillian small poultry slaughterhouses. J. Food Protect., 63: 1749-1753.
- Gebreves, W.A. and C. Altier, 2002. Molecular characterization of multidrug-resistant Salmonella enterica subsp. enterica serovar Typhimurium isolates from swine. J. Clin. Microbiol., 40: 2813-2822.
- Herikstad, H., Y. Motarjemi and R.V. Tauxe, 2002. Salmonella surveillance: A global survey of public health serotyping. Epidemiol. Infect., 219: 1-8.
- Jerngklinchan, J., C. Koowatananukul, K. Daengprom and K. Saitanu, 1994. Occurrence of Salmonella in raw broilers and their products in Thailand. J. Food Prot., 57: 808-810.
- Krumperman, P.H., 1983. Multiple antibiotic resistance indexing of Escherichia coli to indentify high-risk sources of fecal contamination of foods. Applied Environ. Microbiol., 46: 165-170.
- Lee, L.A., V.L. Threatt, N.D. Puhr, P. Levine, K. Ferris and R.V. Tauxe, 1993. Antimicrobial resistant Salmonella spp. isolated form healthy broiler chickens after slaughter. J. Am. Vet. Med. Assoc., 202: 752-755.
- Maharjan, M., V. Joshi, D. Joshi and P. Manandhar, 2006. Prevalence of Salmonella species in various raw meat samples of a local market in Kathmandu. Ann. N. Y. Acad. Sci., 1081: 249-256.
- Mohanty, S., K. Renuka, S. Sood, B.K. Das and A. Kapil, 2006. Antibiogram pattern and seasonality of Salmonella serotypes in a north Indian tertiary care hospital. Epidemiol. Infec., 134: 961-966.
- Murugkar, H.V., H. Rahman, A. Kumar and D. Bhattacharya, 2005. Isolation, phage typing and antibiogram of Salmonella from man and animals in Northeastern India. Indian J. Med. Res., 122: 237-242.
- Plummer, R.A.S., S.T. Blissett and C.E.R. Dodd, 1995. Salmonella contamination of retail chicken products sold in the UK. J. Food Protect., 58: 843-846.
- Poppe, C., J.J. Kolar, W.H.B. Demczuk and J.E. Harris, 1995. Drug Resistance and biochemical characteristics of Salmonella from Turkeys. J. Vet. Res., 59: 241-248.
- Poppe, C., K. Ziebell, L. Martin and K. Allen, 2002. Diversity in antimicrobial resistance and other characteristics among Salmonella typhimurium DT 104 isolates. Microb. Drug Resist., 8: 107-121.
- Rusul, G., J. Khair, S. Radu, C.T. Cheah and R. Yassin, 1996. Prevalence of Salmonella in broilers at retail outlets, processing plants and farms in Malaysia. Int. J. Food Microbiol., 33: 183-194.
- Suresh, T., A.A.M. Hatha, D. Sreenivasan, N. Sangeetha and P. Lashmanaperumalsamy, 2006. Prevalence and antimicrobial resistance of Salmonella enteritidis and other salmonellas in the eggs and egg-storing trays from retails markets of Coimbatore, South India. Food Microbiol., 23: 294-299.
- Thornley, C., M. Baker and C. Nicol, 2002. The rising incidence of Salmonella infection in New Zealand, 1995-2001. N. Z. Pub. Health Rep., 9.
- Threlfall, E.J., B. Rowe and L.R. Ward, 1993. A comparison of multiple drug resistance in salmonellae from humans and food animals in England and Wales, 1981 and 1990. Epidemiol. İnfect., 111: 189-197.
- Uyttendaele, M.R., J.M. Debevere, R.M. Lips and K.D. Neyts, 1998. Prevalence of Salmonella in poultry carcass and their products in Belgium. Int. J. Food Microbiol., 40: 1-8.
- Sudershan, R.V., P. Rao and K. Polasa, 2009. Food safety research in India: A review. Asian J. Food Agro-Ind., 2: 391-412.