# The Prevalence Rate, Pattern of Antibiotic Resistance, and Frequency of Virulence Factors ofPseudomonas aeruginosa Strains Isolated from Fish in Iran

Authors: Gholam Reza Shahrokhi; Ebrahim Rahimi; Amir Shakerian
Journal: Journal of Food Quality
 (2022)

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## Abstract

Pseudomonas aeruginosa (P. aeruginosa) is a pathogenic bacterium and one of the seafood's most common spoilage microorganisms. In this study, 470 fish samples collected randomly were evaluated for the presence of P. aeruginosa, antibiotic resistance, and frequency of virulence factors. Isolation of P. aeruginosa from fish samples was performed on cetrimide agar after an initial enrichment. Representative colonies were selected, and biochemical tests were conducted. An antibiotic resistance test was performed using the disk diffusion method. DNA was extracted, and antibiotic resistance genes, as well as virulence genes, were detected using PCR. Fresh fish showed the highest prevalence of P. aeruginosa (5%). No positive samples contaminated with P. aeruginosa were isolated from frozen fish samples. From smoked, salted, and dried fish, two samples (2.85–4%) were contaminated with P. aeruginosa. The antibiotic resistance against meropenem, imipenem, carbapenem, erythromycin, gentamicin, chloramphenicol, and enrofloxacin was 0%. The lowest antibiotic resistance pattern was observed in fresh fish, and the highest was observed in smoked, salted, and dried fish. Respectively, blaTEM, blaCTX-M, and blaSHV were the most abundant genes encoding antibiotic resistance. The most virulence genes were algD, algU, lasB, toxA, exoS, exoT, and apr. This study suggests that raw seafood could be a source of antibiotic-resistant P. aeruginosa and helps to spread resistance genes through the food chain. It seems that cross-contamination in the fishing, transportation, and supply of seafood can cause increased contamination with Pseudomonas aeruginosa in these products. Therefore, the hygienic principles can effectively reduce contamination by P. aeruginosa. Also, the prophylactic use of antibiotics in these products should be controlled.


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## Body

## 1. Introduction

With the increasing consumption of fish and various types of seafood in Iran, the microbial quality of these products must be controlled. Fish is rich in protein, omega 3, omega 6, vitamins, and minerals. The presence of omega-3 fatty acids, including alpha-linolenic acid, eicosapentaenoic acid, and docosahexaenoic acid, has an influential role in consumer health and prevents some common diseases such as cardiovascular disease, Alzheimer's, stroke, asthma, cancer, and diabetes [1].The Food and Agriculture Organization estimates the world consumption of fish as about 17.7 kg, and in some developed countries, its consumption has increased to 26 kg (Western Europe) and 80–90 kg (Japan). The FAO has announced the fish consumption in Iran as 7.7 kg [2].Fish contains 80% water, 18% protein, 1% lipids, and 1% carbohydrates. Fish proteins contain large amounts of nonprotein nitrogen compounds (NPNs) and peptides. The pH of fish is generally higher than 6. In general, fish and seafood are more susceptible to microbial spoilage than other meat due to a lower pH and moisture content. The microbial spoilage may cause discoloration, off-odor, off-flavor, and slime formation that makes it undesirable for consumption. The types of spoilage microorganisms in fish and seafood will depend on the type of product, muscle, and storage conditions [3].Pseudomonas aeruginosa is one bacterium that can easily cause contamination and spoilage of fish meat. This organism is a Gram-negative, aerobic, oxidase-positive, and catalase-positive bacillus, without spores. They are found in various environments, have simple nutritional requirements, and survive under a wide range of temperatures. Pseudomonas aeruginosa with high pathogenicity has been causing the most common infections over 30 years [4]. This bacterium can be transmitted to humans by consuming contaminated meat products and causes gastrointestinal infections [5].Pseudomonas aeruginosa is more critical than other spoilage bacteria due to its high resistance to a wide range of antibiotics. It has a wide range of virulence factors that can cause severe and aggressive infections in humans and animals. The genes encoding antibiotic resistance can be easily transmitted to humans through consuming contaminated seafood causing severe antibiotic resistance [6].This Gram-negative bacterium is one of the factors limiting the shelf-life of fish and seafood and must be considered an important microbiological problem in seafood [7]. Therefore, the present study aimed to investigate its prevalence in fish and types of fish products in Iran and the pattern of antibiotic resistance and virulence genes.


## 2. Materials and Methods

### 2.1. Sampling

A total of 470 fish samples, including 200 fresh fish, 70 smoked fish, 70 salted fish, 50 dried fish, and 80 frozen fish samples, were collected randomly and under aseptic conditions from Isfahan, Ilam, Bushehr, and Mazandaran provinces (Iran) during six months. Samples were immediately sent to the laboratory.


### 2.2. Isolation ofPseudomonas aeruginosa from Fish Samples

To isolatePseudomonas aeruginosa from samples, 25 g of the sample was homogenized with 225 ml of peptone water. After initial enrichment, the bacteria were cultured in cetrimide agar (PCA) and incubated at 37°C for 24 hours. The colonies were selected based on color and odor (green-blue pigment with a specific odor). To confirm Pseudomonas aeruginosa species, biochemical tests such as fermentation of lactose, citrate, indole, oxidase, DNase, and hemolysis in a blood agar medium were performed. Colonies containing lactose-negative, citrate-positive, indole-negative, oxidase-positive, DNase-negative, and hemolytic bacteria were selected as Pseudomonas aeruginosa. They were cultured in the brain heart infusion (BHI) medium at 37°C for 24 hours.


### 2.3. The Antibiotic Resistance Pattern ofPseudomonas aeruginosa Strains

The antibiotic resistance ofPseudomonas aeruginosa isolated from fish samples was tested using the disk diffusion method (Kirby–Bauer) according to the Clinical and Laboratory Institute (CLSI) instructions of 2017. Pseudomonas aeruginosa isolates were cultured overnight in a BHI medium. They were concentrated in Müller–Hinton agar, and after incubation at 37°C for 24 hours, bacterial susceptibility or resistance to the antibiotics was determined by the growth inhibition zone. The Pseudomonas aeruginosa standard strain (ATCC 10145) was used in this experiment as a control.The antibiotic discs include tetracycline (30μg/disc), chloramphenicol (30 μg/disc), imipenem and carbapenem (30 μg/disc), sulfamethoxazole (25 μg/disc), gentamicin (10 μg/disc), enrofloxacin (5 mg/disc), cephalothin (30 μg/disc), ciprofloxacin (5 μg/disc), trimethoprim (5 μg/disc), ampicillin (10 units/disc), penicillin (10 μg/disc), and erythromycin (15 μg/disc).


### 2.4. DNA Extraction

DNA was extracted from the overnight culture of bacteria in the brain heart infusion medium (Merck, Germany) using the DNA Purification Genomic Kit (Fermentas Germany). The DNA samples were then placed at −20°C until polymerase chain reaction (PCR).


### 2.5. Molecular Detection of Virulence Factors and Antibiotic Resistance Genes

PCR technique was used to detect virulence (algD, algU, lasB, toxA, plcH, plcN, exoS, exoT, exoY, exoU, apr, phzII, phzM, phzS, phzI, phzH, lasA, pvdA, pilA, and pilB) and antibiotic resistance genes (blaTEM, blaSHV, blaOXA, blaCTX-M, blaDHA, and blaVEB). The list of utilized primers and the conditions for the reactions are given in Table 1.Table 1
List of primers used to detect virulence factors inPseudomonas aeruginosa strains isolated from fish and seafood [8].
Virulence genesSequence (5′–3′)Size of the product (bp)algDF: AAGGCGGAAATGCCATCTCC275R: AGGGAAGTTCCGGGCGTTTGalgUF: CGCGAACCGCACCATCGCTC410R: GCCGCACGTCACGAGClasBF: ACACAATACATATCAACTTCGC284R: AGTGTGTTTAGAATGGTGATCtoxAF: ATGTGCAGYACCAGTAARGT270R: TGGGTRAARTARGTSACCAGAplcHF: CACACGGAAGGTTAATTCTGA608R: CGGTTARACGGCTGAACCTGplcNF: CGACTTCCATTTCCCGATGC481R: GGACTCTGCAACAAATACGCexoSF: GTGTGCTTTATGCCATGAG444R: GGTTTCCTTTTCCAGGTCexoTF: CATCGTCTACGCCATGAG1159R: AGCAGCACCTCGGAATAGexoYF: GGAATGAACGAAGCGTTCTCCGAC1035R: TGGCGTCGACGAACACCTCGexoUF: CTGCGCGGGTCTATGTGCC3308R: GATGCTGGACGGGTCGAGAprF: GCACGTGGTCATCCTGATGC1017R: TCCGTAGGCGTCGACGTACphzIIF: TCCGTTATCGCAACCAGCCCTACG1036R: TCGCTGTCGAGCAGGTCGAACphzMF: CGTCGTGTTCAAGCAGATGGTGCTG875R: CCGAACCGCTTCACCAGGCphzSF: CAATCATCTCAGCAGAACCC1752R: TGTCGTAGAGGATCTCCTGphzIF: TATCGACGGTCATCGTCAGGT392R: TTGATGCACTCGACCAGCAAGphzHF: GATTCCATCACAGGCTCG1752R: CTAGCAATGGCACTAATCGlasAF: TGTCCAGCAATTCTCTTGC1075R: CGTTTTCCACGGTGACCpvdAF: GCCAAGGTTTGTTGTCGG1281R: CGCATTGACGATATGGAACpilAF: ATGGAGAGCGGGATCGACAG1675R: ATGCGGGTTTCCATCGGCAGpilBF: TCGCCATGACCGATACGCTC408R: ACAACCTGAGCCAGCCTTCCThe gene amplification process was done in 25μl of a mixture including 1 unit of Taq DNA Polymerase (Fermentas, Lithuania), 200 μmol dNTP (Fermentas, Lithuania), 2.5 μl of 10x buffer solution (Fermentas, Lithuania), 1 μmol of manganese chloride (Fermentas, Lithuania) 10 picomoles of each primer, and 3 μl of template DNA, and nuclease-free water was added to 25 µl. The thermal program includes the initial denaturation at a temperature of 94°C for 6 minutes, denaturation stage at a temperature of 94°C for 60 seconds, annealing stage at a temperature of 55°C for 1 minute, extension stage at a temperature of 72°C for 5.5 minutes, and final extension stage at a temperature of 72°C for 5 minutes.


### 2.6. PCR Product Electrophoresis

The distilled water was used as a negative control, andPseudomonas aeruginosa strain ATCC 10145 was used as a positive control. PCR products were electrophoresed on 2% agarose gel. The gels were stained with Sybergreen (Fermentase, Germany), and DNA strips were evaluated using UV light.


### 2.7. Statistical Analysis

The percentage of contamination in different sources and products has been calculated. The differences between groups were analyzed with SPSS statistical software (version 18) using theK2 method. The significant level was determined at p<0.05.


## 2.1. Sampling

A total of 470 fish samples, including 200 fresh fish, 70 smoked fish, 70 salted fish, 50 dried fish, and 80 frozen fish samples, were collected randomly and under aseptic conditions from Isfahan, Ilam, Bushehr, and Mazandaran provinces (Iran) during six months. Samples were immediately sent to the laboratory.


## 2.2. Isolation ofPseudomonas aeruginosa from Fish Samples

To isolatePseudomonas aeruginosa from samples, 25 g of the sample was homogenized with 225 ml of peptone water. After initial enrichment, the bacteria were cultured in cetrimide agar (PCA) and incubated at 37°C for 24 hours. The colonies were selected based on color and odor (green-blue pigment with a specific odor). To confirm Pseudomonas aeruginosa species, biochemical tests such as fermentation of lactose, citrate, indole, oxidase, DNase, and hemolysis in a blood agar medium were performed. Colonies containing lactose-negative, citrate-positive, indole-negative, oxidase-positive, DNase-negative, and hemolytic bacteria were selected as Pseudomonas aeruginosa. They were cultured in the brain heart infusion (BHI) medium at 37°C for 24 hours.


## 2.3. The Antibiotic Resistance Pattern ofPseudomonas aeruginosa Strains

The antibiotic resistance ofPseudomonas aeruginosa isolated from fish samples was tested using the disk diffusion method (Kirby–Bauer) according to the Clinical and Laboratory Institute (CLSI) instructions of 2017. Pseudomonas aeruginosa isolates were cultured overnight in a BHI medium. They were concentrated in Müller–Hinton agar, and after incubation at 37°C for 24 hours, bacterial susceptibility or resistance to the antibiotics was determined by the growth inhibition zone. The Pseudomonas aeruginosa standard strain (ATCC 10145) was used in this experiment as a control.The antibiotic discs include tetracycline (30μg/disc), chloramphenicol (30 μg/disc), imipenem and carbapenem (30 μg/disc), sulfamethoxazole (25 μg/disc), gentamicin (10 μg/disc), enrofloxacin (5 mg/disc), cephalothin (30 μg/disc), ciprofloxacin (5 μg/disc), trimethoprim (5 μg/disc), ampicillin (10 units/disc), penicillin (10 μg/disc), and erythromycin (15 μg/disc).


## 2.4. DNA Extraction

DNA was extracted from the overnight culture of bacteria in the brain heart infusion medium (Merck, Germany) using the DNA Purification Genomic Kit (Fermentas Germany). The DNA samples were then placed at −20°C until polymerase chain reaction (PCR).


## 2.5. Molecular Detection of Virulence Factors and Antibiotic Resistance Genes

PCR technique was used to detect virulence (algD, algU, lasB, toxA, plcH, plcN, exoS, exoT, exoY, exoU, apr, phzII, phzM, phzS, phzI, phzH, lasA, pvdA, pilA, and pilB) and antibiotic resistance genes (blaTEM, blaSHV, blaOXA, blaCTX-M, blaDHA, and blaVEB). The list of utilized primers and the conditions for the reactions are given in Table 1.Table 1
List of primers used to detect virulence factors inPseudomonas aeruginosa strains isolated from fish and seafood [8].
Virulence genesSequence (5′–3′)Size of the product (bp)algDF: AAGGCGGAAATGCCATCTCC275R: AGGGAAGTTCCGGGCGTTTGalgUF: CGCGAACCGCACCATCGCTC410R: GCCGCACGTCACGAGClasBF: ACACAATACATATCAACTTCGC284R: AGTGTGTTTAGAATGGTGATCtoxAF: ATGTGCAGYACCAGTAARGT270R: TGGGTRAARTARGTSACCAGAplcHF: CACACGGAAGGTTAATTCTGA608R: CGGTTARACGGCTGAACCTGplcNF: CGACTTCCATTTCCCGATGC481R: GGACTCTGCAACAAATACGCexoSF: GTGTGCTTTATGCCATGAG444R: GGTTTCCTTTTCCAGGTCexoTF: CATCGTCTACGCCATGAG1159R: AGCAGCACCTCGGAATAGexoYF: GGAATGAACGAAGCGTTCTCCGAC1035R: TGGCGTCGACGAACACCTCGexoUF: CTGCGCGGGTCTATGTGCC3308R: GATGCTGGACGGGTCGAGAprF: GCACGTGGTCATCCTGATGC1017R: TCCGTAGGCGTCGACGTACphzIIF: TCCGTTATCGCAACCAGCCCTACG1036R: TCGCTGTCGAGCAGGTCGAACphzMF: CGTCGTGTTCAAGCAGATGGTGCTG875R: CCGAACCGCTTCACCAGGCphzSF: CAATCATCTCAGCAGAACCC1752R: TGTCGTAGAGGATCTCCTGphzIF: TATCGACGGTCATCGTCAGGT392R: TTGATGCACTCGACCAGCAAGphzHF: GATTCCATCACAGGCTCG1752R: CTAGCAATGGCACTAATCGlasAF: TGTCCAGCAATTCTCTTGC1075R: CGTTTTCCACGGTGACCpvdAF: GCCAAGGTTTGTTGTCGG1281R: CGCATTGACGATATGGAACpilAF: ATGGAGAGCGGGATCGACAG1675R: ATGCGGGTTTCCATCGGCAGpilBF: TCGCCATGACCGATACGCTC408R: ACAACCTGAGCCAGCCTTCCThe gene amplification process was done in 25μl of a mixture including 1 unit of Taq DNA Polymerase (Fermentas, Lithuania), 200 μmol dNTP (Fermentas, Lithuania), 2.5 μl of 10x buffer solution (Fermentas, Lithuania), 1 μmol of manganese chloride (Fermentas, Lithuania) 10 picomoles of each primer, and 3 μl of template DNA, and nuclease-free water was added to 25 µl. The thermal program includes the initial denaturation at a temperature of 94°C for 6 minutes, denaturation stage at a temperature of 94°C for 60 seconds, annealing stage at a temperature of 55°C for 1 minute, extension stage at a temperature of 72°C for 5.5 minutes, and final extension stage at a temperature of 72°C for 5 minutes.


## 2.6. PCR Product Electrophoresis

The distilled water was used as a negative control, andPseudomonas aeruginosa strain ATCC 10145 was used as a positive control. PCR products were electrophoresed on 2% agarose gel. The gels were stained with Sybergreen (Fermentase, Germany), and DNA strips were evaluated using UV light.


## 2.7. Statistical Analysis

The percentage of contamination in different sources and products has been calculated. The differences between groups were analyzed with SPSS statistical software (version 18) using theK2 method. The significant level was determined at p<0.05.


## 3. Results and Discussion

### 3.1. Isolation ofPseudomonas aeruginosa from Samples

In this study, a total of 470 fish samples and fish products were evaluated for the presence ofPseudomonas aeruginosa. The results of contaminated samples based on the culture and molecular method (PCR) are summarized in Table 2. As the results show, the prevalence rate in samples was reported at 14.7%. The fresh fish showed the highest prevalence rate of Pseudomonas aeruginosa. No positive samples with Pseudomonas aeruginosa were isolated from frozen fish samples. The smoked (2.85%), salted (2.85%), and dried fish (4%) samples were found to be contaminated by Pseudomonas aeruginosa. No significant difference was observed between the samples (p>0.05).Table 2
The prevalence ofPseudomonas aeruginosa in types of fish.
SampleN. samples collectedBacteriological methodsMolecular detectionN. samples positive (%)N. samples positive (%)Fresh fish20010 (5)10 (5)Smoked fish702 (2.85)2 (2.85)Salted fish702 (2.85)2 (2.85)Dried fish502 (4)2 (4)Frozen fish800 (0)0 (0)Total47016 (14.7)16 (14.7)No significant difference was observed between samples (p>0.05).Pseudomonas aeruginosa count in fish samples is significant because this bacterium is often considered an indicator of food quality and may cause food-borne illnesses [9, 10].The present study showed the highest and lowest prevalence ofPseudomonas aeruginosa in fresh and processed fish. Preservation processes such as smoking, salting, and drying may have played an essential role in reducing the bacterial population in these products.Algammal et al. [11] isolated Pseudomonas aeruginosa at a prevalence of 31.57% from 90 fish samples in Egypt. Benie et al. [5] reported the prevalence of Pseudomonas aeruginosa in beef, fresh fish, and smoked fish at 47.8%, 33.1%, and 20%, respectively. Benie et al. [12] isolated 153 multidrug-resistant strains of Pseudomonas aeruginosa from beef (93%), fresh fish (36%), and smoked fish (24%). Abd-El-Maogoud et al. [13] isolated Pseudomonas aeruginosa at a prevalence of 65% from frozen mackerel (33%), frozen saurus (30%), and tilapia samples (23%). The highest amount of Pseudomonas aeruginosa was seen in cold tilapia. Abd El-Aziz [14] reported that all fish samples collected from Assiut (Egypt) were contaminated with Pseudomonas aeruginosa. Duman et al. [15] isolated 90 strains of Pseudomonas aeruginosa from fish farms in Turkey, classified them into 12 species, and reported seven new species. Abd-El-Maogoud et al. [13] reported the highest prevalence of Pseudomonas aeruginosa in mackerel, followed by the frozen fish samples. Fewer prevalence rates were reported by Benie et al. [16], Salem et al. [17], and Ibrahim et al. [18].Our results confirmed the contamination of fish samples withPseudomonas aeruginosa. The results may be due to differences in hygienic principles during fishing, handling, freezing, storage, and thawing of fish, as Salem et al. reported [17].


### 3.2. The Antibiotic Resistance Pattern ofPseudomonas aeruginosa Strains

Figures1–4 summarize the antibiotic resistance of Pseudomonas aeruginosa strains isolated from fish and fish products. The results show that the prevalence of antibiotic resistance against meropenem, imipenem, carbapenem, erythromycin, gentamicin, chloramphenicol, and enrofloxacin was reported to be 0%. The prevalence of antibiotic resistance against antibiotics used in frozen fish was 0%. The highest antibiotic resistance was observed in smoked, salted, and dried fish samples. Pseudomonas aeruginosa was resistant to tetracycline, cefotaxime, chloramphenicol, imipenem, carbapenem, and penicillin antibiotics. Four semisensitive samples were reported against doxycycline, gentamicin, penicillin, and ampicillin antibiotics.Figure 1
The number of resistant isolates of antibiotic resistance pattern ofPseudomonas aeruginosa isolates isolated from fish and fish products.Figure 2
The number of isolates of antibiotic resistance pattern ofPseudomonas aeruginosa isolates isolated from fish and fish products..Figure 3
Resistance factors ofPseudomonas aeruginosa isolated from fish and fish products.Figure 4
Virulence factors ofPseudomonas aeruginosa isolated from fish and fish products.Pseudomonas aeruginosa strains isolated in Egypt showed multidrug resistance (MDR) to amoxicillin, cefotaxime, tetracycline, and gentamicin [11]. Carol et al. [19] observed that Pseudomonas aeruginosa had high resistance to amoxicillin, moderate resistance to ampicillin, ceftazidime, nitrofurantoin, and gentamicin, and sensitivity to tobramycin, cefotaxime, ethylene, ciprofloxacin, and amikacin.Benie et al. [5] examined the prevalence of Pseudomonas aeruginosa in beef, fresh fish, and smoked fish. They found that Pseudomonas aeruginosa strains were mainly resistant to cefepime, imipenem, ceftazidime, ciprofloxacin, and piperacillin. The resistance of Pseudomonas aeruginosa to cephalosporins (ceftazidime and cefepime) may be due to chromosomal mechanisms (disruption of the OprD purine) and an association of resistance mechanisms such as extended-spectrum beta-lactamase (ESBL).In the study by Benie et al. [12], Pseudomonas aeruginosa isolates were resistant to aztreonam, ticarcillin, and ciprofloxacin. Aman et al. [20] found resistance of Pseudomonas aeruginosa to cefepime (34%) and ceftazidime (37%).Imipenem resistance is due to the reduction of purine permeability, according to Bricha et al. [21]. It is related to the enzymatic mechanism with carbapenemases, which causes a high level of resistance to all beta-lactamases.Comparison of the results obtained in the present study with other studies shows that antibiotic resistance differs across countries. The antibiotic resistance ofPseudomonas aeruginosa seems to be constantly changing, and it is necessary to be attending to this change in different countries.


### 3.3. The Virulence and Antibiotic Resistance Genes

Figure1–4 summarize the antibiotic resistance and virulence genes of Pseudomonas aeruginosa isolated from fish samples. As can be seen, the most abundant genes encoding antibiotic resistance in Pseudomonas aeruginosa strains were blaTEM, blaCTX-M, and blaSHV from smoked, salted, and dried fish samples, respectively. The most abundant virulence genes detected in Pseudomonas aeruginosa were algD, algU, lasB, toxA, exoS, exoT, and apr.These findings are consistent with those of other researchers [11, 12]. Nonadherent virulence factors play an essential role in bacterial survival under specific conditions such as human blood, iron deficiency, and intestinal diseases. However, these nonadherent virulence factors are not essential for the pathogenesis of food-borne illness.Algammal et al. [11] reported the blaCTXM, blaTEM, and tetA genes as the significant antibiotic resistance genes in Pseudomonas aeruginosa strains isolated from fish, which induces a pattern of resistance to cefotaxime, amoxicillin, and tetracycline. This highlights multidrug resistance (MDR) of Pseudomonas aeruginosa strains in public health. Benie et al. [12] identified blaSHV, blaTEM, blaPER, blaVEB, blaIMP, and blaVIM genes in Pseudomonas aeruginosa isolated from beef, fresh fish, and smoked fish.Our findings differed from other studies mentioned above, which could be due to the geographical conditions and the level of health and improper use of some antibiotics in the livestock.


### 3.4. PCR Product Electrophoresis

Figures5–10 show electrophoresis profiles of the genes detected in this study.Figure 5
PCR product electrophoresis of 275 bpalgD gene (lanes 1–3: positive samples, lane 4: positive control, lane 5: negative control, and lane 6: marker 100 bp).Figure 6
PCR product electrophoresis of 284 bplasB gene and 444 bp exoS gene (lanes 1–3: positive samples 286 bp, lane 4 positive control, lane 284: lasB gene, lane 5: positive sample of 444 bp exoS, and lane M: marker 100 bp).Figure 7
PCR product electrophoresis of 270 bptoxA gene and 875 bp phzM (from left, lanes 1–3: positive samples of 875 bp phzM gene, lanes 4 and 5: positive sample of 270 bp toxA gene, lane 6: negative controls, and lane 6: marker 100 bp).Figure 8
PCR product electrophoresis of 410 bpalgU gene (from left, lanes 1–4: positive samples, lane 4: positive control, lane 5: negative control, and lane 6: marker 100 bp).Figure 9
PCR product electrophoresis of 392 bpphzI gene (from left, lane M: marker 100 bp, lane 1: negative control, and lanes 2–4: positive samples).Figure 10
PCR product electrophoresis of 593 bpblaCTX-M gene and 642 bp blaVEB gene (from left, lane 1: negative control, lanes 2 and 3: positive samples of 593 blaCTX-M bp, lanes 4 and 5: positive samples of 642 bp blaVEB gene, lane 6: positive control, and lane M: marker 100 bp).


## 3.1. Isolation ofPseudomonas aeruginosa from Samples

In this study, a total of 470 fish samples and fish products were evaluated for the presence ofPseudomonas aeruginosa. The results of contaminated samples based on the culture and molecular method (PCR) are summarized in Table 2. As the results show, the prevalence rate in samples was reported at 14.7%. The fresh fish showed the highest prevalence rate of Pseudomonas aeruginosa. No positive samples with Pseudomonas aeruginosa were isolated from frozen fish samples. The smoked (2.85%), salted (2.85%), and dried fish (4%) samples were found to be contaminated by Pseudomonas aeruginosa. No significant difference was observed between the samples (p>0.05).Table 2
The prevalence ofPseudomonas aeruginosa in types of fish.
SampleN. samples collectedBacteriological methodsMolecular detectionN. samples positive (%)N. samples positive (%)Fresh fish20010 (5)10 (5)Smoked fish702 (2.85)2 (2.85)Salted fish702 (2.85)2 (2.85)Dried fish502 (4)2 (4)Frozen fish800 (0)0 (0)Total47016 (14.7)16 (14.7)No significant difference was observed between samples (p>0.05).Pseudomonas aeruginosa count in fish samples is significant because this bacterium is often considered an indicator of food quality and may cause food-borne illnesses [9, 10].The present study showed the highest and lowest prevalence ofPseudomonas aeruginosa in fresh and processed fish. Preservation processes such as smoking, salting, and drying may have played an essential role in reducing the bacterial population in these products.Algammal et al. [11] isolated Pseudomonas aeruginosa at a prevalence of 31.57% from 90 fish samples in Egypt. Benie et al. [5] reported the prevalence of Pseudomonas aeruginosa in beef, fresh fish, and smoked fish at 47.8%, 33.1%, and 20%, respectively. Benie et al. [12] isolated 153 multidrug-resistant strains of Pseudomonas aeruginosa from beef (93%), fresh fish (36%), and smoked fish (24%). Abd-El-Maogoud et al. [13] isolated Pseudomonas aeruginosa at a prevalence of 65% from frozen mackerel (33%), frozen saurus (30%), and tilapia samples (23%). The highest amount of Pseudomonas aeruginosa was seen in cold tilapia. Abd El-Aziz [14] reported that all fish samples collected from Assiut (Egypt) were contaminated with Pseudomonas aeruginosa. Duman et al. [15] isolated 90 strains of Pseudomonas aeruginosa from fish farms in Turkey, classified them into 12 species, and reported seven new species. Abd-El-Maogoud et al. [13] reported the highest prevalence of Pseudomonas aeruginosa in mackerel, followed by the frozen fish samples. Fewer prevalence rates were reported by Benie et al. [16], Salem et al. [17], and Ibrahim et al. [18].Our results confirmed the contamination of fish samples withPseudomonas aeruginosa. The results may be due to differences in hygienic principles during fishing, handling, freezing, storage, and thawing of fish, as Salem et al. reported [17].


## 3.2. The Antibiotic Resistance Pattern ofPseudomonas aeruginosa Strains

Figures1–4 summarize the antibiotic resistance of Pseudomonas aeruginosa strains isolated from fish and fish products. The results show that the prevalence of antibiotic resistance against meropenem, imipenem, carbapenem, erythromycin, gentamicin, chloramphenicol, and enrofloxacin was reported to be 0%. The prevalence of antibiotic resistance against antibiotics used in frozen fish was 0%. The highest antibiotic resistance was observed in smoked, salted, and dried fish samples. Pseudomonas aeruginosa was resistant to tetracycline, cefotaxime, chloramphenicol, imipenem, carbapenem, and penicillin antibiotics. Four semisensitive samples were reported against doxycycline, gentamicin, penicillin, and ampicillin antibiotics.Figure 1
The number of resistant isolates of antibiotic resistance pattern ofPseudomonas aeruginosa isolates isolated from fish and fish products.Figure 2
The number of isolates of antibiotic resistance pattern ofPseudomonas aeruginosa isolates isolated from fish and fish products..Figure 3
Resistance factors ofPseudomonas aeruginosa isolated from fish and fish products.Figure 4
Virulence factors ofPseudomonas aeruginosa isolated from fish and fish products.Pseudomonas aeruginosa strains isolated in Egypt showed multidrug resistance (MDR) to amoxicillin, cefotaxime, tetracycline, and gentamicin [11]. Carol et al. [19] observed that Pseudomonas aeruginosa had high resistance to amoxicillin, moderate resistance to ampicillin, ceftazidime, nitrofurantoin, and gentamicin, and sensitivity to tobramycin, cefotaxime, ethylene, ciprofloxacin, and amikacin.Benie et al. [5] examined the prevalence of Pseudomonas aeruginosa in beef, fresh fish, and smoked fish. They found that Pseudomonas aeruginosa strains were mainly resistant to cefepime, imipenem, ceftazidime, ciprofloxacin, and piperacillin. The resistance of Pseudomonas aeruginosa to cephalosporins (ceftazidime and cefepime) may be due to chromosomal mechanisms (disruption of the OprD purine) and an association of resistance mechanisms such as extended-spectrum beta-lactamase (ESBL).In the study by Benie et al. [12], Pseudomonas aeruginosa isolates were resistant to aztreonam, ticarcillin, and ciprofloxacin. Aman et al. [20] found resistance of Pseudomonas aeruginosa to cefepime (34%) and ceftazidime (37%).Imipenem resistance is due to the reduction of purine permeability, according to Bricha et al. [21]. It is related to the enzymatic mechanism with carbapenemases, which causes a high level of resistance to all beta-lactamases.Comparison of the results obtained in the present study with other studies shows that antibiotic resistance differs across countries. The antibiotic resistance ofPseudomonas aeruginosa seems to be constantly changing, and it is necessary to be attending to this change in different countries.


## 3.3. The Virulence and Antibiotic Resistance Genes

Figure1–4 summarize the antibiotic resistance and virulence genes of Pseudomonas aeruginosa isolated from fish samples. As can be seen, the most abundant genes encoding antibiotic resistance in Pseudomonas aeruginosa strains were blaTEM, blaCTX-M, and blaSHV from smoked, salted, and dried fish samples, respectively. The most abundant virulence genes detected in Pseudomonas aeruginosa were algD, algU, lasB, toxA, exoS, exoT, and apr.These findings are consistent with those of other researchers [11, 12]. Nonadherent virulence factors play an essential role in bacterial survival under specific conditions such as human blood, iron deficiency, and intestinal diseases. However, these nonadherent virulence factors are not essential for the pathogenesis of food-borne illness.Algammal et al. [11] reported the blaCTXM, blaTEM, and tetA genes as the significant antibiotic resistance genes in Pseudomonas aeruginosa strains isolated from fish, which induces a pattern of resistance to cefotaxime, amoxicillin, and tetracycline. This highlights multidrug resistance (MDR) of Pseudomonas aeruginosa strains in public health. Benie et al. [12] identified blaSHV, blaTEM, blaPER, blaVEB, blaIMP, and blaVIM genes in Pseudomonas aeruginosa isolated from beef, fresh fish, and smoked fish.Our findings differed from other studies mentioned above, which could be due to the geographical conditions and the level of health and improper use of some antibiotics in the livestock.


## 3.4. PCR Product Electrophoresis

Figures5–10 show electrophoresis profiles of the genes detected in this study.Figure 5
PCR product electrophoresis of 275 bpalgD gene (lanes 1–3: positive samples, lane 4: positive control, lane 5: negative control, and lane 6: marker 100 bp).Figure 6
PCR product electrophoresis of 284 bplasB gene and 444 bp exoS gene (lanes 1–3: positive samples 286 bp, lane 4 positive control, lane 284: lasB gene, lane 5: positive sample of 444 bp exoS, and lane M: marker 100 bp).Figure 7
PCR product electrophoresis of 270 bptoxA gene and 875 bp phzM (from left, lanes 1–3: positive samples of 875 bp phzM gene, lanes 4 and 5: positive sample of 270 bp toxA gene, lane 6: negative controls, and lane 6: marker 100 bp).Figure 8
PCR product electrophoresis of 410 bpalgU gene (from left, lanes 1–4: positive samples, lane 4: positive control, lane 5: negative control, and lane 6: marker 100 bp).Figure 9
PCR product electrophoresis of 392 bpphzI gene (from left, lane M: marker 100 bp, lane 1: negative control, and lanes 2–4: positive samples).Figure 10
PCR product electrophoresis of 593 bpblaCTX-M gene and 642 bp blaVEB gene (from left, lane 1: negative control, lanes 2 and 3: positive samples of 593 blaCTX-M bp, lanes 4 and 5: positive samples of 642 bp blaVEB gene, lane 6: positive control, and lane M: marker 100 bp).


## 4. Conclusion

The results of this study confirmed the prevalence ofPseudomonas aeruginosa in fish and seafood, which is a severe warning to prevent the further spread of this microorganism. Due to the abundance of Pseudomonas aeruginosa in meat products, especially fish, much attention should be paid to the health and quality of meat products. Fish play an essential role in human nutrition. They are a suitable food environment for the growth of bacteria such as Pseudomonas aeruginosa, so farms should be completely healthy.Fish should be caught by public health standards and kept out of direct and indirect contact with external sources of contamination at all stages of fishing, collection, handling, and transportation. Therefore, with the lack of hygienic and cooling systems,Pseudomonas aeruginosa in the fish will increase. The hygienic principles must be applied to reduce contamination with Pseudomonas aeruginosa.



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*Source: 8990912-2022-04-25.xml*