Enterococci are widespread in nature, can grow and persist
in harsh environments and have been detected in the fecal microbiota of most
animals, from insects to mammals. They are also readily recovered from foods
such as milk and meat products, from various environmental sources and in waste
and surface water . Enterococci are considered important members of the
intestinal microbiota of mammals, reptiles, birds, fish, and insects as well as
in plant environments. Members of Enterococcus spp. can also be found in the
soil, water, and food. More specifically, E. avium, E. durans, E. faecalis, E.
faecium are frequently isolated from cheese products, whereas, E. avium, E.
casseliflavus, E. durans, E. faecalis, E. faecium, E. gallinarum, and E. hirae
have been described components of the microbiota of various raw meat products.
It is important to note that members of these species are frequently employed
as starter cultures in fermented food products. The high prevalence of these
species in raw meat is closely related to the fecal microbiota from the food
animal species. Despite the presence of enterococci in 82-100% of retail meat
products, studies of cooked meat suggest that enterococci do not constitute the
largest population on such products.
Enterococci are found in the feces of most healthy adults;
in several recent studies from Japan, Federal Republic of Germany, and
Scandinavia, enterococci were found in 97% of 71 individuals studied. The most
frequently encountered species are E. faecalis and E. faecium. When enterococci
from feces have been identified to species, many studies report that E.
faecalis is more common and is found in higher numbers than E. faecium. Studies
from other locations, however, have reported that E. faecium is found more
often than E. faecalis.
In humans, typical concentrations of enterococci in stool
are up to 108 colony forming unit (CFU) per gram. Although the oral cavity and
vaginal tract can become colonized, enterococci are recovered from these sites
in fewer than 20% of cases.
Enterococci are less commonly found at other sites such as
in vaginal (17%) in one study, and oral specimens, and results are sometimes
quite variable. In a study of the dental plaque of healthy students, academic
staff, healthy toothache patients, and hemodialysis patients and staff,
enterococci were found in approximately the same percentages in the various
groups (10% overall). Although patients and staff in one particular hospital
had carriage rates of 60%; almost all isolates were E. faecalis. In another
study, higher rates of enterococcal carriage were found among long-term
hemodialysis patients and cardiac patients than among their staff and acute
dental patients; in the same study, E. faeciun outnumbered E. fecalis isolates.
E. casseliflavus, E. durans, E. gallinarum, E. hirae also contribute
significantly to the enterococcal fecal microbiota of humans, whereas E. avium
and E. mundtii have only been occasionally isolated. Enterococci that have been
isolated from domesticated pets include E. avium, E. durans, E. faecalis, E.
faecium, and E. hirae. E. avium, E. casseliflavus, E. durans, E. faecalis, E.
faecium, E. gallinarum, E. hirae, and E. mundtii have been isolated from
surface waters, whereas only E. hirae has been identified from groundwater. E.
casseliflavus, E. faecalis, E. faecium, and E. sulfureus have also been
associated with plant materials. Among the more rarely isolated species, E.
cecorum has been isolated from domesticated pets, and feces from bovine and
poultry sources. E. dispar has been isolated from poultry feces.
Since its initial isolation from Gouda cheese, E.
malodoratus has been isolated from poultry feces, and has been associated with
spoilage of sausage. Although primarily associated with soil and plant
material, E. mundtii has been isolated from fish and meat products. E. mundtii
has also been identified as a component of the intestinal microbiota of
chickens. E. pseudoavium has been isolated from pigs and poultry; E. raffinosus
has rarely been isolated outside of the clinical environment, but has been
identified from domestic pets. E. sulfureus has been isolated only from grass
and fish sources. E. solitarius and E. seriolicida have been reclassified as
members of the genera Tetragenococcus and Lactococcus, respectively. Recently,
two new proposed species of pigmented enterococci, E. gilvus and E. pallens,
were described from clinical isolates [34]. These species, in addition to E.
asini, E. canis, E. haemoperoxidus, E. moraviensis, E. phoeniculicola, E.
porcinus, E. ratti, and E. villorum, are recent additions to the genus and
their distributions in different environments are unknown. It is worth noting
that reports of the ecological distribution of Enterococcus spp. in different
environments may be hard to compare due to differences in isolation
methodology. Most surveys to date have been focused on the isolation of what
are thought to be the most abundant species of enterococci, i.e., heavily influenced
by those studies conducted in clinical settings.
Recent changes in the taxonomy of enterococci has revealed
that an increasing number of species do not conform to long-held descriptions
of the genus. For example, not until the description of the PYR-negative
species of E. cecorum, E. columbae, and E. saccharolyticus has the PYR reaction
been used other than as a definitive characteristic of Enterococcus spp. Other
factors that might influence the recovery and/or prevalence of non-dominant
species include the choice of media, the temperature of incubation, composition
of the incubation atmosphere, and identification methodology. Given the close
similarity of the newly described species to long-standing members of the
genus, confident identification to the species level may not always be possible
using traditional biochemical testing.
No comments:
Post a Comment