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S. Enteritidis

At a Glance

Antigenic Formula 1,9,12:g,m:-
Serogroup O:9 (D1)
NCBI Pathogen Detection View isolates

Background Information

Salmonella enterica subsp. enterica serovar Enteritidis (antigenic formula 1,9,12:g,m:- ) is a serovar of the O:9 (D1) serogroup. This serovar is mainly associated with table eggs and chickens. Eggs can become contaminated either through penetration of the eggshell by Salmonella Enteritidis from the colonized gut or contaminated feces during or after oviposition (horizontal transmission). Alternatively, contamination can occur via direct infection of the yolk, albumen, eggshell membranes, or eggshells before oviposition, which results from the infection of reproductive organs with this serovar (vertical transmission). Since the 1990s, infection rates have dropped as the egg industry implemented voluntary controls on egg flocks and consumers have reduced their consumption of raw eggs. However, large outbreaks have still occurred. According to the World Health Organization, it is the most common serovar reported from human salmonellosis cases in Europe, North and South America, Africa and Asia.

Genetic Characteristics

This serovar is further classified according to the susceptibility to typing phages (phage typing (PT)), the most common PTs are PT8 and PT4. Molecular subtyping with Pulse field gel electrophoresis (PFGE) shows that approx. 40% of the isolates fall in the same PFGE type. Invasive strains of serovar Enteritidis emerged in sub-Sahara regions of Africa and have caused systemic salmonellosis in travelers returning from Africa. Serovar Nitra and Enteritidis have antigenic formulas that differ only in their O antigens. Although serovar Nitra is very rare, it is genetically indistinguishable from serovar Enteritidis. Chen et al. found that Salmonella Enteritidis is a polyphyletic serovar comprised of six phylogenetic groups and two stand-alone singletons that do not cluster with any other Salmonella Enteritidis isolates. Within Enteritidis-A-7 (chicken-associated; estimated emergence in 1633), they identified four clonal sub-clades. Cao et al. analyzed Enteritidis isolates collected worldwide from humans and concluded that in clades I and IV, most isolates were pan-susceptible, while 81.8% (9/11) of isolates in clade III and 22.4% (13/58) in clade II were multidrug-resistant (MDR). Notably, 77% (10/13) of the MDR isolates in clade II originated from China. The most common antimicrobial resistance genes (ARGs) found in the Chinese isolates were aph(3′)-IIa, blaCTX-M-55, and blaTEM-1B, whereas the most prevalent ARGs in the African isolates (clade III) were blaTEM-1B, sul1, sul2, drfA7, aph(3")-Ib/strA, and aph(6)-Id/strB. Of the 14 plasmid types identified, IncX1 and IncFII(pHN7A8) were exclusive to the Chinese MDR isolates, while IncQ1 was strongly linked to the African MDR isolates. A Chinese study revealed that serovar Enteritidis triggers an inflammatory response through SPI-1 and SPI-2, which enhances intracellular proliferation and bacterial virulence. A protein–protein interaction prediction revealed a connection between virulence proteins and T3SS proteins, with PagN interacting with T3SS-related proteins to collectively mediate the invasion of the Enteritidis 27A strain into the human body.

Animal Reservoir

Chicken is the main reservoir. Serovar Enteritidis is also found in low percentage (<1%) in turkey, cattle, and dogs.

Geographical Distribution

The distribution of serovar Enteritidis is global.

Human/Animal Outbreaks

Numerous Enteritidis outbreaks have been reported and they are mainly associated with eggs or poultry. Below are some examples.

Year Location Associated source Number of cases
2024 US: multistate Backyard poultry 4701
2018 US: multistate Eggs 44
2016 Europe: multi-country2 Eggs 1123
2012 US: multistate Ground beef 46
2012 US: multistate Restaurant chain A 68
2011 US: multistate Turkish pine nuts 43
2011 US: multistate Alfalfa sprouts and spicy sprouts 25
2011 England Eggs 63
2011 Singapore Seafood (marinara pasta seafood) 270
2010 US: multistate Shell - eggs 1,939
2010 Austria Eggs 66

1 Multiple serovars, including Salmonella Altona, Cerro, Enteritidis, Indiana, Infantis, Johannesburg, Mbandaka, and Typhimurium, were linked to this outbreak. The case number represents the total number of cases associated with the outbreak and does not specifically indicate the number of people infected by Salmonella Enteritidis.

2Belgium, Denmark, Luxembourg, the Netherlands, Norway, Sweden and the UK, and potentially Croatia

3112 confirmed, 148 probable

Border Rejections

There are numerous border rejections linked to Salmonella Enteritidis. The majority of them are associated with chicken, eggs, and egg products, while a few can also be related to other commodities. Below are examples.

Year Exporting country Importing country Associated source Product category
2025 Poland Italy Frozen duck1 Poultry meat and poultry meat products
2024 Brazil Netherlands Fresh chicken meat Poultry meat and poultry meat products
2019 Poland Czech Republic Chilled Beef Meat and meat products (other than poultry)

1 Salmonella Enteritidis and Newport were both found.

Recalls

There are numerous recalls linked to Salmonella Enteritidis. The majority of them are associated with chicken, eggs, and egg products, while a few can also be related to other commodities. Below are examples.

Year Location Recalled food Type
2024 Romania Frozen chicken legs Poultry meat and poultry meat products
2022 Estonia Chicken thigh boneless, skinless from Poland Poultry meat and poultry meat products
2021 Spain Frozen pasteurized wedge clams (Donax trunculus) from Turkey Bivalve molluscs and products thereof
2021 Slovakia Cereal-based foods for infants and young children Cereals and bakery products
2020 Poland Eggs Eggs and egg products

References

  1. https://pubmed.ncbi.nlm.nih.gov/19207743/
  2. https://www.cdc.gov/salmonella/reportspubs/salmonella-atlas/serotype-snapshots.html#:~:text=Salmonella%20Enteritidis%2C%20one%20of%20the,it%20infects%20the%20new%20chick.
  3. https://www.who.int/news-room/fact-sheets/detail/salmonella-(non-typhoidal)
  4. https://pubmed.ncbi.nlm.nih.gov/1757554/
  5. https://pubmed.ncbi.nlm.nih.gov/19591599/
  6. https://journals.asm.org/doi/10.1128/jcm.02347-10
  7. https://wwwnc.cdc.gov/eid/article/20/9/13-1095_article
  8. https://journals.asm.org/doi/10.1128/mbio.01913-24
  9. https://www.nature.com/articles/s41598-022-24150-4
  10. https://www.frontiersin.org/journals/cellular-and-infection-microbiology/articles/10.3389/fcimb.2023.1158888/full
  11. https://www.dovepress.com/the-resistance-and-virulence-characteristics-of-salmonella-enteritidis-peer-reviewed-fulltext-article-IDR
  12. https://pubmed.ncbi.nlm.nih.gov/15095196/
  13. https://doi.org/10.1111/zph.13174
  14. https://www.nature.com/articles/s41467-021-25319-7
  15. https://www.cdc.gov/salmonella/outbreaks/backyardpoultry-05-24/index.html
  16. https://archive.cdc.gov/www_cdc_gov/salmonella/enteritidis-09-18/index.html
  17. https://www.efsa.europa.eu/en/press/news/161027-0#:~:text=Seven%20countries%20have%20reported%20human,Norway%2C%20Sweden%20and%20the%20UK.
  18. https://archive.cdc.gov/www_cdc_gov/salmonella/enteritidis-07-12/index.html
  19. https://archive.cdc.gov/www_cdc_gov/salmonella/restaurant-enteriditis/index.html
  20. https://archive.cdc.gov/www_cdc_gov/salmonella/2011/pine-nuts-11-17-2011.html#:~:text=On%20November%209%2C%202011%2C%20FDA,packed%20in%2022%2Dpound%20boxes.
  21. https://archive.cdc.gov/www_cdc_gov/salmonella/2011/alfalfa-spicy-sprouts-7-6-2011.html#:~:text=Recall%20Information,to%20be%20contaminated%20with%20Salmonella.
  22. https://pmc.ncbi.nlm.nih.gov/articles/PMC9151155/
  23. https://outbreakdatabase.com/outbreaks/mums-kitchen-catering-to-singaporian-preschools-seafood-marinara-pasta-2011
  24. https://archive.cdc.gov/www_cdc_gov/salmonella/2010/shell-eggs-12-2-10.html#:~:text=Recall%20Information,voluntary%20recall%20of%20shell%20eggs.
  25. https://pubmed.ncbi.nlm.nih.gov/23164561/
  26. https://webgate.ec.europa.eu/rasff-window/screen/notification/745388
  27. https://webgate.ec.europa.eu/rasff-window/screen/notification/716015
  28. https://www.foodsafetynews.com/2019/03/czech-republic-refuses-to-budge-on-polish-beef-checks/
  29. https://webgate.ec.europa.eu/rasff-window/screen/notification/675933
  30. https://webgate.ec.europa.eu/rasff-window/screen/notification/518731
  31. https://webgate.ec.europa.eu/rasff-window/screen/notification/547077
  32. https://webgate.ec.europa.eu/rasff-window/screen/notification/502448
  33. https://webgate.ec.europa.eu/rasff-window/screen/notification/451322