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Transmission of  Pseudomonas aeruginosa  along the food chain could cause gastrointestinal infections. To show this involvement, the prevalence, putative virulence genotype, and antibiotic resistance phenotype of  P. aeruginosa  isolates from stool of 1482 patients with community and hospital acquired diarrhea were compared with 87 isolates from the environmental samples. The results showed infection with  P. aeruginosa  in 3.4% of the cases, while 57.4% of vegetable samples were contaminated. Significantly higher frequency of  lasB  (98%),  aprA  (98%),  exoY  (98%), and  exoS  (90%), but lower rate of  exoT  (39.2%), was detected among the stool isolates. Multi-drug resistance (MDR) phenotype was detected in 25.5% and 4% of the stool and vegetable isolates, respectively. A higher rate of studied virulence genes was detected among the MDR strains  vs  non-MDR strains. These results indicate  P. aeruginosa  as a causative agent of diarrhea either among the hospitalized patients and those with community-acquired diarrhea.

international journal of environmental health research

Involvement of  Pseudomonas aeruginosa  in the occurrence of community and hospital acquired diarrhea, and its virulence diversity among the stool and the environmental samples