ALBERT

Description: Vibrios are rod-shaped bacteria, and are a functionally and phylogenetically diverse grouping of Gram-negative microbes found widely in aquatic, estuarine, and marine habitats. Approximately a dozen Vibrio species are known to cause disease in humans, and infection is usually initiated from exposure to seawater or consumption of raw or undercooked seafood. Although a wide range of different bacterial species contain multiple chromosomes, Vibrio species are noted in that they possess two circular chromosomes. Bacteria of the genus Vibrio are commonly found in tropical and temperate coastal and estuarine waters. Vibrios are among the most common bacteria that inhabit surface waters throughout the world and are responsible for a number of severe infections both in humans and animals. Vibriosis is characterized by diarrhea, primary septicemia, wound infections, or other extraintestinal infections. Select strains of V. cholerae, V. parahaemolyticus, V. vulnificus, and V. alginolyticus are perhaps considered the most serious human pathogens from this genus. Two Vibrio species in particular, V. vulnificus and V. parahaemolyticus are significant foodborne human pathogens, and most frequently infections occur via the consumption of naturally contaminated shellfish produce. It is worth noting that these pathogens represent a significant cause of morbidity and mortality. For example, an estimated 80,000 people contract Vibrio infections each year in the United States, with a sizeable fraction originating from foodborne sources, such as consumption of raw or undercooked seafood produce. Recent data from the Centers for Disease Control and Prevention (CDC) in the United States have indicated that there has been a significant increase in reported infections associated with vibrios, particularly in the last two decades. The annual incidence of reported vibriosis per 100,000 population has increased significantly in the United States from 1996 to 2010, highlighting the importance of these pathogens from a clinical context. Calculations based upon probable incidence of vibriosis have estimated that V. vulnificus and V. parahaemolyticus are the first and third most costly marine-borne pathogens, costing $233 and $20 million, respectively. From a foodborne perspective V. vulnificus and V. parahaemolyticus represent the major pathogens from the Vibrio genus in terms of clinical impact and relevance, and as such this chapter is mostly concerned with these species. These taxa do not sustain prolonged presence in clinical or agricultural settings, where it would likely undergo human-induced selection for antibiotic resistance. As such, these bacteria represent a particularly interesting group of pathogens to study antibiotic resistance, as they provide a “snapshot” of resistance presumably acquired from environmental rather than clinical settings. Despite their public-health significance, strains of V. parahaemolyticus and V. vulnificus have not been extensively monitored for antimicrobial resistance, in contrast to enteric pathogens such as Salmonella or Campylobacter. Given their increasing incidence, global distribution, and severity of disease progression (especially V. vulnificus) it is critical to gain a better understanding of the antimicrobial susceptibility patterns of V. vulnificus and V. parahaemolyticus originating from the environment (Shaw et al., 2014). Data from such sources is invaluable, particularly from routine antimicrobial screening of large numbers of environmental and clinical Vibrio strains as it can provide effective baseline data for treatment purposes.