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Topic:Staphylococcus

Staphylococcus is a genus of bacteria commonly found on the skin and mucous membranes of horses. These bacteria can be part of the normal flora but may also act as opportunistic pathogens, leading to infections under certain conditions. In horses, Staphylococcus species can cause a range of infections, including skin infections, wound infections, and more severe conditions such as septicemia. The most frequently identified species in equine infections is Staphylococcus aureus, known for its ability to resist certain antibiotics, complicating treatment efforts. This page compiles peer-reviewed research studies and scholarly articles that explore the epidemiology, pathogenic mechanisms, and treatment strategies of Staphylococcus infections in horses.
Antimicrobial susceptibility of bacteria isolated from neonatal foal samples submitted to a New Zealand veterinary pathology laboratory (2004 to 2013).
New Zealand veterinary journal    November 23, 2015   Volume 64, Issue 2 107-111 doi: 10.1080/00480169.2015.1109006
Toombs-Ruane LJ, Riley CB, Kendall AT, Hill KE, Benschop J, Rosanowski SM.To describe antimicrobial susceptibility, and identify antimicrobial resistance (AMR), in bacteria isolated from New Zealand foals. Methods: A database search was performed of submissions to a veterinary pathology laboratory between April 2004 and December 2013 for bacterial culture of samples from foals <3 weeks of age. Culture and susceptibility results were compiled with demographic information. Susceptibility results were as defined for the Kirby-Bauer disk diffusion susceptibility test based on Clinical Laboratory Standards Institute guidelines. Multi-drug resistance (MDR) was defined as ...
Methicillin-resistant Staphylococcus aureus colonization and infection risks from companion animals: current perspectives.
Veterinary medicine (Auckland, N.Z.)    November 6, 2015   Volume 6 373-382 doi: 10.2147/VMRR.S91313
Petinaki E, Spiliopoulou I.Methicillin-resistant Staphylococcus aureus (MRSA) remains one of the most virulent human pathogens and has also recently been recognized as such in the veterinary settings. Companion animals, including dogs, cats, horses, small exotic animals, wildlife animals, and livestock, may constitute a reservoir for MRSA transmission to humans and vice versa. The evolution, emergence, and risk factors for MRSA transmission among colonized or infected animals are reviewed in the present paper, and infection control practices are discussed.
Methicillin-resistant Staphylococcus aureus ulcerative keratitis in a Thoroughbred racehorse.
Journal of equine science    September 30, 2015   Volume 26, Issue 3 95-98 doi: 10.1294/jes.26.95
Kuroda T, Kinoshita Y, Niwa H, Mizobe F, Ueno T, Kuwano A, Hatazoe T, Hobo S.We report the first case of methicillin-resistant Staphylococcus aureus (MRSA) keratitis in a racehorse. A 5-year-old mare developed punctate keratitis after racing. The corneal ulcer continued to expand despite ophthalmic antimicrobial therapy. On day 6, a conjunctival graft surgery was performed. The mare was euthanized, following colitis and laminitis development on day 10. MRSA was isolated from the corneal swab taken at the time of euthanasia. Immunohistochemical analysis demonstrated gram-positive and anti-S. aureus monoclonal antibody-positive cocci infiltration of the corneal stroma; a...
Prevalence and risk factors for colonization with methicillin resistant Staphylococcus aureus and other Staphylococci species in hospitalized and farm horses in Israel.
Preventive veterinary medicine    September 16, 2015   Volume 122, Issue 1-2 135-144 doi: 10.1016/j.prevetmed.2015.09.007
Tirosh-Levy S, Steinman A, Carmeli Y, Klement E, Navon-Venezia S.Methicillin-resistant staphylococci (MRS), and specifically Methicillin-resistant Staphylococcus aureus (MRSA) colonization or infection have become a serious emerging condition in equine hospitals, with complex concerns regarding animals, personnel and public health. The objectives of this study were to evaluate the prevalence and risk factors for colonization by Staphylococci, MRS, and MRSA among horses in Israel. Nasal swabs were collected from horses at 17 riding stables (n=206), and from hospitalized horses admitted to a veterinary hospital (n=84). Species identification was performed by ...
mecC-positive MRSA in horses.
The Journal of antimicrobial chemotherapy    September 14, 2015   Volume 70, Issue 12 3401-3402 doi: 10.1093/jac/dkv278
Haenni M, Châtre P, Dupieux C, Métayer V, Maillard K, Bes M, Madec JY, Laurent F.No abstract available
Anti-biofilm activity of ultrashort cinnamic acid peptide derivatives against medical device-related pathogens.
Journal of peptide science : an official publication of the European Peptide Society    August 27, 2015   Volume 21, Issue 10 770-778 doi: 10.1002/psc.2805
Laverty G, McCloskey AP, Gorman SP, Gilmore BF.The threat of antimicrobial resistance has placed increasing emphasis on the development of innovative approaches to eradicate multidrug-resistant pathogens. Biofilm-forming microorganisms, for example, Staphylococcus epidermidis and Staphylococcus aureus, are responsible for increased incidence of biomaterial infection, extended hospital stays and patient morbidity and mortality. This paper highlights the potential of ultrashort tetra-peptide conjugated to hydrophobic cinnamic acid derivatives. These peptidomimetic molecules demonstrate selective and highly potent activity against resistant b...
Antimicrobial resistance in bacteria from horses: Epidemiology of antimicrobial resistance.
Equine veterinary journal    August 26, 2015   Volume 47, Issue 6 756-765 doi: 10.1111/evj.12471
Maddox TW, Clegg PD, Williams NJ, Pinchbeck GL.Antimicrobial resistance poses a significant threat to the continued successful use of antimicrobial agents for the treatment of bacterial infections. While the epidemiology of antimicrobial resistance in bacteria from man has been studied extensively, less work has been undertaken in companion animals, particularly horses. Methicillin-resistant Staphylococcus aureus has been identified as a cause of infections, with a low prevalence of nasal carriage by horses in the community but higher for hospitalised horses. Molecular characterisation has shown methicillin-resistant Staphylococcus aureus...
[Infection control and hygiene management in equine hospitals].
Berliner und Munchener tierarztliche Wochenschrift    April 16, 2015   Volume 127, Issue 11-12 486-497 
Walther B, Janssen T, Gehlen H, Vincze S, Borchers K, Wieler LH, Barton AK, Lübke-Becker A.With the rising importance of nosocomial infections in equine hospitals, increased efforts with regard to biosecurity and infection control are necessary. This even more since nosocomial infections are often associated with multi-drug resistant pathogens. Consequently, the implementation of targeted prevention programs is essential. Since nosocomial infections are usually multifactorial events, realization of only a single measure is rarely effective to overcome nosocomial spread in clinical practice. Equine patients may be colonized at admission with multi-drug resistant pathogens such as met...
Use of loop-mediated isothermal amplification to detect six groups of pathogens causing secondary lower respiratory bacterial infections in horses.
Microbiology and immunology    April 8, 2015   Volume 59, Issue 6 365-370 doi: 10.1111/1348-0421.12257
Kinoshita Y, Niwa H, Katayama Y.Microbial substitution occasionally occurs following the administration of antimicrobials to horses that have pneumonia or pleuropneumonia. Four specific loop-mediated isothermal amplification (LAMP) assays were developed to detect some equine respiratory pathogens, namely strains of the Bacteroides-Prevotella group, Klebsiella pneumoniae, Stenotrophomonas maltophilia, and Staphylococcus aureus. These four LAMP assays and two previously published LAMP assays targeting Escherichia coli or Pseudomonas aeruginosa were used on clinical respiratory specimens and a high accordance found between the ...
Efficacy and safety of lomefloxacin on bacterial extraocular disease in the horse.
The Journal of veterinary medical science    March 15, 2015   Volume 77, Issue 7 829-835 doi: 10.1292/jvms.14-0507
Hidaka S, Kobayashi M, Ando K, Fujii Y.Lomefloxacin is a broad-spectrum fluoroquinolone antibiotic used for the treatment of bacterial extraocular disease. This study investigated the efficacy and safety of lomefloxacin eye drops for bacterial extraocular disease in horses. Lomefloxacin ophthalmic solution (0.3%) was instilled three times daily for 2-5 days in 65 horses diagnosed with bacterial extraocular disease based on clinical findings. Clinical observations and bacteriological examinations were performed at the start of treatment, 2 and 5 days after the start of treatment, and at the discontinuation or termination of treatmen...
Colostrum hexasaccharide, a novel Staphylococcus aureus quorum-sensing inhibitor.
Antimicrobial agents and chemotherapy    February 2, 2015   Volume 59, Issue 4 2169-2178 doi: 10.1128/AAC.03722-14
Srivastava A, Singh BN, Deepak D, Rawat AK, Singh BR.The discovery of quorum-sensing (QS) systems regulating antibiotic resistance and virulence factors (VFs) has afforded a novel opportunity to prevent bacterial pathogenicity. Dietary molecules have been demonstrated to attenuate QS circuits of bacteria. But, to our knowledge, no study exploring the potential of colostrum hexasaccharide (CHS) in regulating QS systems has been published. In this study, we analyzed CHS for inhibiting QS signaling in Staphylococcus aureus. We isolated and characterized CHS from mare colostrum by high-performance thin-layer chromatography (HPTLC), reverse-phase hig...
Prevalence of methicillin-resistant Staphylococcus haemolyticus in companion animals: a cross-sectional study.
Annals of clinical microbiology and antimicrobials    November 28, 2014   Volume 13 56 doi: 10.1186/s12941-014-0056-y
Ruzauskas M, Siugzdiniene R, Klimiene I, Virgailis M, Mockeliunas R, Vaskeviciute L, Zienius D.Among coagulase-negative staphylococci, Staphylococcus haemolyticus is the second most frequently isolated species from human blood cultures and has the highest level of antimicrobial resistance. This species has zoonotic character and is prevalent both in humans and animals. Recent studies have indicated that methicillin-resistant S. haemolyticus (MRSH) is one of the most frequent isolated Staphylococcus species among neonates in intensive care units. The aim of this study was to determine the presence of MRSH in different groups of companion animals and to characterize isolates according the...
Temporal Bacteriostatic Effect and Growth Factor Loss in Equine Platelet Components and Plasma Cultured with Methicillin-Sensitive and Methicillin-Resistant Staphylococcus aureus: A Comparative In Vitro Study.
Veterinary medicine international    November 24, 2014   Volume 2014 525826 doi: 10.1155/2014/525826
López C, Alvarez ME, Carmona JU.The aims were (1) to evaluate the bacteriostatic effect of platelet-rich plasma (PRP), platelet-rich gel (PRG), leukocyte-poor plasma (LPP), leukocyte-poor gel (LPG), plasma, and heat-inactivated plasma (IP) on both methicillin-sensitive Staphylococcus aureus (MSSA) and methicillin-resistant Staphylococcus aureus (MRSA) over a period of 24 h; (2) to determine and to compare the concentrations and degradation over time of platelet factor 4 (PF-4), transforming growth factor beta 1 (TGF-β 1), and platelet-derived growth factor isoform BB (PDGF-BB); and (3) to identify any correlations between...
Physiopathologic mechanisms involved in mare endometrosis.
Reproduction in domestic animals = Zuchthygiene    October 4, 2014   Volume 49 Suppl 4 82-87 doi: 10.1111/rda.12397
Rebordão MR, Galvão A, Szóstek A, Amaral A, Mateus L, Skarzynski DJ, Ferreira-Dias G.Endometrosis is a degenerative chronic process, characterized by paramount fibrosis development in mare endometrium. This condition is one of the major causes of subfertility/infertility in mares. As in other organs, fibrosis might be a pathologic sequel of many chronic inflammatory diseases. However, aetiology and physiopathologic mechanisms involved in endometrial fibrosis are still controversial. This review presents new hypotheses based on our newest data. As the first line of innate immune defence, systemic neutrophils arrive in the uterus at mating or in the presence of pathogens. A nove...
Neutrophil extracellular traps formation by bacteria causing endometritis in the mare.
Journal of reproductive immunology    August 27, 2014   Volume 106 41-49 doi: 10.1016/j.jri.2014.08.003
Rebordão MR, Carneiro C, Alexandre-Pires G, Brito P, Pereira C, Nunes T, Galvão A, Leitão A, Vilela C, Ferreira-Dias G.Besides the classical functions, neutrophils (PMNs) are able to release DNA in response to infectious stimuli, forming neutrophil extracellular traps (NETs) and killing pathogens. The pathogenesis of endometritis in the mare is not completely understood. The aim was to evaluate the in vitro capacity of equine PMNs to secrete NETs by chemical activation, or stimulated with Streptococcus equi subspecies zooepidemicus (Szoo), Escherichia coli (Ecoli) or Staphylococcus capitis (Scap) strains obtained from mares with endometritis. Ex vivo endometrial mucus from mares with bacterial endometritis wer...
A pre- and post-intervention study of infection control in equine hospitals in Sweden.
Acta veterinaria Scandinavica    August 22, 2014   Volume 56, Issue 1 52 doi: 10.1186/s13028-014-0052-4
Bergström K, Grönlund U.Detection of nosocomial methicillin-resistant Staphylococcus aureus infections in horses in Sweden has increased attention on infection control (IC) in equine hospitals. This study established baseline data on IC programmes within such settings, evaluated compliance with some IC procedures before and after an education intervention, and examined barriers to compliance.The study was carried out between 2008 and 2011 in four Swedish equine hospitals. Data on current IC of each hospital, purchase data on hand sanitisers and disposable gloves per patient, and direct observations of compliance with...
Characterisation of nasal Staphylococcus delphini and Staphylococcus pseudintermedius isolates from healthy donkeys in Tunisia.
Equine veterinary journal    August 14, 2014   Volume 47, Issue 4 463-466 doi: 10.1111/evj.12305
Gharsa H, Slama KB, Gómez-Sanz E, Gómez P, Klibi N, Zarazaga M, Boudabous A, Torres C.Staphylococcus intermedius group (SIG) bacteria can colonise the nares of some animals but are also emerging pathogens in humans and animals. Objective: To analyse SIG nasal carriage in healthy donkeys destined for food consumption in Tunisia and to characterise recovered isolates. Methods: Nasal swabs from 100 healthy donkeys were tested for SIG recovery, and isolates were identified by biochemical and molecular methods. Antimicrobial susceptibility of isolates was tested and detection of antimicrobial resistance and virulence genes was performed. Isolates were typed at the clonal level by mu...
Ultrashort cationic naphthalene-derived self-assembled peptides as antimicrobial nanomaterials.
Biomacromolecules    August 7, 2014   Volume 15, Issue 9 3429-3439 doi: 10.1021/bm500981y
Laverty G, McCloskey AP, Gilmore BF, Jones DS, Zhou J, Xu B.Self-assembling dipeptides conjugated to naphthalene show considerable promise as nanomaterial structures, biomaterials, and drug delivery devices. Biomaterial infections are responsible for high rates of patient mortality and morbidity. The presence of biofilm bacteria, which thrive on implant surfaces, are a huge burden on healthcare budgets, as they are highly resistant to current therapeutic strategies. Ultrashort cationic self-assembled peptides represent a highly innovative and cost-effective strategy to form antibacterial nanomaterials. Lysine conjugated variants display the greatest po...
Bacteriostatic effect of equine pure platelet-rich plasma and other blood products against methicillin-sensitive Staphylococcus aureus. An in vitro study.
Veterinary and comparative orthopaedics and traumatology : V.C.O.T    August 4, 2014   Volume 27, Issue 5 372-378 doi: 10.3415/VCOT-14-04-0054
López C, Carmona JU, Giraldo CE, Alvarez ME.1) To evaluate the bacteriostatic in vitro effect of pure platelet-rich plasma (P-PRP), pure platelet-rich gel (P-PRG), leukocyte-poor gel (LPG), platelet-poor plasma (PPP), and heat inactivated plasma (IP) against methicillin-sensitive Staphylococcus aureus (MSSA) over a period of 24 hours. 2) To determine the degradation of platelet factor-4 (PF-4), transforming growth factor beta 1 (TGF-β1), and platelet-derived growth factor isoform BB (PDGF-BB) in these equine blood components. 3) To establish correlations between platelet and leukocyte counts, PF-4 concentrations, and MSSA growth. Metho...
Evaluation of regional limb perfusion with chloramphenicol using the saphenous or cephalic vein in standing horses.
Journal of veterinary pharmacology and therapeutics    July 30, 2014   Volume 38, Issue 1 35-40 doi: 10.1111/jvp.12140
Kelmer G, Tatz AJ, Famini S, Bdolah-Abram T, Soback S, Britzi M.Regional limb perfusion (RLP) significantly decreases morbidity and mortality associated with distal limb injuries in horses. There is an urgent need for finding additional effective antimicrobial drugs for use in RLP. In this study, we tested the pharmacokinetics (PK) of chloramphenicol in RLP. Eight horses participated in the study, which was approved by the University Animal Care and Use Committee. The cephalic and the saphenous veins were used to perfuse the limbs. Synovial samples were collected from the metacarpo/metatarsophalangeal (MCP/MTP) joint. The Friedman Test was applied for asse...
Effectiveness of conventional and hydrosurgical debridement methods in reducing Staphylococcus aureus inoculation of equine muscle in vitro.
Equine veterinary journal    May 26, 2014   Volume 47, Issue 2 218-222 doi: 10.1111/evj.12284
Skärlina EM, Wilmink JM, Fall N, Gorvy DA.The success of primary healing of equine traumatic wounds is dependent on thorough debridement. A specific hydrosurgical debridement device (Versajet(TM) )(a) is gentle to viable tissues, yet effectively removes macroscopic contaminants and debris. We wished to investigate whether it is effective in reducing bacterial burden and whether it differs from traditional methods. No previous reports compare hydrosurgical debridement and conventional wound debridement with regard to bacterial reduction from in vitro inoculated soft tissue. Objective: To assess the effectiveness of hydrosurgical debrid...
Molecular epidemiology of environmental MRSA at an equine teaching hospital: introduction, circulation and maintenance.
Veterinary research    March 19, 2014   Volume 45, Issue 1 31 doi: 10.1186/1297-9716-45-31
van Balen J, Mowery J, Piraino-Sandoval M, Nava-Hoet RC, Kohn C, Hoet AE.The role that environmental contamination might play as a reservoir and a possible source of Methicillin-resistant Staphylococcus aureus (MRSA) for patients and personnel at equine veterinary hospitals remains undefined, as the environment has only been monitored during outbreaks or for short periods. Therefore, the objectives of this study were to determine the monthly presence, distribution, and characteristics of environmental MRSA at an equine hospital, and to establish patterns of contamination over time using molecular epidemiological analyses. For this purpose, a yearlong active MRSA su...
Staphylococcus delphini and methicillin-resistant S. pseudintermedius in horses, Canada.
Emerging infectious diseases    February 26, 2014   Volume 20, Issue 3 485-487 doi: 10.3201/eid2003.130139
Stull JW, Slavić D, Rousseau J, Weese JS.No abstract available
Phylogenetic analysis of Staphylococcus aureus CC398 reveals a sub-lineage epidemiologically associated with infections in horses.
PloS one    February 4, 2014   Volume 9, Issue 2 e88083 doi: 10.1371/journal.pone.0088083
Abdelbary MM, Wittenberg A, Cuny C, Layer F, Kurt K, Wieler LH, Walther B, Skov R, Larsen J, Hasman H, Fitzgerald JR, Smith TC, Wagenaar JA....In the early 2000s, a particular MRSA clonal complex (CC398) was found mainly in pigs and pig farmers in Europe. Since then, CC398 has been detected among a wide variety of animal species worldwide. We investigated the population structure of CC398 through mutation discovery at 97 genetic housekeeping loci, which are distributed along the CC398 chromosome within 195 CC398 isolates, collected from various countries and host species, including humans. Most of the isolates in this collection were received from collaborating microbiologists, who had preserved them over years. We discovered 96 bi-a...
Accumulation of amikacin in synovial fluid after regional limb perfusion of amikacin sulfate alone and in combination with ticarcillin/clavulanate in horses.
Veterinary surgery : VS    January 27, 2014   Volume 43, Issue 3 282-288 doi: 10.1111/j.1532-950X.2014.12119.x
Zantingh AJ, Schwark WS, Fubini SL, Watts AE.To determine the effect of regional limb perfusion (RLP) with amikacin sulfate alone and in combination with ticarcillin/clavulanate on synovial fluid concentration and antimicrobial activity of amikacin. Methods: Experimental study. Methods: RLP with amikacin alone (A; 2.5 g) or amikacin and ticarcillin/clavulanate (AT; 2.5 g amikacin, 7 g ticarcillin/clavulanate) was performed with a tourniquet placed at mid-antebrachium in standing, sedated horses. Perfusate blood was collected immediately after injection and again before tourniquet release. Blood from the jugular vein was collected before ...
Alarming proportions of methicillin-resistant Staphylococcus aureus (MRSA) in wound samples from companion animals, Germany 2010-2012.
PloS one    January 20, 2014   Volume 9, Issue 1 e85656 doi: 10.1371/journal.pone.0085656
Vincze S, Stamm I, Kopp PA, Hermes J, Adlhoch C, Semmler T, Wieler LH, Lübke-Becker A, Walther B.Staphylococcus (S.) aureus is an important cause of wound infections in companion animals, and infections with methicillin-resistant S. aureus (MRSA) are of particular concern due to limited treatment options and their zoonotic potential. However, comparable epidemiological data on MRSA infections in dogs, cats and horses is scarce, also limiting the knowledge about possible links to MRSA isolates from human populations. To gain more knowledge about the occurrence and genotypic variation of MRSA among wound swabs of companion animal origin in Germany we performed a survey (2010-2012) including...
In vitro effectiveness of the antimicrobial peptide eCATH1 against antibiotic-resistant bacterial pathogens of horses.
FEMS microbiology letters    December 18, 2013   Volume 350, Issue 2 216-222 doi: 10.1111/1574-6968.12337
Schlusselhuber M, Guldbech K, Sevin C, Leippe M, Petry S, Grötzinger J, Giguère S, Cauchard J.The equine antimicrobial peptide eCATH1 previously has been shown to have in vitro activity against antibiotic-susceptible reference strains of Rhodococcus equi and common respiratory bacterial pathogens of foals. Interestingly, eCATH1 was also found to be effective in the treatment of R. equi infection induced in mice. The aim of this study was to assess the in vitro activity of eCATH1 against equine isolates of Gram-negative (Escherichia coli, Salmonella enterica, Klebsiella pneumoniae and Pseudomonas spp.) and Gram-positive (R. equi, Staphylococcus aureus) bacteria resistant to multiple cla...
Identification and characterization of methicillin-resistant Staphylococcus aureus (MRSA) from Austrian companion animals and horses.
Veterinary microbiology    November 28, 2013   Volume 168, Issue 2-4 381-387 doi: 10.1016/j.vetmic.2013.11.022
Loncaric I, Künzel F, Licka T, Simhofer H, Spergser J, Rosengarten R.The aim of this study was to investigate the antimicrobial resistance, resistance gene patterns and genetic relatedness of a collection of Austrian methicillin-resistant Staphylococcus aureus (MRSA) isolates from companion animals and horses. A total of 89 non-repetitive MRSA isolates collected during routine veterinary microbiological examinations from April 2004 to the end of 2012, and one isolate from 2013 were used for this study. The presence of mecA and other resistance genes was confirmed by PCR. Isolates were genotyped by spa typing, two multiple-locus variable-number tandem repeat ana...
Evaluation of the affinity of various species and strains of Staphylococcus to adhere to equine corneocytes.
Veterinary dermatology    September 2, 2013   Volume 24, Issue 5 525-e124 doi: 10.1111/vde.12061
Akridge HD, Rankin SC, Griffeth GC, Boston RC, Callori NE, Morris DO.Meticillin-resistant Staphylococcus aureus (MRSA) strain USA 500 predominately colonizes horses and people working with them. Previous studies demonstrate that some Staphylococcus species exhibit higher affinity for corneocytes of specific mammalian species. Objective: The objective was to determine the relative affinities of various MRSA strains, meticillin-susceptible S. aureus (MSSA) strains and a meticillin-susceptible Staphylococcus pseudintermedius (MSSP) for equine corneocytes. We hypothesized that MRSA strain USA 500 would exhibit greater adhesion than other staphylococcal strains te...
The antimicrobial activity of honey against common equine wound bacterial isolates.
Veterinary journal (London, England : 1997)    August 17, 2013   Volume 199, Issue 1 110-114 doi: 10.1016/j.tvjl.2013.07.003
Carnwath R, Graham EM, Reynolds K, Pollock PJ.Delayed healing associated with distal limb wounds is a particular problem in equine clinical practice. Recent studies in human beings and other species have demonstrated the beneficial wound healing properties of honey, and medical grade honey dressings are available commercially in equine practice. Equine clinicians are reported to source other non-medical grade honeys for the same purpose. This study aimed to assess the antimicrobial activity of a number of honey types against common equine wound bacterial pathogens. Twenty-nine honey products were sourced, including gamma-irradiated and no...
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