<?xml version="1.0" encoding="UTF-8" standalone="no"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD v2.3 20070202//EN" "journalpublishing.dtd">
<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" article-type="research-article">
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Microbiol.</journal-id>
<journal-title>Frontiers in Microbiology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Microbiol.</abbrev-journal-title>
<issn pub-type="epub">1664-302X</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fmicb.2017.01087</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Microbiology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Prevalence and Antimicrobial Susceptibility of <italic>Vibrio parahaemolyticus</italic> Isolated from Short Mackerels (<italic>Rastrelliger brachysoma</italic>) in Malaysia</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name><surname>Tan</surname> <given-names>Chia W.</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="author-notes" rid="fn001"><sup>&#x0002A;</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/430058/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Malcolm</surname> <given-names>Tan T. H.</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/437090/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Kuan</surname> <given-names>Chee H.</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/437195/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Thung</surname> <given-names>Tze Y.</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Chang</surname> <given-names>Wei S.</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Loo</surname> <given-names>Yuet Y.</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Premarathne</surname> <given-names>Jayasekara M. K. J. K.</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/436992/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Ramzi</surname> <given-names>Othman B.</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Norshafawatie</surname> <given-names>Mohd F. S.</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Yusralimuna</surname> <given-names>Nordin</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Rukayadi</surname> <given-names>Yaya</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Nakaguchi</surname> <given-names>Yoshitsugu</given-names></name>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/225121/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Nishibuchi</surname> <given-names>Mitsuaki</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/197059/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Radu</surname> <given-names>Son</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff4"><sup>4</sup></xref>
</contrib>
</contrib-group>
<aff id="aff1"><sup>1</sup><institution>Department of Food Science, Faculty of Food Science and Technology, Universiti Putra Malaysia</institution> <country>Selangor, Malaysia</country></aff>
<aff id="aff2"><sup>2</sup><institution>Department of Livestock and Avian Science, Faculty of Livestock, Fisheries and Nutrition, Wayamba University of Sri Lanka</institution> <country>Makandura, Sri Lanka</country></aff>
<aff id="aff3"><sup>3</sup><institution>Center for Southeast Asian Studies, Kyoto University</institution> <country>Kyoto, Japan</country></aff>
<aff id="aff4"><sup>4</sup><institution>Laboratory of Food Safety and Food Integrity, Institute of Tropical Agriculture and Food Security, Universiti Putra Malaysia</institution> <country>Selangor, Malaysia</country></aff>
<author-notes>
<fn fn-type="edited-by"><p>Edited by: Giovanna Suzzi, University of Teramo, Italy</p></fn>
<fn fn-type="edited-by"><p>Reviewed by: Learn-Han Lee, Monash University Malaysia, Malaysia; Dapeng Wang, Shanghai Jiao Tong University, China</p></fn>
<fn fn-type="corresp" id="fn001"><p>&#x0002A;Correspondence: Chia Wanq Tan <email>chiawanq&#x00040;gmail.com</email></p></fn>
<fn fn-type="other" id="fn002"><p>This article was submitted to Food Microbiology, a section of the journal Frontiers in Microbiology</p></fn></author-notes>
<pub-date pub-type="epub">
<day>13</day>
<month>06</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="collection">
<year>2017</year>
</pub-date>
<volume>8</volume>
<elocation-id>1087</elocation-id>
<history>
<date date-type="received">
<day>11</day>
<month>04</month>
<year>2017</year>
</date>
<date date-type="accepted">
<day>30</day>
<month>05</month>
<year>2017</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2017 Tan, Malcolm, Kuan, Thung, Chang, Loo, Premarathne, Ramzi, Norshafawatie, Yusralimuna, Rukayadi, Nakaguchi, Nishibuchi and Radu.</copyright-statement>
<copyright-year>2017</copyright-year>
<copyright-holder>Tan, Malcolm, Kuan, Thung, Chang, Loo, Premarathne, Ramzi, Norshafawatie, Yusralimuna, Rukayadi, Nakaguchi, Nishibuchi and Radu</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/"><p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p></license>
</permissions>
<abstract>
<p>Numerous prevalence studies and outbreaks of <italic>Vibrio parahaemolyticus</italic> infection have been extensively reported in shellfish and crustaceans. Information on the quantitative detection of <italic>V. parahaemolyticus</italic> in finfish species is limited. In this study, short mackerels (<italic>Rastrelliger brachysoma</italic>) obtained from different retail marketplaces were monitored with the presence of total and pathogenic strains of <italic>V. parahaemolyticus</italic>. Out of 130 short mackerel samples, 116 (89.2%) were detected with the presence of total <italic>V. parahaemolyticus</italic> and microbial loads of total <italic>V. parahaemolyticus</italic> ranging from &#x0003C;3 to &#x0003E;10<sup>5</sup> MPN/g. Prevalence of total <italic>V. parahaemolyticus</italic> was found highest in wet markets (95.2%) followed by minimarkets (89.1%) and hypermarkets (83.3%). Pathogenic <italic>V. parahaemolyticus</italic> strains (<italic>tdh</italic>&#x0002B; and/or <italic>trh</italic>&#x0002B;) were detected in 16.2% (21 of 130) of short mackerel samples. The density of <italic>tdh</italic>&#x0002B; <italic>V. parahaemolyticus</italic> strains were examined ranging from 3.6 to &#x0003E;10<sup>5</sup> MPN/g and microbial loads of <italic>V. parahaemolyticus</italic> strains positive for both <italic>tdh</italic> and <italic>trh</italic> were found ranging from 300 to 740 MPN/g. On the other hand, antibiotic susceptibility profiles of <italic>V. parahaemolyticus</italic> strains isolated from short mackerels were determined through disc diffusion method in this study. Assessment of antimicrobial susceptibility profile of <italic>V. parahaemolyticus</italic> revealed majority of the isolates were highly susceptible to ampicillin sulbactam, meropenem, ceftazidime, and imipenem, but resistant to penicillin G and ampicillin. Two isolates (2.99%) exhibited the highest multiple antibiotic resistance (MAR) index value of 0.41 which shown resistance to 7 antibiotics. Results of the present study demonstrated that the occurrence of pathogenic <italic>V. parahaemolyticus</italic> strains in short mackerels and multidrug resistance of <italic>V. parahaemolyticus</italic> isolates could be a potential public health concerns to the consumer. Furthermore, prevalence data attained from the current study can be further used to develop a microbial risk assessment model to estimate health risks associated with the consumption of short mackerels contaminated with pathogenic <italic>V. parahaemolyticus</italic>.</p>
</abstract>
<kwd-group>
<kwd><italic>Vibrio parahaemolyticus</italic></kwd>
<kwd>finfish</kwd>
<kwd>MPN</kwd>
<kwd>antibiotic susceptibility</kwd>
<kwd>MAR</kwd>
</kwd-group>
<counts>
<fig-count count="0"/>
<table-count count="5"/>
<equation-count count="0"/>
<ref-count count="56"/>
<page-count count="9"/>
<word-count count="7429"/>
</counts>
</article-meta>
</front>
<body>
<sec sec-type="intro" id="s1">
<title>Introduction</title>
<p><italic>Vibrio parahaemolyticus</italic> is found naturally in the marine environment and may accumulate in seafood especially shellfish at high concentrations. Consumption of foods contaminated with high concentration of total <italic>V. parahaemolyticus</italic> and/or pathogenic <italic>V. parahaemolyticus</italic> can cause gastrointestinal infections. An open wound in skin comes in contact with <italic>V. parahaemolyticus</italic> is suggested as an infection pathway as well. Major syndromes caused by <italic>V. parahaemolyticus</italic> include gastroenteritis, wound infection, and septicaemia. Typical symptoms of the gastroenteritis may include abdominal pain, diarrhea, nausea, and fever. Based on the Foodborne Diseases Active Surveillance Network (FoodNet) data and Morbidity and Mortality Weekly Report (MMWR) published by Centers for Disease Control and Prevention (CDC) in the United States during the year 2016, <italic>V. parahaemolyticus</italic> is the major foodborne pathogen compared to other <italic>Vibrio</italic> isolates and it is estimated <italic>V. parahaemolyticus</italic> causes about 34,664 episodes of domestically acquired foodborne illness annually in the United States (Scallan et al., <xref ref-type="bibr" rid="B41">2011</xref>; Huang et al., <xref ref-type="bibr" rid="B21">2016</xref>).</p>
<p>In term of pathogenicity, thermostable direct hemolysin (TDH) and thermostable direct-related hemolysin (TRH) are the well-known virulence factors in <italic>V. parahaemolyticus</italic>. TDH is a pore-forming and heat stable protein which remains unharmed even heating at 100&#x000B0;C for 10 min (Yanagihara et al., <xref ref-type="bibr" rid="B54">2010</xref>). Two distinct biological characteristics of TDH are the capability of inducing hemolysis and cytotoxicity (Baba et al., <xref ref-type="bibr" rid="B3">1992</xref>; Honda et al., <xref ref-type="bibr" rid="B20">1992</xref>; Fabbri et al., <xref ref-type="bibr" rid="B12">1998</xref>; Raimondi et al., <xref ref-type="bibr" rid="B38">2000</xref>). TRH was first identified and isolated from the gastroenteritis outbreak in Maldives in 1985 (Honda et al., <xref ref-type="bibr" rid="B19">1988</xref>). The isolated <italic>V. parahaemolyticus</italic> strains from the outbreak shown Kanagawa negative on Wagatsuma agar and did not possess the TDH genes (Nishibuchi et al., <xref ref-type="bibr" rid="B34">1989</xref>). Unlike TDH thermostability, TRH is a heat labile protein at 60&#x000B0;C for 10 min (Honda et al., <xref ref-type="bibr" rid="B19">1988</xref>). TRH shares similar biological, immunological, and physicochemical characteristics with TDH have been described (Honda and Iida, <xref ref-type="bibr" rid="B18">1993</xref>). For instance, TRH induces Cl<sup>&#x02212;</sup> secretion in cultured human colonic epithelial cells by a similar mechanism with TDH (Takahashi et al., <xref ref-type="bibr" rid="B46">2000</xref>).</p>
<p>Antimicrobial resistance (AMR) has now been recognized as a significant global threat issue to global public health and food security (FAO, <xref ref-type="bibr" rid="B13">2016</xref>). Many frequently used antibiotics are no longer effective to control infections. Extensive use and misuse of antibiotics in agriculture, aquaculture, and livestock production are considered to be the main factor leads to the emergence and spread of AMR. Multidrug-resistant (MDR) bacterial strain is another emerging challenge when a bacterial cell becomes resistant toward multiple antibiotics. Development of MDR bacterial strains can be achieved through several mechanisms such as chromosomal DNA mutations, enzymatic inactivation, transformation as well as conjugation (Van Hoek et al., <xref ref-type="bibr" rid="B48">2011</xref>). Antimicrobial residues present in the environment may also resultant in selection pressure for AMR bacteria. In aquaculture, antibiotics are used in fish farming to promote the growth of aquatic organisms and control bacterial infections. Administration of antibiotics into feed and water is a usual practice to improve production growth and for the treatment of infection diseases caused by pathogenic bacteria. Several <italic>Vibrio</italic> species are known to cause infections in aquatic fish and extensive use of antibiotics in the past have now led to significant increases in the occurrence of AMR <italic>Vibrio</italic> species (Letchumanan et al., <xref ref-type="bibr" rid="B29">2015b</xref>).</p>
<p>Quinolones, cephalosporins, tetracycline, cefotaxime, ceftazidime, and penicillins are some commonly recommended clinical antibiotics used for the treatment of non-cholerae <italic>Vibrio</italic> spp. infections (Han et al., <xref ref-type="bibr" rid="B16">2007</xref>; Wong et al., <xref ref-type="bibr" rid="B52">2015</xref>). The use of quinolone is generally effective to against all <italic>Vibrio</italic> species; while the use of cephalosporin and tetracycline antibiotics was reported ineffective and associated with higher mortality in patients with vibriosis (Wong et al., <xref ref-type="bibr" rid="B52">2015</xref>). In aquaculture industry, tetracyclines, erythromycin, sulfonamides, oxytetracyclines, chlortetracycline, and amoxicilin are allowed to be used in some of the ASEAN countries including Malaysia, Myanmar, and Philippines; while other antimicrobial drugs such as nitrofurans, chloramphenicol, and dimetridazole/metronidazole are banned in most countries (ASEAN, <xref ref-type="bibr" rid="B1">2013</xref>; Weese et al., <xref ref-type="bibr" rid="B50">2015</xref>). For controlling <italic>Vibrio</italic> spp., sulfonamides sold under the trade name Dimeton is an example of veterinary antibiotic commonly used in hatcheries to control infections (Shariff et al., <xref ref-type="bibr" rid="B42">2000</xref>).</p>
<p>Short mackerel (<italic>Rastrelliger brachysoma</italic>) is an important commercial small pelagic fish species and have a high preference among consumers because of its affordable price and widely available throughout the year in many of the Southeast Asia countries including Malaysia, Thailand, Cambodia, Philippines, and Indonesia. Numerous prevalence studies and outbreaks of <italic>V. parahaemolyticus</italic> infection have been extensively reported in oysters, clams, cockles, mussels, crabs, and shrimps (Newton et al., <xref ref-type="bibr" rid="B33">2014</xref>; Rodgers et al., <xref ref-type="bibr" rid="B39">2014</xref>; Xu et al., <xref ref-type="bibr" rid="B53">2014</xref>; Malcolm et al., <xref ref-type="bibr" rid="B31">2015</xref>). In finfish species, qualitative detection of <italic>V. parahaemolyticus</italic> in the anchovies (<italic>Engraulis</italic> spp.), gray mullet (<italic>Mugil cephalus</italic>), red mullet (<italic>Mullus surmuletus</italic>), sardines (<italic>Sardina</italic> spp.), and Atlantic mackerel (<italic>Scomber scombrus</italic>) have been examined by Baffone et al. (<xref ref-type="bibr" rid="B4">2000</xref>) with the used of selective medium and biochemical tests. Hara-kudo et al. (<xref ref-type="bibr" rid="B17">2003</xref>) examined 15 horse mackerels purchased from the marketplaces in Japan, for <italic>tdh</italic> positive and total <italic>V. parahaemolyticus</italic> by using PCR and CHROMagar Vibrio (CV) agar. Reports focused on the detection and enumeration of <italic>V. parahaemolyticus</italic> in finfish species such as mackerel is very limited in extent. Available data on the quantitative detection of <italic>V. parahaemolyticus</italic> in different parts of the mackerel&#x00027;s body can only be found in one study reported in a Japanese-language literature (Ohno et al., <xref ref-type="bibr" rid="B35">1993</xref>). Hence, the main purpose of this study was to determine the prevalence of total and pathogenic <italic>V. parahaemolyticus</italic> in short mackerels purchased from different wet markets, hypermarkets, and minimarkets in the state of Selangor of Malaysia by using MPN-PCR methods and to evaluate the antibiotic susceptibility profiles of <italic>V. parahaemolyticus</italic> isolates obtained from the short mackerels.</p>
</sec>
<sec sec-type="materials and methods" id="s2">
<title>Materials and methods</title>
<sec>
<title>Sample collection</title>
<p>A total of 130 short mackerel (<italic>R. brachysoma</italic>) samples were collected from 67 sampling date within a period of 6 months from Jan 2016 to June 2016 in four wet markets (<italic>n</italic> &#x0003D; 42), five hypermarkets (<italic>n</italic> &#x0003D; 42), and five minimarkets (<italic>n</italic> &#x0003D; 46) in Selangor, Malaysia. A maximum of two short mackerels were collected at each sampling date from the sampling location. All the samples were transported to the laboratory and processed immediately on the day of sampling.</p>
</sec>
<sec>
<title>Sample processing and most probable number (MPN) method</title>
<p>Flesh (with skin), gills, and intestines excised from each short mackerel were used as the test sample. A total of 390 test samples including of 130 fleshes, 130 gills, and 130 intestines were analyzed in this study. Ten grams of flesh was transferred into 90 ml of alkaline peptone water (APW) (Merck, Darmstadt, Germany) in a sterile stomacher bag. One gram of gills and one gram of intestines, each was transferred into 9 ml of APW in two separate sterile stomacher bags. Samples were homogenized for 1 min using a Stomacher Lab-Blender 400 (Seward Medical, UK). MPN preparation was followed the US FDA Bacteriological Analytical Manual (BAM) three tubes MPN methodology with some modifications (Kaysner and DePaola, <xref ref-type="bibr" rid="B24">2004</xref>). Briefly, a serial dilution was carried out up to 10<sup>&#x02212;5</sup> by transferring 1 ml suspension mixture into 9 ml of APW. One milliliters of each dilution sample was pipetted into three microcentrifuge tubes and tubes were incubated at 37&#x000B0;C for 18&#x02013;24 h.</p>
</sec>
<sec>
<title>Genomic DNA extraction</title>
<p>A number of tubes with growth at each dilution was subjected to genomic DNA extraction through physical cell disruption methods. Samples with growth or turbidity were pelleted by centrifugation at 13,400 &#x000D7; g for 3 min. The supernatant was discarded and the remained pellet was suspended in 200 &#x003BC;l TE buffer. The suspension mixture was heated at 100&#x000B0;C for 15 min in a dry bath (Labnet, USA) and immediately kept at &#x02212;20&#x000B0;C for another 15 min. After the heat and cold-shock cell lysis, samples were centrifuged at 13,400 &#x000D7; g for 1 min and the supernatant was used as DNA template for multiplex PCR.</p>
</sec>
<sec>
<title>Multiplex PCR</title>
<p>Multiplex PCR was performed by using 3 set of primers: (i) toxR (F: 5&#x02032;-GTCTTCTGACGCAATCGTTG-3&#x02032; and R: 5&#x02032;-ATACGAGTGGTTGCTGTCATG-3&#x02032;) for species-specific detection of <italic>V. parahaemolyticus</italic> (Kim et al., <xref ref-type="bibr" rid="B25">1999</xref>); (ii) tdh (F: 5&#x02032;-CCACTACCACTCTCATATGC-3&#x02032; and R: 5&#x02032;-GGTACTAAATGGCTGACATC-3&#x02032;) for the detection of pathogenic <italic>tdh</italic> gene (Tada et al., <xref ref-type="bibr" rid="B45">1992</xref>); and (iii) trh (F: 5&#x02032;-TTGGCTTCGATATTTTCAGTATCT-3&#x02032; and R: 5&#x02032;-CATAACAAACATATGCCCATTTCCG-3&#x02032;) for the detection of pathogenic <italic>trh</italic> gene (Bej et al., <xref ref-type="bibr" rid="B5">1999</xref>). All primers were synthesized by Sigma-Aldrich (USA) and PCR protocol was carried out according to the method as described by Malcolm et al. (<xref ref-type="bibr" rid="B31">2015</xref>). Briefly, PCR reagents (Promega, USA) were prepared by mixing 1.4 &#x000D7; PCR buffer, 2.5 mM of MgCl<sub>2</sub>, 0.2 mM of dNTPs, 0.2 &#x003BC;M of each primer, 2.5U of Taq polymerase, 2 &#x003BC;L of DNA template and top up to the final volume of 25 &#x003BC;L with sterilized ultrapure water. Amplification was performed in a Kyratec SuperCycler Trinity (Australia) with the following thermocycling conditions: initial denaturation at 95&#x000B0;C for 5 min for 1 cycle, 30 cycles consisting of denaturation at 95&#x000B0;C for 30 s, annealing at 60&#x000B0;C for 45 s, extension at 68&#x000B0;C for 1 min, and a final extension at 72&#x000B0;C for 3 min.</p>
</sec>
<sec>
<title>Antibiotic susceptibility test</title>
<p>One <italic>V. parahaemolyticus</italic> colony from each sampling date was collected for antibiotic susceptibility test. A total of 67 <italic>V. parahaemolyticus</italic> colonies isolated from short mackerel on 67 sampling date were tested for antibiotic susceptibility by using disc diffusion method. Isolates were cultured in 5 mL of Mueller-Hinton broth (Merck, Darmstadt, Germany) supplemented with 3% (w/v) of NaCl (Merck, Darmstadt, Germany) and incubated at 37&#x000B0;C, 120 rpm for 24 h. Inoculums were swabbed with the sterile cotton swab on the entire surface of Mueller-Hinton agar (Merck, Darmstadt, Germany) supplemented with 3% (w/v) of NaCl and left to dry for 3&#x02013;5 min. Antimicrobial susceptibility test discs (Oxoid, UK) were placed on the inoculated agar plate with a disc dispenser and incubated at 37&#x000B0;C for 24 h. A total of 17 antimicrobial susceptibility test discs impregnated with ampicillin (10 &#x003BC;g), ampicillin sulbactam (20 &#x003BC;g), amikacin (30 &#x003BC;g), amoxicillin/clavulanic acid (30 &#x003BC;g), ceftazidime (30 &#x003BC;g), cefotaxime (30 &#x003BC;g), cephalothin (30 &#x003BC;g), chloramphenicol (30 &#x003BC;g), ciprofloxacin (5 &#x003BC;g), doxycycline (30 &#x003BC;g), gentamicin (10 &#x003BC;g), imipenem (10 &#x003BC;g), levofloxacin (5 &#x003BC;g), meropenem (10 &#x003BC;g), penicillin G (10 unit), streptomycin (10 &#x003BC;g), and tetracycline (30 &#x003BC;g) were used in this study. <italic>Escherichia coli</italic> ATCC 25922 was used as quality control organism for this antibiotic susceptibility test. After incubation, the diameter of inhibition zone was measured in nearest whole millimeter. Antibiotic susceptibility profile of the isolate was interpreted as sensitivity, intermediate, and resistance based on the Clinical and Laboratory Standards Institute (CLSI) M45 guideline for <italic>Vibrio</italic> spp. (CLSI, <xref ref-type="bibr" rid="B9">2010</xref>). Interpretive criteria for doxycycline, streptomycin and penicillin G not available in the M45 guidelines was referred to CLSI M100 guideline (CLSI, <xref ref-type="bibr" rid="B10">2016</xref>). Multiple antibiotic resistance (MAR) index value was calculated according to Krumperman (<xref ref-type="bibr" rid="B26">1983</xref>) by using the formula, a/b, where &#x0201C;a&#x0201D; is the number of antibiotics to which the particular isolate was resistant and &#x0201C;b&#x0201D; is the total number of antibiotics tested.</p>
</sec>
<sec>
<title>Statistical analysis</title>
<p>Statistically significant differences among the sample microbial loads and sampling locations were analyzed with analysis of variance (ANOVA) tests using Minitab statistical package version 16.2 (Minitab Inc., State College, PA). The level of significance was set at <italic>P</italic> &#x02264; 0.05. Significant differences between the microbial concentrations in the flesh, gills, and intestines of short mackerel were examined as well.</p>
</sec>
</sec>
<sec sec-type="results" id="s3">
<title>Results</title>
<sec>
<title>Total <italic>V. parahaemolyticus</italic> in short mackerels</title>
<p>Prevalence and microbial loads of total <italic>V. parahaemolyticus</italic> in short mackerels are summarized in Table <xref ref-type="table" rid="T1">1</xref>. DNA fragments of 368 bp in size were produced from the amplification of <italic>V. parahaemolyticus</italic> species-specific gene (<italic>toxR</italic>) indicating the presence of total <italic>V. parahaemolyticus</italic>. Out of 390 short mackerel tested samples, 310 (79.5%) samples were detected with the presence of total <italic>V. parahaemolyticus</italic> (<italic>toxR</italic>) and the microbial loads was between &#x0003C;3 to &#x0003E;10<sup>5</sup> MPN/g. Highest prevalence of total <italic>V. parahaemolyticus</italic> was detected in the samples obtained from wet markets (78.6&#x02013;95.2%), followed by the minimarkets (82.6&#x02013;89.1%) and hypermarkets (50.0&#x02013;83.3%). Highest density of total <italic>V. parahaemolyticus</italic> were found in short mackerel gills with mean concentration of 3.66 log MPN/g, followed by intestines with mean concentration of 2.67 log MPN/g and flesh with mean concentration of 1.74 log MPN/g. Besides, 33.9% (105/310) of the samples were detected with high levels (&#x02265;10<sup>4</sup> MPN/g) of total <italic>V. parahaemolyticus</italic>.</p>
<table-wrap position="float" id="T1">
<label>Table 1</label>
<caption><p>Prevalence and microbial loads of total <italic>V. parahaemolyticus</italic> in short mackerels.</p></caption>
<table frame="hsides" rules="groups">
<thead><tr>
<th valign="top" align="left"><bold>Sampling location</bold></th>
<th valign="top" align="left"><bold>Samples</bold></th>
<th valign="top" align="center"><bold>Number of sample</bold></th>
<th valign="top" align="center"><bold>Number of positive sample (%)</bold></th>
<th valign="top" align="center" colspan="5" style="border-bottom: thin solid #000000;"><bold>Level of total (</bold><italic><bold>toxR</bold></italic><bold>)</bold> <italic><bold>V. parahaemolyticus</bold></italic> <bold>(MPN/g)</bold></th>
</tr>
<tr>
<th/>
<th/>
<th/>
<th/>
<th valign="top" align="center"><bold>&#x0003C;100</bold></th>
<th valign="top" align="center"><bold>10<sup>2</sup></bold></th>
<th valign="top" align="center"><bold>10<sup>3</sup></bold></th>
<th valign="top" align="center"><bold>10<sup>4</sup></bold></th>
<th valign="top" align="center"><bold>&#x0003E;10<sup>5</sup></bold></th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">Wet market</td>
<td valign="top" align="left">Flesh</td>
<td valign="top" align="center">42</td>
<td valign="top" align="center">39 (92.9%)</td>
<td valign="top" align="center">19</td>
<td valign="top" align="center">6</td>
<td valign="top" align="center">8</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">4</td>
</tr>
<tr>
<td/>
<td valign="top" align="left">Gills</td>
<td valign="top" align="center">42</td>
<td valign="top" align="center">40 (95.2%)</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">4</td>
<td valign="top" align="center">17</td>
<td valign="top" align="center">8</td>
<td valign="top" align="center">10</td>
</tr>
<tr>
<td/>
<td valign="top" align="left">Intestines</td>
<td valign="top" align="center">42</td>
<td valign="top" align="center">33 (78.6%)</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">8</td>
<td valign="top" align="center">6</td>
<td valign="top" align="center">9</td>
<td valign="top" align="center">9</td>
</tr>
<tr style="border-top: thin solid #000000;">
<td valign="top" align="left">Hypermarket</td>
<td valign="top" align="left">Flesh</td>
<td valign="top" align="center">42</td>
<td valign="top" align="center">23 (54.8%)</td>
<td valign="top" align="center">17</td>
<td valign="top" align="center">3</td>
<td valign="top" align="center">3</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">&#x02013;</td>
</tr>
<tr>
<td/>
<td valign="top" align="left">Gills</td>
<td valign="top" align="center">42</td>
<td valign="top" align="center">35 (83.3%)</td>
<td valign="top" align="center"><bold>&#x02013;</bold></td>
<td valign="top" align="center">7</td>
<td valign="top" align="center">19</td>
<td valign="top" align="center">6</td>
<td valign="top" align="center">3</td>
</tr>
<tr>
<td/>
<td valign="top" align="left">Intestines</td>
<td valign="top" align="center">42</td>
<td valign="top" align="center">21 (50.0%)</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">8</td>
<td valign="top" align="center">10</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">1</td>
</tr>
<tr style="border-top: thin solid #000000;">
<td valign="top" align="left">Minimarket</td>
<td valign="top" align="left">Flesh</td>
<td valign="top" align="center">46</td>
<td valign="top" align="center">40 (87.0%)</td>
<td valign="top" align="center">20</td>
<td valign="top" align="center">11</td>
<td valign="top" align="center">5</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">3</td>
</tr>
<tr>
<td/>
<td valign="top" align="left">Gills</td>
<td valign="top" align="center">46</td>
<td valign="top" align="center">41 (89.1%)</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">9</td>
<td valign="top" align="center">12</td>
<td valign="top" align="center">18</td>
</tr>
<tr>
<td/>
<td valign="top" align="left">Intestines</td>
<td valign="top" align="center">46</td>
<td valign="top" align="center">38 (82.6%)</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">9</td>
<td valign="top" align="center">11</td>
<td valign="top" align="center">6</td>
<td valign="top" align="center">11</td>
</tr>
<tr style="border-top: thin solid #000000;">
<td/>
<td valign="top" align="left">Total&#x0003D;</td>
<td valign="top" align="center">390</td>
<td valign="top" align="center">310 (79.5%)</td>
<td valign="top" align="center">59</td>
<td valign="top" align="center">58</td>
<td valign="top" align="center">88</td>
<td valign="top" align="center">46</td>
<td valign="top" align="center">59</td>
</tr>
</tbody>
</table>
</table-wrap>
<p>Overall, the prevalence of total <italic>V. parahaemolyticus</italic> in short mackerel whole-body was 89.2% (116/130). A total of 95.2% (40/42), 89.1% (41/46), and 83.3% (35/42) of the short mackerel samples obtained from the wet markets, minimarkets, and hypermarkets, respectively, were detected with the presence of total <italic>V. parahaemolyticus</italic>. For statistical analyses, samples collected from the hypermarkets was detected significant lower (<italic>P</italic> &#x0003C; 0.05) from the wet markets and minimarkets. The level of total <italic>V. parahaemolyticus</italic> in short mackerel flesh, gills, and intestines were also showed significantly different (<italic>P</italic> &#x0003C; 0.05) from each other.</p>
</sec>
<sec>
<title>Pathogenic <italic>V. parahaemolyticus</italic> strains in short mackerels</title>
<p>Prevalence and microbial loads of pathogenic <italic>V. parahaemolyticus</italic> (<italic>tdh</italic>&#x0002B; and/or <italic>trh</italic>&#x0002B;) strains in short mackerels are shown in Tables <xref ref-type="table" rid="T2">2</xref>, <xref ref-type="table" rid="T3">3</xref>. DNA fragments of 484 and 251 bp in size were produced from the amplification of <italic>V. parahaemolyticus</italic> pathogenic <italic>trh</italic> and <italic>tdh</italic> genes, respectively. A total of 33 out of 390 (8.5%) tested samples were detected positive for the <italic>tdh</italic> gene (<italic>tdh</italic>&#x0002B; and <italic>trh</italic>&#x02212;) and the microbial loads ranged from 3.6 to &#x0003E;10<sup>5</sup> MPN/g. Strains of <italic>V. parahaemolyticus</italic> harbored both the <italic>tdh</italic> and <italic>trh</italic> genes (<italic>tdh</italic>&#x0002B; and <italic>trh</italic>&#x0002B;) were detected in 4 out of 390 (1.0%) tested samples and the density of <italic>tdh</italic>&#x0002B; and <italic>trh</italic>&#x0002B; <italic>V. parahaemolyticus</italic> strains found in the samples ranged from 300 to 740 MPN/g. <italic>V. parahaemolyticus</italic> strain carrying only the <italic>trh</italic> gene (<italic>trh</italic>&#x0002B; and <italic>tdh</italic>-) was not detected in this study.</p>
<table-wrap position="float" id="T2">
<label>Table 2</label>
<caption><p>Prevalence and microbial loads of pathogenic <italic>tdh</italic>&#x0002B; and <italic>trh</italic>&#x02212; <italic>V. parahaemolyticus</italic> strains in short mackerels.</p></caption>
<table frame="hsides" rules="groups">
<thead><tr>
<th valign="top" align="left"><bold>Sampling location</bold></th>
<th valign="top" align="left"><bold>Samples</bold></th>
<th valign="top" align="center"><bold>Number of sample</bold></th>
<th valign="top" align="center"><bold>Number of positive sample (%)</bold></th>
<th valign="top" align="center" colspan="5" style="border-bottom: thin solid #000000;"><bold>Level of (<italic>tdh</italic>&#x0002B; and <italic>trh</italic>&#x02212;) <italic>V. parahaemolyticus</italic> (MPN/g)</bold></th>
</tr>
<tr>
<th/>
<th/>
<th/>
<th/>
<th valign="top" align="center"><bold>&#x0003C;100</bold></th>
<th valign="top" align="center"><bold>10<sup>2</sup></bold></th>
<th valign="top" align="center"><bold>10<sup>3</sup></bold></th>
<th valign="top" align="center"><bold>10<sup>4</sup></bold></th>
<th valign="top" align="center"><bold>&#x0003E;10<sup>5</sup></bold></th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">Wet market</td>
<td valign="top" align="left">Flesh</td>
<td valign="top" align="center">42</td>
<td valign="top" align="center">2 (4.8%)</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">&#x02013;</td>
</tr>
<tr>
<td/>
<td valign="top" align="left">Gills</td>
<td valign="top" align="center">42</td>
<td valign="top" align="center">4 (9.5%)</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">1</td>
<td/>
</tr>
<tr>
<td/>
<td valign="top" align="left">Intestines</td>
<td valign="top" align="center">42</td>
<td valign="top" align="center">3 (7.1%)</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">2</td>
</tr>
<tr style="border-top: thin solid #000000;">
<td valign="top" align="left">Hypermarket</td>
<td valign="top" align="left">Flesh</td>
<td valign="top" align="center">42</td>
<td valign="top" align="center">3 (7.1%)</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">&#x02013;</td>
</tr>
<tr>
<td/>
<td valign="top" align="left">Gills</td>
<td valign="top" align="center">42</td>
<td valign="top" align="center">4 (9.5%)</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">1</td>
</tr>
<tr>
<td/>
<td valign="top" align="left">Intestines</td>
<td valign="top" align="center">42</td>
<td valign="top" align="center">3 (7.1%)</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">1</td>
</tr>
<tr style="border-top: thin solid #000000;">
<td valign="top" align="left">Minimarket</td>
<td valign="top" align="left">Flesh</td>
<td valign="top" align="center">46</td>
<td valign="top" align="center">5 (10.9%)</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">2</td>
</tr>
<tr>
<td/>
<td valign="top" align="left">Gills</td>
<td valign="top" align="center">46</td>
<td valign="top" align="center">5 (10.9%)</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">2</td>
</tr>
<tr>
<td/>
<td valign="top" align="left">Intestines</td>
<td valign="top" align="center">46</td>
<td valign="top" align="center">4 (8.7%)</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">2</td>
</tr>
<tr style="border-top: thin solid #000000;">
<td/>
<td valign="top" align="left">Total&#x0003D;</td>
<td valign="top" align="center">390</td>
<td valign="top" align="center">33 (8.5%)</td>
<td valign="top" align="center">7</td>
<td valign="top" align="center">8</td>
<td valign="top" align="center">5</td>
<td valign="top" align="center">3</td>
<td valign="top" align="center">10</td>
</tr>
</tbody>
</table>
</table-wrap>
<table-wrap position="float" id="T3">
<label>Table 3</label>
<caption><p>Prevalence and microbial loads of pathogenic <italic>tdh</italic>&#x0002B; and <italic>trh</italic>&#x0002B; <italic>V. parahaemolyticus</italic> strains in short mackerels.</p></caption>
<table frame="hsides" rules="groups">
<thead><tr>
<th valign="top" align="left"><bold>Sampling location</bold></th>
<th valign="top" align="left"><bold>Samples</bold></th>
<th valign="top" align="center"><bold>Number of sample</bold></th>
<th valign="top" align="center"><bold>Number of positive sample (%)</bold></th>
<th valign="top" align="center" colspan="5" style="border-bottom: thin solid #000000;"><bold>Level of (</bold><italic><bold>tdh</bold></italic>&#x0002B; <bold>and</bold> <italic><bold>trh</bold></italic>&#x0002B;<bold>)</bold> <italic><bold>V. parahaemolyticus</bold></italic> <bold>(MPN/g)</bold></th>
</tr>
<tr>
<th/>
<th/>
<th/>
<th/>
<th valign="top" align="center"><bold>&#x0003C;100</bold></th>
<th valign="top" align="center"><bold>10<sup>2</sup></bold></th>
<th valign="top" align="center"><bold>10<sup>3</sup></bold></th>
<th valign="top" align="center"><bold>10<sup>4</sup></bold></th>
<th valign="top" align="center"><bold>&#x0003E;10<sup>5</sup></bold></th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">Wet market</td>
<td valign="top" align="left">Flesh</td>
<td valign="top" align="center">42</td>
<td valign="top" align="center">0 (0%)</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">&#x02013;</td>
</tr>
<tr>
<td/>
<td valign="top" align="left">Gills</td>
<td valign="top" align="center">42</td>
<td valign="top" align="center">0 (0%)</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">&#x02013;</td>
</tr>
<tr>
<td/>
<td valign="top" align="left">Intestines</td>
<td valign="top" align="center">42</td>
<td valign="top" align="center">2 (4.8%)</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">&#x02013;</td>
</tr>
<tr style="border-top: thin solid #000000;">
<td valign="top" align="left">Hypermarket</td>
<td valign="top" align="left">Flesh</td>
<td valign="top" align="center">42</td>
<td valign="top" align="center">0 (0%)</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">&#x02013;</td>
</tr>
<tr>
<td/>
<td valign="top" align="left">Gills</td>
<td valign="top" align="center">42</td>
<td valign="top" align="center">1 (2.4%)</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">&#x02013;</td>
</tr>
<tr>
<td/>
<td valign="top" align="left">Intestines</td>
<td valign="top" align="center">42</td>
<td valign="top" align="center">1 (2.4%)</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">&#x02013;</td>
</tr>
<tr style="border-top: thin solid #000000;">
<td valign="top" align="left">Minimarket</td>
<td valign="top" align="left">Flesh</td>
<td valign="top" align="center">46</td>
<td valign="top" align="center">0 (0%)</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">&#x02013;</td>
</tr>
<tr>
<td/>
<td valign="top" align="left">Gills</td>
<td valign="top" align="center">46</td>
<td valign="top" align="center">0 (0%)</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">&#x02013;</td>
</tr>
<tr>
<td/>
<td valign="top" align="left">Intestines</td>
<td valign="top" align="center">46</td>
<td valign="top" align="center">0 (0%)</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">&#x02013;</td>
</tr>
<tr style="border-top: thin solid #000000;">
<td/>
<td valign="top" align="left">Total&#x0003D;</td>
<td valign="top" align="center">390</td>
<td valign="top" align="center">4 (1.0%)</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">4</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">&#x02013;</td>
</tr>
</tbody>
</table>
</table-wrap>
<p>Overall, the prevalence of pathogenic <italic>V. parahaemolyticus</italic> strain (<italic>tdh</italic>&#x0002B; and/or <italic>trh</italic>&#x0002B;) in short mackerel whole-body was 16.2% (21/130). The presence of pathogenic <italic>V. parahaemolyticus</italic> strains can be found in either combination or alone in each part of short mackerel flesh, gills, and intestines. For statistical analyses, the level of pathogenic (<italic>tdh</italic>&#x0002B; and/or <italic>trh</italic>&#x0002B;) <italic>V. parahaemolyticus</italic> was detected non-significantly different (<italic>P</italic> &#x0003E; 0.05) in various sampling locations and tested samples.</p>
</sec>
<sec>
<title>Antibiotics susceptibility profile of <italic>V. parahaemolyticus</italic> isolates</title>
<p>Antibiotic susceptibility profiles of <italic>V. parahaemolyticus</italic> isolated from short mackerel samples are shown in Table <xref ref-type="table" rid="T4">4</xref>. The majority of isolates tested were susceptible to all of the antibiotics. Isolates tested were highly susceptible to antibiotics such as ampicillin sulbactam (100%), meropenem (100%), ceftazidime (98.5%), and imipenem (98.5%). High level of resistance was observed to penicillin G (92.5%) and ampicillin (82.1%). Of 67 isolates, 60 (89.6%) showed resistant to two or more antibiotics. MAR index value of <italic>V. parahaemolyticus</italic> isolates from short mackerel samples are summarized in Table <xref ref-type="table" rid="T5">5</xref>. Most of the isolates (40.3%) were detected with MAR index value of 0.12 followed by 16.4 and 13.4% of isolates with MAR index value of 0.29 and 0.24, respectively. Two (3.0%) isolates exhibited the highest MAR index value of 0.41 which shown resistance to 7 types of antibiotics.</p>
<table-wrap position="float" id="T4">
<label>Table 4</label>
<caption><p>Antibiotic susceptibility profiles of <italic>V. parahaemolyticus</italic> isolated from short mackerels by disc diffusion method.</p></caption>
<table frame="hsides" rules="groups">
<thead><tr>
<th valign="top" align="left"><bold>Antibiotics</bold></th>
<th valign="top" align="center" colspan="3" style="border-bottom: thin solid #000000;"><bold>Interpretive category result</bold></th>
</tr>
<tr>
<th/>
<th valign="top" align="center"><bold>Resistant (%)</bold></th>
<th valign="top" align="center"><bold>Intermediate (%)</bold></th>
<th valign="top" align="center"><bold>Sensitivity (%)</bold></th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">Ampicillin (10 &#x003BC;g)</td>
<td valign="top" align="center">55 (82.09)</td>
<td valign="top" align="center">5 (7.46)</td>
<td valign="top" align="center">7 (10.45)</td>
</tr>
<tr>
<td valign="top" align="left">Ampicillin sulbactam (20 &#x003BC;g)</td>
<td valign="top" align="center"><bold>&#x02013;</bold></td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">67 (100)</td>
</tr>
<tr>
<td valign="top" align="left">Amikacin (30 &#x003BC;g)</td>
<td valign="top" align="center">15 (22.39)</td>
<td valign="top" align="center">8 (11.94)</td>
<td valign="top" align="center">44 (65.67)</td>
</tr>
<tr>
<td valign="top" align="left">Amoxicillin/clavulanic acid (30 &#x003BC;g)</td>
<td valign="top" align="center">3 (4.48)</td>
<td valign="top" align="center">3 (4.48)</td>
<td valign="top" align="center">61 (91.04)</td>
</tr>
<tr>
<td valign="top" align="left">Ceftazidime (30 &#x003BC;g)</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">1 (1.49)</td>
<td valign="top" align="center">66 (98.50)</td>
</tr>
<tr>
<td valign="top" align="left">Cefotaxime (30 &#x003BC;g)</td>
<td valign="top" align="center">1 (1.49)</td>
<td valign="top" align="center">21 (31.34)</td>
<td valign="top" align="center">45 (67.16)</td>
</tr>
<tr>
<td valign="top" align="left">Cephalothin (30 &#x003BC;g)</td>
<td valign="top" align="center">21 (31.34)</td>
<td valign="top" align="center">14 (20.90)</td>
<td valign="top" align="center">32 (47.76)</td>
</tr>
<tr>
<td valign="top" align="left">Chloramphenicol (30 &#x003BC;g)</td>
<td valign="top" align="center">6 (8.96)</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">61 (91.04)</td>
</tr>
<tr>
<td valign="top" align="left">Ciprofloxacin (5 &#x003BC;g)</td>
<td valign="top" align="center">3 (4.48)</td>
<td valign="top" align="center">25 (37.31)</td>
<td valign="top" align="center">39 (58.21)</td>
</tr>
<tr>
<td valign="top" align="left">Doxycycline (30 &#x003BC;g)</td>
<td valign="top" align="center">2 (2.99)</td>
<td valign="top" align="center">2 (2.99)</td>
<td valign="top" align="center">63 (94.03)</td>
</tr>
<tr>
<td valign="top" align="left">Gentamicin (10 &#x003BC;g)</td>
<td valign="top" align="center">7 (10.45)</td>
<td valign="top" align="center">10 (14.93)</td>
<td valign="top" align="center">50 (74.63)</td>
</tr>
<tr>
<td valign="top" align="left">Imipenem (10 &#x003BC;g)</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">1 (1.49)</td>
<td valign="top" align="center">66 (98.50)</td>
</tr>
<tr>
<td valign="top" align="left">Levofloxacin (5 &#x003BC;g)</td>
<td valign="top" align="center">1 (1.49)</td>
<td valign="top" align="center">8 (11.94)</td>
<td valign="top" align="center">58 (86.57)</td>
</tr>
<tr>
<td valign="top" align="left">Meropenem (10 &#x003BC;g)</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">67 (100)</td>
</tr>
<tr>
<td valign="top" align="left">Penicillin G (10 &#x003BC;g)</td>
<td valign="top" align="center">62 (92.54)</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">5 (7.46)</td>
</tr>
<tr>
<td valign="top" align="left">Streptomycin (10 &#x003BC;g)</td>
<td valign="top" align="center">36 (53.73)</td>
<td valign="top" align="center">9 (13.43)</td>
<td valign="top" align="center">22 (32.84)</td>
</tr>
<tr>
<td valign="top" align="left">Tetracycline (30 &#x003BC;g)</td>
<td valign="top" align="center">6 (8.96)</td>
<td valign="top" align="center">5 (7.46)</td>
<td valign="top" align="center">56 (83.58)</td>
</tr>
</tbody>
</table>
</table-wrap>
<table-wrap position="float" id="T5">
<label>Table 5</label>
<caption><p>Multiple antibiotic resistance (MAR) index value of <italic>V. parahaemolyticus</italic> isolates from short mackerel samples.</p></caption>
<table frame="hsides" rules="groups">
<thead><tr>
<th valign="top" align="left"><bold>MAR index</bold></th>
<th valign="top" align="left"><bold>Antibiotic resistance profiles<xref ref-type="table-fn" rid="TN1"><sup>a</sup></xref></bold></th>
<th valign="top" align="center"><bold>Isolates code</bold></th>
<th valign="top" align="center"><bold>Percentage of isolates (%)</bold></th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">0.41</td>
<td valign="top" align="left">Amp, Ak, Amc, Kf, C, P, S</td>
<td valign="top" align="center">V8</td>
<td valign="top" align="center">1.5</td>
</tr>
<tr>
<td/>
<td valign="top" align="left">Amp, Ak, Kf, C, Cip, P, S</td>
<td valign="top" align="center">V11</td>
<td valign="top" align="center">1.5</td>
</tr>
<tr style="border-top: thin solid #000000;">
<td valign="top" align="left">0.35</td>
<td valign="top" align="left">Amp, Ak, Kf, Cn, P, S</td>
<td valign="top" align="center">V80, V85</td>
<td valign="top" align="center">3.0</td>
</tr>
<tr>
<td/>
<td valign="top" align="left">Amp, Ak, Amc, Kf, C, P</td>
<td valign="top" align="center">V9</td>
<td valign="top" align="center">1.5</td>
</tr>
<tr style="border-top: thin solid #000000;">
<td valign="top" align="left">0.29</td>
<td valign="top" align="left">Amp, Ak, Kf, P, S</td>
<td valign="top" align="center">V40, V87, V89</td>
<td valign="top" align="center">4.5</td>
</tr>
<tr>
<td/>
<td valign="top" align="left">Amp, Kf, Cn, P, S</td>
<td valign="top" align="center">V81, V91</td>
<td valign="top" align="center">3.0</td>
</tr>
<tr>
<td/>
<td valign="top" align="left">Amp, Kf, C, P, Te</td>
<td valign="top" align="center">V5</td>
<td valign="top" align="center">1.5</td>
</tr>
<tr>
<td/>
<td valign="top" align="left">Amp, Amc, C, P, S</td>
<td valign="top" align="center">V7</td>
<td valign="top" align="center">1.5</td>
</tr>
<tr>
<td/>
<td valign="top" align="left">Amp, Kf, Cip, P, S</td>
<td valign="top" align="center">V51</td>
<td valign="top" align="center">1.5</td>
</tr>
<tr>
<td/>
<td valign="top" align="left">Amp, Cn, Lev, P, S</td>
<td valign="top" align="center">V53</td>
<td valign="top" align="center">1.5</td>
</tr>
<tr>
<td/>
<td valign="top" align="left">Amp, Ak, Cn, P, S</td>
<td valign="top" align="center">V54</td>
<td valign="top" align="center">1.5</td>
</tr>
<tr>
<td/>
<td valign="top" align="left">Amp, Ak, C, P, S</td>
<td valign="top" align="center">V54</td>
<td valign="top" align="center">1.5</td>
</tr>
<tr style="border-top: thin solid #000000;">
<td valign="top" align="left">0.24</td>
<td valign="top" align="left">Amp, Kf, P, S</td>
<td valign="top" align="center">V46, V78, V84, V92</td>
<td valign="top" align="center">6.0</td>
</tr>
<tr>
<td/>
<td valign="top" align="left">Amp, Ak, Kf, P</td>
<td valign="top" align="center">V39, V58</td>
<td valign="top" align="center">3.0</td>
</tr>
<tr>
<td/>
<td valign="top" align="left">Amp, Kf, P, Te</td>
<td valign="top" align="center">V25</td>
<td valign="top" align="center">1.5</td>
</tr>
<tr>
<td/>
<td valign="top" align="left">Amp, Ak, P, S</td>
<td valign="top" align="center">V52</td>
<td valign="top" align="center">1.5</td>
</tr>
<tr>
<td/>
<td valign="top" align="left">Amp, Cn, P, S</td>
<td valign="top" align="center">V90</td>
<td valign="top" align="center">1.5</td>
</tr>
<tr style="border-top: thin solid #000000;">
<td valign="top" align="left">0.18</td>
<td valign="top" align="left">Amp, P, S</td>
<td valign="top" align="center">V44, V50, V86</td>
<td valign="top" align="center">4.5</td>
</tr>
<tr>
<td/>
<td valign="top" align="left">Amp, Kf, P</td>
<td valign="top" align="center">V16</td>
<td valign="top" align="center">1.5</td>
</tr>
<tr>
<td/>
<td valign="top" align="left">Amp, Ak, P</td>
<td valign="top" align="center">V26</td>
<td valign="top" align="center">1.5</td>
</tr>
<tr>
<td/>
<td valign="top" align="left">Ctx, Kf, P</td>
<td valign="top" align="center">V38</td>
<td valign="top" align="center">1.5</td>
</tr>
<tr>
<td/>
<td valign="top" align="left">Ak, Cip, S</td>
<td valign="top" align="center">V57</td>
<td valign="top" align="center">1.5</td>
</tr>
<tr style="border-top: thin solid #000000;">
<td valign="top" align="left">0.12</td>
<td valign="top" align="left">Amp, P</td>
<td valign="top" align="center">V1, V3, V10, V12, V13, V18, V27-37, V43, V45, V48, VP72-75, V77</td>
<td valign="top" align="center">37.3</td>
</tr>
<tr>
<td/>
<td valign="top" align="left">Do, Te</td>
<td valign="top" align="center">V22, V23</td>
<td valign="top" align="center">3.0</td>
</tr>
<tr style="border-top: thin solid #000000;">
<td valign="top" align="left">0.06</td>
<td valign="top" align="left">P</td>
<td valign="top" align="center">V4, V6, V14, V19, V41, V42</td>
<td valign="top" align="center">9.0</td>
</tr>
<tr>
<td/>
<td valign="top" align="left">Te</td>
<td valign="top" align="center">V20, V21</td>
<td valign="top" align="center">3.0</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="TN1">
<label>a</label>
<p><italic>Amp, ampicillin; Ak, amikacin; Amc, amoxicillin/clavulanic acid; Ctx, cefotaxime; Kf, cephalothin; C, chloramphenicol; Cip, ciprofloxacin; Do, doxycycline; Cn, gentamicin; Lev, levofloxacin; P, penicillin G; S, streptomycin; Te, tetracycline</italic>.</p></fn>
</table-wrap-foot>
</table-wrap>
</sec>
</sec>
<sec sec-type="discussion" id="s4">
<title>Discussion</title>
<p>High prevalence and microbial loads of total <italic>V. parahaemolyticus</italic> were detected in 89.2% (116/130) of short mackerel samples. Similar results were found in the Hara-kudo et al. (<xref ref-type="bibr" rid="B17">2003</xref>) study where 15 out of 17 (88.2%) horse mackerel samples in Japan were detected with the presence of total <italic>V. parahaemolyticus</italic>. However, the incidence rate of total <italic>V. parahaemolyticus</italic> in short mackerels was comparatively higher than many other prevalence studies in other countries. For instance, Baffone et al. (<xref ref-type="bibr" rid="B4">2000</xref>) revealed 2.6% (3/114) fish samples including of anchovies, gray mullet, red mullet, sardines, Atlantic mackerel, and other species common to the Adriatic Sea were detected with the presence of <italic>V. parahaemolyticus</italic>. Wong et al. (<xref ref-type="bibr" rid="B51">1999</xref>) reported 29.3% of a total 92 fish samples imported from Indonesia were detected with total <italic>V. parahaemolyticus</italic>. Nakaguchi (<xref ref-type="bibr" rid="B32">2013</xref>) reported an average of 57.4% fish samples obtained from Asia countries including Vietnam, Indonesia, and Malaysia were found with total <italic>V. parahaemolyticus</italic>. Total <italic>V. parahaemolyticus</italic> were found more prevalently in the samples obtained from wet markets (78.6&#x02013;97%) followed by minimarkets (82.6&#x02013;89.1%) and hypermarkets (50.0&#x02013;83.3%) in this study. Similar study findings reported by Letchumanan et al. (<xref ref-type="bibr" rid="B28">2015a</xref>) also found a high level of <italic>V. parahaemolyticus</italic> contamination in shrimp samples purchased from wet markets compared to supermarkets. The reason for these findings may due to the poor storage handling practices by the wet market retailers. For instance, seafood especially cheaper fishes such as short mackerels in the wet markets were usually displayed on a tray with little or no ice left amongst the fish. Additionally, finfish are generally sent directly from the farm to wet markets retailers under minimum temperature controlled.</p>
<p>Microbial loads of total <italic>V. parahaemolyticus</italic> in short mackerel tested samples including flesh, gills, and intestines obtained from the hypermarkets were detected significant lower (<italic>P</italic> &#x0003C; 0.05) from the wet markets and minimarkets. The study findings are in agreement with another study reported the surf clams obtained from hypermarkets were found to contain lower density of <italic>V. parahaemolyticus</italic> (Malcolm et al., <xref ref-type="bibr" rid="B31">2015</xref>). In general, seafood is extremely perishable which needs strictly controlled storage requirements to maintain their freshness and limit the growth of harmful microorganisms. In this study, samples obtained from hypermarkets were found to contain significant lower number of total <italic>V. parahaemolyticus</italic> (<italic>P</italic> &#x0003C; 0.05). This might due to the well-established cold chains and cold storage facilities available in the hypermarkets. Low temperature controlled in supply chains and storage facilities available in the hypermarkets which therefore help reduce the growth of total <italic>V. parahaemolyticus</italic> in short mackerels. Su and Liu (<xref ref-type="bibr" rid="B43">2007</xref>) also reported that <italic>V. parahaemolyticus</italic> are cold sensitive thus preserving seafood on low temperature may limit or reduce their growth.</p>
<p>Short mackerel gills were detected with the highest total <italic>V. parahaemolyticus</italic> microbial loads with a mean concentration of 3.66 log MPN/g compared to intestines with a mean concentration of 2.67 log MPN/g and flesh with a mean concentration of 1.74 log MPN/g. Hairy structures of gills provided large surface areas for the bacteria adsorption is suggested one of the reasons where short mackerel gills were detected with the highest density of total <italic>V. parahaemolyticus</italic>. In Malaysia, there is no standard safety limit or minimum allowable level of <italic>V. parahaemolyticus</italic> in seafood. Safety regulations and standards for fish and fishery product established from other countries such as the United States are referred. According to the FDA microbiological safety limits for <italic>V. parahaemolyticus</italic> in ready-to-eat fish products must be &#x0003C;1 &#x000D7; 10<sup>4</sup> per gram (FDA, <xref ref-type="bibr" rid="B14">2011</xref>). In this study, 33.9% of short mackerels exceed the microbiological safety levels but fish evisceration, washing, rinsing, and cooking process done by food handlers during food preparation is suggested capable of achieving certain reductions of <italic>V. parahaemolyticus</italic>. For examples, Watanabe et al. (<xref ref-type="bibr" rid="B49">1994</xref>) demonstrated the effectiveness of washing of the horse mackerel eviscerated cavity with clean water resulted in 1.99 log reduction of <italic>V. parahaemolyticus</italic>. Ye et al. (<xref ref-type="bibr" rid="B56">2012</xref>) reported mild heat treatment at 50&#x000B0;C for 20 min was capable of reducing the number of <italic>V. parahaemolyticus</italic> to below detection limit (&#x0003C;3 MPN/g).</p>
<p>Most of the <italic>V. parahaemolyticus</italic> clinical isolates exhibit Kanagawa positive or negative possessing the hemolysin <italic>tdh</italic> and/or <italic>trh</italic> genes. Only small percentage of <italic>V. parahaemolyticus</italic> isolates from food and environmental samples carrying <italic>tdh</italic> and/or <italic>trh</italic> genes. This statement was in agreement with our findings as <italic>V. parahaemolyticus</italic> strains with <italic>tdh</italic> gene and strains with both <italic>tdh</italic> and <italic>trh</italic> genes were detected in low level, 8.5 and 1.0%, respectively, in short mackerels. No <italic>trh</italic>&#x0002B; <italic>V. parahaemolyticus</italic> strains was found in all samples can be associated with the warmer climate in Malaysia as Rodriguez-Castro et al. (<xref ref-type="bibr" rid="B40">2010</xref>) reported that <italic>trh</italic>&#x0002B; strains more prevailing in the coldest water and <italic>tdh</italic>&#x0002B; <italic>V. parahaemolyticus</italic> tends to disseminate in the warmer water. Even in clinical <italic>V. parahaemolyticus</italic> strains only minority of the isolates carried the <italic>trh</italic> genes. Suthienkul et al. (<xref ref-type="bibr" rid="B44">1995</xref>) reported merely 10 out of 489 (2%) <italic>V. parahaemolyticus</italic> isolates isolated from patients with acute gastroenteritis possessed the <italic>trh</italic> genes and 27 out of 489 (6%) isolates harbored both the <italic>trh</italic> and <italic>tdh</italic> genes. Bhoopong et al. (<xref ref-type="bibr" rid="B6">2007</xref>) revealed only 0.5% (3/629) of the clinical <italic>V. parahaemolyticus</italic> isolates from the 63 patients in Thailand carried the <italic>trh</italic> gene alone, compared to 87.4% (550/629) and 7% (44/629) of the isolates possessed the <italic>tdh</italic> gene and both genes, respectively. Chen et al. (<xref ref-type="bibr" rid="B8">2016</xref>) reported 93% and 1% of the 501 clinical <italic>V. parahaemolyticus</italic> isolates from southeastern China were carried <italic>tdh</italic> gene and <italic>trh</italic> gene, respectively. However, distributions of <italic>tdh</italic>&#x0002B; and/or <italic>trh</italic>&#x0002B; strains may vary depend on the geographical region, sample source, and detection method (Raghunath, <xref ref-type="bibr" rid="B37">2015</xref>).</p>
<p><italic>V. parahaemolyticus</italic> isolates obtained from short mackerels displayed a high level of resistance to penicillin and ampicillin. This finding was consistent with the results reported by Letchumanan et al. (<xref ref-type="bibr" rid="B28">2015a</xref>) where 82% of the isolates from shrimp samples were resistant to ampicillin. Besides, Elexson et al. (<xref ref-type="bibr" rid="B11">2014</xref>) reported all of the <italic>V. parahaemolyticus</italic> isolates from cultured seafood products were resistant to both penicillin and ampicillin. Based on these findings, resistant to penicillin and ampicillin could be probably due to extensively used of antibiotics in aquaculture and the impact of antimicrobial residues in aquatic systems. It is also likely due to the complexity of the Gram-negative bacteria outer membrane which inhibits antibiotic compounds to pass through the outer membrane (IFT, <xref ref-type="bibr" rid="B22">2006</xref>; Blair et al., <xref ref-type="bibr" rid="B7">2014</xref>). Penicillin and ampicillin are therefore ineffective for the treatment of <italic>V. parahaemolyticus</italic> infections. Nevertheless, the majority of the isolates were susceptible to most antibiotics tested in this study. Susceptibility profiles of <italic>V. parahaemolyticus</italic> isolates to antibiotic classes such as tetracycline, phenicols, quinolone, and cephalosporin were comparable with many other studies reported in several countries and sample sources (Lesmana et al., <xref ref-type="bibr" rid="B27">2001</xref>; Han et al., <xref ref-type="bibr" rid="B16">2007</xref>; Yano et al., <xref ref-type="bibr" rid="B55">2011</xref>; Ottaviani et al., <xref ref-type="bibr" rid="B36">2013</xref>). In this study, 37.31% of isolates with MAR value more than 0.2 indicating samples originated from a high risk source of contamination where several antibiotics are used (Krumperman, <xref ref-type="bibr" rid="B26">1983</xref>). Widespread usage of antibiotics in clinical, agriculture, aquaculture, and livestock production can result in antimicrobial residues present in the environment and dispersion of antimicrobial residues that reach the marine environment could lead to selective pressure on the marine bacteria and the emergence of MDR bacterial strains in marine life.</p>
<p>Misuse and overuse of antibiotics are recognized as two of the major factors contribute to the development of resistance genes in bacteria and widespread dissemination of MDR bacterial strains. An alternative to antibiotics is urgently needed in order to overcome the continuous emergence of MDR bacterial strains in the environment (Tan et al., <xref ref-type="bibr" rid="B47">2016</xref>). Research on alternative approaches such as the use of bacteriophage and probiotics has become possible solution to replace or reduce the use of antibiotics. Bacteriophages are bacteria viruses with the ability to attack and destroy bacteria cells. Jun et al. (<xref ref-type="bibr" rid="B23">2014</xref>) demonstrated bacteriophage-based therapies displays effectual protection against multiple antibiotics resistant <italic>V. parahaemolyticus</italic> strains infection in mice. Lomel&#x000ED;-Ortega and Mart&#x000ED;nez-D&#x000ED;az (<xref ref-type="bibr" rid="B30">2014</xref>) reported two isolated lytic bacteriophages can be used to control vibriosis in whiteleg shrimp larvae (<italic>Litopenaeus vannamei</italic>). Probiotics are organisms or substances that bring beneficial effect to the host (Hai, <xref ref-type="bibr" rid="B15">2015</xref>). Tan et al. (<xref ref-type="bibr" rid="B47">2016</xref>) proposed the feed supplemented with the genus of <italic>Streptomyces</italic> bacteria as probiotics could protect aquaculture livestock from pathogens and enhance the growth performance of the aquatic cultured organisms. Augustine et al. (<xref ref-type="bibr" rid="B2">2016</xref>) demonstrated <italic>Streptomyces rubrolavendulae</italic> M56 biogranules showed a competitive exclusion effect on <italic>V. alginolyticus, V. parahaemolyticus, V. fluvialis</italic>, and <italic>V. harveyi</italic> can be used as a promising alternative to the use of antibiotics in the prawn larval production systems. Although the application of bacteriophages and probiotics offer promising alternative to antibiotics, efforts for continuous monitoring of <italic>V. parahaemolyticus</italic> antibiotic resistance patterns and risk assessment on the use of antibiotics in therapeutic and non-therapeutic purposes is still needed to overcome the development of MDR bacterial strains.</p>
</sec>
<sec sec-type="conclusions" id="s5">
<title>Conclusion</title>
<p><italic>V. parahaemolyticus</italic> not only accumulates in shellfish and crustaceans but also can be found in the short mackerels at high concentrations. <italic>V. parahaemolyticus</italic> multiply more rapidly and reach the highest concentrations during warmer months. In Malaysia, warm temperatures remain fairly constant all year round thus it is expected high initial concentrations of <italic>V. parahaemolyticus</italic> can be found in the seafood. Preserving seafood at low temperature conditions can limit and control the growth of <italic>V. parahaemolyticus</italic>. Unbroken cold chain and cold storage facilities available in the hypermarkets maintained seafood products freshness as well as minimized the growth of foodborne pathogen such as <italic>V. parahaemolyticus</italic>. The low detection rate of pathogenic <italic>V. parahaemolyticus</italic> strains in the short mackerels may still at risk for food poisoning if storage conditions and preparation procedures are not receiving proper attention.</p>
</sec>
<sec id="s6">
<title>Author contributions</title>
<p>CT is the corresponding author for this work. TM, CK, TT, WC, YL, JP, OR, MN, and NY provided assistance and guidance in throughout the research. YR, YN, MN, and SR are the mentor in the research study and assist in manuscript checking.</p>
<sec>
<title>Conflict of interest statement</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
</sec>
</body>
<back>
<ack><p>This research was funded by a Research University Grant Scheme Initiative Six (RUGS 6) of Universiti Putra Malaysia (GP-IPS 9438703) and Fundamental Research Grant Scheme (FRGS) of Ministry of Higher Education (MOHE), Malaysia (02-01-14-1475FR) and, in part, by the Kakenhi Grant-in-Aid for Scientific Research (KAKENHI 24249038), Japan Society for the Promotion of Sciences and grant-in-aid of Ministry of Health, Labor and Welfare, Japan.</p>
</ack>
<ref-list>
<title>References</title>
<ref id="B1">
<citation citation-type="web"><person-group person-group-type="author"><collab>ASEAN</collab></person-group> (<year>2013</year>). <source>Appendix II: List of Chemicals Used in Aquaculture by ASEAN Member States</source>. Available online at: <ext-link ext-link-type="uri" xlink:href="http://www.asean.org/wp-content/uploads/images/Community/AEC/AMAF/UpdateApr2014/ASEAN%20Guideliness%20for%20Chemicals%20Final%20Draft%20Malaysia%20OK.pdf">http://www.asean.org/wp-content/uploads/images/Community/AEC/AMAF/UpdateApr2014/ASEAN%20Guideliness%20for%20Chemicals%20Final%20Draft%20Malaysia%20OK.pdf</ext-link></citation>
</ref>
<ref id="B2">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Augustine</surname> <given-names>D.</given-names></name> <name><surname>Jacob</surname> <given-names>J. C.</given-names></name> <name><surname>Philip</surname> <given-names>R.</given-names></name></person-group> (<year>2016</year>). <article-title>Exclusion of <italic>Vibrio</italic> spp. by an antagonistic marine actinomycete <italic>Streptomyces rubrolavendulae</italic> M56</article-title>. <source>Aquacult. Res.</source> <volume>47</volume>, <fpage>2951</fpage>&#x02013;<lpage>2960</lpage>. <pub-id pub-id-type="doi">10.1111/are.12746</pub-id></citation>
</ref>
<ref id="B3">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Baba</surname> <given-names>K.</given-names></name> <name><surname>Yamasaki</surname> <given-names>S.</given-names></name> <name><surname>Nishibuchi</surname> <given-names>M.</given-names></name> <name><surname>Takeda</surname> <given-names>Y.</given-names></name></person-group> (<year>1992</year>). <article-title>Examination by site-directed mutagenesis of the amino acid residues of the thermostable direct hemolysin of <italic>Vibrio parahaemolyticus</italic> required for its hemolytic activity</article-title>. <source>Microb. Pathog.</source> <volume>12</volume>, <fpage>279</fpage>&#x02013;<lpage>287</lpage>. <pub-id pub-id-type="doi">10.1016/0882-4010(92)90046-Q</pub-id><pub-id pub-id-type="pmid">1630298</pub-id></citation>
</ref>
<ref id="B4">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Baffone</surname> <given-names>W.</given-names></name> <name><surname>Pianetti</surname> <given-names>A.</given-names></name> <name><surname>Bruscolini</surname> <given-names>F.</given-names></name> <name><surname>Barbieri</surname> <given-names>E.</given-names></name> <name><surname>Citterio</surname> <given-names>B.</given-names></name></person-group> (<year>2000</year>). <article-title>Occurrence and expression of virulence-related properties of Vibrio species isolated from widely consumed seafood products</article-title>. <source>Int. J. Food Microbiol.</source> <volume>54</volume>, <fpage>9</fpage>&#x02013;<lpage>18</lpage>. <pub-id pub-id-type="doi">10.1016/S0168-1605(99)00189-0</pub-id><pub-id pub-id-type="pmid">10746570</pub-id></citation>
</ref>
<ref id="B5">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Bej</surname> <given-names>A. K.</given-names></name> <name><surname>Patterson</surname> <given-names>D. P.</given-names></name> <name><surname>Brasher</surname> <given-names>C. W.</given-names></name> <name><surname>Vickery</surname> <given-names>M. C. L.</given-names></name> <name><surname>Jones</surname> <given-names>D. D.</given-names></name> <name><surname>Kaysner</surname> <given-names>C. A.</given-names></name></person-group> (<year>1999</year>). <article-title>Detection of total and hemolysin-producing <italic>Vibrio parahaemolyticus</italic> in shellfish using multiplex PCR amplification of tlh, tdh and trh</article-title>. <source>J. Microbiol. Methods</source> <volume>36</volume>, <fpage>215</fpage>&#x02013;<lpage>225</lpage>. <pub-id pub-id-type="doi">10.1016/S0167-7012(99)00037-8</pub-id><pub-id pub-id-type="pmid">10379807</pub-id></citation>
</ref>
<ref id="B6">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Bhoopong</surname> <given-names>P.</given-names></name> <name><surname>Palittapongarnpim</surname> <given-names>P.</given-names></name> <name><surname>Pomwised</surname> <given-names>R.</given-names></name> <name><surname>Kiatkittipong</surname> <given-names>A.</given-names></name> <name><surname>Kamruzzaman</surname> <given-names>M.</given-names></name> <name><surname>Nakaguchi</surname> <given-names>Y.</given-names></name> <etal/></person-group>. (<year>2007</year>). <article-title>Variability of properties of <italic>Vibrio parahaemolyticus</italic> strains isolated from individual patients</article-title>. <source>J. Clin. Microbiol.</source> <volume>45</volume>, <fpage>1544</fpage>&#x02013;<lpage>1550</lpage>. <pub-id pub-id-type="doi">10.1128/JCM.02371-06</pub-id><pub-id pub-id-type="pmid">17344357</pub-id></citation>
</ref>
<ref id="B7">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Blair</surname> <given-names>J. M. A.</given-names></name> <name><surname>Webber</surname> <given-names>M. A.</given-names></name> <name><surname>Baylay</surname> <given-names>A. J.</given-names></name> <name><surname>Ogbolu</surname> <given-names>D. O.</given-names></name> <name><surname>Piddock</surname> <given-names>L. J. V.</given-names></name></person-group> (<year>2014</year>). <article-title>Molecular mechanisms of antibiotic resistance</article-title>. <source>Nat. Rev. Microbiol.</source> <volume>13</volume>, <fpage>42</fpage>&#x02013;<lpage>51</lpage>. <pub-id pub-id-type="doi">10.1038/nrmicro3380</pub-id><pub-id pub-id-type="pmid">25435309</pub-id></citation>
</ref>
<ref id="B8">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Chen</surname> <given-names>Y.</given-names></name> <name><surname>Chen</surname> <given-names>X.</given-names></name> <name><surname>Yu</surname> <given-names>F.</given-names></name> <name><surname>Wu</surname> <given-names>M.</given-names></name> <name><surname>Wang</surname> <given-names>R.</given-names></name> <name><surname>Zheng</surname> <given-names>S.</given-names></name> <etal/></person-group>. (<year>2016</year>). <article-title>Serology, virulence, antimicrobial susceptibility and molecular characteristics of clinical <italic>Vibrio parahaemolyticus</italic> strains circulating in southeastern China from 2009 to 2013</article-title>. <source>Clin. Microbiol. Infect.</source> <volume>22</volume>, <fpage>258.e9</fpage>&#x02013;<lpage>258.e16</lpage>. <pub-id pub-id-type="doi">10.1016/j.cmi.2015.11.003</pub-id><pub-id pub-id-type="pmid">26597222</pub-id></citation>
</ref>
<ref id="B9">
<citation citation-type="book"><person-group person-group-type="author"><collab>CLSI</collab></person-group> (<year>2010</year>). <source>Methods for Antimicrobial Dilution and Disk Susceptibility Testing of Infrequently Isolated or Fastidious Bacteria; Approved Guideline, 2nd Edn</source>. CLSI document M45-A2. <publisher-loc>Wayne, PA</publisher-loc>: <publisher-name>Clinical and Laboratory Standards Institute</publisher-name>.</citation>
</ref>
<ref id="B10">
<citation citation-type="book"><person-group person-group-type="author"><collab>CLSI</collab></person-group> (<year>2016</year>). <source>Performance Standards for Antimicrobial Susceptibility Testing, 26th Edn</source>. CLSI supplement M100S. <publisher-loc>Wayne, PA</publisher-loc>: <publisher-name>Clinical and Laboratory Standards Institute</publisher-name>.</citation>
</ref>
<ref id="B11">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Elexson</surname> <given-names>N.</given-names></name> <name><surname>Afsah-Hejri</surname> <given-names>L.</given-names></name> <name><surname>Rukayadi</surname> <given-names>Y.</given-names></name> <name><surname>Soopna</surname> <given-names>P.</given-names></name> <name><surname>Lee</surname> <given-names>H. Y.</given-names></name> <name><surname>Tuan Zainazor</surname> <given-names>T. C.</given-names></name> <etal/></person-group>. (<year>2014</year>). <article-title>Effect of detergents as antibacterial agents on biofilm of antibiotics-resistant <italic>Vibrio parahaemolyticus</italic> isolates</article-title>. <source>Food Control.</source> <volume>35</volume>, <fpage>378</fpage>&#x02013;<lpage>385</lpage>. <pub-id pub-id-type="doi">10.1016/j.foodcont.2013.07.020</pub-id></citation>
</ref>
<ref id="B12">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Fabbri</surname> <given-names>A.</given-names></name> <name><surname>Falzano</surname> <given-names>L.</given-names></name> <name><surname>Frank</surname> <given-names>C.</given-names></name> <name><surname>Donelli</surname> <given-names>G.</given-names></name> <name><surname>Matarrese</surname> <given-names>P.</given-names></name> <name><surname>Raimondi</surname> <given-names>F.</given-names></name> <etal/></person-group>. (<year>1998</year>). <article-title><italic>Vibrio parahaemolyticus</italic> thermostable direct hemolysin modulates cytoskeletal organization and calcium homeostasis in intestinal cultured cells</article-title>. <source>Infect. Immun.</source> <volume>67</volume>, <fpage>1139</fpage>&#x02013;<lpage>1148</lpage>. <pub-id pub-id-type="pmid">10024554</pub-id></citation>
</ref>
<ref id="B13">
<citation citation-type="web"><person-group person-group-type="author"><collab>FAO</collab></person-group> (<year>2016</year>). <source>Drivers, Dynamics and Epidemiology of Antimicrobial Resistance in Animal Production.</source> Available online at: <ext-link ext-link-type="uri" xlink:href="http://www.fao.org/3/a-i6209e.pdf">http://www.fao.org/3/a-i6209e.pdf</ext-link></citation>
</ref>
<ref id="B14">
<citation citation-type="web"><person-group person-group-type="author"><collab>FDA</collab></person-group> (<year>2011</year>). <source>Appendix 5: FDA and EPA Safety Levels in Regulations and Guidance.</source> Available online at: <ext-link ext-link-type="uri" xlink:href="http://www.fda.gov/downloads/Food/GuidanceRegulation/UCM251970.pdf">http://www.fda.gov/downloads/Food/GuidanceRegulation/UCM251970.pdf</ext-link></citation>
</ref>
<ref id="B15">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Hai</surname> <given-names>N. V.</given-names></name></person-group> (<year>2015</year>). <article-title>The use of probiotics in aquaculture</article-title>. <source>J. Appl. Microbiol.</source> <volume>119</volume>, <fpage>917</fpage>&#x02013;<lpage>935</lpage>. <pub-id pub-id-type="doi">10.1111/jam.12886</pub-id><pub-id pub-id-type="pmid">26119489</pub-id></citation>
</ref>
<ref id="B16">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Han</surname> <given-names>F.</given-names></name> <name><surname>Walker</surname> <given-names>R. D.</given-names></name> <name><surname>Janes</surname> <given-names>M. E.</given-names></name> <name><surname>Prinyawiwatkul</surname> <given-names>W.</given-names></name> <name><surname>Ge</surname> <given-names>B.</given-names></name></person-group> (<year>2007</year>). <article-title>Antimicrobial susceptibilities of <italic>Vibrio parahaemolyticus</italic> and <italic>Vibrio vulnificus</italic> isolates from Louisiana Gulf and retail raw oysters</article-title>. <source>Appl. Environ. Microbiol.</source> <volume>73</volume>, <fpage>7096</fpage>&#x02013;<lpage>7098</lpage>. <pub-id pub-id-type="doi">10.1128/AEM.01116-07</pub-id><pub-id pub-id-type="pmid">17827331</pub-id></citation>
</ref>
<ref id="B17">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Hara-kudo</surname> <given-names>Y.</given-names></name> <name><surname>Sugiyama</surname> <given-names>K.</given-names></name> <name><surname>Nishibuchi</surname> <given-names>M.</given-names></name> <name><surname>Chowdhury</surname> <given-names>A.</given-names></name> <name><surname>Yatsuyanagi</surname> <given-names>J.</given-names></name> <name><surname>Saito</surname> <given-names>A.</given-names></name> <etal/></person-group>. (<year>2003</year>). <article-title>Prevalence of pandemic thermostable direct hemolysin-producing <italic>Vibrio parahaemolyticus</italic> O3:K6 in seafood and the coastal environment in Japan</article-title>. <source>Appl. Environ. Microbiol.</source> <volume>69</volume>, <fpage>3883</fpage>&#x02013;<lpage>3891</lpage>. <pub-id pub-id-type="doi">10.1128/AEM.69.7.3883-3891.2003</pub-id><pub-id pub-id-type="pmid">12839757</pub-id></citation>
</ref>
<ref id="B18">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Honda</surname> <given-names>T.</given-names></name> <name><surname>Iida</surname> <given-names>T.</given-names></name></person-group> (<year>1993</year>). <article-title>The pathogenicity of <italic>Vibrio parahaemolyticus</italic> and the role of the thermostable direct haemolysin and related haemolysins</article-title>. <source>Rev Med Microbiol.</source> <volume>4</volume>, <fpage>106</fpage>&#x02013;<lpage>113</lpage>. <pub-id pub-id-type="doi">10.1097/00013542-199304000-00006</pub-id></citation>
</ref>
<ref id="B19">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Honda</surname> <given-names>T.</given-names></name> <name><surname>Ni</surname> <given-names>Y. X.</given-names></name> <name><surname>Miwatani</surname> <given-names>T.</given-names></name></person-group> (<year>1988</year>). <article-title>Purification and characterization of a hemolysin produced by a clinical isolate of Kanagawa phenomenon-negative <italic>Vibrio parahaemolyticus</italic> and related to the thermostable direct hemolysin</article-title>. <source>Infect. Immun.</source> <volume>56</volume>, <fpage>961</fpage>&#x02013;<lpage>965</lpage>. <pub-id pub-id-type="pmid">3126151</pub-id></citation>
</ref>
<ref id="B20">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Honda</surname> <given-names>T.</given-names></name> <name><surname>Ni</surname> <given-names>Y.</given-names></name> <name><surname>Miwatani</surname> <given-names>T.</given-names></name> <name><surname>Adachi</surname> <given-names>T.</given-names></name> <name><surname>Kim</surname> <given-names>J.</given-names></name></person-group> (<year>1992</year>). <article-title>The thermostable direct hemolysin of <italic>Vibrio parahaemolyticus</italic> is a pore-forming toxin</article-title>. <source>Can. J. Microbiol.</source> <volume>38</volume>, <fpage>1175</fpage>&#x02013;<lpage>1180</lpage>. <pub-id pub-id-type="doi">10.1139/m92-192</pub-id><pub-id pub-id-type="pmid">1477791</pub-id></citation>
</ref>
<ref id="B21">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Huang</surname> <given-names>J. Y.</given-names></name> <name><surname>Henao</surname> <given-names>O. L.</given-names></name> <name><surname>Griffin</surname> <given-names>P. M.</given-names></name> <name><surname>Vugia</surname> <given-names>D. J.</given-names></name> <name><surname>Cronquist</surname> <given-names>A. B.</given-names></name> <name><surname>Hurd</surname> <given-names>S.</given-names></name> <etal/></person-group>. (<year>2016</year>). <article-title>Infection with pathogens transmitted commonly through food and the effect of increasing use of culture-independent diagnostic tests on surveillance &#x02013; foodborne diseases active surveillance network, 10 U.S. sites, 2012-2015</article-title>. <source>Morb. Mortal. Wkly. Rep.</source> <volume>65</volume>, <fpage>368</fpage>&#x02013;<lpage>371</lpage>. <pub-id pub-id-type="doi">10.15585/mmwr.mm6514a2</pub-id><pub-id pub-id-type="pmid">27077946</pub-id></citation>
</ref>
<ref id="B22">
<citation citation-type="journal"><person-group person-group-type="author"><collab>IFT</collab></person-group> (<year>2006</year>). <article-title>Antimicrobial resistance: implications for the food system</article-title>. <source>Compr. Rev. Food Sci. Food Saf.</source> <volume>5</volume>, <fpage>71</fpage>&#x02013;<lpage>137</lpage>. <pub-id pub-id-type="doi">10.1111/j.1541-4337.2006.00004.x</pub-id></citation>
</ref>
<ref id="B23">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Jun</surname> <given-names>J. W.</given-names></name> <name><surname>Shin</surname> <given-names>T. H.</given-names></name> <name><surname>Kim</surname> <given-names>J. H.</given-names></name> <name><surname>Shin</surname> <given-names>S. P.</given-names></name> <name><surname>Han</surname> <given-names>J. E.</given-names></name> <name><surname>Heo</surname> <given-names>G. J.</given-names></name> <etal/></person-group>. (<year>2014</year>). <article-title>Bacteriophage therapy of a <italic>Vibrio parahaemolyticus</italic> infection caused by a multiple-antibiotic-resistant O3:K6 pandemic clinical strain</article-title>. <source>J. Infect. Dis.</source> <volume>210</volume>, <fpage>72</fpage>&#x02013;<lpage>78</lpage>. <pub-id pub-id-type="doi">10.1093/infdis/jiu059</pub-id><pub-id pub-id-type="pmid">24558119</pub-id></citation>
</ref>
<ref id="B24">
<citation citation-type="web"><person-group person-group-type="author"><name><surname>Kaysner</surname> <given-names>C. A.</given-names></name> <name><surname>DePaola</surname> <given-names>A. J.</given-names></name></person-group> (<year>2004</year>). <source>BAM: Vibrio.</source> Available online at: <ext-link ext-link-type="uri" xlink:href="http://www.fda.gov/Food/FoodScienceResearch/LaboratoryMethods/ucm070830.htm">http://www.fda.gov/Food/FoodScienceResearch/LaboratoryMethods/ucm070830.htm</ext-link></citation>
</ref>
<ref id="B25">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Kim</surname> <given-names>Y. B. U.</given-names></name> <name><surname>Okuda</surname> <given-names>J. U. N.</given-names></name> <name><surname>Matsumoto</surname> <given-names>C.</given-names></name> <name><surname>Takahashi</surname> <given-names>N.</given-names></name> <name><surname>Hashimoto</surname> <given-names>S.</given-names></name> <name><surname>Nishibuchi</surname> <given-names>M.</given-names></name></person-group> (<year>1999</year>). <article-title>Identification of <italic>Vibrio parahaemolyticus</italic> strains at the species level by PCR targeted to the toxR gene</article-title>. <source>J. Clin. Microbiol.</source> <volume>37</volume>, <fpage>1173</fpage>&#x02013;<lpage>1177</lpage>. <pub-id pub-id-type="pmid">10074546</pub-id></citation>
</ref>
<ref id="B26">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Krumperman</surname> <given-names>P. H.</given-names></name></person-group> (<year>1983</year>). <article-title>Multiple antibiotic resistance indexing of <italic>Escherichia coli</italic> to identify high-risk sources of fecal contamination of foods</article-title>. <source>Appl. Environ. Microbiol.</source> <volume>46</volume>, <fpage>165</fpage>&#x02013;<lpage>170</lpage>. <pub-id pub-id-type="pmid">6351743</pub-id></citation>
</ref>
<ref id="B27">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Lesmana</surname> <given-names>M.</given-names></name> <name><surname>Subekti</surname> <given-names>D.</given-names></name> <name><surname>Simanjuntak</surname> <given-names>C. H.</given-names></name> <name><surname>Tjaniadi</surname> <given-names>P.</given-names></name> <name><surname>Campbell</surname> <given-names>J. R.</given-names></name> <name><surname>Oyofo</surname> <given-names>B. A.</given-names></name></person-group> (<year>2001</year>). <article-title><italic>Vibrio parahaemolyticus</italic> associated with cholera-like diarrhea among patients in North Jakarta, Indonesia</article-title>. <source>Diagn. Microbiol. Infect. Dis.</source> <volume>39</volume>, <fpage>71</fpage>&#x02013;<lpage>75</lpage>. <pub-id pub-id-type="doi">10.1016/S0732-8893(00)00232-7</pub-id><pub-id pub-id-type="pmid">11248518</pub-id></citation>
</ref>
<ref id="B28">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Letchumanan</surname> <given-names>V.</given-names></name> <name><surname>Yin</surname> <given-names>W. F.</given-names></name> <name><surname>Lee</surname> <given-names>L. H.</given-names></name> <name><surname>Chan</surname> <given-names>K. G.</given-names></name></person-group> (<year>2015a</year>). <article-title>Prevalence and antimicrobial susceptibility of <italic>Vibrio parahaemolyticus</italic> isolated from retail shrimps in Malaysia</article-title>. <source>Front. Microbiol.</source> <volume>6</volume>:<fpage>33</fpage>. <pub-id pub-id-type="doi">10.3389/fmicb.2015.00033</pub-id><pub-id pub-id-type="pmid">25688239</pub-id></citation>
</ref>
<ref id="B29">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Letchumanan</surname> <given-names>V.</given-names></name> <name><surname>Yin</surname> <given-names>W. F.</given-names></name> <name><surname>Lee</surname> <given-names>L. H.</given-names></name> <name><surname>Chan</surname> <given-names>K. G.</given-names></name></person-group> (<year>2015b</year>). <article-title>Occurrence and antibiotic resistance of <italic>Vibrio parahaemolyticus</italic> from shellfish in Selangor, Malaysia</article-title>. <source>Front. Microbiol.</source> <volume>6</volume>:<fpage>1417</fpage>. <pub-id pub-id-type="doi">10.3389/fmicb.2015.01417</pub-id><pub-id pub-id-type="pmid">26697003</pub-id></citation>
</ref>
<ref id="B30">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Lomel&#x000ED;-Ortega</surname> <given-names>C. O.</given-names></name> <name><surname>Mart&#x000ED;nez-D&#x000ED;az</surname> <given-names>S. F.</given-names></name></person-group> (<year>2014</year>). <article-title>Phage therapy against <italic>Vibrio parahaemolyticus</italic> infection in the whiteleg shrimp (<italic>Litopenaeus vannamei</italic>) larvae</article-title>. <source>Aquaculture</source> <volume>434</volume>, <fpage>208</fpage>&#x02013;<lpage>211</lpage>. <pub-id pub-id-type="doi">10.1016/j.aquaculture.2014.08.018</pub-id></citation>
</ref>
<ref id="B31">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Malcolm</surname> <given-names>T. T. H.</given-names></name> <name><surname>Cheah</surname> <given-names>Y. K.</given-names></name> <name><surname>Radzi</surname> <given-names>C. W. J. W. M.</given-names></name> <name><surname>Kasim</surname> <given-names>F. A.</given-names></name> <name><surname>Kantilal</surname> <given-names>H. K.</given-names></name> <name><surname>John</surname> <given-names>T. Y. H.</given-names></name> <etal/></person-group>. (<year>2015</year>). <article-title>Detection and quantification of pathogenic <italic>Vibrio parahaemolyticus</italic> in shellfish by using multiplex PCR and loop-mediated isothermal amplification assay</article-title>. <source>Food Control.</source> <volume>47</volume>, <fpage>664</fpage>&#x02013;<lpage>671</lpage>. <pub-id pub-id-type="doi">10.1016/j.foodcont.2014.08.010</pub-id></citation>
</ref>
<ref id="B32">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Nakaguchi</surname> <given-names>Y.</given-names></name></person-group> (<year>2013</year>). <article-title>Contamination by <italic>Vibrio parahaemolyticus</italic> and its virulent strains in seafood marketed in Thailand, Vietnam, Malaysia, and Indonesia</article-title>. <source>Trop. Med. Health</source> <volume>41</volume>, <fpage>95</fpage>&#x02013;<lpage>102</lpage>. <pub-id pub-id-type="doi">10.2149/tmh.2011-06</pub-id><pub-id pub-id-type="pmid">24155650</pub-id></citation>
</ref>
<ref id="B33">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Newton</surname> <given-names>A. E.</given-names></name> <name><surname>Garrett</surname> <given-names>N.</given-names></name> <name><surname>Stroika</surname> <given-names>S. G.</given-names></name> <name><surname>Halpin</surname> <given-names>J. L.</given-names></name> <name><surname>Turnsek</surname> <given-names>M.</given-names></name> <name><surname>Mody</surname> <given-names>R. K.</given-names></name></person-group> (<year>2014</year>). <article-title>Increase in <italic>Vibrio parahaemolyticus</italic> infections associated with consumption of Atlantic Coast shellfish - 2013</article-title>. <source>Morb. Mortal. Wkly. Rep.</source> <volume>63</volume>, <fpage>335</fpage>&#x02013;<lpage>336</lpage>. <pub-id pub-id-type="pmid">24739344</pub-id></citation>
</ref>
<ref id="B34">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Nishibuchi</surname> <given-names>M.</given-names></name> <name><surname>Taniguchi</surname> <given-names>T.</given-names></name> <name><surname>Misawa</surname> <given-names>T.</given-names></name> <name><surname>Khaeomanee-Iam</surname> <given-names>V.</given-names></name> <name><surname>Honda</surname> <given-names>T.</given-names></name> <name><surname>Miwatani</surname> <given-names>T.</given-names></name></person-group> (<year>1989</year>). <article-title>Cloning and nucleotide sequence of the gene (trh) encoding the hemolysin related to the thermostable direct hemolysin of <italic>Vibrio parahaemolyticus</italic></article-title>. <source>Infect. Immun.</source> <volume>57</volume>, <fpage>2691</fpage>&#x02013;<lpage>2697</lpage>. <pub-id pub-id-type="pmid">2759706</pub-id></citation>
</ref>
<ref id="B35">
<citation citation-type="other"><person-group person-group-type="author"><name><surname>Ohno</surname> <given-names>S.</given-names></name> <name><surname>Tazawa</surname> <given-names>T.</given-names></name> <name><surname>Kon</surname> <given-names>M.</given-names></name> <name><surname>Uno</surname> <given-names>Y.</given-names></name> <name><surname>Terao</surname> <given-names>M.</given-names></name> <name><surname>Goto</surname> <given-names>K.</given-names></name></person-group> (<year>1993</year>). <source>Contamination by Vibrio parahaemolyticus of Fish Landed at Fishery Markets in Niigata Prefecture in Japanese.</source> Niigataken Eisei Kogai Kenkyusyo Nenpo [Annual Report of Niigata Prefectural Research Laboratory for Health and Environment] <volume>9</volume>, <fpage>77</fpage>&#x02013;<lpage>82</lpage>.</citation>
</ref>
<ref id="B36">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ottaviani</surname> <given-names>D.</given-names></name> <name><surname>Leoni</surname> <given-names>F.</given-names></name> <name><surname>Talevi</surname> <given-names>G.</given-names></name> <name><surname>Masini</surname> <given-names>L.</given-names></name> <name><surname>Santarelli</surname> <given-names>S.</given-names></name> <name><surname>Rocchegiani</surname> <given-names>E.</given-names></name> <etal/></person-group>. (<year>2013</year>). <article-title>Extensive investigation of antimicrobial resistance in <italic>Vibrio parahaemolyticus</italic> from shellfish and clinical sources, Italy</article-title>. <source>Int. J. Antimicrob. Agents</source> <volume>42</volume>, <fpage>191</fpage>&#x02013;<lpage>193</lpage>. <pub-id pub-id-type="doi">10.1016/j.ijantimicag.2013.05.003</pub-id><pub-id pub-id-type="pmid">23796895</pub-id></citation>
</ref>
<ref id="B37">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Raghunath</surname> <given-names>P.</given-names></name></person-group> (<year>2015</year>). <article-title>Roles of thermostable direct hemolysin (TDH) and TDH-related hemolysin (TRH) in <italic>Vibrio parahaemolyticus</italic></article-title>. <source>Front. Microbiol.</source> <volume>5</volume>:<fpage>805</fpage>. <pub-id pub-id-type="doi">10.3389/fmicb.2014.00805</pub-id><pub-id pub-id-type="pmid">25657643</pub-id></citation>
</ref>
<ref id="B38">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Raimondi</surname> <given-names>F.</given-names></name> <name><surname>Kao</surname> <given-names>J. P. Y.</given-names></name> <name><surname>Fiorentini</surname> <given-names>C.</given-names></name> <name><surname>Fabbri</surname> <given-names>A.</given-names></name> <name><surname>Donelli</surname> <given-names>G.</given-names></name> <name><surname>Gasparini</surname> <given-names>N.</given-names></name> <etal/></person-group>. (<year>2000</year>). <article-title>Enterotoxicity and cytotoxicity of <italic>Vibrio parahaemolyticus</italic> thermostable direct hemolysin in <italic>in vitro</italic> systems</article-title>. <source>Infect. Immun.</source> <volume>68</volume>, <fpage>3180</fpage>&#x02013;<lpage>3185</lpage>. <pub-id pub-id-type="doi">10.1128/IAI.68.6.3180-3185.2000</pub-id><pub-id pub-id-type="pmid">10816461</pub-id></citation>
</ref>
<ref id="B39">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Rodgers</surname> <given-names>C.</given-names></name> <name><surname>Parveen</surname> <given-names>S.</given-names></name> <name><surname>Chigbu</surname> <given-names>P.</given-names></name> <name><surname>Jacobs</surname> <given-names>J.</given-names></name> <name><surname>Rhodes</surname> <given-names>M.</given-names></name> <name><surname>Harter-Dennis</surname> <given-names>J.</given-names></name></person-group> (<year>2014</year>). <article-title>Prevalence of <italic>Vibrio parahaemolyticus</italic>, and <italic>Vibrio vulnificus</italic> in blue crabs (<italic>Callinectes sapidus</italic>), seawater and sediments of the Maryland Coastal Bays</article-title>. <source>J. Appl. Microbiol.</source> <volume>117</volume>, <fpage>1198</fpage>&#x02013;<lpage>1209</lpage>. <pub-id pub-id-type="doi">10.1111/jam.12608</pub-id><pub-id pub-id-type="pmid">25066367</pub-id></citation>
</ref>
<ref id="B40">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Rodriguez-Castro</surname> <given-names>A.</given-names></name> <name><surname>Ansede-Bermejo</surname> <given-names>J.</given-names></name> <name><surname>Blanco-Abad</surname> <given-names>V.</given-names></name> <name><surname>Varela-Pet</surname> <given-names>J.</given-names></name> <name><surname>Garcia-Martin</surname> <given-names>O.</given-names></name> <name><surname>Martinez-Urtaza</surname> <given-names>J.</given-names></name></person-group> (<year>2010</year>). <article-title>Prevalence and genetic diversity of pathogenic populations of <italic>Vibrio parahaemolyticus</italic> in coastal waters of Galicia, Spain</article-title>. <source>Environ Microbiol Rep.</source> <volume>2</volume>, <fpage>58</fpage>&#x02013;<lpage>66</lpage>. <pub-id pub-id-type="doi">10.1111/j.1758-2229.2009.00064.x</pub-id><pub-id pub-id-type="pmid">23765999</pub-id></citation>
</ref>
<ref id="B41">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Scallan</surname> <given-names>E.</given-names></name> <name><surname>Hoekstra</surname> <given-names>R. M.</given-names></name> <name><surname>Angulo</surname> <given-names>F. J.</given-names></name> <name><surname>Tauxe</surname> <given-names>R. V.</given-names></name> <name><surname>Widdowson</surname> <given-names>M. A.</given-names></name> <name><surname>Roy</surname> <given-names>S. L.</given-names></name> <etal/></person-group>. (<year>2011</year>). <article-title>Foodborne illness acquired in the United States - major pathogens</article-title>. <source>Emerging Infect. Dis.</source> <volume>17</volume>, <fpage>7</fpage>&#x02013;<lpage>15</lpage>. <pub-id pub-id-type="doi">10.3201/eid1701.P11101</pub-id><pub-id pub-id-type="pmid">21192848</pub-id></citation>
</ref>
<ref id="B42">
<citation citation-type="book"><person-group person-group-type="author"><name><surname>Shariff</surname> <given-names>M.</given-names></name> <name><surname>Nagaraj</surname> <given-names>G.</given-names></name> <name><surname>Chua</surname> <given-names>F. H. C.</given-names></name> <name><surname>Wang</surname> <given-names>Y. G.</given-names></name></person-group> (<year>2000</year>). <article-title>The use of chemicals in aquaculture in Malaysia and Singapore</article-title>, in <source>Proceedings of the Meeting on the Use of Chemicals in Aquaculture in Asia</source> (<publisher-loc>Iloilo</publisher-loc>), <fpage>127</fpage>&#x02013;<lpage>140</lpage>.</citation>
</ref>
<ref id="B43">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Su</surname> <given-names>Y. C.</given-names></name> <name><surname>Liu</surname> <given-names>C.</given-names></name></person-group> (<year>2007</year>). <article-title><italic>Vibrio parahaemolyticus</italic>: a concern of seafood safety</article-title>. <source>Food Microbiol.</source> <volume>24</volume>, <fpage>549</fpage>&#x02013;<lpage>558</lpage>. <pub-id pub-id-type="doi">10.1016/j.fm.2007.01.005</pub-id><pub-id pub-id-type="pmid">17418305</pub-id></citation>
</ref>
<ref id="B44">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Suthienkul</surname> <given-names>O.</given-names></name> <name><surname>Ishibashi</surname> <given-names>M.</given-names></name> <name><surname>Iida</surname> <given-names>T.</given-names></name> <name><surname>Nettip</surname> <given-names>N.</given-names></name> <name><surname>Supavej</surname> <given-names>S.</given-names></name> <name><surname>Eampokalap</surname> <given-names>B.</given-names></name> <etal/></person-group>. (<year>1995</year>). <article-title>Urease production correlates with possession of the trh gene in <italic>Vibrio parahaemolyticus</italic> strains isolated in Thailand</article-title>. <source>J. Infect. Dis.</source> <volume>172</volume>, <fpage>1405</fpage>&#x02013;<lpage>1408</lpage>. <pub-id pub-id-type="doi">10.1093/infdis/172.5.1405</pub-id><pub-id pub-id-type="pmid">7594689</pub-id></citation>
</ref>
<ref id="B45">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Tada</surname> <given-names>J.</given-names></name> <name><surname>Ohashi</surname> <given-names>T.</given-names></name> <name><surname>Nishimura</surname> <given-names>N.</given-names></name> <name><surname>Shirasaki</surname> <given-names>Y.</given-names></name> <name><surname>Ozaki</surname> <given-names>H.</given-names></name> <name><surname>Fukushima</surname> <given-names>S.</given-names></name> <etal/></person-group>. (<year>1992</year>). <article-title>Detection of the thermostable direct hemolysin gene (tdh) and the thermostable direct hemolysin-related hemolysin gene (trh) of <italic>Vibrio parahaemolyticus</italic> by polymerase chain reaction</article-title>. <source>Mol. Cell. Probes</source> <volume>6</volume>, <fpage>477</fpage>&#x02013;<lpage>487</lpage>. <pub-id pub-id-type="doi">10.1016/0890-8508(92)90044-X</pub-id><pub-id pub-id-type="pmid">1480187</pub-id></citation>
</ref>
<ref id="B46">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Takahashi</surname> <given-names>A.</given-names></name> <name><surname>Kenjyo</surname> <given-names>N.</given-names></name> <name><surname>Imura</surname> <given-names>K.</given-names></name> <name><surname>Myonsun</surname> <given-names>Y.</given-names></name> <name><surname>Honda</surname> <given-names>T.</given-names></name></person-group> (<year>2000</year>). <article-title>Cl- secretion in colonic epithelial cells induced by the <italic>Vibrio parahaemolyticus</italic> hemolytic toxin related to thermostable direct hemolysin</article-title>. <source>Infect. Immun.</source> <volume>68</volume>, <fpage>5435</fpage>&#x02013;<lpage>5438</lpage>. <pub-id pub-id-type="doi">10.1128/IAI.68.9.5435-5438.2000</pub-id><pub-id pub-id-type="pmid">10948178</pub-id></citation>
</ref>
<ref id="B47">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Tan</surname> <given-names>L. T. H.</given-names></name> <name><surname>Chan</surname> <given-names>K. G.</given-names></name> <name><surname>Lee</surname> <given-names>L. H.</given-names></name> <name><surname>Goh</surname> <given-names>B. H.</given-names></name></person-group> (<year>2016</year>). <article-title>Streptomyces bacteria as potential probiotics in aquaculture</article-title>. <source>Front. Microbiol.</source> <volume>7</volume>:<fpage>79</fpage>. <pub-id pub-id-type="doi">10.3389/fmicb.2016.00079</pub-id><pub-id pub-id-type="pmid">26903962</pub-id></citation>
</ref>
<ref id="B48">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Van Hoek</surname> <given-names>A. H. A. M.</given-names></name> <name><surname>Mevius</surname> <given-names>D.</given-names></name> <name><surname>Guerra</surname> <given-names>B.</given-names></name> <name><surname>Mullany</surname> <given-names>P.</given-names></name> <name><surname>Roberts</surname> <given-names>A. P.</given-names></name> <name><surname>Aarts</surname> <given-names>H. J. M.</given-names></name></person-group> (<year>2011</year>). <article-title>Acquired antibiotic resistance genes: an overview</article-title>. <source>Front. Microbiol.</source> <volume>2</volume>:<fpage>203</fpage>. <pub-id pub-id-type="doi">10.3389/fmicb.2011.00203</pub-id><pub-id pub-id-type="pmid">22046172</pub-id></citation>
</ref>
<ref id="B49">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Watanabe</surname> <given-names>T.</given-names></name> <name><surname>Tazawa</surname> <given-names>T.</given-names></name> <name><surname>Kon</surname> <given-names>M.</given-names></name> <name><surname>Ohno</surname> <given-names>S.</given-names></name> <name><surname>Uno</surname> <given-names>Y.</given-names></name> <name><surname>Terao</surname> <given-names>M.</given-names></name> <etal/></person-group>. (<year>1994</year>). <article-title>Growth of <italic>Vibrio parahaemolyticus</italic> in different methods of cooking fish</article-title>, in <source>Proceeding of the National Conference of Food Safety Inspection</source>, <fpage>113</fpage>&#x02013;<lpage>116</lpage>.</citation>
</ref>
<ref id="B50">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Weese</surname> <given-names>J. S.</given-names></name> <name><surname>Gigu&#x000E8;re</surname> <given-names>S.</given-names></name> <name><surname>Guardabassi</surname> <given-names>L.</given-names></name> <name><surname>Morley</surname> <given-names>P. S.</given-names></name> <name><surname>Papich</surname> <given-names>M.</given-names></name> <name><surname>Ricciuto</surname> <given-names>D. R.</given-names></name> <etal/></person-group>. (<year>2015</year>). <article-title>ACVIM consensus statement on therapeutic antimicrobial use in animals and antimicrobial resistance</article-title>. <source>J. Vet. Intern. Med.</source> <volume>29</volume>, <fpage>487</fpage>&#x02013;<lpage>498</lpage>. <pub-id pub-id-type="doi">10.1111/jvim.12562</pub-id><pub-id pub-id-type="pmid">25783842</pub-id></citation>
</ref>
<ref id="B51">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Wong</surname> <given-names>H. C.</given-names></name> <name><surname>Chen</surname> <given-names>M. C.</given-names></name> <name><surname>Liu</surname> <given-names>S. H.</given-names></name> <name><surname>Liu</surname> <given-names>D. P.</given-names></name></person-group> (<year>1999</year>). <article-title>Incidence of highly genetically diversified <italic>Vibrio parahaemolyticus</italic> in seafood imported from Asian countries</article-title>. <source>Int. J. Food Microbiol.</source> <volume>52</volume>, <fpage>181</fpage>&#x02013;<lpage>188</lpage>. <pub-id pub-id-type="doi">10.1016/S0168-1605(99)00143-9</pub-id><pub-id pub-id-type="pmid">10733249</pub-id></citation>
</ref>
<ref id="B52">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Wong</surname> <given-names>K. C.</given-names></name> <name><surname>Brown</surname> <given-names>A. M.</given-names></name> <name><surname>Luscombe</surname> <given-names>G. M.</given-names></name> <name><surname>Wong</surname> <given-names>S. J.</given-names></name> <name><surname>Mendis</surname> <given-names>K.</given-names></name></person-group> (<year>2015</year>). <article-title>Antibiotic use for Vibrio infections: important insights from surveillance data</article-title>. <source>BMC Infect. Dis.</source> <volume>15</volume>:<fpage>226</fpage>. <pub-id pub-id-type="doi">10.1186/s12879-015-0959-z</pub-id><pub-id pub-id-type="pmid">26062903</pub-id></citation>
</ref>
<ref id="B53">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Xu</surname> <given-names>X.</given-names></name> <name><surname>Wu</surname> <given-names>Q.</given-names></name> <name><surname>Zhang</surname> <given-names>J.</given-names></name> <name><surname>Cheng</surname> <given-names>J.</given-names></name> <name><surname>Zhang</surname> <given-names>S.</given-names></name> <name><surname>Wu</surname> <given-names>K.</given-names></name></person-group> (<year>2014</year>). <article-title>Prevalence, pathogenicity, and serotypes of <italic>Vibrio parahaemolyticus</italic> in shrimp from Chinese retail markets</article-title>. <source>Food Control</source> <volume>46</volume>, <fpage>81</fpage>&#x02013;<lpage>85</lpage>. <pub-id pub-id-type="doi">10.1016/j.foodcont.2014.04.042</pub-id></citation>
</ref>
<ref id="B54">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Yanagihara</surname> <given-names>I.</given-names></name> <name><surname>Nakahira</surname> <given-names>K.</given-names></name> <name><surname>Yamane</surname> <given-names>T.</given-names></name> <name><surname>Kaieda</surname> <given-names>S.</given-names></name> <name><surname>Mayanagi</surname> <given-names>K.</given-names></name> <name><surname>Hamada</surname> <given-names>D.</given-names></name> <etal/></person-group>. (<year>2010</year>). <article-title>Structure and functional characterization of <italic>Vibrio parahaemolyticus</italic> thermostable direct hemolysin</article-title>. <source>J. Biol. Chem.</source> <volume>285</volume>, <fpage>16267</fpage>&#x02013;<lpage>16274</lpage>. <pub-id pub-id-type="doi">10.1074/jbc.M109.074526</pub-id><pub-id pub-id-type="pmid">20335168</pub-id></citation>
</ref>
<ref id="B55">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Yano</surname> <given-names>Y.</given-names></name> <name><surname>Hamano</surname> <given-names>K.</given-names></name> <name><surname>Satomi</surname> <given-names>M.</given-names></name> <name><surname>Tsutsui</surname> <given-names>I.</given-names></name></person-group> (<year>2011</year>). <article-title>Diversity and characterization of oxytetracycline-resistant bacteria associated with non-native species, white-leg shrimp (<italic>Litopenaeus vannamei</italic>), and native species, black tiger shrimp (Penaeus monodon), intensively cultured in Thailand</article-title>. <source>J. Appl. Microbiol.</source> <volume>110</volume>, <fpage>713</fpage>&#x02013;<lpage>722</lpage>. <pub-id pub-id-type="doi">10.1111/j.1365-2672.2010.04926.x</pub-id><pub-id pub-id-type="pmid">21219554</pub-id></citation>
</ref>
<ref id="B56">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ye</surname> <given-names>M.</given-names></name> <name><surname>Huang</surname> <given-names>Y.</given-names></name> <name><surname>Chen</surname> <given-names>H.</given-names></name></person-group> (<year>2012</year>). <article-title>Inactivation of <italic>Vibrio parahaemolyticus</italic> and <italic>Vibrio vulnificus</italic> in oysters by high-hydrostatic pressure and mild heat</article-title>. <source>Food Microbiol.</source> <volume>32</volume>, <fpage>179</fpage>&#x02013;<lpage>184</lpage>. <pub-id pub-id-type="doi">10.1016/j.fm.2012.05.009</pub-id><pub-id pub-id-type="pmid">22850390</pub-id></citation>
</ref>
</ref-list>
</back>
</article>