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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Vet. Sci.</journal-id>
<journal-title>Frontiers in Veterinary Science</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Vet. Sci.</abbrev-journal-title>
<issn pub-type="epub">2297-1769</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fvets.2020.625641</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Veterinary Science</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title><italic>Bartonella</italic> spp. in Small Mammals and Their Fleas in Differently Structured Habitats From Germany</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name><surname>Obiegala</surname> <given-names>Anna</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="corresp" rid="c001"><sup>&#x0002A;</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/196068/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Pfeffer</surname> <given-names>Martin</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/506206/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Kiefer</surname> <given-names>Daniel</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Kiefer</surname> <given-names>Matthias</given-names></name>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Kr&#x000F3;l</surname> <given-names>Nina</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/742090/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Silaghi</surname> <given-names>Cornelia</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff4"><sup>4</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/94168/overview"/>
</contrib>
</contrib-group>
<aff id="aff1"><sup>1</sup><institution>Comparative Tropical Medicine and Parasitology, Ludwig-Maximilians-Universit&#x000E4;t M&#x000FC;nchen</institution>, <addr-line>Munich</addr-line>, <country>Germany</country></aff>
<aff id="aff2"><sup>2</sup><institution>Institute of Animal Hygiene and Veterinary Public Health, University of Leipzig</institution>, <addr-line>Leipzig</addr-line>, <country>Germany</country></aff>
<aff id="aff3"><sup>3</sup><institution>Bavarian State Collection of Zoology</institution>, <addr-line>Munich</addr-line>, <country>Germany</country></aff>
<aff id="aff4"><sup>4</sup><institution>Institute of Infectiology (IMED), Friedrich-Loeffler-Institut, Federal Research Institute for Animal Health</institution>, <addr-line>Greifswald</addr-line>, <country>Germany</country></aff>
<author-notes>
<fn fn-type="edited-by"><p>Edited by: Serge Morand, Centre National de la Recherche Scientifique (CNRS), France</p></fn>
<fn fn-type="edited-by"><p>Reviewed by: Michael Kosoy, KB One Health LLC, United States; Boris Krasnov, Ben-Gurion University of the Negev, Israel</p></fn>
<corresp id="c001">&#x0002A;Correspondence: Anna Obiegala <email>anna.obiegala&#x00040;vetmed.uni-leipzig.de</email></corresp>
<fn fn-type="other" id="fn001"><p>This article was submitted to Parasitology, a section of the journal Frontiers in Veterinary Science</p></fn></author-notes>
<pub-date pub-type="epub">
<day>18</day>
<month>01</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="collection">
<year>2020</year>
</pub-date>
<volume>7</volume>
<elocation-id>625641</elocation-id>
<history>
<date date-type="received">
<day>03</day>
<month>11</month>
<year>2020</year>
</date>
<date date-type="accepted">
<day>21</day>
<month>12</month>
<year>2020</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2021 Obiegala, Pfeffer, Kiefer, Kiefer, Kr&#x000F3;l and Silaghi.</copyright-statement>
<copyright-year>2021</copyright-year>
<copyright-holder>Obiegala, Pfeffer, Kiefer, Kiefer, Kr&#x000F3;l and Silaghi</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) and the copyright owner(s) 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>Most <italic>Bartonella</italic> spp. are transmitted by fleas and harbored by small mammals which serve as reservoirs. However, little is known about the composition of fleas and their <italic>Bartonella</italic> spp. from small mammals in Central Europe. Therefore, the aims of this study were to investigate flea communities on small mammals from three differently structured sites (urban, sylvatic, renatured) in Germany as well as the prevalence of <italic>Bartonella</italic> spp. in small mammals and their parasitizing fleas. In total, 623 small mammals belonging to 10 different species (the majority were <italic>Myodes glareolus</italic> and <italic>Apodemus flavicollis</italic>) were available. Fleas were removed from the small mammals&#x00027; fur, morphologically identified and DNA was extracted. To detect <italic>Bartonella</italic> spp., two conventional PCRs targeting the gltA gene and the 16S&#x02212;23S rRNA intergenic spacer were carried out followed by sequencing. Obtained sequences were compared to those in GenBank. In total, 1,156 fleas were collected from 456 small mammals. Altogether, 12 different flea species (the majority were <italic>Ctenophthalmus agyrtes, Nosopsyllus fasciatus</italic>, and <italic>Megabothris turbidus</italic>) were detected. At the urban site mostly <italic>Leptopsylla segnis</italic> and <italic>N. fasciatus</italic> were collected which may be vectors of zoonotic pathogens to companion animals. The overall prevalence for <italic>Bartonella</italic> in small mammals was 43.3% and in fleas 49.1%. Five different <italic>Bartonella</italic> spp. were detected in small mammals namely <italic>B. grahamii, B. taylorii, B. doshiae, Bartonella</italic> sp. N40 and uncultured <italic>Bartonella</italic> sp. whereas in fleas four <italic>Bartonella</italic> spp. were found which were with the exception of <italic>B. doshiae</italic> identical to the <italic>Bartonella</italic> species detected in their small mammal hosts. While <italic>B. grahamii</italic> was the only zoonotic <italic>Bartonella</italic> sp. most <italic>Bartonella</italic> strains found in fleas and small mammals belonged to uncultured <italic>Bartonella</italic> spp. with unknown zoonotic potential. This study showed a high diversity of flea species on small mammals from Germany. Further, high prevalence rates of <italic>Bartonella</italic> species were detected both in fleas and in their mammalian hosts. Several different <italic>Bartonella</italic> species with a high genetic variability were discovered. Especially at the urban study sites, this may pose a risk for <italic>Bartonella</italic> transmission to companion animals and humans.</p></abstract>
<kwd-group>
<kwd><italic>Apodemus flavicollis</italic></kwd>
<kwd><italic>Clethrionomys glareolus</italic></kwd>
<kwd><italic>Ctenophthalmus agyrtes</italic></kwd>
<kwd><italic>Megabothris turbidus</italic></kwd>
<kwd><italic>Bartonella grahamii</italic></kwd>
<kwd>Europe</kwd>
</kwd-group>
<counts>
<fig-count count="0"/>
<table-count count="4"/>
<equation-count count="0"/>
<ref-count count="59"/>
<page-count count="10"/>
<word-count count="7219"/>
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</article-meta>
<notes notes-type="disclaimer"><p>The contents of this publication are the sole responsibility of the authors and do not necessarily reflect the views of the European Commission.</p></notes>
</front>
<body>
<sec sec-type="intro" id="s1">
<title>Introduction</title>
<p>Bartonellosis, which can result in severe clinical symptoms in humans and their companion animals, is caused by the facultative intracellular alpha-proteobacteria <italic>Bartonella</italic> spp. (order Rhizobiales, family Bartonellaceae) (<xref ref-type="bibr" rid="B1">1</xref>). <italic>Bartonella</italic> spp. are arthropod-borne bacteria and mainly transmitted by fleas, lice, deer keds, and sandflies (<xref ref-type="bibr" rid="B2">2</xref>&#x02013;<xref ref-type="bibr" rid="B5">5</xref>). Bartonellae are highly adapted to one specific or few closely related mammalian reservoir hosts in which they can cause long-lasting bacteremia. In contrast, infections in incidental hosts may evoke disease with a broad range of symptoms (<xref ref-type="bibr" rid="B6">6</xref>, <xref ref-type="bibr" rid="B7">7</xref>). Amongst the most common reservoir hosts are cats, rodents and other small mammals. Phylogenetic analyses based on sequence data from <italic>rpoB, gltA, ribC</italic>, and <italic>groEL</italic> genes revealed four different deep-branching Eubartonellae lineages and additionally <italic>Bartonella australis</italic> (<xref ref-type="bibr" rid="B8">8</xref>). <italic>Bartonella tamiae</italic> and <italic>Bartonella apis</italic> could build two additional separate lineages, which is however not yet confirmed. Lineage 4 is the most diverse group regarding the variety of <italic>Bartonella</italic> spp. as well as reservoir host species. Thus far, the highest prevalence and highest diversity of <italic>Bartonella</italic> spp. were described in rodents. Five of these rodent-associated <italic>Bartonella</italic> spp. are known to be hazardous to human health (<italic>Bartonella grahamii, Bartonella elizabethae, Bartonella vinsonii</italic> subsp. <italic>arupensis, Bartonella washoensis</italic>, and <italic>B. tamiae</italic>) (<xref ref-type="bibr" rid="B9">9</xref>). In studies from Poland (<xref ref-type="bibr" rid="B10">10</xref>, <xref ref-type="bibr" rid="B11">11</xref>), Sweden (<xref ref-type="bibr" rid="B12">12</xref>), France (<xref ref-type="bibr" rid="B13">13</xref>), and the UK (<xref ref-type="bibr" rid="B14">14</xref>) the prevalence of <italic>Bartonella</italic> spp. in rodents ranged from 0 to 72.2%. Fleas are suggested to serve as main vectors for <italic>Bartonella</italic> spp. which are associated with rodents (<xref ref-type="bibr" rid="B15">15</xref>, <xref ref-type="bibr" rid="B16">16</xref>). Previous studies showed that fleas may transmit <italic>Bartonella</italic> spp. experimentally to their mammalian hosts (<xref ref-type="bibr" rid="B17">17</xref>, <xref ref-type="bibr" rid="B18">18</xref>). Moreover, there are several epidemiologic studies based on the molecular analysis showing that rodent-associated fleas are also infected with <italic>Bartonella</italic> spp. in nature (<xref ref-type="bibr" rid="B19">19</xref>&#x02013;<xref ref-type="bibr" rid="B21">21</xref>). Studies from the USA, Afghanistan, and Israel reported prevalences between 15.5 and 95% for <italic>Bartonella</italic> spp. in fleas collected from rodents and small mammals (<xref ref-type="bibr" rid="B19">19</xref>&#x02013;<xref ref-type="bibr" rid="B22">22</xref>). The knowledge on the species diversity of fleas on small mammals and the <italic>Bartonella</italic> prevalence are very scarce in Central Europe. Small mammal species build the vast majority of hosts for over 50 different flea species (<xref ref-type="bibr" rid="B23">23</xref>). In Germany, there are only four reports about small mammal fleas from the last century and only one report which is more recent (<xref ref-type="bibr" rid="B19">19</xref>). Recently, our group reported high prevalences of <italic>Bartonella</italic> spp. in rodents (65.8%) and their associated fleas (54.1%) in Germany (<xref ref-type="bibr" rid="B24">24</xref>). Further studies on the prevalence and species diversity of <italic>Bartonella</italic> in rodents and especially their parasitizing flea species are scarce in Germany. The previous study by our group showed results from one location and the sample size examined did not allow statistical associations. Thus, the objectives of the present study were: (1) detection of flea species parasitizing small mammals and (2) detection of <italic>Bartonella</italic> spp. in small mammals and their fleas and (3) detection of associations between small mammals, fleas and <italic>Bartonella</italic> species.</p>
</sec>
<sec sec-type="materials and methods" id="s2">
<title>Materials and Methods</title>
<sec>
<title>Study Areas</title>
<p>To collect small mammals, traps were placed at three sites of urban, sylvatic or recultivated character. These locations were previously selected for field studies by our group (<xref ref-type="bibr" rid="B25">25</xref>, <xref ref-type="bibr" rid="B26">26</xref>). The urban area (R1) &#x0201C;D&#x000F6;rnbergpark&#x0201D; (7.4 ha, 49&#x000B0;00&#x02032;55.72&#x02033;N, 12&#x000B0;05&#x02032;08.89&#x02033;E) is situated in the city centre of Regensburg, Bavaria, Southern Germany. It is a small well-tended park which was described in detail before (<xref ref-type="bibr" rid="B26">26</xref>, <xref ref-type="bibr" rid="B27">27</xref>). The sylvatic area (T) &#x0201C;Angelberger Forst&#x0201D; (641 ha, 48&#x000B0;06&#x02032;36.42&#x02033;N, 10&#x000B0;34&#x02032;33.40&#x02033;E) is a large forest located in Bavaria, Southern Germany (<xref ref-type="bibr" rid="B28">28</xref>). The recultivated site (S) consisted of three trapping localizations (51&#x000B0;15&#x02032;32.2&#x02033;N, 12&#x000B0;21&#x02032;02.5&#x02033;E; 51&#x000B0;17&#x02032;01.3&#x02033;N, 12&#x000B0;21&#x02032;00.6&#x02033;E; 51&#x000B0;26&#x02032;97.2&#x02033; N, 12&#x000B0;32&#x02032;25.6&#x02033; E) which were previously examined by our group and named as sites &#x0201C;E,&#x0201D; &#x0201C;F,&#x0201D; and &#x0201C;G&#x0201D; (<xref ref-type="bibr" rid="B25">25</xref>). This area is surrounding a lake which was a former open pit brown coal mining region near Leipzig, Saxony, Eastern Germany (436 ha).</p>
</sec>
<sec>
<title>Sampling of Small Mammals and Their Fleas</title>
<p>Altogether, 50 Sherman&#x000A9; live animal traps (H. B. Sherman Traps, Inc., Tallahassee, Fla., U.S.A.) were placed at each Bavarian site between July and October in 2012 and between April and September in 2013. In Saxony, 60 traps were placed between March and October in 2012 and between January and September in 2013 (official permit Site S: AZ 36.11&#x02013;36.45.12/4/12-001, Site R1: 55.1-8646.4-140, Site T: 55.1-8646-2/30). Traps were placed for two consecutive nights per month and site and checked twice a day. Collected small mammals were anesthetized with CO<sub>2</sub>, then euthanized by cervical dislocation and stored at &#x02212;80&#x000B0;C. Small mammals were morphologically identified using taxonomic keys (<xref ref-type="bibr" rid="B29">29</xref>). Additionally, randomly selected rodents (15 <italic>Apodemus sylvaticus</italic>, 14 <italic>Myodes glareolus</italic>, and 23 <italic>A. flavicollis</italic>, 5 <italic>Microtus arvalis</italic>, 1 <italic>Mi. agrestis</italic>) as well as all shrews (<italic>Sorex</italic> spp.; <italic>n</italic> = 5) (by-catch found dead in traps) and least weasels (<italic>Mustela nivalis</italic>; <italic>n</italic> = 2) were identified by conventional PCR targeting the cytochrome b gene (354 bp) (<xref ref-type="bibr" rid="B30">30</xref>). A complete necropsy was performed with the collection of spleen samples. Cross contamination may be ruled out during dissection as each small mammal was handled with its own set of dissection instruments. Disinfection of working surfaces was performed after each individual and gloves were changed. Fleas were collected with tweezers from the fur during small mammal dissection. Fleas were stored individually in 100 &#x003BC;l RNALater (Qiagen, Hilden Germany) until morphological identification under a stereomicroscope (<xref ref-type="bibr" rid="B31">31</xref>, <xref ref-type="bibr" rid="B32">32</xref>). Detailed information about trapping procedures and sampling sites have been given before (<xref ref-type="bibr" rid="B25">25</xref>&#x02013;<xref ref-type="bibr" rid="B28">28</xref>).</p>
</sec>
<sec>
<title>Small Mammal Samples Made Available From Previous Studies</title>
<p>In a previous study by our group, 623 small mammals belonging to 10 different species (395 <italic>My. glareolus</italic>, 172 <italic>A. flavicollis</italic>, 6 <italic>A. agrarius</italic>, 35 <italic>A. sylvaticus</italic>, 6 <italic>Mi. arvalis</italic>, 1 <italic>Mi. agrestis</italic>, 2 <italic>M. nivalis</italic>, 4 <italic>Sorex coronatus</italic>, one <italic>Sorex araneus</italic>, and one <italic>Talpa europaea</italic>) were captured (<xref ref-type="bibr" rid="B26">26</xref>, <xref ref-type="bibr" rid="B33">33</xref>).</p>
</sec>
<sec>
<title>DNA Extraction</title>
<p>DNA was extracted from all collected rodents&#x00027; spleens and from a preselected number of fleas (<italic>n</italic> = 450) which were collected from the small mammals. The DNA extraction was carried out for each sample individually with the QIAamp DNA Mini Kit (Qiagen, Hilden, Germany) as previously described (<xref ref-type="bibr" rid="B20">20</xref>). The quality and quantity of the extracted DNA samples were measured spectrophotometrically (NanoDrop ND-1000, Erlangen, Germany). DNA samples exceeding a concentration of 40 ng/&#x003BC;l were additionally diluted with elution buffer in order to avoid false negative results.</p>
</sec>
<sec>
<title>Polymerase Chain Reaction and Sequence Analysis</title>
<p>DNA samples were tested for the presence of <italic>Bartonella</italic> spp. via conventional polymerase chain reaction (PCR) targeting the <italic>gltA</italic> gene with BhCS.1137n (5&#x02032;-AATGCAAAAAGAACAGTAAACA-3&#x02032;) as forward and BhCS.781p (5&#x02032;-GGGGaCCaGCTCATGGTGG-3&#x02032;) as reverse primer (<xref ref-type="bibr" rid="B34">34</xref>). All samples were further processed by an additional PCR targeting 453&#x02013;780 base pairs (bp) of the 16S&#x02212;23S rRNA intergenic spacer (ITS) region with the forward primer Ba325s (5&#x02032;-CTTCAGATGATGATCCCAAGCCTTCTGGCG-3&#x02032;) and the reverse primer Ba1100as (5&#x02032;-GAACCGACGACCCCCTGCTTGCAAAGCA-3&#x02032;) (<xref ref-type="bibr" rid="B35">35</xref>, <xref ref-type="bibr" rid="B36">36</xref>). Visualization of PCR products followed under UV-light on 2% agarose gel dyed with GelRedTM (Biotium, Hayward CA, USA). As the <italic>gltA</italic> gene is considered to be more sensitive, only samples which were positive in both genes were considered positive and further processed by sequencing. Purification of PCR products of the samples positive in ITS was carried out with the QIAquick PCR purification Kit (Qiagen) according to the manufacturer&#x00027;s recommendations. Purified amplicons were sequenced by Eurofins MWG Operon (Martinsried, Germany) with both primers and sequences were analyzed with Chromas Lite&#x000AE; (Technelysium Pty Ltd, South Brisbane, Australia) as formerly described (<xref ref-type="bibr" rid="B35">35</xref>). Obtained sequences were aligned with sequences from GenBank using BLASTn (National Center for Biotechnology Information, Bethesda MD, USA) and deposited in GenBank under following Acc. No.: <ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="MT551048">MT551048</ext-link>-<ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="MT551101">MT551101</ext-link> and <ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="MT913158">MT913158</ext-link>-<ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="MT913206">MT913206</ext-link>. In total 33% of the positive rodent samples and 29% of the positive flea samples were sequenced. Sequences were considered as a matching result in GenBank with at least a similarity of 97.7%.</p>
</sec>
<sec>
<title>Statistical Analysis</title>
<p>Confidence intervals (95%CI) for the prevalence of <italic>Bartonella</italic> spp. in small mammals and fleas were determined by the Clopper and Pearson method using Graph Pad Software (Graph Pad Software Inc., San Diego, Ca., USA). Independence of compared small sample sizes (<italic>n</italic> &#x0003C; 30) was tested with Fisher&#x00027;s exact test, respectively with the chi-squared test for sample sizes <italic>n</italic> &#x0003E; 30. The <italic>t</italic>-test was used to test significant differences of flea infestation on <italic>My. glareolus</italic> and <italic>A. flavicollis</italic>. The significance threshold was set at <italic>p</italic> &#x02264; 0.05.</p>
</sec>
</sec>
<sec sec-type="results" id="s3">
<title>Results</title>
<sec>
<title>Flea Collection</title>
<p>In total, 1,156 fleas were collected from 456 small mammals. Altogether, twelve different flea species were detected (873 <italic>Ctenophthalmus agyrtes</italic>, 3 <italic>Ctenophthalmus bisoctodentatus</italic>, 62 <italic>Ctenophthalmus congener</italic>, 98 <italic>Megabothris turbidus</italic>, 8 <italic>Megabothris walkeri</italic>, 9 <italic>Hystrichopsylla talpae talpae</italic>, 25 <italic>Peromyscopsylla silvatica</italic>, 3 <italic>Paleopsylla soricis</italic>, 44 <italic>Nosopsyllus fasciatus</italic>, 11 <italic>Typhloceras poppei</italic>, 17 <italic>Leptopsylla segnis</italic>) (<xref ref-type="table" rid="T1">Table 1</xref>). Except for individuals belonging to the insectivore species <italic>T. europaea</italic> and <italic>Sorex</italic> spp., all other small mammal species were infested with fleas. The infestation prevalence ranged from 20 to 100% per small mammal species. The most prevalent species was <italic>C. agyrtes</italic>, which was found on all infested small mammal species. The flea burden was significantly higher on <italic>A. flavicollis</italic> compared to <italic>My. glareolus</italic> (<italic>t</italic> = &#x02212;91.32; <italic>p</italic> &#x0003C; 0.0001). <italic>Megabothris turbidus</italic> was significantly more often collected from <italic>My. glareolus</italic> than from all other small mammal species (<italic>t</italic> = &#x02212;5.65; <italic>p</italic> &#x0003C; 0.0001). <italic>Nosopsyllus fasciatus</italic> was significantly more frequently collected from specimens belonging to the family Muridae (<italic>Apodemus</italic> spp.) than from those belonging to the family Cricetidae (<italic>Microtus</italic> spp.; <italic>Myodes</italic> spp.) (<italic>t</italic> = &#x02212;4.16; <italic>p</italic> = 0.00021). <italic>Leptopsylla segnis</italic> was exclusively found on <italic>A. sylvaticus</italic>, which were trapped only in the urban habitat. <italic>Peromyscopsylla silvatica</italic> were significantly more often collected from <italic>My. glareolus</italic> compared to all other small mammal species (<italic>t</italic> = &#x02212;3.23; <italic>p</italic> = 0.0006).</p>
<table-wrap position="float" id="T1">
<label>Table 1</label>
<caption><p>Flea burden per small mammal species.</p></caption>
<table frame="hsides" rules="groups">
<thead><tr>
<th valign="top" align="left"><bold>Small mammal species</bold></th>
<th valign="top" align="center"><bold>Total No.<sup><bold>1</bold></sup> of small mammals</bold></th>
<th valign="top" align="center"><bold>Total No.<sup><bold>1</bold></sup> of small mammals infested by fleas (%)</bold></th>
<th valign="top" align="center" colspan="12" style="border-bottom: thin solid #000000;"><bold>Flea species No</bold>.<sup><bold><bold>1</bold></bold></sup> <bold>of small mammals infested/Total No</bold>.<sup><bold><bold>1</bold></bold></sup> <bold>of fleas</bold></th>
</tr>
<tr>
<th/>
<th/>
<th/>
<th valign="top" align="center"><bold><italic>Ctenophthalmus agyrtes</italic></bold></th>
<th valign="top" align="center"><bold><italic>Megabothris turbidus</italic></bold></th>
<th valign="top" align="center"><bold><italic>Paleopsylla soricis</italic></bold></th>
<th valign="top" align="center"><bold><italic>Nosopsyllus fasciatus</italic></bold></th>
<th valign="top" align="center"><bold><italic>Ctenophtalmus congener</italic></bold></th>
<th valign="top" align="center"><bold><italic>Ctenophthalmus bisoctodentaus</italic></bold></th>
<th valign="top" align="center"><bold><italic>Megabothris rectangulatus</italic></bold></th>
<th valign="top" align="center"><bold><italic>Typhloceras poppei</italic></bold></th>
<th valign="top" align="center"><bold><italic>Hystrichpsylla talpae talpae</italic></bold></th>
<th valign="top" align="center"><bold><italic>Leptopsylla segnis</italic></bold></th>
<th valign="top" align="center"><bold><italic>Megabothris walkeri</italic></bold></th>
<th valign="top" align="center"><bold><italic>Peromyscopsylla silvatica</italic></bold></th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left"><italic>Apodemus flavicollis</italic></td>
<td valign="top" align="center">172</td>
<td valign="top" align="center">146 (84.9)</td>
<td valign="top" align="center">128/298</td>
<td valign="top" align="center">12/12</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">15/20</td>
<td valign="top" align="center">6/9</td>
<td valign="top" align="center">3/3</td>
<td valign="top" align="center">1/1</td>
<td valign="top" align="center">2/3</td>
<td valign="top" align="center">4/4</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">3/3</td>
<td valign="top" align="center">1/1</td>
</tr>
<tr>
<td valign="top" align="left"><italic>Myodes glareolus</italic></td>
<td valign="top" align="center">395</td>
<td valign="top" align="center">276 (69.9)</td>
<td valign="top" align="center">232/507</td>
<td valign="top" align="center">61/80</td>
<td valign="top" align="center">2/3</td>
<td valign="top" align="center">4/4</td>
<td valign="top" align="center">36/51</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">1/2</td>
<td valign="top" align="center">1/1</td>
<td valign="top" align="center">4/4</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">5/5</td>
<td valign="top" align="center">21/24</td>
</tr>
<tr>
<td valign="top" align="left"><italic>Apodemus agrarius</italic></td>
<td valign="top" align="center">6</td>
<td valign="top" align="center">6 (100)</td>
<td valign="top" align="center">5/8</td>
<td valign="top" align="center">1/1-</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">1/1</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>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">&#x02013;</td>
</tr>
<tr>
<td valign="top" align="left"><italic>Apodemus sylvaticus</italic></td>
<td valign="top" align="center">35</td>
<td valign="top" align="center">24 (68.6)</td>
<td valign="top" align="center">16/50</td>
<td valign="top" align="center">2/2</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">12/20</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">2/7</td>
<td valign="top" align="center">1/1</td>
<td valign="top" align="center">10/17</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">&#x02013;</td>
</tr>
<tr>
<td valign="top" align="left"><italic>Mustela nivalis</italic></td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">1 (50)</td>
<td valign="top" align="center">1/4</td>
<td valign="top" align="center">1/1</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>
<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 valign="top" align="left"><italic>Microtus agrestis</italic></td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">1 (100)</td>
<td valign="top" align="center">1/4</td>
<td valign="top" align="center">1/2</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>
<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>
<td valign="top" align="center">&#x02013;</td>
</tr>
<tr>
<td valign="top" align="left"><italic>Microtus arvalis</italic></td>
<td valign="top" align="center">6</td>
<td valign="top" align="center">2 (33.3)</td>
<td valign="top" align="center">1/2</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">1/1</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>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">&#x02013;</td>
</tr>
<tr>
<td valign="top" align="left">Total No.<sup>1</sup></td>
<td valign="top" align="center">617</td>
<td valign="top" align="center">456 (73.9)</td>
<td valign="top" align="center">384/873</td>
<td valign="top" align="center">78/98</td>
<td valign="top" align="center">2/3</td>
<td valign="top" align="center">31/44</td>
<td valign="top" align="center">43/62</td>
<td valign="top" align="center">3/3</td>
<td valign="top" align="center">2/3</td>
<td valign="top" align="center">5/11</td>
<td valign="top" align="center">9/9</td>
<td valign="top" align="center">10/17</td>
<td valign="top" align="center">8/8</td>
<td valign="top" align="center">22/25</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<p><italic>No.<sup>1</sup>, Number</italic>.</p>
</table-wrap-foot>
</table-wrap>
</sec>
<sec>
<title><italic>Bartonella</italic> spp. in Rodents</title>
<p>Only samples yielding a positive result in both PCR approaches were considered positive in the following analysis. In total, 43.3% (95%CI: 39.5&#x02013;47.3) of all small mammals were positive for <italic>Bartonella</italic> spp. Though not infested with fleas, positive <italic>T. europaea</italic> (100%; 95%CI: 16.75&#x02013;100) and <italic>Sorex</italic> spp. (20%; 95%CI: 0&#x02013;11.5) were detected. The prevalences were quite high in all captured small mammal species (20&#x02013;100%) with the exception of <italic>Microtus</italic> spp. which were all negative and thus significantly less often infected than other species (<italic>p</italic> = 0.007). Considering the two most frequently captured species, the prevalence was significantly higher in <italic>A. flavicollis</italic> compared to <italic>My. glareolus</italic> (<italic>p</italic> &#x0003C; 0.0001; <xref ref-type="table" rid="T2">Table 2</xref>).</p>
<table-wrap position="float" id="T2">
<label>Table 2</label>
<caption><p><italic>Bartonella</italic> spp. detection based on the gltA gene and the 16S&#x02212;23S rRNA ITS and species determination based on the 16S&#x02212;23S rRNA ITS in spleen samples from different small mammal species.</p></caption>
<table frame="hsides" rules="groups">
<thead><tr>
<th/>
<th/>
<th valign="top" align="center"><bold>Total No. of small mammals infected with <italic>Bartonella</italic> tested by ITS (%)</bold></th>
<th valign="top" align="center"><bold>Total No. of small mammals infected with <italic>Bartonella</italic> based on <italic>gltA</italic> (and ITS) (%)</bold></th>
<th valign="top" align="center"><bold>No. of <italic>Bartonella</italic>-positive samples further investigated by sequencing</bold></th>
<th valign="top" align="center" colspan="5" style="border-bottom: thin solid #000000;"><bold>No. of detected</bold> <italic><bold>Bartonella</bold></italic> <bold>species based on the 16s-23S rRNA ITS</bold></th>
</tr>
<tr>
<th valign="top" align="center"><bold>Small mammal species</bold></th>
<th valign="top" align="center"><bold>Total No</bold>.</th>
<th/>
<th/>
<th/>
<th valign="top" align="center"><bold>Uncultured <italic>Bartonella</italic> sp</bold>.</th>
<th valign="top" align="center"><bold><italic>Bartonella</italic> sp. N40</bold></th>
<th valign="top" align="center"><bold><italic>B. grahamii</italic></bold></th>
<th valign="top" align="center"><bold><italic>B. taylorii</italic></bold></th>
<th valign="top" align="center"><bold><italic>B. doshiae</italic></bold></th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left"><italic>Myodes glareolus</italic></td>
<td valign="top" align="center">395</td>
<td valign="top" align="center">188 (47.5)</td>
<td valign="top" align="center">144 (36.5)<xref ref-type="table-fn" rid="TN1"><sup>&#x0002A;&#x0002A;&#x0002A;</sup></xref></td>
<td valign="top" align="center">44</td>
<td valign="top" align="center">25</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">7</td>
<td valign="top" align="center">5</td>
<td valign="top" align="center">7</td>
</tr>
<tr>
<td valign="top" align="left"><italic>Apodemus flavicollis</italic></td>
<td valign="top" align="center">172</td>
<td valign="top" align="center">129 (73.3)</td>
<td valign="top" align="center">106 (61.6)<xref ref-type="table-fn" rid="TN1"><sup>&#x0002A;&#x0002A;&#x0002A;</sup></xref></td>
<td valign="top" align="center">31</td>
<td valign="top" align="center">21</td>
<td valign="top" align="center">4</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">5</td>
<td valign="top" align="center">1</td>
</tr>
<tr>
<td valign="top" align="left"><italic>Apodemus sylvaticus</italic></td>
<td valign="top" align="center">35</td>
<td valign="top" align="center">14 (41.2)</td>
<td valign="top" align="center">13 (37.1)</td>
<td valign="top" align="center">12</td>
<td valign="top" align="center">10</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">0</td>
</tr>
<tr>
<td valign="top" align="left"><italic>Apodemus agrarius</italic></td>
<td valign="top" align="center">6</td>
<td valign="top" align="center">3 (50)</td>
<td valign="top" align="center">3 (50)</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">0</td>
</tr>
<tr>
<td valign="top" align="left"><italic>Microtus arvalis</italic></td>
<td valign="top" align="center">6</td>
<td valign="top" align="center">0 (0)</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>
<td valign="top" align="center">&#x02013;</td>
</tr>
<tr>
<td valign="top" align="left"><italic>Microtus agrestis</italic></td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">0 (0)</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>
<td valign="top" align="center">&#x02013;</td>
</tr>
<tr>
<td valign="top" align="left"><italic>Mustela nivalis</italic></td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">2 (100)</td>
<td valign="top" align="center">2 (100)</td>
<td valign="top" align="center">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 valign="top" align="left"><italic>Sorex spp</italic>.</td>
<td valign="top" align="center">5</td>
<td valign="top" align="center">2 (40)</td>
<td valign="top" align="center">1 (20)</td>
<td valign="top" align="center">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 valign="top" align="left"><italic>Talpa europaea</italic></td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">1 (100)</td>
<td valign="top" align="center">1 (100)</td>
<td valign="top" align="center">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 valign="top" align="left">Total</td>
<td valign="top" align="center">623</td>
<td valign="top" align="center">339 (51.4)</td>
<td valign="top" align="center">270 (43.3)</td>
<td valign="top" align="center">88</td>
<td valign="top" align="center">56</td>
<td valign="top" align="center">5</td>
<td valign="top" align="center">7</td>
<td valign="top" align="center">12</td>
<td valign="top" align="center">8</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="TN1"><label>&#x0002A;&#x0002A;&#x0002A;</label><p><italic>A. flavicollis significantly higher than in My. glareolus (p = 0.0001)</italic>.</p></fn>
<p><italic>No., Number; B., Bartonella; sp., species; Cand., Candidatus</italic>.</p>
</table-wrap-foot>
</table-wrap>
</sec>
<sec>
<title>Sequence Analysis for <italic>Bartonella</italic> spp. in Rodents</title>
<p>A total of 88 out of 270 (33%) PCR products were selected by small mammal species and location to be further processed in order to determine the <italic>Bartonella</italic> species via sequence analysis. Altogether five different <italic>Bartonella</italic> species were detected in rodents and <italic>Sorex araneus</italic> (<xref ref-type="table" rid="T2">Table 2</xref>). The most prevalent species group (<italic>n</italic> = 56) which was detected in small mammals were uncultured <italic>Bartonella</italic> species. Altogether 56 sequences obtained in this study showed 100% identity to altogether 16 different uncultured <italic>Bartonella</italic> spp. sequences deposited in GenBank (<xref ref-type="table" rid="T3">Table 3</xref>), and these sequences showed 27&#x02013;99% homology to one another. <italic>Bartonella grahamii</italic> was significantly more often detected in <italic>My. glareolus</italic> compared to <italic>A. flavicollis</italic> (<italic>p</italic> = 0.0370). <italic>Bartonella doshiae</italic> was mainly detected in <italic>My. glareolus</italic>. There were four very short sequences (below 430 base pairs) which were not considered as a positive sequencing result and therefore not taken into consideration for Bartonella species identification.</p>
<table-wrap position="float" id="T3">
<label>Table 3</label>
<caption><p>Number of <italic>Bartonella</italic> sp. sequences based on the 16S&#x02212;23S rRNA ITS of <italic>Bartonella</italic> found in small mammals and fleas in this study in comparison to sequences from GenBank.</p></caption>
<table frame="hsides" rules="groups">
<thead><tr>
<th valign="top" align="left"><bold>Host in this study (number of sequences per host species)</bold></th>
<th valign="top" align="center"><bold>Number of <italic>Bartonella</italic> sequences detected</bold></th>
<th valign="top" align="left"><bold><italic>Bartonella</italic> sp. detected</bold></th>
<th valign="top" align="left"><bold>Identity to following Accession number in Genbank</bold></th>
<th valign="top" align="left"><bold>Host in GenBank</bold></th>
<th valign="top" align="left"><bold>Country of origin</bold></th>
<th valign="top" align="center"><bold>Citation of GenBank Accession number</bold></th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left"><italic>Apodemus flavicollis</italic></td>
<td valign="top" align="center">2</td>
<td valign="top" align="left"><italic>Bartonella</italic> sp. uncultured</td>
<td valign="top" align="left"><ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="DQ155391">DQ155391</ext-link></td>
<td valign="top" align="left"><italic>Apodemus flavicollis</italic></td>
<td valign="top" align="left">Slovenia</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B38">38</xref>)</td>
</tr>
<tr>
<td valign="top" align="left"><italic>Ctenophthalmus agyrtes</italic></td>
<td valign="top" align="center">3</td>
<td valign="top" align="left"><italic>Bartonella</italic> sp. uncultured</td>
<td valign="top" align="left"><ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="DQ155391">DQ155391</ext-link></td>
<td valign="top" align="left"><italic>Apodemus flavicollis</italic></td>
<td valign="top" align="left">Slovenia</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B38">38</xref>)</td>
</tr>
<tr>
<td valign="top" align="left"><italic>Apodemus flavicollis</italic> (1); <italic>Myodes glareolus</italic> (1); <italic>Apodemus sylvaticus</italic> (2)</td>
<td valign="top" align="center">4</td>
<td valign="top" align="left"><italic>Bartonella</italic> sp. uncultured</td>
<td valign="top" align="left"><ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="DQ155384">DQ155384</ext-link></td>
<td valign="top" align="left"><italic>Apodemus sylvaticus</italic></td>
<td valign="top" align="left">Slovenia</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B38">38</xref>)</td>
</tr>
<tr>
<td valign="top" align="left"><italic>Apodemus flavicollis</italic> (1); <italic>Myodes glareolus</italic> (2);</td>
<td valign="top" align="center">3</td>
<td valign="top" align="left"><italic>Bartonella</italic> sp. uncultured</td>
<td valign="top" align="left"><ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="AJ269792">AJ269792</ext-link></td>
<td valign="top" align="left"><italic>Apodemus sylvaticus</italic></td>
<td valign="top" align="left">UK</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B54">54</xref>)</td>
</tr>
<tr>
<td valign="top" align="left"><italic>Ctenophthalmus agyrtes</italic></td>
<td valign="top" align="center">1</td>
<td valign="top" align="left"><italic>Bartonella</italic> sp. uncultured</td>
<td valign="top" align="left"><ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="AJ269794">AJ269794</ext-link></td>
<td valign="top" align="left"><italic>Apodemus sylvaticus</italic></td>
<td valign="top" align="left">UK</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B54">54</xref>)</td>
</tr>
<tr>
<td valign="top" align="left"><italic>Apodemus flavicollis</italic> (2); <italic>Myodes glareolus</italic> (3);</td>
<td valign="top" align="center">5</td>
<td valign="top" align="left"><italic>Bartonella</italic> sp. uncultured</td>
<td valign="top" align="left"><ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="DQ155380">DQ155380</ext-link></td>
<td valign="top" align="left"><italic>Myodes glareolus</italic></td>
<td valign="top" align="left">Slovenia</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B38">38</xref>)</td>
</tr>
<tr>
<td valign="top" align="left"><italic>Ctenophthalmus agyrtes</italic> (1); <italic>Peromyscopsylla sylvatica</italic> (1)</td>
<td valign="top" align="center">2</td>
<td valign="top" align="left"><italic>Bartonella</italic> sp. uncultured</td>
<td valign="top" align="left"><ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="DQ155380">DQ155380</ext-link></td>
<td valign="top" align="left"><italic>Myodes glareolus</italic></td>
<td valign="top" align="left">Slovenia</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B38">38</xref>)</td>
</tr>
<tr>
<td valign="top" align="left"><italic>Myodes glareolus</italic></td>
<td valign="top" align="center">2</td>
<td valign="top" align="left"><italic>Bartonella</italic> sp. uncultured</td>
<td valign="top" align="left"><ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="DQ155381">DQ155381</ext-link></td>
<td valign="top" align="left"><italic>Myodes glareolus</italic></td>
<td valign="top" align="left">Slovenia</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B38">38</xref>)</td>
</tr>
<tr>
<td valign="top" align="left"><italic>Apodemus flavicollis</italic> (2); <italic>Apodemus sylvaticus</italic> (3)</td>
<td valign="top" align="center">5</td>
<td valign="top" align="left"><italic>Bartonella</italic> sp. uncultured</td>
<td valign="top" align="left"><ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="KU886433">KU886433</ext-link></td>
<td valign="top" align="left"><italic>Ctenophthalmus nobilis</italic></td>
<td valign="top" align="left">Germany</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B24">24</xref>)</td>
</tr>
<tr>
<td valign="top" align="left"><italic>Ctenophthalmus agyrtes</italic></td>
<td valign="top" align="center">2</td>
<td valign="top" align="left"><italic>Bartonella</italic> sp. uncultured</td>
<td valign="top" align="left"><ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="KU886488">KU886488</ext-link></td>
<td valign="top" align="left"><italic>Apodemus flavicollis</italic></td>
<td valign="top" align="left">Germany</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B24">24</xref>)</td>
</tr>
<tr>
<td valign="top" align="left"><italic>Nosopsyllus fasciatus;</italic></td>
<td valign="top" align="center">6</td>
<td valign="top" align="left"><italic>Bartonella</italic> sp. uncultured</td>
<td valign="top" align="left"><ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="KU886411">KU886411</ext-link></td>
<td valign="top" align="left"><italic>Megabothris turbidus</italic></td>
<td valign="top" align="left">Germany</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B24">24</xref>)</td>
</tr>
<tr>
<td valign="top" align="left"><italic>Myodes glareolus</italic></td>
<td valign="top" align="center">1</td>
<td valign="top" align="left"><italic>Bartonella</italic> sp. uncultured</td>
<td valign="top" align="left"><ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="KX267701">KX267701</ext-link></td>
<td valign="top" align="left"><italic>Ixodes ricinus</italic></td>
<td valign="top" align="left">Slovakia</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B55">55</xref>)</td>
</tr>
<tr>
<td valign="top" align="left"><italic>Apodemus flavicollis</italic></td>
<td valign="top" align="center">3</td>
<td valign="top" align="left"><italic>Bartonella</italic> sp. uncultured</td>
<td valign="top" align="left"><ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="MF039571">MF039571</ext-link></td>
<td valign="top" align="left">Rodent</td>
<td valign="top" align="left">Slovakia</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B56">56</xref>)</td>
</tr>
<tr>
<td valign="top" align="left"><italic>Myodes glareolus</italic> (6); <italic>Apodemus flavicollis</italic> (5)</td>
<td valign="top" align="center">11</td>
<td valign="top" align="left"><italic>Bartonella</italic> sp. uncultured</td>
<td valign="top" align="left"><ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="MN056366">MN056366</ext-link></td>
<td valign="top" align="left"><italic>Myodes glareolus</italic></td>
<td valign="top" align="left">Germany</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B43">43</xref>)</td>
</tr>
<tr>
<td valign="top" align="left"><italic>Myodes glareolus</italic></td>
<td valign="top" align="center">2</td>
<td valign="top" align="left"><italic>Bartonella</italic> sp. uncultured</td>
<td valign="top" align="left"><ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="MN056367">MN056367</ext-link></td>
<td valign="top" align="left"><italic>Myodes glareolus</italic></td>
<td valign="top" align="left">Germany</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B43">43</xref>)</td>
</tr>
<tr>
<td valign="top" align="left"><italic>Myodes glareolus</italic></td>
<td valign="top" align="center">1</td>
<td valign="top" align="left"><italic>Bartonella</italic> sp. Uncultured</td>
<td valign="top" align="left"><ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="MN056369">MN056369</ext-link></td>
<td valign="top" align="left"><italic>Myodes glareolus</italic></td>
<td valign="top" align="left">Germany</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B43">43</xref>)</td>
</tr>
<tr>
<td valign="top" align="left"><italic>Myodes glareolus</italic> (4); <italic>Apodemus flavicollis</italic> (1)</td>
<td valign="top" align="center">5</td>
<td valign="top" align="left"><italic>Bartonella</italic> sp. uncultured</td>
<td valign="top" align="left"><ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="MN056373">MN056373</ext-link></td>
<td valign="top" align="left"><italic>Myodes glareolus</italic></td>
<td valign="top" align="left">Germany</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B43">43</xref>)</td>
</tr>
<tr>
<td valign="top" align="left"><italic>Myodes glareolus</italic></td>
<td valign="top" align="center">2</td>
<td valign="top" align="left"><italic>Bartonella</italic> sp. uncultured</td>
<td valign="top" align="left"><ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="MN056376">MN056376</ext-link></td>
<td valign="top" align="left"><italic>Myodes glareolus</italic></td>
<td valign="top" align="left">Germany</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B43">43</xref>)</td>
</tr>
<tr>
<td valign="top" align="left"><italic>Apodemus flavicollis</italic></td>
<td valign="top" align="center">4</td>
<td valign="top" align="left"><italic>Bartonella</italic> sp. uncultured</td>
<td valign="top" align="left"><ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="MN056378">MN056378</ext-link></td>
<td valign="top" align="left"><italic>Apodemus agrarius</italic></td>
<td valign="top" align="left">Germany</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B43">43</xref>)</td>
</tr>
<tr>
<td valign="top" align="left"><italic>Myodes glareolus</italic></td>
<td valign="top" align="center">1</td>
<td valign="top" align="left"><italic>Bartonella</italic> sp. uncultured</td>
<td valign="top" align="left"><ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="MN056390">MN056390</ext-link></td>
<td valign="top" align="left"><italic>Apodemus sylvaticus</italic></td>
<td valign="top" align="left">Germany</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B43">43</xref>)</td>
</tr>
<tr>
<td valign="top" align="left"><italic>Apodemus sylvaticus</italic></td>
<td valign="top" align="center">5</td>
<td valign="top" align="left"><italic>Bartonella</italic> sp. uncultured</td>
<td valign="top" align="left"><ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="MN056393">MN056393</ext-link></td>
<td valign="top" align="left"><italic>Microtus arvalis</italic></td>
<td valign="top" align="left">Czech Republic</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B43">43</xref>)</td>
</tr>
<tr>
<td valign="top" align="left"><italic>Myodes glareolus</italic></td>
<td valign="top" align="center">2</td>
<td valign="top" align="left"><italic>Bartonella taylorii</italic></td>
<td valign="top" align="left"><ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="MH547342">MH547342</ext-link></td>
<td valign="top" align="left"><italic>Apodemus flavicollis</italic></td>
<td valign="top" align="left">Lithuania</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B57">57</xref>)</td>
</tr>
<tr>
<td valign="top" align="left"><italic>Myodes glareolus</italic> (3); <italic>Apodemus flavicollis</italic> (5); <italic>Apodemus sylvaticus</italic> (1); <italic>Apodemus agrarius</italic> (1);</td>
<td valign="top" align="center">10</td>
<td valign="top" align="left"><italic>Bartonella taylorii</italic></td>
<td valign="top" align="left"><ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="MH547337">MH547337</ext-link></td>
<td valign="top" align="left"><italic>Apodemus flavicollis</italic></td>
<td valign="top" align="left">Lithuania</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B57">57</xref>)</td>
</tr>
<tr>
<td valign="top" align="left"><italic>Ctenophthalmus agyrtes</italic> (14) <italic>Peromyscopsylla sylvatica</italic> (1)</td>
<td valign="top" align="center">15</td>
<td valign="top" align="left"><italic>Bartonella taylorii</italic></td>
<td valign="top" align="left"><ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="MH547337">MH547337</ext-link></td>
<td valign="top" align="left"><italic>Apodemus flavicollis</italic></td>
<td valign="top" align="left">Lithuania</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B57">57</xref>)</td>
</tr>
<tr>
<td valign="top" align="left"><italic>Apodemus flavicollis</italic> (4); <italic>Apodemus sylvaticus</italic> (1);</td>
<td valign="top" align="center">5</td>
<td valign="top" align="left"><italic>Bartonella</italic> sp. N40</td>
<td valign="top" align="left"><ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="AJ269787">AJ269787</ext-link></td>
<td valign="top" align="left">Genomic DNA</td>
<td valign="top" align="left">UK</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B54">54</xref>)</td>
</tr>
<tr>
<td valign="top" align="left"><italic>Hystrichpsylla talpae talpae</italic> (1) <italic>Ctenophthalmus agyrtes</italic> (4)</td>
<td valign="top" align="center">5</td>
<td valign="top" align="left"><italic>Bartonella</italic> sp. N40</td>
<td valign="top" align="left"><ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="AJ269787">AJ269787</ext-link></td>
<td valign="top" align="left">Genomic DNA</td>
<td valign="top" align="left">UK</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B54">54</xref>)</td>
</tr>
<tr>
<td valign="top" align="left"><italic>Myodes glareolus</italic></td>
<td valign="top" align="center">7</td>
<td valign="top" align="left"><italic>Bartonella grahamii</italic></td>
<td valign="top" align="left"><ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="CP001562">CP001562</ext-link></td>
<td valign="top" align="left">Genomic DNA</td>
<td valign="top" align="left">Sweden</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B58">58</xref>)</td>
</tr>
<tr>
<td valign="top" align="left"><italic>Ctenophthalmus agyrtes</italic> (1) <italic>Megabothris turbidus</italic> (1) <italic>Ctenophthalmus congener</italic> (1)</td>
<td valign="top" align="center">3</td>
<td valign="top" align="left"><italic>Bartonella grahamii</italic></td>
<td valign="top" align="left"><ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="CP001562">CP001562</ext-link></td>
<td valign="top" align="left">Genomic DNA</td>
<td valign="top" align="left">Sweden</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B58">58</xref>)</td>
</tr>
<tr>
<td valign="top" align="left"><italic>Hystrichpsylla talpae talpae</italic> (1) <italic>Ctenophthalmus agyrtes</italic> (2)</td>
<td valign="top" align="center">3</td>
<td valign="top" align="left"><italic>Bartonella</italic> sp. uncultured</td>
<td valign="top" align="left"><ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="MN056412">MN056412</ext-link></td>
<td valign="top" align="left"><italic>Apodemus flavicollis</italic></td>
<td valign="top" align="left">Germany</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B43">43</xref>)</td>
</tr>
<tr>
<td valign="top" align="left"><italic>Ctenophthalmus agyrtes</italic></td>
<td valign="top" align="center">4</td>
<td valign="top" align="left"><italic>Bartonella</italic> sp. uncultured</td>
<td valign="top" align="left"><ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="MK562487">MK562487</ext-link></td>
<td valign="top" align="left"><italic>Apodemus</italic> sp.</td>
<td valign="top" align="left">Italy</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B59">59</xref>)</td>
</tr>
<tr>
<td valign="top" align="left"><italic>Leptopsylla segnis</italic> (1) <italic>Ctenophthalmus congener</italic> (2) <italic>Ctenophthalmus agyrtes</italic> (2)</td>
<td valign="top" align="center">5</td>
<td valign="top" align="left"><italic>Bartonella</italic> sp. uncultured</td>
<td valign="top" align="left"><ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="MN056379">MN056379</ext-link></td>
<td valign="top" align="left"><italic>Apodemus sylvaticus</italic></td>
<td valign="top" align="left">Germany</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B43">43</xref>)</td>
</tr>
<tr>
<td valign="top" align="left"><italic>Ctenophthalmus agyrtes</italic></td>
<td valign="top" align="center">1</td>
<td valign="top" align="left"><italic>Bartonella</italic> sp. uncultured</td>
<td valign="top" align="left"><ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="MN056375">MN056375</ext-link></td>
<td valign="top" align="left"><italic>Myodes glareolus</italic></td>
<td valign="top" align="left">Germany</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B43">43</xref>)</td>
</tr>
<tr>
<td valign="top" align="left"><italic>Ctenophthalmus congener</italic> (1) <italic>Ctenophthalmus agyrtes</italic> (1) Megabothris walkeri (1) <italic>Nosopsyllus fasciatus</italic> (1)</td>
<td valign="top" align="center">4</td>
<td valign="top" align="left"><italic>Bartonella taylorii</italic></td>
<td valign="top" align="left"><ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="MH547339">MH547339</ext-link></td>
<td valign="top" align="left"><italic>Apodemus flavicollis</italic></td>
<td valign="top" align="left">Lithuania</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B57">57</xref>)</td>
</tr>
<tr>
<td valign="top" align="left"><italic>Ctenophthalmus agyrtes</italic></td>
<td valign="top" align="center">11</td>
<td valign="top" align="left"><italic>Bartonella</italic> sp. uncultured</td>
<td valign="top" align="left"><ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="MT551074">MT551074</ext-link></td>
<td valign="top" align="left"><italic>Apodemus sylvaticus</italic></td>
<td valign="top" align="left">Germany</td>
<td valign="top" align="center">Current study</td>
</tr>
<tr>
<td valign="top" align="left"><italic>Myodes glareolus</italic> (7) <italic>Apodemus flavicollis</italic> (1)</td>
<td valign="top" align="center">8</td>
<td valign="top" align="left"><italic>Bartonella doshiae</italic></td>
<td valign="top" align="left"><ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="AJ269786">AJ269786</ext-link></td>
<td valign="top" align="left">genomic DNA</td>
<td valign="top" align="left">UK</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B54">54</xref>)</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec>
<title><italic>Bartonella</italic> spp. in Fleas</title>
<p>Overall, 221 out of 450 fleas were tested positive for <italic>Bartonella</italic> spp. [49.1% (95%CI: 44.5&#x02013;53.7)]. Every tested flea species was positive for <italic>Bartonella</italic> spp. with a prevalence ranging from 18.8 to 100% (<xref ref-type="table" rid="T3">Table 3</xref>). The prevalence levels of <italic>Bartonella</italic> spp. did not differ significantly comparing the most prevalent flea species (<italic>C. agyrtes, M. turbidus, N. fasciatus, C. congener</italic>; &#x003C7;<sup>2</sup> = 1.8; <italic>p</italic> = 0.6121). Comparing small mammals and fleas, the prevalence with <italic>Bartonella</italic> spp. was almost identical and thus not significantly different (<italic>p</italic> = 0.9018). Positive fleas derived from 53 negative and 54 positive small mammals.</p>
</sec>
<sec>
<title>Sequence Analysis for <italic>Bartonella</italic> spp. in Fleas</title>
<p>In total, 74 positive samples (29%) were further determined to species level by sequencing which revealed four different <italic>Bartonella</italic> species in the examined fleas. All confirmed <italic>Bartonella</italic> species detected in fleas were the same <italic>Bartonella</italic> species as described for their small mammal hosts. However, most samples were positive for uncultured <italic>Bartonella</italic> spp. which showed 100% identity to 13 different sequences deposited in GenBank (<xref ref-type="table" rid="T3">Table 3</xref>). Almost all strains found in fleas were identical to those already found in their small mammal hosts (<xref ref-type="table" rid="T4">Table 4</xref>). Even though the distribution of the <italic>Bartonella</italic> species found in fleas was not completely identical compared to <italic>Bartonella</italic> spp. in small mammals, the prevalence of each <italic>Bartonella</italic> species did not differ significantly between small mammals and fleas (<italic>p</italic> = 0.2418&#x02013;0.7631). Due to very small sample sizes of most flea species, statistical comparisons between the flea species were not carried out.</p>
<table-wrap position="float" id="T4">
<label>Table 4</label>
<caption><p><italic>Bartonella</italic> spp. detection based on the gltA gene and the 16S&#x02212;23S rRNA ITS and species determination based on the 16S&#x02212;23S rRNA ITS in fleas collected from small mammals.</p></caption>
<table frame="hsides" rules="groups">
<thead><tr>
<th valign="top" align="left"><bold>Flea species</bold></th>
<th valign="top" align="center"><bold>Total No</bold>.</th>
<th valign="top" align="center"><bold>No. examined for <italic>Bartonella</italic></bold></th>
<th valign="top" align="center"><bold>Total No. of fleas infected with <italic>Bartonella</italic> based on ITS(%)</bold></th>
<th valign="top" align="center"><bold>Total No. of fleas infected with <italic>Bartonella</italic> based on gltA (and ITS)(%)</bold></th>
<th valign="top" align="center"><bold>No. of <italic>Bartonella</italic>-positive samples further investigated by sequencing</bold></th>
<th valign="top" align="center" colspan="4" style="border-bottom: thin solid #000000;"><bold>No. of detected</bold> <italic><bold>Bartonella</bold></italic> <bold>species based on the 16S&#x02212;23S rRNA ITS</bold></th>
</tr>
<tr>
<th/>
<th/>
<th/>
<th/>
<th/>
<th/>
<th valign="top" align="center"><bold>Uncultured <italic>Bartonella</italic> sp</bold>.</th>
<th valign="top" align="center"><bold><italic>B. grahamii</italic></bold></th>
<th valign="top" align="center"><bold><italic>B. taylorii</italic></bold></th>
<th valign="top" align="center"><bold><italic>Bartonella</italic> sp. N40</bold></th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left"><italic>Ctenophthalmus agyrtes</italic></td>
<td valign="top" align="center">873</td>
<td valign="top" align="center">322</td>
<td valign="top" align="center">213 (59.5)</td>
<td valign="top" align="center">165 (51.2)</td>
<td valign="top" align="center">55</td>
<td valign="top" align="center">35</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">15</td>
<td valign="top" align="center">4</td>
</tr>
<tr>
<td valign="top" align="left"><italic>Megabothris turbidus</italic></td>
<td valign="top" align="center">98</td>
<td valign="top" align="center">31</td>
<td valign="top" align="center">15 (48.4)</td>
<td valign="top" align="center">11(35.5)</td>
<td valign="top" align="center">3</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">0</td>
</tr>
<tr>
<td valign="top" align="left"><italic>Nosopsyllus fasciatus</italic></td>
<td valign="top" align="center">44</td>
<td valign="top" align="center">31</td>
<td valign="top" align="center">18 (58.1)</td>
<td valign="top" align="center">16 (51.6)</td>
<td valign="top" align="center">6</td>
<td valign="top" align="center">5</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">0</td>
</tr>
<tr>
<td valign="top" align="left"><italic>Ctenophthalmus congener</italic></td>
<td valign="top" align="center">62</td>
<td valign="top" align="center">23</td>
<td valign="top" align="center">12 (52.2)</td>
<td valign="top" align="center">12 (52.2)</td>
<td valign="top" align="center">3</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">0</td>
</tr>
<tr>
<td valign="top" align="left"><italic>Megabothris walkeri</italic></td>
<td valign="top" align="center">8</td>
<td valign="top" align="center">3</td>
<td valign="top" align="center">1 (33.3)</td>
<td valign="top" align="center">1 (33.3)</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">0</td>
</tr>
<tr>
<td valign="top" align="left"><italic>Typhloceras poppei</italic></td>
<td valign="top" align="center">11</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">2 (28.6)</td>
<td valign="top" align="center">2 (100)</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">0</td>
</tr>
<tr>
<td valign="top" align="left"><italic>Paleopsylla soricis</italic></td>
<td valign="top" align="center">3</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">1 (100)</td>
<td valign="top" align="center">0 (0)</td>
<td valign="top" align="center">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>
</tr>
<tr>
<td valign="top" align="left"><italic>Leptopsylla segnis</italic></td>
<td valign="top" align="center">17</td>
<td valign="top" align="center">16</td>
<td valign="top" align="center">6 (37.5)</td>
<td valign="top" align="center">3 (18.8)</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">0</td>
</tr>
<tr>
<td valign="top" align="left"><italic>Ctenophthalmus bisoctodentatus</italic></td>
<td valign="top" align="center">3</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">1 (100)</td>
<td valign="top" align="center">1 (100)</td>
<td valign="top" align="center">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>
</tr>
<tr>
<td valign="top" align="left"><italic>Hystrichopsylla talpae talpae</italic></td>
<td valign="top" align="center">9</td>
<td valign="top" align="center">3</td>
<td valign="top" align="center">3 (100)</td>
<td valign="top" align="center">3 (100)</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">1</td>
</tr>
<tr>
<td valign="top" align="left"><italic>Peromyscopsylla silvatica</italic></td>
<td valign="top" align="center">25</td>
<td valign="top" align="center">18</td>
<td valign="top" align="center">7 (38.9)</td>
<td valign="top" align="center">7 (38.9)</td>
<td valign="top" align="center">3</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">0</td>
</tr>
<tr>
<td valign="top" align="left"><italic>Megabothris rectangulatus</italic></td>
<td valign="top" align="center">3</td>
<td valign="top" align="center">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>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">&#x02013;</td>
</tr>
<tr>
<td valign="top" align="left">Total</td>
<td valign="top" align="center">1156</td>
<td valign="top" align="center">450</td>
<td valign="top" align="center">258 (57.3)</td>
<td valign="top" align="center">221 (49.1)</td>
<td valign="top" align="center">74</td>
<td valign="top" align="center">47</td>
<td valign="top" align="center">3</td>
<td valign="top" align="center">19</td>
<td valign="top" align="center">5</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<p><italic>No., Number</italic>.</p>
</table-wrap-foot>
</table-wrap>
</sec>
</sec>
<sec sec-type="discussion" id="s4">
<title>Discussion</title>
<p>This study reports high prevalence rates of different <italic>Bartonella</italic> species in small mammals (43.3%) and their fleas (49.1%) from Germany. The <italic>Bartonella</italic> species detected in the current study were the same as earlier described by our group in small mammals from one of the investigated study sites (urban, renatured, and sylvatic) (<xref ref-type="bibr" rid="B24">24</xref>). The prevalences in small mammals from the current study as well as the detected <italic>Bartonella</italic> spp. are in line with those from Poland, France, the Netherlands, Slovenia, and Germany (11&#x02013;72%) (<xref ref-type="bibr" rid="B10">10</xref>, <xref ref-type="bibr" rid="B13">13</xref>, <xref ref-type="bibr" rid="B24">24</xref>, <xref ref-type="bibr" rid="B37">37</xref>, <xref ref-type="bibr" rid="B38">38</xref>). Small mammals are known to be the main reservoirs for over 22 different Bartonella species (<xref ref-type="bibr" rid="B7">7</xref>, <xref ref-type="bibr" rid="B8">8</xref>). The current study reports four Bartonella species belonging to lineage four in small mammals (<italic>B. grahamii, B. doshiae, B. taylorii, Bartonella</italic> sp. N40;). Of the detected Bartonella spp., only <italic>B. grahamii</italic> is yet known to be zoonotic. <italic>Bartonella grahamii</italic> was isolated from <italic>My. glareolus</italic> from the UK for the first time (<xref ref-type="bibr" rid="B39">39</xref>). Since, it was found in rodents from almost all over the world and also caused disease in humans (<xref ref-type="bibr" rid="B40">40</xref>). Bartonellosis caused by <italic>B. grahamii</italic> displays similar symptoms as cat scratch disease such as enlarged lymph nodes, fever and fatigue. Even though cats are not considered competent reservoirs for <italic>B. grahamii</italic>, reports showed that they may still transmit the pathogen to humans via cat scratches when carrying infected rodent tissue on their claws (<xref ref-type="bibr" rid="B40">40</xref>). Most cases of bartonellosis caused by <italic>B. grahamii</italic> are likely to remain undiagnosed due to the mild unspecific symptoms, insufficient diagnostic measures and the lack of awareness of practitioners (<xref ref-type="bibr" rid="B40">40</xref>). Further, 16 different uncultured <italic>Bartonella</italic> spp. strains of yet unknown pathogenic potential were found in small mammals from the current study. This finding makes it obvious why clinical and public awareness of this zoonotic threat have to be increased.</p>
<p>Regarding the investigated small mammal species, <italic>Apodemus</italic> spp. showed a significantly higher infection rate compared to <italic>My. glareolus</italic> providing evidence that <italic>My. glareolus</italic> is able to resolve <italic>Bartonella</italic> infection after a certain time, while resolving a <italic>Bartonella</italic> infection has not been observed in <italic>Apodemus</italic> spp. yet (<xref ref-type="bibr" rid="B10">10</xref>). Moreover, it has been described that the re-infection rate in <italic>Apodemus</italic> spp. is higher than in <italic>My. glareolus</italic> which could also explain the higher prevalence in <italic>Apodemus</italic> spp.</p>
<p>The infestation rate with fleas may also influence the <italic>Bartonella</italic> prevalence in small mammals. In the current study, <italic>Apodemus</italic> spp. were more often infested with fleas and the infestation rate of fleas was higher compared to <italic>My. glareolus</italic>, which was also described in earlier studies from Germany and explained by the larger body size of <italic>Apodemus</italic> spp. (<xref ref-type="bibr" rid="B41">41</xref>). This higher infestation rate may have resulted in a higher <italic>Bartonella</italic> prevalence in <italic>Apodemus</italic> spp. High <italic>Bartonella</italic> prevalence rates (36&#x02013;42%) were reported in <italic>Mi. arvalis</italic> and <italic>Mi. agrestis</italic> from Finland and Poland, respectively (<xref ref-type="bibr" rid="B9">9</xref>, <xref ref-type="bibr" rid="B42">42</xref>). Further, another study by our group showed moderate to high prevalence rates in <italic>Microtus</italic> spp. from the Czech Republic and Germany (<xref ref-type="bibr" rid="B43">43</xref>). In the current study, both <italic>Microtus</italic> species (<italic>n</italic> = 8) were the only rodent species found negative for <italic>Bartonella</italic> spp. However, the sample size tested was rather low. Although no fleas were found on the insectivores analyzed in this study, all insectivore species were positive for <italic>Bartonella</italic> spp. In Sweden, it has been reported that insectivores may serve as reservoirs for certain <italic>Bartonella</italic> species (<xref ref-type="bibr" rid="B37">37</xref>). Future studies need to be conducted in order to confirm this observation. The urban study site was the only site where <italic>A. sylvaticus</italic> were trapped and <italic>L. segnis</italic> were detected. Further <italic>L. segnis</italic> is known to be a vector of <italic>Rickettsia felis</italic> and <italic>Rickettsia typhi</italic> and to occur mainly on small mammals which live synanthropic such as <italic>Mus musculus</italic> and <italic>Rattus norvegicus</italic> (<xref ref-type="bibr" rid="B44">44</xref>). The name &#x0201C;<italic>A. sylvaticus</italic>&#x0201D; is misleading as this species is likewise synanthropic and a well-known host for <italic>L. segnis</italic> (<xref ref-type="bibr" rid="B45">45</xref>). As the urban study site is a small park surrounded by walls and a high-traffic road, this study suggests it has basically a small ecological niche on its own. The proximity of small mammals to human settlements may pose a risk thus to the health of companion animals and humans.</p>
<p>The flea species may vary in their host specificity of being highly host-specific to being only host-opportunistic (<xref ref-type="bibr" rid="B46">46</xref>). The variety of flea species found in this study was high with twelve identified species. This high diversity is quite unexpected as previous studies from Poland, the UK and Germany found only 4&#x02013;10 different flea species on the mentioned small mammal species (<xref ref-type="bibr" rid="B24">24</xref>, <xref ref-type="bibr" rid="B41">41</xref>, <xref ref-type="bibr" rid="B47">47</xref>, <xref ref-type="bibr" rid="B48">48</xref>). However, one should consider that the current study covered three completely differently structured study sites which may have led to a higher variety of flea species. The flea burden was higher on <italic>Apodemus</italic> spp. than on all other small mammal species. It is known that there is a higher immune resistance against flea burden in <italic>Microtus</italic> spp. compared to <italic>Apodemus</italic> spp. and <italic>My. glareolus</italic> (<xref ref-type="bibr" rid="B49">49</xref>) which could also explain why the Microtus spp. in the current study were all negative for <italic>Bartonella</italic> spp. In our study, <italic>M. turbidus</italic> and <italic>P. silvatica</italic> were found significantly more often on <italic>My. glareolus</italic> compared to <italic>A. flavicollis</italic> which confirms that <italic>My. glareolus</italic> is the main reservoir host for <italic>M. turbidus</italic> (<xref ref-type="bibr" rid="B50">50</xref>). Moreover, the occurrence of <italic>P. silvatica</italic> is quite rare and known to occur on <italic>My. glareolus</italic> suggesting host specificity (<xref ref-type="bibr" rid="B51">51</xref>).</p>
<p>The <italic>Bartonella</italic> species detected in small mammals were almost identical compared to those obtained from fleas. However, half of the positive fleas were collected from negative small mammals. This observation indicates that the infection status of fleas can be independent from that of the current small mammal host. A previous study reported the vertical transmission in fleas which could explain how Bartonellae maintain in flea populations independently from a mammalian reservoir (<xref ref-type="bibr" rid="B52">52</xref>). Furthermore, frequent host changes by the fleas may have led to high infection levels. Only a few other studies report <italic>Bartonella</italic> prevalence in the examined flea species (<xref ref-type="bibr" rid="B15">15</xref>, <xref ref-type="bibr" rid="B17">17</xref>). However, it should be considered that some of these flea species may parasitize companion animals such as cats and dogs (<xref ref-type="bibr" rid="B53">53</xref>) and thus may pose a health threat as direct vectors of zoonotic pathogens such as <italic>Bartonella</italic> spp. and <italic>Rickettsia</italic> spp.</p>
<p>To conclude, this study shows a high diversity of flea species on small mammal hosts from Germany. Though none of the detected vector-host species combinations was unusual, the number of flea species found was unexpectedly high. In addition to small mammals, some of them especially the ones collected at the urban site also parasitize companion animals such as dogs and cats and may pose a risk for the transmission of zoonotic <italic>Bartonella</italic> spp. Though <italic>B. grahamii</italic> was the only confirmed zoonotic <italic>Bartonella</italic> in this study, a very high variety of uncultured <italic>Bartonella</italic> spp. of yet unknown zoonotic potential was also detected. Especially at the urban study site, a health risk in encountering <italic>Bartonella</italic> infections is possible as infested rodents live there in close proximity to human settlements.</p>
</sec>
<sec sec-type="data-availability-statement" id="s5">
<title>Data Availability Statement</title>
<p>The datasets presented in this study can be found in online repositories. The names of the repository/repositories and accession number(s) can be found at: <ext-link ext-link-type="uri" xlink:href="https://www.ncbi.nlm.nih.gov/genbank/">https://www.ncbi.nlm.nih.gov/genbank/</ext-link>, <ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="MT551048">MT551048</ext-link>-<ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="MT551101">MT551101</ext-link>; <ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="MT913158">MT913158</ext-link>-<ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="MT913206">MT913206</ext-link>.</p>
</sec>
<sec id="s6">
<title>Author Contributions</title>
<p>CS and MP organized and planned the study. AO and MP organized and participated in the fieldwork for the collection of wildlife samples. MK and DK carried out the morphologic determination of fleas. AO prepared the samples in the laboratory. AO and NK tested the samples for <italic>Bartonella</italic> spp. AO, NK, and CS performed the sequence analysis. AO, NK, CS, and MP drafted the manuscript and wrote the final version. All authors read and approved the final manuscript.</p>
</sec>
<sec sec-type="COI-statement" id="conf1">
<title>Conflict of Interest</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>
</body>
<back>
<ack><p>We dedicate this work to the memory of Dr. Matthias Kiefer. Authors wish to thank Dana R&#x000FC;ster and Sarah Wagner for excellent technical assistance. Furthermore, the authors wish to thank Tim Tiedemann, Claudia Thiel, Dietlinde Woll, Anneliese Balling, Uwe Birett, Rayan Ababneh, Jennifer Krieg, Caroline Oltersdorf, Daniela Sum, Tessa Foerster, Franziska Eller, and Claudia Kehler for help in rodent trapping. The authors acknowledge support from the German Research Foundation (DFG) and Universit&#x000E4;t Leipzig within the program of Open Access Publishing.</p>
</ack>
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<fn fn-type="financial-disclosure"><p><bold>Funding.</bold> This study was partially funded by EUgrant FP7-261504 EDENext (<ext-link ext-link-type="uri" xlink:href="http://www.edenext.eu/">http://www.edenext.eu/</ext-link>). The Federal Environment Agency of Germany (FKZ 371148) also funded part of this project.</p>
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