Identification and Antibiotic Resistance of Isolates from Poultry Meat and Poultry Meat By-Products Exhibiting Characteristic Salmonella Morphology on Chromogenic Agar

TL;DR

This study found that chromogenic agar used to detect Salmonella in poultry meat often gives false positives and that many of the non-Salmonella bacteria found are resistant to multiple antibiotics.

Contribution

The study reveals the low selectivity of chromogenic agar for Salmonella detection and highlights widespread antibiotic resistance in non-Salmonella isolates from poultry meat.

Findings

Only 7% of isolates with Salmonella-like morphology were actual Salmonella.

66 non-Salmonella isolates showed multiple antibiotic resistances, mostly with MDR or XDR phenotypes.

The study emphasizes the need for improved control measures in poultry meat production to prevent antibiotic-resistant bacteria spread.

Abstract

Background/Objectives: The main objective of this research work was to identify and determine the antibiotic resistance of the false-positive isolates on chromogenic agar when analyzing Salmonella in chicken meat. Methods: A total of 234 samples of chicken meat (carcasses, cuts and preparations) were studied using buffered peptone water for primary enrichment, Rappaport–Vassiliadis soy broth for secondary enrichment and Salmonella Chromogen Agar Set as a selective solid medium. Colonies with a morphology characteristic of Salmonella (one isolate per sample) were identified by matrix-assisted laser desorption ionization and time-of-flight mass spectrometry (MALDI-TOF). Results: Colonies with a characteristic morphology of Salmonella were detected in 71 samples. Only five isolates (7.0% of the total) corresponded to the genus Salmonella. Other genera detected were Hafnia (three isolates; 4.2% of the total), Escherichia (22; 31.0%), Klebsiella (19; 26.8%), Proteus (6; 8.5%) and Pseudomonas (16; 22.5%). The 66 isolates of these last five genera were tested for susceptibility to a panel of 42 antibiotics of clinical importance by disc diffusion. All isolates presented multiple resistances, to between 4 and 29 antibiotics, all of them having a multi drug-resistant (MDR) phenotype except for one Pseudomonas strain, with an extensively drug-resistant (XDR) phenotype. Conclusions: These results highlight the low selectivity of this method, with the specific culture media under test, for the detection of Salmonella in poultry meat. The considerable prevalence of antibiotic resistance observed suggests a need to improve control measures throughout the poultry meat production chain to prevent this food from becoming a reservoir of bacteria with resistance to multiple antibiotics.

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1. Introduction

Enterobacteriaceae comprise a very diverse family of Gram-negative bacteria widely distributed in the environment, whose main habitat is the intestinal tract of humans and animals [1]. The slaughtering, gutting and processing procedures can promote contamination of poultry meat, which is a frequent vehicle for diseases caused by Enterobacteriaceae [2]. Despite this, its satisfactory nutritional properties and ease of cooking make it a highly demanded food [3], with the forecast that by 2032 poultry meat will represent 41.0% of the animal protein consumed around the world [4].

Some of the genera of Enterobacteriaceae frequently associated with poultry meat and their derived products are Escherichia, Serratia, Hafnia, Salmonella, Klebsiella, Yersinia and Proteus [5]. The levels of Enterobacteriaceae in such meat are used as indicators of its microbiological quality, as well as the degree of adherence to good hygienic practices throughout its production and distribution chain [3]. For the determination of Enterobacteriaceae in foods, techniques based on the incubation and cultivation of samples in specific media for each microbial group are usually employed [6].

The ISO 6579-1:2017 [7] standard is an official method for the detection, enumeration and serotyping of Salmonella spp. in food samples and consists of the enrichment of the samples in liquid culture media and subsequent plating onto selective solid media. Selective media for Salmonella spp. are designed to allow the growth of this microorganism while inhibiting the proliferation of others. However, different bacteria can form colonies of similar morphology and color to those of Salmonella, leading to what can be termed false positives [8].

Many species of Enterobacteriaceae are not pathogenic to humans or, if so, they simply cause mild gastrointestinal infections that generally resolve spontaneously within a few days without the need for antibiotic treatment [9]. However, some Enterobacteriaceae can act as a reservoir of antibiotic resistance genes, which can be horizontally transferred to other bacterial species or genera with which they share a habitat [10]. This fact is especially worrying, since in recent years an increase in resistance to antibiotics has been observed in various groups of bacteria, including Enterobacteriaceae [11], and it is feared that soon infections caused by bacteria resistant to multiple antibiotics will become consolidated as the leading cause of death worldwide [12]. In addition to the implications of antibiotic resistance for public health, infections caused by resistant bacteria are associated with higher costs for health systems because of the greater probability of hospital admission and longer stays [13].

To guarantee the safety of poultry meat, it is essential to have adequate methods for detecting any pathogenic microorganisms present in it. The objective of the research work being reported here was to identify the colonies with a morphology characteristic of Salmonella formed on Salmonella Chromogen Agar Set after primary enrichment in buffered peptone water and secondary enrichment in Rappaport–Vassiliadis soy broth, with the aim of determining the false-positive results and evaluating the selectivity of this isolation method. In addition, the antibiotic resistance of false-positive strains was determined.

2. Results

2.1. Identification of Colonies with Characteristic Morphology of Salmonella

In 71 of the 234 samples tested, colonies with the typical morphology and color of Salmonella were observed on the chromogenic medium and a colony of each sample was taken. These colonies were detected and isolated from 32 (61.5%) of the 52 chicken carcasses obtained in slaughterhouses, from 22 (42.3%) of the 52 chicken cuts acquired in slaughterhouses and from 17 (13.0%) of the 130 chicken cuts and chicken meat preparations purchased in butcher’s shops.

Identifications carried out using matrix-assisted laser desorption ionization and time-of-flight mass spectrometry (MALDI-TOF) revealed the presence of six bacterial genera: Salmonella was found in five isolates (7.0% of the isolates), Hafnia in 3 (4.2%), Escherichia in 22 (31.0%), Klebsiella in 19 (26.8%), Proteus in 6 (8.5%) and Pseudomonas in 16 (22.5%). Thus, 93.0% of the colonies with a morphology typical of Salmonella turned out to be false positives. Figure 1 shows the appearance of the colonies of each genus (Salmonella, Hafnia, Escherichia, Klebsiella, Proteus and Pseudomonas) on the chromogenic medium and Figure 2 shows an example of the spectra obtained with the MALDI-TOF system MS Biotyper for each of the genera in question.

All the Salmonella colonies were isolated from samples acquired in butcher’s shops (chicken cuts and chicken meat preparations). The distribution of the remaining genera detected varied according to the type of sample analyzed (Figure 3). It should be noted that in the cuts and preparations from butcher’s shops, only the genera Hafnia and Escherichia were found, the latter being the predominant genus, accounting for 75.0% of the strains isolated from these samples. The prevalence of the different bacterial genera was similar in the whole chicken carcasses and cuts from slaughterhouses, except for Proteus, which had a higher prevalence in the carcasses (p < 0.05).

2.2. Antibiotic Susceptibility

The 66 colonies isolated from the chromogenic medium that were not identified as Salmonella (false positives) were tested against a panel of 42 antibiotics of clinical importance. Taking together all the isolates and all the antibiotics used, 2772 determinations were performed (66 × 42 = 2772). In these, 37.7% showed resistance, 10.6% reduced susceptibility and 51.7% susceptibility. Analysis of these data by antibiotic involved made it clear that more than 95.0% of the strains studied were susceptible to AK, FOX, IPM and CT, but resistant to TEC and E. Furthermore, between 70.0% and 95.0% of the strains showed susceptibility to CN, MEM, TZP, C, FOS and TGC and resistance to RD and P. It is worth highlighting that considerable percentages of strains had reduced susceptibility to N (37.9%), S (51.5%) and TEM (69.7%). The remaining antibiotics showed variable resistance percentages, ranging between 12.1% for KZ and 62.1% for NA and S3.

Figure 4 shows the data obtained relative to the type of sample involved, whether whole chickens or cuts from abattoirs, or cuts or meat preparations from butcher’s shops, with significant differences (p < 0.05) being observed between compounds. Thus, the strains isolated from preparations and cuts obtained from butcher’s shops were those presenting the lowest percentages of resistance to almost all the compounds. One exception was KF, an antibiotic for which the strains isolated from this type of sample reached a value of 75.0% of resistance, whilst in carcasses and cuts obtained from slaughterhouses the corresponding figures were between 17.0% and 32.3%. On the other hand, it was striking that the strains from carcasses had the highest percentages of resistance to several of the beta-lactam antibiotics studied (AMC, ATM, CAZ, CTX, ETP and FEP), with values ranging between 55.3% and 70.2% for the strains from this type of sample, whereas they fell between 0.0% and 41.9% in the rest of the strains, from cuts obtained from abattoirs, or cuts and preparations from butcher’s shops. This was also the case for other antibiotics (SH, TOB, CIP, ENR, S3, RL, SXT and TE) with the highest percentages of resistance noted in strains isolated from whole chickens acquired from slaughterhouses. It should also be noted that the highest percentages of resistance observed in the case of antibiotics P, W and CT were seen in strains isolated from cuts obtained from abattoirs.

Figure 5 shows the antibiotic resistance data ordered by genus of bacteria, differences also existing (p < 0.05) between compounds. In this case, it may be seen that strains of the genus Hafnia presented the lowest percentages of resistance to most of the antibiotics tested, except for RD, KF, KZ and P. The Klebsiella strains showed the highest percentages of resistance to some beta-lactam antibiotics (AMP and ATM), quinolones (CIP and ENR) and sulphonamides (SXT). Further, every strain of Proteus was resistant to AZM, whilst in all the other genera the percentage of isolates resistant to this compound did not exceed 25.0%. The isolates identified as Proteus also presented a high prevalence of resistance (more than 80.0% of the strains) to SH, TOB, CTX, FEP, F and TE. It is noteworthy that a large percentage (more than 75.0%) of Pseudomonas strains showed resistance to ETP, SAM and TEM. In the case of the remaining antibiotics, the percentages of resistance were more homogeneous from one genus of bacteria to another.

2.3. Antibiotic Resistance Patterns

The 66 isolates tested showed resistance to between 4 and 29 antibiotics belonging to at least three different categories. An average value of 15.83 ± 7.02 resistances per isolate was recorded, with this rising to 20.29 ± 6.82 if resistance and reduced susceptibility were taken together. Table 1 shows the average data for resistance, reduced susceptibility or susceptibility for the isolates, relative to the type of sample analyzed and the genus considered.

One strain of Pseudomonas spp. isolated from whole chickens presented an XDR phenotype, with resistance to 28 antibiotics, from 12 out of the 13 categories tested. The rest of the isolates studied presented an MDR phenotype, with resistance to between 4 and 29 antibiotics, from between 3 and 11 different categories (Figure 6).

If the type of sample from which each strain came is considered, it may be seen that the strains isolated from carcasses obtained from slaughterhouses had resistances to between 6 and 11 of the categories of antibiotics tested. In the other two groups of samples the corresponding figures ranged between 3 and 9, in the case of cuts from abattoirs, or between 3 and 7, for cuts and meat preparations acquired in butcher’s shops. Furthermore, it is striking that a considerable percentage (59.0%) of strains in this last group of samples showed resistance to four categories of antibiotics.

Consideration of the data by bacterial genus reveals that the Hafnia isolates presented resistance to only four different categories of antimicrobials (rifamycins, penicillins, cephalosporins and macrolides). For all the other genera identified, the results were more variable, although more than 50.0% of the Proteus and Klebsiella isolates showed resistance to 8 of the 13 categories of antibiotics tested. On the other hand, strains of the genera Escherichia and Pseudomonas showed more homogeneous percentages of resistance to the various groups of antimicrobials.

Considering the antibiotic resistance profiles observed for each strain studied, it yields the tree-diagram of Figure 7. The strains fall into five clusters and an individual isolate. Four of the clusters are dependent upon the type of sample from which the isolates came: two groupings are formed of strains isolated from whole chickens obtained from abattoirs and a further two of isolates originating from cuts acquired from that same source. The first cluster (A) is composed of eight isolates, from the genus Klebsiella (six isolates) and Escherichia (two). Cluster B comprises isolates of Proteus, Klebsiella and Escherichia from carcasses obtained from slaughterhouses, with the greatest similarities being found between strains belonging to the same bacterial genus. Group C is the most heterogeneous, with strains of the five genera studied, isolated both from cuts and chicken preparations from butcher’s shops and from cuts from abattoirs. Group D is made up of isolates of Escherichia, Klebsiella and Pseudomonas from carcasses, while group E contains only isolates of Pseudomonas from cuts obtained from slaughterhouses. Finally, it is noteworthy that one single Escherichia strain isolated from whole chickens acquired from abattoirs could not be grouped into any cluster.

3. Discussion

3.1. Identification of Colonies with Characteristic Morphology of Salmonella

The prevalence of Enterobacteriaceae recorded in the study being reported here, at 28.2% of the samples, is much lower than that noted by other authors investigating poultry meat [5,14] and further types of meat products [15]; research works that revealed the presence of these microorganisms in virtually 100% of the samples analyzed. These differences are due, at least in part, to the type of method used for the isolation of colonies, since in the present study the methodology concentrated on the isolation of Salmonella spp. and not enterobacteria in general. On the other hand, the results of the present investigation are consistent with those observed by other authors who indicate that the genera Escherichia, Klebsiella, Pseudomonas, Proteus or Hafnia are among those most frequently isolated from poultry meat [5,15]. The prevalence of genera found was quite similar for the two types of samples acquired in slaughterhouses, whole carcasses and cuts, but was very different from what was seen in meat preparations and cuts obtained from butcher shops. However, the higher overall prevalence of Enterobacteriaceae recorded in samples of carcasses (61.5%) and cuts from abattoirs (42.5%), as compared to cuts and preparations from butcher’s shops (13.1%) may be since these microorganisms are easily transmitted between carcasses during the process of plucking and eviscerating the birds [16].

In the present study, 93.0% of the strains with a typical Salmonella morphology isolated from the chromogenic medium turned out to be false positives after identification with MALDI-TOF. Some authors have also isolated Klebsiella strains in differential medium for Salmonella spp., although with a very different morphology and appearance, since they formed green or bluish colonies [17]. Using the ISO 6579:2017 standard, Evangelopoulou et al. [18] were able to isolate and identify 18 colonies with the typical morphology and appearance of Salmonella spp. on different specific culture media for the detection of this bacterium that after identification proved to be of the genera Escherichia, Citrobacter, Trabulsiella and Klebsiella. For their part, Pławińska-Czarnak et al. [19] detected 14.3% of strains with an apparent Salmonella identity that in fact corresponded to Citrobacter braakii and 12.4% that were really Proteus mirabilis. These results suggest that the effectiveness of the methods used for the detection and isolation of Salmonella spp. in poultry meat and poultry by-products are strongly influenced by the type of culture medium used, there being some with which better results are obtained than with others [20,21,22]. In the present study, some modifications were introduced with respect to the ISO 6579-1:2017 standard, which could have influenced the high percentage of false-positive results. Thus, only one secondary enrichment broth (Rappaport–Vasiliadis with soy) was used. According to ISO standard, selective enrichment for analyses of food samples must be performed in MKTTn broth and in Rappaport–Vassiliadis medium with soy or on MSRV agar. On the other hand, the isolation was carried out in one chromogenic medium (Salmonella Chromogen Agar Set), while two selective isolation agar media (XLD agar and a second medium for choice) must be used according to the ISO standard. In addition, according to ISO 6579-1:2017, confirmation shall be performed by biochemical (TSI, Urea, LDC) and serological testing. In the research being reported here MALDI-TOF is used for identification. These facts mean that the results obtained do not allow for evaluating the selectivity of the ISO standard, but rather the selectivity of the methodology used in this work. However, the variety of Enterobacteriaceae strains that have been isolated from culture media specifically designed for the isolation of Salmonella, both in the present study and in the published research that was consulted, suggest that it is necessary to develop better protocols for the detection of Salmonella in foods, with the aim of reducing the presence of false positives and allowing the various genera of Enterobacteriaceae to be distinguished with greater precision.

3.2. Antibiotic Susceptibility

The levels of resistance found in Enterobacteriaceae and Pseudomonas, accounting for 37.7% of all analyses performed and 36.2% of analyses performed for beta-lactam antibiotics, are high. Some authors have underlined the fact that resistance to antibiotics, and especially to the beta-lactam type, is increasingly determined by the mobilization of resistance genes. This transfer occurs through vehicles, for instance conjugative plasmids, that allow dissemination between species, provided that the donor and recipient bacteria are ecologically linked through a shared habitat, such as the gastrointestinal tract [23].

Most of the strains studied showed susceptibility to AK, FOX, IPM, CT, CN, MEM, TZP, C, FOS and TGC; results like those obtained by other authors for Klebsiella pneumoniae strains susceptible to AK, CN, CT and TGC [24] or Escherichia coli strains susceptible to AK, IPM and CIP [25]. In contrast, in the present study it was found that the majority of Enterobacteriaceae and Pseudomonas strains showed resistance or reduced susceptibility to several widely used antibiotics, such as TEC, E, RD, P, N and TEM. Other authors observed that the highest levels of resistance in strains of E. coli were to antibiotics such as AMC, FOX, CAZ or E [25].

In previous studies carried out on Enterobacteriaceae isolated from inert surfaces of poultry slaughterhouses, strains strongly susceptible (close to 100%) to CAZ and SXT were isolated, while the highest percentages of resistance for this microbial group were recorded for the antibiotics AMP, NA, S and MEM [26]. Comparing the results recorded in the present study with those in other published research showed striking differences between outcomes for the same substances [16,27,28,29,30]. These differences between investigations may be due to the differing origins of isolates, taken from slaughterhouse surfaces, different types of meat, clinical samples and so forth, or to the different bacterial genera considered whether Hafnia, Escherichia, Klebsiella, Proteus or Pseudomonas.

Scrutiny of the data based on the type of sample involved shows that in the present study the lowest percentages of resistance were observed in the samples from butcher’s shops, whilst in the carcasses and cuts obtained directly from slaughterhouses the resistance levels were considerably higher. These samples may have been cross-contaminated with persistent bacteria from abattoir processing environments. Such bacteria are exposed to constant cleaning and disinfection processes using a range of different antimicrobial products, a fact that has been associated with cross-resistance to various commonly used antibiotics [31]. It is striking that the high levels of resistance observed in strains from slaughterhouses were not found in those obtained from butcher’s shops, although this fact could be due to the different origins of the samples. It is unknown whether those acquired in shops came from the same abattoirs that provided material for study or, on the contrary, were processed in other slaughterhouses where different cleaning and disinfection protocols are applied.

Consideration of results by each genus of bacteria revealed differences for certain substances trialed, with strains of the genus Hafnia generally registering the lowest percentages of resistance. Other authors, however, found the highest percentages of resistance to SXT, SAM, CTX, FEP, KZ, IMP and MEM in strains of this microorganism [32]. On the other hand, the large percentages of resistance recorded in strains of Klebsiella and Escherichia agree with the data obtained by other researchers, who point out that resistance to antibiotics, and especially to beta-lactams, is very common in these genera [23].

3.3. Antibiotic Resistance Patterns

All the strains isolated, regardless of the origin of the sample or the bacterial genus to which they belonged, were resistant to multiple antibiotics, between 4 and 29 out of the 42 evaluated. As occurred with the percentages of resistance to each antibiotic, the strains isolated from carcasses presented the largest number of resistances per strain, followed by the joints obtained from slaughterhouses and, finally, joints and meat preparations from butcher’s shops. Scrutiny of these data at the genus level shows that Klebsiella, Proteus and Pseudomonas were the genera presenting the greatest number of resistances per isolate. If this information is taken together with figures for the prevalence of the various microbial groups, cuts and preparations from shops emerge as the group with the lowest number of resistances per isolate, since in these samples only colonies of the genera Hafnia and Escherichia were isolated, with the two genera showing the lowest resistance levels observed in the whole study.

The number of resistances per isolate was very variable. However, the figures indicate that all the bacteria presented an MDR phenotype, except for one strain of Pseudomonas, which showed an XDR phenotype. These data coincide with those observed by other authors, since the isolation of Enterobacteriaceae strains with the MDR phenotype from samples of poultry meat and derivatives, or from their processing environments, is increasingly common. This phenotype is also very widespread among bacteria of the genera Klebsiella [33,34,35,36], Proteus [37,38,39] or Pseudomonas [40,41,42], isolated from poultry meat, from live birds or from human clinical samples.

The outcome of a comparison of antibiotic resistance profiles, as shown in the tree diagram, indicates a clear relationship between strains of the same genus of bacteria, but an even stronger link between those that share the same habitat. This becomes evident from the observation that, of the five different groupings established by analysis, four were made up of strains isolated from the same type of samples (two for carcasses from slaughterhouses and another two for cuts from this same source), whilst only one of the clusters includes strains from more than one type of sample. Amaya et al. [43] also found different antibiotic resistance profiles dependent on the origin of E. coli strains isolated from wastewater. The exchange of resistance genes that can occur between these bacteria, a priori commensals and potentially pathogenic bacteria, with which they share a habitat, is worrying. It is thus especially crucial to perform constant epidemiological monitoring throughout the entire food chain, in order to reduce the risk for the consumer [44].

4. Materials and Methods

4.1. Sample Processing

The 234 samples used for analysis were whole chicken carcasses acquired directly from slaughterhouses (52 samples), chicken cuts also obtained from abattoirs (52) and chicken cuts and chicken preparations taken from butcher’s shops (130). All these establishments were in north-western Spain. To perform isolations, the method described in the ISO 6579-1:2017 standard [7] was followed, with some modifications. One selective broth (for secondary enrichment) and one selective agar (instead of two, as indicated in the ISO standard) were used in this research work. In addition, identification was performed by matrix-assisted laser desorption ionization and time-of-flight mass spectrometry (MALDI-TOF), while the ISO standard recommends biochemical and serological tests.

Twenty-five grams of skin from each sample were homogenized in 225 mL of buffered peptone water (Oxoid Ltd., Hampshire, UK) for two minutes, using a Masticator Silver (IUL Instruments, Barcelona, Spain). Bags containing the resultant homogenate were incubated at 37 °C for 24 h (primary enrichment). Thereafter, 100 μL of the homogenate were transferred to tubes with 10 mL of Rappaport–Vassiliadis broth (Oxoid) and incubated at 42 °C for a further 24 h (secondary enrichment). Finally, plates with selective differential medium (Salmonella Chromogen Agar Set, Sigma-Aldrich, St. Louis, MO, USA) were streaked with the Rappaport–Vassiliadis broth to detect Salmonella spp. The solid medium was incubated for 48 h at 37 °C.

4.2. Isolation and Identification of Strains

Colonies with the characteristic morphology and color of Salmonella spp. were isolated from the chromogenic culture medium, one being taken from each positive sample. Positive controls (plates with Salmonella) were used to determine the morphology of this microorganism on Salmonella Chromogen Agar Set and to compare the colonies with those grown from each sample. The selected items were preserved at −30 °C in TSB (Tryptone Soy Broth, Oxoid, Hampshire, UK) with 20% glycerol as a cryoprotectant. Identification was carried out using matrix-assisted laser desorption ionization and time-of-flight mass spectrometry (MALDI-TOF), following a methodology described in previous work [26]. Spectra were acquired automatically with the MALDI Biotyper system and, to perform a taxonomic assignment of each colony, they were compared with the reference database provided by Bruker Daltonics (Bremen, Germany). Match values above 2.0 were considered reliable for identification down to the genus level.

4.3. Antibiotic Resistance Determination

Antibiograms were performed with the strains isolated from the chromogenic medium Salmonella Chromogen Agar Set but not identified as Salmonella (“false positives”). Susceptibility to 42 antibiotics of clinical importance, in both human and veterinary medicine, was determined using the disc diffusion method [45]. To do this, the strains were incubated in 9 mL of Muller–Hinton Broth (MHB, Oxoid) at 37 °C until they reached the exponential growth phase, after approximately 6 hours. With these cultures, Muller–Hinton Agar plates (MHA, Oxoid) were inoculated using a sterile cotton swab, the selected antibiotic discs then being placed in position. The plates were incubated at 37 °C for 18-24 h, after which the inhibition zones were measured, with the strains being classified as susceptible, with reduced susceptibility (intermediate), or resistant, based on recommendations for Enterobacteriaceae and Pseudomonas [45,46].

The discs used contained antibiotics belonging to 13 different categories, including aminoglycosides: amikacin (AK, 30 μg), gentamycin (CN, 10 μg), kanamycin, (K, 30 μg), neomycin (N, 30 μg), streptomycin (S, 10 μg), spectinomycin (SH, 100 μg) and tobramycin (TOB, 10 μg); rifamycins: rifampicin (RD, 5 μg); beta-lactam antibiotics: amoxicillin/clavulanic acid (AMC, 30 μg), ampicillin/sulbactam (SAM, 20 μg), ampicillin (AMP, 10 μg), penicillin G (P, 10 μg), temocillin (TEM, 30 μg), ticarcillin (TIC, 75 μg), piperacillin/tazobactam (TZP, 110 μg), ceftazidime (CAZ, 30 μg), cefotaxime (CTX, 30 μg), cefepime (FEP, 30 μg), cefoxitin (FOX, 30 μg), cephalothin (KF, 30 μg), cephazolin (KZ, 30 μg), ertapenem (ETP, 10 μg), imipenem (IPM, 10 μg), meropenem (MEM, 10 μg) and aztreonam (ATM, 30 μg); phenicols: chloramphenicol (C, 30 μg); phosphomycins: phosphomycin (FOS, 50 μg); glycopeptides: teicoplanin (TEC, 30 μg); glycylglycines: tigecycline (TGC, 15 μg); macrolides: azithromycin (AZM, 15 μg) and erythromycin (E, 15 μg); nitrofurans: nitrofurantoin (F, 300 μg) and furazolidone (FR, 100 μg); polymyxins: colistin (CT, 10 μg); quinolones: ciprofloxacin (CIP, 5 μg), enrofloxacin (ENR, 5 μg) and nalidixic acid (NA, 30 μg); sulphonamides: sulphonamide (S3, 300 μg), sulphamethoxazole (RL, 25 μg), sulphamethoxazole/trimethoprim (SXT, 25 μg) and trimethoprim (W, 5 μg); and tetracyclines: tetracycline (TE, 30 μg).

4.4. Antibiotic Resistance Patterns

To categorize the antibiotic resistance profiles shown by each of the isolates, the criteria described by Magiorakos et al. [47] were used. These establish a multidrug-resistant (MDR) phenotype, indicating no susceptibility to at least one antibiotic from three or more antimicrobial categories. There is an extensively drug-resistant (XDR) phenotype, implying non-susceptibility to at least one agent in all but two or fewer antimicrobial categories. Finally, there is a pan-drug-resistant (PDR) phenotype, defined as lacking susceptibility to any of the antibiotics from all the categories tested.

4.5. Statistical Analysis

All statistical analyses were performed using RStudio software [48]. The prevalence of isolated Enterobacteriaceae and the percentages of antibiotic resistance were both analyzed with exact Chi-square tests, with a probability level of 5.0% (p < 0.05) being set for significant differences. Each resistance profile was classified by calculating the presence (1) or absence (0) of resistance for each antibiotic studied, similarities between resistance profiles being established with Euclidean distance coefficient. Finally, a tree diagram was drawn up using the full algorithm with the SRPlot tool [49].

5. Conclusions

The results obtained suggest that the method evaluated for the detection of Salmonella in food may not be the most appropriate procedure for the analysis of chicken meat samples. The culture media used for the isolation of Salmonella in the present work allowed the presence of a high percentage of false-positive results, consisting of other Enterobacteriaceae (Hafnia, Escherichia, Klebsiella and Proteus) and Pseudomonas, whose colonies have a similar morphology and color to those of Salmonella. This can cause errors in the detection of Salmonella and makes the full identification of any strains isolated essential. Furthermore, the high levels of resistance to commonly used antibiotics that were found, together with the wide prevalence of isolates with the MDR phenotype, indicate that Enterobacteriaceae and Pseudomonas isolates from poultry meat and its derived products are important reservoirs of resistant bacteria, implying a potential risk for consumers’ health. These findings point to a need to improve antibiotic resistance monitoring protocols to minimize the presence of antibiotic-resistant bacteria in poultry.