Antimicrobial Resistance and Virulence Properties of Campylobacter Spp. Originating from Domestic Geese in Poland.

Simple summary Campylobacter spp. is the most common bacterial cause of human gastroenteritis in the world. Poultry and poultry products are considered to be the most important foodborne sources of campylobacteriosis in humans. In this study, the consumption of goose meat was shown as a potential risk for human campylobacteriosis. The common prevalence of these bacteria in geese cecum contributes to the high contamination of geese carcasses during slaughter. Moreover, Campylobacter isolated from geese harbored various virulence factors involved in adhesion and invasion and were resistant to some antimicrobial drugs. Abstract A total of 240 samples were evaluated for the presence of Campylobacter spp. Campylobacter was found in 83.3% of the cecum contents samples and 52.5% of the neck skin samples from carcasses. The prevailing species was C. jejuni, accounting for 87.7% of all Campylobacter isolates, and the remaining 12.3% of isolates were C. coli. All Campylobacter isolates, independent of the sample origin and species, were positive for 6 out of 15 tested genes (flaA, flhA, cadF, racR, ciaB, and cdtA genes). The prevalence of dnaJ, docA, pldA, cdtB, cdtC, and iam genes was also very common (ranging from 86.5% to 98.8%). The lowest prevalence was noted for virB11 and wlaN genes, both in Campylobacter isolates from cecum (12% and 19%) and carcasses (11.1% and 17.5%). None of the isolates tested, regardless of the sample origin, carried the cgtB gene. The highest resistance rates were observed for quinolones (90.8%) and tetracyclines (79.8%). Simultaneously, only single Campylobacter isolate was resistant to macrolides (0.6%) and none of the isolates showed resistance to aminoglycosides and amphenicols. The common presence of Campylobacter on geese carcasses as well as the detection of multidrug-resistant isolates indicate that consuming goose meat might cause a potential risk, therefore leading to human campylobacteriosis.


Introduction
Foodborne diseases are considered the most important health problem in the world [1]. They not only significantly affect human health and life but also have economic consequences for the individual, family, society, and the state [2]. The risk of foodborne diseases in humans increases with the increased ingestion of animal origin products. In recent years, both in Poland and throughout the European Union, the structure of meat consumption has changed as poultry is increasingly replacing red meat. Although chickens and turkeys dominate the world poultry industry, geese and duck products are also willingly chosen by consumers not only because of their taste but also their nutritional values. The leading goose producer in the world is China with 94.1% of global production. Poland is ranked second, followed by Hungary and Egypt, with the production of approximately 28,261 tons, which accounted for 1.2% of the world production in 2018 (www.faostat.fao.org). Geese production in Poland is seasonal and the breeding cycle begins in spring and ends in autumn. Poultry meat has been implicated in many foodborne disease outbreaks throughout the world [3][4][5]. Despite the rapid and highly automated slaughter of poultry, the risk of contamination and the spread of bacteria during slaughter is considerable [6]. It is believed that the source of bacterial contamination in poultry meat is essentially the intestine or gut content, which may come into contact with carcasses during slaughter, A total of 240 samples were evaluated for the presence of Campylobacter spp. The samples were taken in two slaughterhouses in the north-east of Poland. Because of the seasonal slaughter of geese, the samples were taken from October to December 2016, and October to December 2017. Overall, 24 flocks were tested on separate occasions. Five geese were randomly selected after evisceration and chilling from every flock. Cecum was dissected after evisceration from each bird. After chilling the carcasses to 4 • C, 10 g of skin sample from the neck of each goose was taken with a sterile blade. All the samples were transported to the laboratory at 2-4 • C. The laboratory analysis was conducted in accordance with ISO 10272-1:2017 [21]. In the laboratory, each cecum was opened aseptically, and a content of intestine was taken. The amount of 1 g of intestinal content was supplemented with 9 mL of Bolton enrichment broth (Oxoid, Hampshire, UK). Skin samples of 10 g were taken and submerged in 90 mL of Bolton enrichment broth. All samples were homogenized in stomacher and incubated for 4 h at 37 • C and subsequently for 44 h at 41.5 • C under microaerobic conditions (5% O 2 , 10% CO 2 , and 85% N 2 ). The cultures were then plated onto mCCDA (charcoal cefoperazone deoxycholate modified agar, Oxoid) and Karmali agar (Oxoid). All the plates were incubated for 24-48 h at 41.5 • C microaerobically as described above. The plates were examined for morphologically typical Campylobacter colonies, which were confirmed by microscopic morphology, motility, microaerobic growth at 25 • C, and the presence of oxidase. The isolates were subcultured only once in order to minimize cultural changes and then stored at −80 • C in defibrinated horse blood (Oxoid) with the addition of glycerol (80:20 v/v).

Species Identification
All Campylobacter isolates were identified by the PCR method based on the amplification of genus-specific 16S rRNA gene, the mapA gene specific for C. jejuni and the ceuE gene specific for C. coli. All primers used in the study are shown in Table 1. Campylobacter isolates cultured on Columbia agar medium with blood (Oxoid) were suspended in 1 mL of sterile water, and centrifuged at 13 000x g for 1 min. The precipitate was suspended in Tris buffer. DNA isolation was performed using the Genomic-Mini Kit (A&A Biotechnology, Gdynia, Poland) according to the manufacturer's instructions. The purity and concentration of the DNA obtained were determined spectrophotometrically and after appropriate dilution was used in the PCR assay. Amplification was performed in a reaction mixture containing 5 µL of the PCR buffer (10 times concentrated), 5 µL of dNTPs (final concentration of 200 µM), 0.5 µL of each primer (final concentration 0.1 µM), 10 µL MgCl 2 (final concentration of 5 mM), 2 µL (2 U) of thermostable Taq polymerase (Thermo Fisher Scientific, Waltham, MA, USA), 5 µL of template DNA, and DNase-and RNase-free deionized water to a final volume of 50 µL. All PCR reactions were carried out using the following conditions: Initial denaturation at 94 • C for 5 min followed by 30 cycles of denaturation for 1 min at 95 • C, annealing at a temperature specific to the primer pair for 1 min, and extension for 1 min at 72 • C. The final elongation step was carried out at 72 • C for 5 min. A positive control consisting of DNA extracted from C. jejuni ATCC 33291 and C. coli ATCC 43478 as well as a negative PCR control consisting of PCR-grade water were included in each PCR run. The PCR product was identified on a 2% agarose gel stained with ethidium bromide at a concentration of 5 µg/mL. The sizes of the amplification products obtained were compared with the 100-bp molecular weight marker.  ciaB F-TGCGAGATTTTTCGAGAATG R-TGCCCGCCTTAGAACTTACA 527 54 [24] racR F-GATGATCCTGACTTTG R-TCTCCTATTTTTACCC 584 45 [15] pldA F-AAGCTTATGCGTTTTT R-TATAAGGCTTTCTCCA 913 45 [15] cdtA F-CCTTGTGATGCAAGCAATC R-ACACTCCATTTGCTTTCTG 370 49 [15] cdtB F-CAGAAAGCAAATGGAGTGTT R-AGCTAAAAGCGGTGGAGTAT 620 51 [15] cdtC F-CGATGAGTTAAAACAAAAAGATA R-TTGGCATTATAGAAAATACAGTT 182 47 [15] wlaN F-TGCTGGGTATACAAAGGTTGTG R-ATTTTGGATATGGGTGGGG 330 55 [23] cgtB F-TAAGAGCAAGATATGAAGGTG R-GCACATAGAGAACGCTACAA 561 52 [14] 2

Antimicrobial Resistance
Antimicrobial resistance was examined by the diffusion-disk method according to the protocol of the European Committee on Antimicrobial Susceptibility Testing (EUCAST) for fastidious organisms. All Campylobacter isolates were suspended in brain heart infusion (BHI) broth to a turbidity equivalent to a 0.5 McFarland standard. Mueller-Hinton agar plates supplemented with 5% of defibrinated horse blood (Oxoid) and 20mg/L of β-Nicotinamide Adenine Dinucleotide (β -NAD) (Sigma Aldrich, St. Louis, MO, USA) were inoculated with the suspension prepared. The following antibiotic disks were placed on the surface of dry plates: Erythromycin (ERY, 15 µg), gentamicin (G, 10 µg), ciprofloxacin (CIP, 5 µg), ampicillin (AMP, 10 µg), tetracycline (TET, 30 µg), chloramphenicol (CHL, 30 µg), and nalidixic acid (NAL, 30 µg). The plates were incubated at 41 ± 1 • C for 24-48 h in a microaerophilic atmosphere. Zones of inhibited growth for erythromycin, ciprofloxacin, and tetracycline were determined according to EUCAST breakpoints (www.eucast.org/clinical_breakpoints), and The Clinical & Laboratory Standards Institute (CLSI, guideline M45-A3) breakpoints were used for the remaining tested antibiotics [28]. The results were interpreted as resistant or sensitive. The inhibition zone readings defined as intermediate were classified as resistant. The strains that showed resistance to three or more classes of antimicrobial agents were considered as multidrug resistant (MDR).

Statistical Analysis
Statistical tests were performed using Statistica (StatSoft, version 13.3, Poland). The chi-square test was used to determine differences in the prevalence of virulence marker genes and antimicrobial resistance of Campylobacter isolated from cecum and carcasses. For small sample sizes, Yates' correction was also used. Statistical significance was defined as p < 0.05.

Isolation and Identification of Bacterial Strains
In the study, a total of 240 samples from geese were analyzed for the presence of Campylobacter spp. A total of 100 (83.3%) Campylobacter isolates were obtained from 120 samples of cecum contents. Of the 120 samples of neck skin from carcasses, 63 (52.5%) were found to be positive. Out of 24 flocks examined, 20 (83.3%) showed a prevalence of Campylobacter spp. in 5/5 (100%) cecum samples tested. In the remaining four flocks (16.7%), Campylobacter was not noted in any cecum tested (Table 2)  PCR analysis, regardless of the sample origin, showed that the majority (87.7%) of Campylobacter isolates were identified as C. jejuni. The remaining 12.3% were identified as C. coli.

Virulence Factor Genes
A total of 163 Campylobacter isolates, including 100 isolates from intestinal contents and 63 isolates from geese carcasses, were screened for the prevalence of virulence markers (Figure 1). All Campylobacter isolates, regardless of the sample origin and species, were positive for 6 out of 15 tested genes (flaA, flhA, cadF, racR, ciaB, and cdtA). In the case of Campylobacter isolates obtained from geese cecum, high prevalence rates were also observed for the dnaJ and docA genes involved in adhesion (94% and 88%), for the pldA gene associated with invasion (93%), and the cdtB and cdtC genes associated with toxin production (both at 98%). Similar rates were observed in Campylobacter isolates from carcasses, and 95.2%, 84.1%, 92.1%, 96.8%, 100%, and 85.7% of isolates were positive for dnaJ, docA, pldA, cdtB, cdtC, and iam genes. The lowest prevalence was noted for the virB11 and wlaN genes, both in Campylobacter isolates from cecum (12% and 19%) and carcasses (11.1% and 17.5%). None of the isolates tested, regardless of the sample origin, carried the cgtB gene.

Antimicrobial Resistance
Overall, the highest resistance rates were observed for quinolones (90.8%) and tetracyclines (79.8%). Simultaneously, only a single Campylobacter isolate was resistant to macrolides (0.6%) and no isolate showed resistance to aminoglycosides and amphenicols.
None of the Campylobacter isolates originating from cecum contents were resistant to gentamicin and chloramphenicol and only a single isolate of C. coli was resistant to erythromycin (1%). The resistance rate to ampicillin was 32%, while the frequency of resistance to ciprofloxacin, nalidixic acid, and tetracycline was found to be high at the level of 92%, 88%, and 81%, respectively (Table 3). Table 3. Antimicrobial resistance of Campylobacter isolates originating from geese cecum and carcasses. Regarding Campylobacter isolates obtained from geese carcasses, the highest resistance was observed for ciprofloxacin (93.6%), nalidixic acid (90.5%), and tetracycline (77.8%). Simultaneously, all isolates were sensitive to gentamicin, erythromycin, and chloramphenicol. A low number of isolates were resistant to ampicillin (36.5%) ( Table 3).
Eleven different antimicrobial-resistant patterns were noted among Campylobacter isolates (Table 4). Only 5 out of 163 (3.1%) of the isolates obtained from geese were found to be susceptible to all antimicrobials tested, including 3/100 (3%) and 2/63 (3.2%) isolates from cecum and carcasses, respectively. Multidrug resistance to at least three different antimicrobial classes was found among Campylobacter spp. isolates both from cecum (28%) and carcass samples (30.2%).

Discussion
Comparing the results of the current study regarding the degree of the contamination of geese carcasses by Campylobacter spp. and determining the virulence properties of the isolates obtained with the results of other authors was found to be difficult due to the limited literature on this subject. It has been well documented that poultry meat is frequently involved in human campylobacteriosis, accounting for 20% to 30% of cases [29]. The common prevalence of Campylobacter both in raw chicken and turkey samples has been demonstrated in different geographical regions at the level of 50.2% and 41.1% in Poland [30], 61.7% and 36% in Iran [31], and 49.9% and 37.5% in Ireland [32]. However, the studies performed by Kim et al. [33] and Little et al. [34] underlined that duck meat is also an important source that can transmit Campylobacter, noting that 62.3% and 50.7% of samples were contaminated by this pathogen. Simultaneously, our study demonstrated that geese can be implicated in human campylobacteriosis as overall, 83.3% and 52.5% of the cecum and carcasses samples were positive for Campylobacter spp. The prevailing species, regardless of the sample origin, was C. jejuni (87.7%), whereas 12.3% of isolates were C. coli. These findings are consistent with the opinion that C. jejuni is more prevalent in poultry, whereas C. coli is more common in pigs and both can contaminate cattle [35,36]. Additionally, in humans, C. coli is less prevalent than C. jejuni [8,37].
During slaughter operations, the microorganisms are spread over the entire carcass. In this study, a correlation between the prevalence of Campylobacter spp. in the digestive tract of geese and the contamination of carcasses was confirmed. After the slaughter of 20 (85%) flocks with a confirmed prevalence of Campylobacter spp. in cecum samples, the contamination of geese carcasses was noted in 17 flocks (85%). Moreover, with high numbers of birds slaughtered per hour, it is not possible to conduct washing and disinfection of all parts of the machines between the slaughtering of individual flocks, as a consequence of which the total elimination of cross contamination on the slaughter line is impossible. The above situation was confirmed in our study. Contamination was detected in carcasses originating from geese flocks initially free from Campylobacter spp. These findings are in line with the results obtained by Hiett et al. [38], suggesting that the external environment may contribute to Campylobacter contamination during poultry production and processing.
In this study, the prevalence of 15 genes involved in motility, adhesion, invasion, production of cytotoxin, and GBS were examined to determine the pathogenic properties of Campylobacter isolates obtained from geese. Colonization of the mucous lining of the gastrointestinal tract is the first step of Campylobacter infection, and the Campylobacter flagellar filament composed of two homologous flagellins: FlaA and FlaB, encoded by adjacent genes, appear essential in this process [39]. FlhA is a key component of the flagellar export apparatus, and inactivation of the flhA gene leads to the loss of FlaA expression and motility but also to autoagglutination and invasion [34]. We noted that all Campylobacter isolates were positive for the flaA and flhA genes, regardless of the species and sample origin. These findings are in accordance with data presented previously in Poland [13], Vietnam [40], Brazil [41], and Denmark [42]. Besides, the above authors reported on Campylobacter isolates obtained from chicken or turkey. Moreover, the flagellum plays a role not only in motility, but it can also secrete molecules that promote Campylobacter adhesion to and invasion into host cells [43,44]. Among the factors related to adhesion, a 37-kDa outer membrane protein CadF, encoded by the cadF gene, affects the binding of Campylobacter to host fibronectin [45,46]. The results presented by numerous authors underline the common prevalence of this marker in Campylobacter isolates obtained from different sources [13,15,40]. Similar observations were noted in our study. All isolates originating from cecum and carcasses were positive for the cadF gene. Additionally, other adhesins (encoded by the dnaJ, racR, and docA genes) have been identified as important for Campylobacter adherence in vitro and colonization in vivo [47,48]. In the current study, all Campylobacter isolates, both from cecum and carcasses, were positive for the racR gene. The remaining two examined genes involved in adhesion (dnaJ and docA) were found in 94% and 88% of the Campylobacter isolates from cecum and in 95.2% and 84.1% of isolates from carcasses, respectively. The dnaJ, racR, and docA genes were commonly distributed in Campylobacter strains in different geographic regions. Frazao et al. [41] showed the prevalence of these genes in all isolates from poultry feces and carcasses in Brazil. Additionally, Wieczorek et al. [49] showed the high prevalence of the docA and racR genes in 100% Campylobacter strains isolated from chicken feces and in 98.1% and 95.5% of the isolates from poultry carcasses, respectively.
Many virulence factors have been associated with Campylobacter invasion to epithelial cells, including the pldA, virB11, iam, and ciaB genes. In our study, a significantly lower rate of prevalence was marked for the virB11 gene that was noted at the level of 12% in isolates from cecum and 11.1% in isolates from carcasses when compared to the prevalence of the ciaB, pldA, and iam genes (noted in almost all isolates, regardless of the sample origin). The low prevalence of the virB11 gene has been previously noted in Poland among Campylobacter isolates originating from chicken feces (0.6%) and carcasses (2.5%) [13]. Additionally, Kim et al. [33], in studies on Campylobacter strains isolated from chicken and duck meat, detected a low rate of this marker, respectively, in 7.8% and 6.7% of the isolates. This marker was also identified sporadically in human clinical isolates, and the virB11 mutant can cause significantly less severe symptoms in vivo [48][49][50]. On the other hand, the rate of other markers involved in invasion, including the iam (invasion-associated marker), ciaB (Campylobacter invasive antigen B), and pldA (encoding a phospholipase A) genes, were commonly reported in previously conducted studies. The pldA and ciaB genes have been noted in Campylobacter strains isolated from chicken carcasses at the rate of 63.6% and 67.3% in Brazil [51], as well as in South Korea [33] in chicken isolates (94.4% and 95.6%) and duck isolates (91.1% and 88.9%). These findings are in accordance with our data. The ciaB gene was found in 100% of the Campylobacter isolates regardless of the sample origin and the pldA gene in 93% and 92.1% of the isolates from feces and carcasses. Dissimilar results were observed regarding the iam gene. In this study, the iam marker was noted in 93% of the isolates from feces and in 85.7% of the isolates from carcasses. Similar results were observed by Kim et al. [33], noting this gene in 97.8% of chicken and 88.9% of duck-origin Campylobacter isolates. In contrast to our result, a significantly lower rate of the iam gene was noted in Poland by Wieczorek et al. [49] at the level of 26.2% in isolates from poultry feces and 8.9% in isolates from carcasses.
The ability of Campylobacter strains to produce toxins also plays a significant role in the course of Campylobacter infection. The cytolethal distending toxin (CDT) composed of three subunits CdtA, CdtB, and CdtC is the best characterized Campylobacter toxin [52]. In this study, overall, 97.5% of Campylobacter isolates possessed three tested cdt genes and the rate was slightly higher in C. jejuni (100%) than in C. coli (80%) isolates. Previous studies conducted on isolates from chicken carcasses by Datta et al. [15] in Japan and Rozynek et al. [53] in Poland reported that the prevalence of each of the cdtA, cdtB, or cdtC genes in C. jejuni isolated from poultry exceeded 80%.
Most Campylobacter infections are self-limited; however, complications may also occur. Campylobacter enteritis was described as the predominant bacterial infection preceding the Guillain-Barré syndrome (GBS) [54]. The Campylobacter strains that can elicit GBS carry either the wlaN or cgtB, genes involved in LOS (sialylated lipooligosaccharide) synthesis [18]. In the current study, 19% of the Campylobacter isolates from intestinal contents and 17.5% of the isolates from carcasses were positive for the wlaN gene. Similar rates were obtained previously by Wieczorek et al. [49] in Poland at the level of 13.7% and 17.2% in isolates from chicken feces and carcasses, and by Guirado et al. [18] in Spain at the level of 22% in chicken isolates. Additionally, in human origin Campylobacter isolates, the presence of the wlaN gene was estimated to be between 20% in Spain [18] and 17.4% in Poland [49]. Although several reports indicated that cgtB and wlaN may coexist, the studies performed by Guirado et al. [18] suggested the contrary, since none of the isolates tested carried both genes. In this study, none of the isolates examined were positive for the cgtB gene. Generally, this gene is detected in the most strongly invasive strains and rarely in non-invasive strains [23].
Antimicrobial agents are used widely in human and veterinary medicine. The transmission of resistance from animals to humans can take place through a variety of routes, though the foodborne route is probably the most significant [55]. In cases of campylobacteriosis with a course of systemic infections, infections in immune-suppressed patients, and severe or long-lasting infections, when antibiotic treatment is needed, macrolides are often recommended as the drug of first choice [56]. The results obtained showed a very low resistance rate to erythromycin (0.6% of resistant isolates in total), noting only one resistant C. coli strain originating from cecum. In previous studies in Poland, the levels of resistance to erythromycin among Campylobacter isolated from poultry were low, ranging from 0% [57] to single isolates resistant to this drug (3% of C. coli and 1.7% of C. jejuni isolates) [58]. Similar findings were noted by Bywater et al. [59], showing a lack of resistance to erythromycin in all Campylobacter strains isolated from poultry in abattoirs in France, Germany, the Netherlands, and Sweden.
Quinolones and tetracyclines are recommended as alternative drugs in the treatment of Campylobacter infection [56]. Unfortunately, in the present study, very high resistance levels were noted for these antimicrobials, showing 92.6% of Campylobacter isolates as resistant to ciprofloxacin, 88.9% to nalidixic acid, and 79.8% to tetracycline. According to Unicomb et al. [60], the spread of quinolone resistance in Campylobacter isolates might have originated from the excessive use of veterinary quinolones (e.g., enrofloxacin or danofloxacin) in food-producing animals. The confirmation of this argument may be found in studies conducted in Australia, where the use of quinolones is banned in food-producing animals and a very low rate of resistance at the level of 0-2% was reported [61]. Additionally, the common use of tetracyclines both in the therapy of human and animal infections is implicated in the increased number of isolates resistant to this antimicrobial agent. High rates of resistance to quinolones and tetracyclines have also been reported previously in Campylobacter isolates from chicken feces and carcasses, as from duck and turkey isolates [33,49,58].
Ampicillin, like tetracycline, shows activity against Campylobacter, but in general, both are not recommended for the treatment of campylobacteriosis because the rates of resistance of these antimicrobials are too high to be useful [62]. The results obtained by these authors showed that 65% of Campylobacter isolates from broiler slaughterhouses in southern Brazil were resistant to β-lactams. Similarly, in Turkey, 67% of goose isolates were ampicillin resistant [63]. In turn, the current study revealed a slightly lower resistance rate, ranging from 32% among Campylobacter isolates originating from cecum to 36.5% among isolates originating from geese carcasses.
Chloramphenicol and gentamicin resistance in Campylobacter spp. have been reported to be low [64]. It has been confirmed by the results of this research that all isolates both from geese cecum and carcasses are susceptible to these antimicrobial drugs. Similarly, none of the duck and goose isolates originating from Malaysia [65], chicken isolates originating from Canada [66], and turkey isolates from Germany [67] were resistant to chloramphenicol and gentamicin.
The emergence of multidrug resistance to at least three antimicrobial classes was underlined in this study. We found a slightly higher number of Campylobacter isolates resistant to at least three antimicrobial classes among the isolates originating from carcasses samples (30.2%) compared to the isolates from cecum samples (28%). The majority of MDR isolates were resistant to quinolones, tetracyclines, and β-lactams. Only one C. coli isolate obtained from cecum was resistant to quinolones, macrolides, and tetracyclines. A slightly lower rate of multidrug-resistant Campylobacter isolates was reported by Wieczorek et al. [68], who noted a level of 20.6% of the poultry isolates tested during 2014-2018 in Poland. However, these isolates were mainly resistant to quinolones, aminoglycoside, and tetracyclines. Higher multidrug resistance levels ranging from 60.2% up to 100% were noted among Campylobacter isolates from geese and ducks in Malaysia [65] and among chicken isolates in Africa [69].

Conclusions
The common prevalence of Campylobacter spp. in the intestinal tract of geese leads to the contamination of their carcasses during slaughter and processing. Simultaneously, cross contamination of carcasses originating from Campylobacter-negative flocks, occurring during slaughter, is considered to be the main hygienic problem in slaughterhouses. Moreover, the prevalence of virulence markers involved in motility, adhesion, invasion, and cytotoxin production were common among Campylobacter isolates originating from geese. Macrolides, aminoglycosides, and amphenicol should be considered as the drugs of choice in Campylobacter infection treatment. Other antibiotics, such as quinolones, tetracyclines, and β-lactams, should not be taken into consideration as alternative drugs for the treatment of campylobacteriosis, due to high rates of resistance. Thus, the common presence of Campylobacter on geese carcasses as well as the detection of multidrug-resistant isolates, indicate that the consumption of goose meat might cause the potential risk of human campylobacteriosis. Funding: Project financially co-supported by Minister of Science and Higher Education in the range of the program entitled "Regional lnitiative of Excellence" for the years 2019-2022, Project No. 010/RID/2018/19, amount of funding 12.000.000 PLN

Conflicts of Interest:
The authors declare no conflict of interest. The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript, or in the decision to publish the results.