Thomas Grönthal

Dr. Thomas Grönthal


Research Focus & Metrics

Academic Career Length

5Years (2022-Present)

(Calculated once Scilit publication data is synced: current year − year of first publication + 1)

Representative Publications

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5 January 2024 in Pathogens
Verified
Journal Article
Open access
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MFMaria Fredriksson-Ahomaa
Maria Fredriksson-Ahomaa
TGThomas Grönthal
Thomas Grönthal
VHViivi Heljanko
Viivi Heljanko
VJVenla Johansson
Venla Johansson
MRMerja Rantala
Merja Rantala
RLRiikka Laukkanen-Ninios
Riikka Laukkanen-Ninios
Yersiniosis is a common zoonotic enteric disease among humans, which has been linked to pigs and contaminated food, especially pork. The epidemiology of yersiniosis is still obscure, and studies on yersiniosis in pets are very scarce. In this study, we performed pheno- and genotypic characterisation of 50 Yersinia strains isolated from pets in Finland between 2012 and 2023. Y. enterocolitica 4/O:3/ST135, the most common type in human yersiniosis, was also the most common type (68%) found in clinical faecal samples in our study. Also, human pathogenic Y. enterocolitica 2/O:9/ST139 and Y. pseudotuberculosis O:1/ST9 and O:1/ST42 strains carrying all essential pathogenic genes were identified. Three Y. enterocolitica 4/O:3/ST9 strains were multi-drug-resistant and two of them were highly related, showing one allelic difference (AD) with core genome multi-locus sequence typing. Non-pathogenic, genotypically highly diverse Y. enterocolitica 1A strains, showing more than 1000 ADs and missing the essential virulence genes, were also recognised in dogs and cats. Our study demonstrates that pets can excrete human pathogenic Yersinia in their faeces and may serve as an infection source for human yersiniosis, especially in families with small children in close contact with their pets.

9 February 2022 in Acta Veterinaria Scandinavica
Verified
Journal Article
Open access
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KTKatariina Thomson
Katariina Thomson
KEKatarina Eskola
Katarina Eskola
MEMarjut Eklund
Marjut Eklund
KSKristiina Suominen
Kristiina Suominen
MMMerita Määttä
Merita Määttä
MRMerja Rantala
Merja Rantala
Background: Extended-spectrum β-lactamase producingEnterobacterales(ESBL-E) are important causative agents for infections in humans and animals. At the Equine Veterinary Teaching Hospital of the University of Helsinki, the first infections caused by ESBL-E were observed at the end of 2011 leading to enhanced infection surveillance. Contact patients were screened for ESBL-E by culturing infection sites and rectal screening. This study was focused on describing the epidemiology and microbiological characteristics of ESBL-E from equine patients of the EVTH during 2011–2014, and analysing putative risk factors for being positive for ESBL-E during an outbreak ofKlebsiella pneumoniaeST307.Results: The number of ESBL-E isolations increased through 2012–2013 culminating in an outbreak of multi-drug resistantK. pneumoniaeST307:blaCTX-M-1:blaTEM:blaSHVduring 04–08/2013. During 10/2011–05/2014, altogether 139 ESBL-E isolates were found from 96 horses. Of these, 26 were from infection-site specimens and 113 from rectal-screening swabs. A total of 118 ESBL-E isolates from horses were available for further study, the most numerous beingK. pneumoniae(n = 44),Escherichia coli(n = 31) andEnterobacter cloacae(n = 31). Hospital environmental specimens (N = 47) yielded six isolates of ESBL-E. Two identicalE. cloacaeisolates originating from an operating theatre and a recovery room had identical or highly similar PFGE fingerprint profiles as five horse isolates. In the multivariable analysis, mare–foal pairs (OR 4.71, 95% CI 1.57–14.19, P = 0.006), length of hospitalisation (OR 1.62, 95% CI 1.28–2.06, P < 0.001) and passing of a nasogastric tube (OR 2.86, 95% CI 1.03–7.95, P = 0.044) were associated with being positive for ESBL-E during theK. pneumoniaeoutbreak.Conclusions: The occurrence of an outbreak caused by a pathogenic ESBL-producingK. pneumoniaeST307 strain highlights the importance of epidemiological surveillance of ESBL-E in veterinary hospitals. Limiting the length of hospitalisation for equine patients may reduce the risk of spread of ESBL-E. It is also important to acknowledge the importance of nasogastric tubing as a potential source of acquiring ESBL-E. As ESBL-E were also found in stomach drench pumps used with nasogastric tubes, veterinary practices should pay close attention to appropriate equipment cleaning procedures and disinfection practices.

3 August 2022 in Antibiotics
Verified
Journal Article
Open access
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SSSusanna Sternberg-Lewerin
Susanna Sternberg-Lewerin
SBSofia Anna Boqvist
Sofia Anna Boqvist
SNSimen Foyn Nørstebø
Simen Foyn Nørstebø
TGThomas Grönthal
Thomas Grönthal
AHAnnamari Heikinheimo
Annamari Heikinheimo
YWYngvild Wasteson
Yngvild Wasteson
In the Nordic countries, antimicrobial use in animals and the prevalence of antimicrobial resistance are among the lowest in Europe. The network “Nordic Vets Against AMR” organized a meeting in 2021, with key actors including representatives from universities, veterinary authorities and veterinary organizations in Finland, Norway and Sweden. This paper reflects the most important discussions on education, research, policy and future perspectives, including the experiences of these countries. It concludes that Nordic veterinarians are well placed to lead the way in the fight against antimicrobial resistance and that the sharing of experiences can support colleagues in other countries. Veterinary education must go hand in hand with research activities and continuously updated guidelines and legislation. There is also a need for postgraduate training on antimicrobial resistance and prudent antimicrobial use. The veterinary profession must, by any means necessary, protect the efficiency of antimicrobials for the sake of animal health, animal welfare and productivity, as well as public health. While restrictive use of antimicrobials is crucial, the ability of veterinarians to use this medical tool is also important for the sake of animal welfare and global food security.

27 December 2023 in Preprints.org
Verified
Preprint
Open access
PDF file
MFMaria Fredriksson-Ahomaa
Maria Fredriksson-Ahomaa
TGThomas Grönthal
Thomas Grönthal
VHViivi Heljanko
Viivi Heljanko
VJVenla Johansson
Venla Johansson
MRMerja Rantala
Merja Rantala
RLRiikka Laukkanen-Ninios
Riikka Laukkanen-Ninios
Yersiniosis is a common zoonotic enteral disease among humans, which has been linked to pigs and contaminated food, especially pork. Studies on yersiniosis in pets are very scarce. In this study, we performed pheno- and genotypic characterization of 50 Yersinia strains isolated from pets in Finland between 2012 and 2023. Y. enterocolitica 4/O:3/ST135, the most common type in human yersiniosis, was also the most common Y. enterocolitica type (68%) found in clinical faecal samples in our study. Also, human pathogenic Y. enterocolitica 2/O:9/ST139 and Y. pseudotuberculosis O:1/ST9 and O:1/ST42 strains carrying all essential pathogenic genes were identified. Three Y. enterocolitica 4/O:3/ST9 strains were multi-drug resistant and two of them were highly related showing one allelic difference (AD) with core-genome multi-locus sequence typing. Non-pathogenic, genotypically highly diverse Y. enterocolitica 1A strains, showing more than 1000 ADs and missing the essential virulence genes, were also recognized in dogs and cats. Our study demonstrates that pets can excrete human pathogenic Y. enterocolitica and Y. pseudotuberculosis in their faeces and may serve as an infection source for human yersiniosis, especially in families with small children in close contact with their pets.