A multistate outbreak of Escherichia coli O157:H7 infections linked to alfalfa sprouts grown from contaminated seeds.

A multistate outbreak of Escherichia coli O157:H7 infections occurred in the United States in June and July 1997. Two concurrent outbreaks were investigated through independent case-control studies in Michigan and Virginia and by subtyping isolates with pulsed-field gel electrophoresis (PFGE). Isolates from 85 persons were indistinguishable by PFGE. Alfalfa sprouts were the only exposure associated with E. coli O157:H7 infection in both Michigan and Virginia. Seeds used for sprouting were traced back to one common lot harvested in Idaho. New subtyping tools such as PFGE used in this investigation are essential to link isolated infections to a single outbreak.     

Swimming-associated outbreak of Escherichia coli O157:H7

In 1997 the first outbreak of Escherichia coli O157:H7 infections involving 14 cases occurred in Finland. A case was defined as a resident of Alavus with an episode of diarrhoea between 5 and 17 July 1997, and from whom E. coli O157:H7 was isolated from stool. The investigation included case searching and a population-based case control study. Five primary and eight symptomatic secondary cases of E. coli O157:H7 illness were detected. In the 10 days before the outbreak, all 5 primary patients (aged 3-8 years), but only 6 of 32 population controls from the same age range (Fisher's test, P < 0.001) and 4 of 10 sibling controls (P < 0.05) had visited (but had not necessarily bathed in) a shallow beach popular among young children. Four out of 5 primary cases had remained within 5 m of the beach while swimming and had swallowed lake water compared to 1 of 5 population controls. These analytical epidemiologic findings incriminated fresh lake water as the vehicle of E. coli O157:H7 transmission.     

Chlorine inactivation of Escherichia coli O157:H7.

We analyzed isolates of Escherichia coli O157:H7 (which has recently caused waterborne outbreaks) and wild-type E. coli to determine their sensitivity to chlorination. Both pathogenic and nonpathogenic strains were significantly reduced within 1 minute of exposure to free chlorine. Results indicate that chlorine levels typically maintained in water systems are sufficient to inactivate these organisms.     

Escherichia coli O157:H7 and Salmonella in water and soil from tall fescue paddocks

Six 1-ha paddocks of tall fescue (Festuca arundinacea) grazed by Gelbvieh x Angus heifers from 1 March to 21 June 2005 were used to determine the prevalence of Escherichia coli O157:H7 and Salmonella in water tanks, and standing water and surface soil surrounding water tanks in tall fescue paddocks grazed by cattle. Paddocks included two each of Kentucky-31 endophyte-infected tall fescue (E+), Jesup tall fescue with the AR542 endophyte strain (MaxQ), and HiMag tall fescue with strain 4 endophyte (HiMag4). Samples were collected weekly (6 June to 5 July) from water tanks (n = 30), and standing water (n = 18) and surface soil (n = 30) surrounding the water tanks in each paddock commencing 3 weeks prior to termination of grazing until 2 weeks after cattle removal. Prevalence of E. coli O157:H7 tended (p = 0.07) to be increased in standing water and surface soil surrounding water tanks when cattle were present. Presence of cattle resulted in muddy conditions surrounding water tanks. Consumption of E+ tall fescue did not influence (p > 0.10) the prevalence of E. coli O157:H7 or Salmonella in or around water tanks. Neither E. coli O157:H7 or Salmonella were detected in water tanks. Total percentage of standing water samples positive for E. coli O157:H7 was 27.8% and 5.6% for Salmonella. Escherichia coli O157:H7 (6.7%) and Salmonella (10%) also were detected in the surface soil surrounding the water tanks. We conclude that areas surrounding water tanks in tall fescue paddocks can be reservoirs of pathogenic bacteria.     

2004-2007年云南省肠出血性大肠埃希菌0157:H7监测分析

肠出血性大肠埃希菌O157:H7(O157:H7)是近年来新发现的危害严重的肠道致病菌.自1982年美国首次暴发O157:H7,感染性腹泻以来,世界各地陆续有疫情出现[1,2].     

Extended phage-typing scheme for Escherichia coli O157:H7

In Canada, the number of human isolates of verotoxigenic (VT + ve) Escherichia coli O157:H7 from diarrhoeal cases and haemolytic uraemic syndrome and haemorrhagic colitis has increased from 25 in 1982 to 2384 in 1989. A total of 3273 VT + ve E. coli O157:H7 strains (3255 strains isolated in Canada and 18 isolates from other countries) were phage typed. The phage typing scheme has been extended from 14 to 62 phage types. Of these, five types occurred exclusively in other countries (type 47 in Japan; and types 49, 50, 51 and 52 in the U.K.). Thirty-five different phage types were identified in Canada; only nine of these (1, 2, 4, 8, 14, 21, 23, 31 and 32), each accounted for more than 1% of the cases from human sources. The same nine types were the only ones observed among the isolates from non-human sources (meat and slaughter houses) suggesting a food-borne transmission in most of the human cases. Phage types 1 (30.5%); 4 (21%); 8 (13.5%); 31 (8.9%) and 14 (8%) were encountered in varying frequencies in most of the provinces; infrequently occurring phage types also showed regional variation. Thirteen different phage types were identified among 151 outbreaks representing 556 isolates of E. coli O157:H7. More than one phage type were encountered in 12 outbreaks whereas in 141 outbreaks, all strains in each, had the same phage type.     

Hemolytic uremic syndrome risk and Escherichia coli O157:H7

We reviewed medical records of 238 hospitalized patients with Escherichia coli O157:H7 diarrhea to identify risk factors for progression to diarrhea-associated hemolytic uremic syndrome (HUS). Data indicated that young age, long duration of diarrhea, elevated leukocyte count, and proteinuria were associated with HUS.     

Reduction of Escherichia coli O157:H7 in cattle drinking-water by trans-cinnamaldehyde

Cattle serve as a major reservoir of E. coli O157:H7 and excrete the pathogen in feces. Environmental persistence of E. coli O157:H7 plays a vital role in its epidemiology on farms, and cattle water troughs are a demonstrated long-term reservoir of E. coli O157:H7 for animals. The objective of this study was to investigate the potential of low concentrations of trans-cinnamaldehyde for killing E. coli O157:H7 in cattle drinking-water. A five-strain mixture of E. coli O157:H7 was inoculated (at approximately 8.0 log colony-forming units [CFU]/mL) into 100 mL samples of well water containing 0, 0.03, 0.05, 0.07, or 0.1% trans-cinnamaldehyde. Additionally, water samples containing (1% w/v) bovine feces or feed were also included. The samples were incubated at 21 degrees , 8 degrees , or 4 degrees C for 7 days and tested for viable E. coli O157:H7 on days 0, 1, 3, 5, and 7. Triplicate samples of each treatment and control were included and the study was replicated twice. All concentrations of trans-cinnamaldehyde were effective in killing E. coli O157:H7 in water, but the magnitude of killing significantly increased with increase in trans-cinnamaldehyde concentration and storage temperature (p < 0.05). The presence of feed or feces in water decreased the antibacterial effect of trans-cinnamaldehyde on E. coli O157:H7 (p < 0.05). This study indicated that trans-cinnamaldehyde is effective in killing E. coli O157:H7 in cattle drinking-water, but detailed palatability studies on cattle intake of water containing the antimicrobial are needed.     

环介导等温扩增法应用于肠出血性大肠埃希菌O157:H7的检测

的仪器,非常适合基层检验部门及小型实验室与流行病学人员现场监测使用,具有较为广泛地应用前景.     

Cross reactivity of enterohemorrhagic Escherichia coli O157:H7-specific sera with non-O157 serotypes

Escherichia coli O157:H7 is an important food- and water-borne pathogen of humans, causing Hemorrhagic Colitis and Haemolytic Uremic Syndrome. Colonization of both cattle and human hosts is mediated through the action of effector molecules secreted via a Type III secretion system, a mechanism shared by other enterohemorrhagic E. coli (EHEC). We recently reported that vaccination of cattle with Type III-secreted proteins (TTSPs) resulted in decreased shedding of the organism following both experimental infection as well as under conditions of natural exposure. In order to extend this to non-O157 EHEC serotypes, we examined the serological cross reactivity of TTSPs of serotypes O26:H11, O103:H2, O111:NM and O157:H7. Western blotting experiments with polyclonal antisera directed against serotype O157:H7 TTSPs suggested that there was significant cross reactivity, although there was limited cross reactivity when two Tir- and EspA-specific monoclonal antibodies were used. Groups of cattle were then vaccinated with TTSPs produced from each of the above serotypes and the magnitude and specificity of the responses were measured. All animals responded well with antibodies to TTSPs of the homologous serotype. However, limited cross reactivity was observed against the others. No cross reactivity was observed against Tir and EspA of serotype O157:H7. These results suggest that vaccination of cattle with TTSPs as a means of reducing the risk of EHEC transmission to humans will induce protection that is serotype specific.     

大肠埃希菌O157:H7的金增强胶体金免疫渗滤检测法

目的 建立基于盐酸羟胺晶种法的金增强的免疫渗滤法,快速、灵敏检测大肠埃希菌(Escherichia coli)0157:H7.方法 以柠檬酸钠还原法制备粒径约为18nm的免疫胶体金;采用羟胺晶种法对胶体金粒子进行生长放大,考察金生长液中盐酸羟胺与氯金酸的物质量的比对胶体金粒子生长放大的影响;借助透射电镜观察胶体金粒子在...     

出血性大肠杆菌O157∶H7的脉冲场凝胶电泳分型方法研究

目的应用脉冲场凝胶电泳技术(PFGE)对肠出血性大肠杆菌O157:H7进行基因分型,了解不同来源分离株的相关性。方法选择在广西食品污染物检测地区食品样本中分离到的7株出血性大肠杆菌O157:H7,采用琼脂糖包埋胶块法制备基因组DNA,以XbaⅠ限制性内切酶进行酶切,选定脉冲电泳参数进行脉冲场凝胶电泳,照相记录结果;Nei的公式计算相似性和遗传距离,并用PHYLIP程序非加权成对算术平均法聚类分析。结果PFGE可生成14~18条清晰条带的分离株DNA指纹图谱,由聚类分析树状图可将7株分离株分为6个基因群。结论广西不同地区食品分离O157:H7血清型菌株存在多个分子亚型,提示不是一个克隆株,研究发现脉冲场凝胶电泳分型技术重复性高,在分子流行病学研究中有较大的应用前景。     

我市首次分离到O157:H7大肠杆菌分离株的生化特征、毒力因子与耐药性的探讨

目的：了解金华市外环境中O157：H7大肠杆菌分离株中生化特征、毒力因子的携带与耐药情况。方法：直接分离接种于O157显色培养基。结果：从51份样品中分离出2株O157：H7大肠杆菌,对这2株O157：H7大肠杆菌分离株进行PCR毒力因子的测定,携带eaeA、stx2毒力因子。结论：药敏试验结果显示,这两株O157：H7大肠杆菌分离株对利福平类、四环素耐药。     

大肠埃希菌O157：H7家蝇实验带菌消长的研究

目的采用大肠埃希菌O157∶H7-EDL933株,实验感染家蝇,观察家蝇体内外感染和带菌消长情况。方法点滴法体外定量染菌,剂量为1μ（l菌悬液浓度为8.0×10^5～1.9×10^7cfu/ml）,并采用昆虫单虫单管方法饲养观察。结果家蝇经体外染菌,获得体内外带菌,体外带菌时间中位数为（96.0±15.3）h（95%CI：66.0～126.0h）;体内中位数为（144.0±17.3）h（95%CI：110.2～177.8h）;家蝇体内外带菌消长差异无统计学意义（χ^2=0.74,P=0.388）,家蝇最长带菌时间至少216h（9d）。结论研究结果提示,家蝇不仅是O157∶H7疾病传播的媒介,更重要的可能是人类感染潜在的贮存宿主。     

Thermal tolerance of acid-adapted and non-adapted Escherichia coli O157:H7 and Salmonella in ground beef during storage

Thermal tolerance of acid-adapted Escherichia coli O157:H7 or Salmonella in ground beef was evaluated during storage at 4 degrees C or -20 degrees C. Both pathogens were adapted to acidic conditions (pH approximately 4.6) by growing in tryptic soy broth supplemented with 1% glucose. A five-strain cocktail of E. coli O157:H7 or Salmonella was grown separately in TSB (pH approximately 6.6) and TSB + 1% glucose for 24 h at 37 degrees C to provide cells with or without acid adaptation. Irradiated ground beef was inoculated with either acid-adapted or non-adapted E. coli O157:H7 or Salmonella; the samples stored at 4 degrees C were subjected to heat treatment at 62 degrees C or 65 degrees C on days 1, 7, 14, 21, and 28, and the samples stored at -20 degrees C were subjected to heat treatment at 62 degrees C or 65 degrees C on days 1, 30, 60, 90, and 120. Decimal reduction time (D values) of the pathogens was determined as an indicator of thermal tolerance. Significantly higher D(62) values were observed on days 21 and 28 for non-adapted E. coli O157:H7 stored at 4 degrees C and on days 90 and 120 for non-adapted E. coli O157:H7 stored at -20 degrees C (P < 0.05). Higher D(62) values were observed on days 21 and 28 among non-adapted Salmonella strains stored at 4 degrees C and on day 28 for acid-adapted strains of Salmonella stored at 4 degrees C (P < 0.05). Higher D(62) values for acid-adapted strains of Salmonella stored at -20 degrees C were observed on days 30, 60, and 90 (P < 0.05), when while no differences were observed in the D(65) values of acid-adapted and non-adapted strains of E. coli O157:H7 and Salmonella throughout storage at both temperatures (P > 0.05). This suggests that acid adaptation of foodborne pathogens provides a certain level of protection against heat treatment at lower cooking temperatures, while at higher temperatures there were no observed differences between the sensitivity of acid-adapted and non-adapted strains in an actual food system over an extended period of refrigerated and frozen storage.     

Seasonal shedding of Escherichia coli O157:H7 in ruminants: a new hypothesis

Seasonal shedding of Escherichia coli O157:H7 in ruminants is well documented; however, viable explanations for this phenomenon are lacking. The fecal prevalence of E. coli O157:H7 in ruminants is the highest in the summer months, decreasing to low or undetectable levels in the winter. To determine if day length is correlated to seasonal shedding, nine reports of E. coli O157:H7 prevalence in cattle were selected for similarity of sampling technique, culture methodology, cattle type, and ability to determine approximate sampling month and location, representing three regions in North America (southern Canada, midwestern United States, and the southern United States/Mexico). Correlation and regression analysis revealed a positive correlation existed between day length (r = 0.67; R2 = 0.45; P = 0.0009) and, to a lesser extent, ambient temperature (r = 0.43; R2 = 0.19; P = 0.05) and E. coli O157:H7 prevalence. Based on these results, a study was conducted in a commercial feedlot to examine the effect of artificial lighting on E. coli O157 prevalence. Four pens of cattle received approximately 5 hours of artificial lighting daily (in addition to the natural light) for 60 days and four pens served as controls. Freshly voided fecal samples (representing approximately 30% of the steers/pen) were collected from the pen floor and cultured for E. coli O157 after 25 and 53 days of artificial lighting and 28 and 43 days following cessation of the lighting treatment. Fecal prevalence of E. coli O157 remained constant in the lighted pens whereas prevalence was lower (P < 0.01) in the control treatment after 53 days of lighting. Forty-three days following cessation of the lighting treatment, prevalence decreased in the lighted treatment group to levels comparable (P > 0.20) to control levels. Understanding the mechanisms underlying the seasonality of this important foodborne pathogen will enable the implementation of effective control strategies when it is most prevalent.