Chapman P A, Siddons C A, Cerdan Malo A T, Harkin M A
Public Health Laboratory, Sheffield.
Epidemiol Infect. 2000 Apr;124(2):207-13. doi: 10.1017/s0950268899003581.
Between April 1996 and March 1997 we examined 5093 samples of raw beef and lamb products for the presence of E. coli O157. Samples were purchased from 81 small butchers' shops in south Yorkshire. In March 1997 we also examined five samples of dried mint for the presence of E. coli O157. Strains of E. coli O157 were isolated by enrichment culture in modified buffered peptone water followed by immunomagnetic separation and culture of magnetic beads onto cefixime tellurite sorbitol MacConkey agar. Strains were characterized by phage typing, toxin genotyping and plasmid analysis. Strains of E. coli O157 were isolated from 72 (1.4%) of 5093 samples; it was isolated from 36 (1.1%) of 3216 samples of beef products and from 29 (2.9%) samples of lamb products. The highest prevalence was found in lamb sausages and lamb burgers where E. coli O157 was isolated from 3 (4.1%) of 73 and 18 (3.7%) of 484 samples respectively. Strains of E. coli O157 were isolated most frequently during early summer. Strains of E. coli O157 were also isolated from 2 of 5 samples of dried mint although we did not determine how the mint had become contaminated. All isolates of E. coli O157 were Verocytotoxin-producing as determined by both Vero cell assay and DNA hybridization for the genes encoding Verocytotoxin and all were positive for the eaeA gene. A combination of phage typing, toxin genotyping and plasmid profile subdivided the 72 strains of E. coli isolated into 20 different subtypes, of which 18 were indistinguishable from strains isolated previously from cattle and sheep; of these 18 strains, 8 were indistinguishable from strains isolated from human cases of infection during the study period.
1996年4月至1997年3月期间,我们检测了5093份生牛肉和羊肉制品样本,以确定其中是否存在大肠杆菌O157。样本购自南约克郡的81家小型肉铺。1997年3月,我们还检测了5份干薄荷样本,以确定其中是否存在大肠杆菌O157。通过在改良缓冲蛋白胨水中进行增菌培养,随后进行免疫磁珠分离,并将磁珠培养在头孢克肟亚碲酸盐山梨醇麦康凯琼脂上,分离出大肠杆菌O157菌株。通过噬菌体分型、毒素基因分型和质粒分析对菌株进行鉴定。在5093份样本中,有72份(1.4%)分离出大肠杆菌O157菌株;在3216份牛肉制品样本中,有36份(1.1%)分离出该菌株,在羊肉制品样本中,有29份(2.9%)分离出该菌株。在羊肉香肠和羊肉汉堡中发现的患病率最高,在73份样本中有3份(4.1%)、在484份样本中有18份(3.7%)分离出大肠杆菌O157。大肠杆菌O157菌株在初夏最常被分离出来。在5份干薄荷样本中,有2份也分离出了大肠杆菌O157菌株,不过我们没有确定薄荷是如何被污染的。通过Vero细胞试验以及对编码志贺毒素的基因进行DNA杂交检测,确定所有分离出的大肠杆菌O157菌株均产生志贺毒素,并且所有菌株的eaeA基因均呈阳性。通过噬菌体分型、毒素基因分型和质粒图谱分析相结合的方法,将分离出的72株大肠杆菌细分为20种不同的亚型,其中18种与先前从牛和羊中分离出的菌株无法区分;在这18株菌株中,有8株与研究期间从人类感染病例中分离出的菌株无法区分。