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Enteric Pathogens

Enteric Pathogens. Beth Schweitzer MT(ASCP), SM Nebraska Public Health Laboratory. Pathogens Routinely Tested. Salmonella spp. Shigella spp. Campylobacte r spp. Aeromonas Plesiomonas Vibro. Pathogens Tested for upon request. Yersinia entercolitica E. coli 0157:H7 Vibrio

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Enteric Pathogens

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  1. Enteric Pathogens Beth Schweitzer MT(ASCP), SM Nebraska Public Health Laboratory

  2. Pathogens Routinely Tested • Salmonella spp. • Shigella spp. • Campylobacter spp. • Aeromonas • Plesiomonas • Vibro

  3. Pathogens Tested for upon request • Yersinia entercolitica • E. coli 0157:H7 • Vibrio • Must be specifically requested

  4. Testing for Salmonella/Shigella • Look for appearance of colonies on specialized media

  5. Normal Enteric Flora

  6. Salmonella/ Shigella

  7. E. coli/ Shigella

  8. Salmonella

  9. Campylobacter testing • Look for colonies on media after incubation at specific temperatures and atmospheric conditions

  10. Campylobacter screening

  11. Campylobacter spp.

  12. Gram- Negative cell structure

  13. Salmonella Serogrouping • Based on Cell Wall Antigens • (O) Somatic • Each antigen identified by a number designation • Multiple antigens can be present on each cell’s surface • Serogroup is determined by pattern of O antigens present • 95% of isolates belong to serogroups A-E (O2-O10) • Remaining 5% O antigens O11-O67 • Commercial kits available • Latex agglutination

  14. Salmonella serotyping • Based on Flagellar antigens (H) • Each antigen identified by a letter or number designation • Multiple antigens can be present on each isolate • Most isolates can posses 2 sets (phase1/phase 2) • Serotype is determined by O antigens present and phase 1/phase 2 H antigens • Over 2400 different serotypes • Over 1400 common to humans • No commercial kit available

  15. Serotyping • End up with an antigenic formula • O antigen: Phase 1 H antigens: Phase 2 H antigens • Most common formula’s have a name • Salmonella serotype Typhimurium • (4,5:i:2) • Serogroup B • Salmonella serotype Enteritidis • (9:gm:-) • Serogroup D

  16. E. coli O157:H7 • First look for E. coli in stool • Sorbitol negative • Test organism for presence of O and H antigens • Commercial kit available

  17. Further testing • All E coli O157:H7 isolates have Pulse field gel electrophoresis (PFGE) performed on them • Any other organisms can have PFGE performed, at the request of the state

  18. Any questions??Contact informationbschweitzer@unmc.edu559-6098

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