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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 Beth Schweitzer MT(ASCP), SM Nebraska Public Health Laboratory
Pathogens Routinely Tested • Salmonella spp. • Shigella spp. • Campylobacter spp. • Aeromonas • Plesiomonas • Vibro
Pathogens Tested for upon request • Yersinia entercolitica • E. coli 0157:H7 • Vibrio • Must be specifically requested
Testing for Salmonella/Shigella • Look for appearance of colonies on specialized media
Campylobacter testing • Look for colonies on media after incubation at specific temperatures and atmospheric conditions
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
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
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
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
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
Any questions??Contact informationbschweitzer@unmc.edu559-6098