Abstract

BackgroundIn Sweden, a particular subtype of verocytotoxin-producing Escherichia coli (VTEC) O157:H7, originally defined as being of phage type 4, and carrying two vtx2 genes, has been found to cause the majority of reported human infections during the past 15 years, including both sporadic cases and outbreaks. One plausible explanation for this could be that this particular subtype is better adapted to colonise cattle, and thereby may be excreted in greater concentrations and for longer periods than other VTEC O157:H7 subtypes.MethodsIn an experimental study, 4 calves were inoculated with 109 colony forming units (cfu) of strain CCUG 53931, representative of the subtype VTEC O157:H7 (PT4;vtx2;vtx2c). Two un-inoculated calves were co-housed with the inoculated calves. Initially, the VTEC O157:H7 strain had been isolated from a dairy herd with naturally occurring infection and the farm had previously also been linked to human infection with the same strain. Faecal samples were collected over up to a 2-month period and analysed for VTEC O157 by immuno-magnetic separation (IMS), and IMS positive samples were further analysed by direct plating to elucidate the shedding pattern. Samples were also collected from the pharynx.ResultsAll inoculated calves proved culture-positive in faeces within 24 hours after inoculation and the un-inoculated calves similarly on days 1 and 3 post-inoculation. One calf was persistently culture-positive for 43 days; in the remainder, the VTEC O157:H7 count in faeces decreased over the first 2 weeks. All pharyngeal samples were culture-negative for VTEC O157:H7.ConclusionThis study contributes with information concerning the dynamics of a specific subtype of VTEC O157:H7 colonisation in dairy calves. This subtype, VTEC O157:H7 (PT4;vtx2;vtx2c), is frequently isolated from Swedish cattle and has also been found to cause the majority of reported human infections in Sweden during the past 15 years. In most calves, inoculated with a representative strain of this specific subtype, the numbers of shed bacteria declined over the first two weeks. One calf could possibly be classified as a high-shedder, excreting high levels of the bacterium for a prolonged period.

Highlights

  • In Sweden, a particular subtype of verocytotoxin-producing Escherichia coli (VTEC) O157:H7, originally defined as being of phage type 4, and carrying two vtx2 genes, has been found to cause the majority of reported human infections during the past 15 years, including both sporadic cases and outbreaks

  • Isolation of VTEC O157:H7 in faeces All 4 inoculated calves were culture positive for VTEC O157:H7 strain CCUG 53931 in faeces within 30 h pi, rates ranging from 7.7 × 103 to 6.3 × 105 cfu/g faeces (Fig. 1)

  • This particular subtype of VTEC O157:H7 is prevalent among cattle in Sweden [12] and predominates among the human cases reported to the SMI [8]

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Summary

Introduction

In Sweden, a particular subtype of verocytotoxin-producing Escherichia coli (VTEC) O157:H7, originally defined as being of phage type 4, and carrying two vtx genes, has been found to cause the majority of reported human infections during the past 15 years, including both sporadic cases and outbreaks. More than 2/3 of the VTEC O157:H7 isolates from domestic cases during 2001- 2007 belonged to VTEC O157:H7 (PT4;vtx2;vtx2c) (personal communication, Sven Löfdahl, SMI) It has been the causative agent in two large food-borne outbreaks in Sweden; one outbreak in 2003 due to cold fermented sausages including 30 reported cases [10] and one outbreak in 2005 where 135 cases, including 11 HUS patients, were culture positive for VTEC O157:H7 after consumption of fresh lettuce [11]

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