Abstract

BackgroundListeriosis is a severe infection which mainly affects pregnant women, neonates and immuno-compromised adults. ANSES’s Laboratory for Food safety has been the European Union Reference Laboratory (EURL) for L. monocytogenes in the food chain since 2006. Pulsed Field Gel Electrophoresis (PFGE) is routinely used in the EURL for the surveillance of L. monocytogenes isolated from foods, animals and the environment. One of the main EURL activities is to evaluate alternative molecular subtyping methods to PFGE, and integrate their use within the National Reference Laboratories (NRL) network. Since 2008, the United Kingdom (UK)-NRL for L. monocytogenes at the Health Protection Agency (HPA), London, has used fluorescent Amplified Fragment Length Polymorphism (fAFLP) for the routine surveillance of L. monocytogenes isolated from human clinical cases, food and food processing environments in the UK. This study compares fAFLP with PFGE for subtyping L. monocytogenes.ResultsA panel of 109 L. monocytogenes isolates from either human cases of listeriosis, foods, food processing environments and animals were used for the comparative evaluation. Among these, 2 strains were tested from duplicate culture by both methods. The panel also included field isolates, isolates associated with outbreaks or sporadic cases and reference strains. The two strains tested in duplicate displayed the same fAFLP and PFGE types. Strains known to be epidemiologically associated with one another were found to have unique PFGE and fAFLP types. FAFLP and PFGE divided the strains into 76 and 82 distinct profiles, or types, respectively. The discriminatory index calculated was 0.993 and 0.996 for fAFLP and PFGE, respectively.ConclusionsThe discriminatory ability of fAFLP was similar to that of PFGE for the subtyping of L. monocytogenes isolates. As a less labour intensive technique fAFLP may be a better method to use than PFGE in investigating outbreaks of human listeriosis and tracking the source of contamination in food processing facilities in real time.

Highlights

  • Listeriosis is a severe infection which mainly affects pregnant women, neonates and immuno-compromised adults

  • To rule out any fluorescent artefacts, the 3 isolates were processed in triplicate on separate occasions and the fluorescent Amplified Fragment Length Polymorphism (fAFLP) profile obtained by each replicate was always the same, including the ‘shoulder’ at 206 bp with strains TS39 and TS67

  • The subtyping results obtained in this study on a panel of L. monocytogenes field strains from human clinical cases, foods, food processing environments and animal cases, reference strains and isolates associated with outbreaks or sporadic cases showed equal discriminatory ability between fAFLP (ID 0.993) and ApaI/ AscI-Pulsed Field Gel Electrophoresis (PFGE) (ID 0.996)

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Summary

Introduction

Listeriosis is a severe infection which mainly affects pregnant women, neonates and immuno-compromised adults. Pulsed Field Gel Electrophoresis (PFGE) is routinely used in the EURL for the surveillance of L. monocytogenes isolated from foods, animals and the environment. Infection with L. monocytogenes in pregnant women, neonates and immuno-compromised adults can result in a severe and life threatening invasive form of listeriosis. In Europe, after a decline in the number of cases during the 1990s, the incidence of listeriosis increased and has remained relatively high for the past ten years. This has led to listeriosis being considered one of the resurgent foodborne diseases in Europe [1,2]. This disease is rare but associated with a high fatality rate (20-30%) and currently remains an important public health concern

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