Fecal culture for Escherichia coli O157:H7 was compared to rectoanal mucosal swab (RAMS) culture in dairy heifers over a 1-year period. RAMS enrichment culture was as sensitive as fecal culture using immunomagnetic separation (IMS) (P ؍ 0.98, as determined by a chi-square test). RAMS culture is less costly than fecal IMS culture and can yield quantitative data.Domestic ruminants are the primary reservoir for Escherichia coli O157:H7, and the on-farm ecology of this organism has been studied extensively (2,4,11,18,20). Environmental reservoirs likely play an important role (6,10,12,14), but individual animals may also contribute significantly to the maintenance and spread of E. coli O157:H7 on the farm. The duration of carriage varies widely between individual animals. Most animals excrete culture-positive feces for less than 1 week, but there are a few animals that are feces positive for several weeks or even months (2,3,5,8,13,16,22). Recent findings (15,19) that the rectoanal-junction mucosa is a major colonization site for E. coli O157:H7 in the bovine intestine also suggest that host colonization factors may play an important role. Rectoanal mucosal swab (RAMS) culture has been shown to be more sensitive than fecal culture for dairy (21) and feedlot (9) cattle. Immunomagnetic separation (IMS) (23) of E. coli O157 from fecal samples after enrichment culture is often used to increase the sensitivity of fecal culture, but this technique is expensive and does not provide quantitative information in the form of bacterial counts/sample. We hypothesized that RAMS culture is at least as sensitive as fecal IMS with enrichment culture and that, as suggested by Rice et al. (21), RAMS culture could be used to detect carrier animals. To compare the sensitivity of RAMS culture to the sensitivity of fecal culture and to evaluate the ability of RAMS culture to predict the duration of carriage, we conducted a longitudinal study of the natural E. coli O157:H7 status among dairy heifers in which we sampled individual heifers over time at monthly intervals for 12 months, using (i) direct and enriched RAMS culture, (ii) direct fecal culture, and (iii) fecal IMS.Two university dairy herds were used. Dairy A had a closed herd and raised calves on its premises. Dairy B raised calves on its premises but sent heifers to be raised at another facility until they were 12 to 14 months old, so the dairy B heifers were at the heifer-raising facility for the duration of the study. Hutch calves were fed milk replacer at dairy A and waste milk at dairy B, and after weaning at both dairies the animals were fed a pelleted grain calf starter prepared at a local feed mill. The calf starter consisted of barley, corn, oats, soybean meal, vitamins, minerals, and a coccidiostat. After weaning, calves were placed in group pens containing three to five animals per pen, and after several weeks they moved to pens with larger numbers of heifers per pen.At the initial visit to each dairy, a cohort of 20 heifers that were 2 to 6 months old was identified...