Detection of Shiga toxin-producing Escherichia coli (STEC) by culture methods is advisable to identify the pathogen, but recovery of the strain responsible for the disease is not always possible. The use of DNA-based methods (PCR, quantitative PCR [qPCR], or genomics) targeting virulence genes offers fast and robust alternatives. However, detection of stx is not always indicative of STEC because stx can be located in the genome of temperate phages found in the samples as free particles; this could explain the numerous reports of positive stx detection without successful STEC isolation. An approach based on filtration through low-protein-binding membranes and additional washing steps was applied to reduce free Stx phages without reducing detection of STEC bacteria. River water, food, and stool samples were spiked with suspensions of phage 933W and, as a STEC surrogate, a lysogen harboring a recombinant Stx phage in which stx was replaced by gfp. Bacteria were tested either by culture or by qPCR for gfp while phages were tested using qPCR targeting stx in phage DNA. The procedure reduces phage particles by 3.3 log 10 units without affecting the recovery of the STEC population (culturable or assessed by qPCR). The method is applicable regardless of phage and bacteria densities and is useful in different matrices (liquid or solid). This approach eliminates or considerably reduces the interference of Stx phages in the detection of STEC by molecular methods. The reduction of possible interference would increase the efficiency and reliability of genomics for STEC detection when the method is applied routinely in diagnosis and food analysis.
Shiga toxin-producing Escherichia coli (STEC) bacteria are a class of enteric pathogens capable of causing severe gastrointestinal disease (hemorrhagic colitis) that can develop undesirable complications, such as acute kidney failure (hemolytic-uremic syndrome [HUS]) that could require lifelong treatment (1, 2). STEC strains belonging to different serotypes, notably strains of serotype O157:H7, have been the causative agents of large outbreaks of food-borne disease. However, the emergence of non-O157 STEC strains with various combinations of virulence genes also represents a serious challenge for the protection of consumers from food-borne disease (3, 4).The identification of STEC strains, which requires culture enrichment on selective medium, is advisable to confirm and characterize the pathogen. However, recovery of the strain responsible for the disease is not always possible because it could be present in low concentrations, the cells might not be in a culturable state, or there could be interference from commensal E. coli within the microbiota in the sample. The need for early identification of STEC demands the use of faster and more robust methods.STEC strains present genomic plasticity that complicates discrimination of the pathogenic strains among other E. coli strains present in a sample. For this reason, DNA and protein detection methods have been developed to target the g...