The distribution of Escherichia coli O157 in bovine feces was examined by testing multiple samples from fecal pats and determining the density of E. coli O157 in immunomagnetic separation (IMS)-positive fecal samples. The density of E. coli O157 in bovine feces was highly variable, differing by as much as 76,800 CFU g ؊1 between samples from the same fecal pat. The density in most positive samples was <100 CFU g ؊1 , the limit of reliable detection by IMS. Testing only one 1-g sample of feces per pat with IMS may result in a sensitivity of detection as low as 20 to 50%. It is therefore probable that most surveys have greatly underestimated the prevalence of E. coli O157 shedding in cattle and the proportion of farms with shedding cattle. The sensitivity of the detection of E. coli O157 in bovine feces can be as much as doubled by testing two 1-g samples per pat rather than one 1-g sample.Shiga-toxigenic Escherichia coli O157 is a major public health concern. It is associated with human illnesses ranging from uncomplicated watery diarrhea to hemorrhagic colitis and hemolytic-uremic syndrome, which may result in death (22,24,31). Cattle are an important source of E. coli O157 (15,25,39), and many surveys around the world have been conducted to estimate the prevalence of E. coli O157 shedding by cattle (20).Much research has gone into improving the sensitivity of laboratory methods for the detection of E. coli O157 and the introduction of immunomagnetic separation (IMS) and selective isolation media has greatly improved the sensitivity of E. coli O157 isolation from bovine feces (4,5,35). In contrast, the distribution of E. coli O157 in bovine feces and its impact on the accuracy of prevalence estimates reported in bovine fecal E. coli O157 shedding surveys has largely been ignored. A variety of sampling techniques have been used to collect bovine feces in surveys, including rectal swabs (11,19), rectal grab samples (15, 39), and grab or swab samples from fecal pats (10,12). In 27 surveys we reviewed, only one sample was taken from each animal or fecal pat. In 9 of these surveys, a swab from each animal or fecal pat was tested (1, 2, 10-12, 19, 29, 30, 38); in 7 surveys, 1 g of feces from each animal or pat was tested (8,16,25,26,28,32,36); in 10 surveys, Ն10 g of feces from each animal or pat was tested (3, 7, 9, 13-15, 18, 23, 34, 39). In the remaining survey, the amount of feces tested was not reported (17). The analysis of results in these 27 studies implicitly assumed homogenous distribution of E. coli in the fecal samples tested.This study investigated the distribution of E. coli O157 in bovine feces and assessed its impact on the sensitivity of shedding survey results.
MATERIALS AND METHODSSampling. Fecal samples were drawn from two separate studies. In both studies, convenience samples of fecal pats were taken, with pats being sampled without replacement. In the first study, multiple 10-to 25-g samples were taken from fecal pats in three separate pens of cattle housed on straw bedding. On 23 October 2001,...