b Shiga-toxigenic Escherichia coli (STEC) strains were isolated from a variety of fresh produce, but mostly from spinach, with an estimated prevalence rate of 0.5%. A panel of 132 produce STEC strains were characterized for the presence of virulence and putative virulence factor genes and for Shiga toxin subtypes. About 9% of the isolates were found to have the eae gene, which encodes the intimin binding protein, and most of these belonged to known pathogenic STEC serotypes, such as O157:H7 and O26: H11, or to serotypes that reportedly have caused human illness. Among the eae-negative strains, there were three O113:H21 strains and one O91:H21 strain, which historically have been implicated in illness and therefore may be of concern as well. The ehxA gene, which encodes enterohemolysin, was found in ϳ60% of the isolates, and the saa and subAB genes, which encode STEC agglutinating adhesin and subtilase cytotoxin, respectively, were found in ϳ30% of the isolates. However, the precise roles of these three putative virulence factors in STEC pathogenesis have not yet been fully established. The stx 1a and stx 2a subtypes were present in 22% and 56%, respectively, of the strains overall and were the most common subtypes among produce STEC strains. The stx 2d subtype was the second most common subtype (28% overall), followed by stx 2c (7.5%), and only 2 to 3% of the produce STEC strains had the stx 2e and stx 2g subtypes. Almost half of the produce STEC strains had only partial serotypes or were untyped, and most of those that were identified belonged to unremarkable serotypes. Considering the uncertainties of some of these Stx subtypes and putative virulence factors in causing human illness, it is difficult to determine the health risk of many of these produce STEC strains.
Increases in the consumption of fresh produce have resulted in increases in food-borne outbreaks and illness associated with these products, prompting federal agencies to monitor the microbial quality of fresh produce. The FDA has implemented import and domestic compliance programs to check produce samples for the presence of pathogens. Also, the USDA Agricultural Marketing Service initiated the Microbiological Data Program (MDP) in 2001 to conduct microbial surveys of fresh produce samples collected from wholesale distribution centers across the country. On average, 10,000 to 15,000 samples were tested by MDP yearly for the presence of Salmonella, enterotoxigenic Escherichia coli (ETEC), E. coli serotype O157:H7, and other Shiga-toxigenic E. coli (STEC) types. The annual MDP reports (http://www.ams .usda.gov/AMSv1.0/mdp) showed that many of these bacteria can be found in various types of fresh produce. STEC strains are characterized by the production of Shiga toxins (Stx), of which there are two main types, designated Stx1 and Stx2. Within each toxin are many subtypes; currently, there are three known Stx1 (Stx1a, Stx1c, and Stx1d) and seven known Stx2 (Stx2a, Stx2b, Stx2c, Stx2d, Stx2e, Stx2f, and Stx2g) subtypes (1). Some of these subtypes have ...