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Surveillance for Shiga toxin--producing Escherichia coli, Michigan, 2001-2005.(DISPATCHES)(Disease/Disorder overview)

Emerging Infectious Diseases

| February 01, 2007 | Manning, Shannon D.; Madera, Robbie T.; Schneider, William; Dietrich, Stephen E.; Khalife, Walid; Brown, William; Whittam, Thomas S.; Somsel, Patricia; Rudrik, James T. | COPYRIGHT 2007 U.S. National Center for Infectious Diseases. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

A surveillance system used different detection methods to estimate prevalence of Shiga toxin-producing Escherichia coli during 2003-2005 and 2001-2002. More non-O157 serotypes were detected by enzyme immunoassay than by evaluation of non-sorbitol-fermenting E. coli isolates. We therefore recommend use of enzyme immunoassay and culture-based methods.

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Infection with Shiga toxin-producing Escherichia coli (STEC) is a frequent cause of gastrointestinal disease, particularly among children and elderly persons (1). Detection of O157 STEC by culture relies primarily on sorbitol MacConkey agar (SMAC) (2) because O157:H7 strains cannot rapidly ferment ...

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