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Journal of Clinical Microbiology, 07 1997, 1675-1680, Vol 35, No. 7
H Izumiya, J Terajima, A Wada, Y Inagaki, KI Itoh, K Tamura and H Watanabe
Pulsed-field gel electrophoresis (PFGE) was applied for molecular typing of
825 enterohemorrhagic Escherichia coli (EHEC) O157:H7 isolates, most of
which were from 19 outbreaks and 608 sporadic cases in Japan, mainly in May
to August 1996. By PFGE, the EHEC O157:H7 isolates were classified into six
types (type I to V and ND [nondescript]) and UT untypeable isolates. Fifty
isolates from seven outbreaks in May to June and 60 isolates from patients
with sporadic cases of infection showed almost identical PFGE patterns
which differed in only 1 of 22 DNA fragments. They were classified into
type I. Ninety- nine isolates from 10 other outbreaks and 156 isolates from
patients in the Kinki area with sporadic cases of infection obtained in the
early summer of 1996 showed identical PFGE patterns, suggesting that they
were derived from one huge outbreak. They were classified into type II.
Type IV EHEC isolates, which had only the stx2 gene, caused another
outbreak in a primary school in June. EHEC isolates of two other types,
types III and V, were not related to the outbreak but were isolated in
several parts of Japan. ND EHEC isolates included a variety of patterns
which could not be classified into either of the types mentioned above.
Twenty-five isolates could not be analyzed due to degradation of their
genomic DNAs and were represented as UT. These results indicate that EHEC
O157:H7 strains with various PFGE types have already spread to Japan and
caused the multiple outbreaks and sporadic infections in Japan in the
summer of 1996.
Copyright © 1997 by the American Society for Microbiology. All rights reserved.
Molecular typing of enterohemorrhagic Escherichia coli O157:H7 isolates in Japan by using pulsed-field gel electrophoresis
Department of Bacteriology, National Institute of Health, Shinjuku, Tokyo, Japan.
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