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Journal of Clinical Microbiology, July 1999, p. 2176-2182, Vol. 37, No. 7
0095-1137/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
Salmonella Enteritidis Phage Types 1 and 4: Pheno- and
Genotypic Epidemiology of Recent Outbreaks in Finland
Susanna
Lukinmaa,1
Raili
Schildt,2
Teemu
Rinttilä,1 and
Anja
Siitonen1,*
Laboratory of Enteric Pathogens, National
Public Health Institute, FIN-00300 Helsinki,1
and Department of Bacteriology, National Veterinary and Food
Research Institute, FIN-00580 Helsinki,2 Finland
Received 2 November 1998/Returned for modification 14 January
1999/Accepted 23 March 1999
In the 1990s, Salmonella enterica subsp.
enterica serovar Enteritidis has caused 15 outbreaks in
Finland; 12 of them were caused by phage type 1 (PT1) and PT4. Thus
far, there has been no clear evidence as to the source of these
Salmonella Enteritidis PT1 and PT4 strains, so it was
necessary to try to characterize them further. Salmonella
Enteritidis PT1 (n = 57) and PT4 (n = 43) isolates from different sources were analyzed by genomic
pulsed-field gel electrophoresis (PFGE), plasmid profiling, and
antimicrobial resistance testing to investigate the distribution of
their subtypes in Finland. It was also hoped that this investigation
would help in identifying the sources of the infections, especially the
sources of the outbreaks caused by PT1 and PT4 in the 1990s. The
results showed that both PFGE and plasmid profiling, but not
antimicrobial susceptibility testing, were capable of differentiating
isolates of Salmonella Enteritidis PT1 and PT4. By
genotypic methods, it was possible to divide both PT1 and PT4 isolates
into 12 subtypes. It could also be shown that all PT1 outbreak isolates
were identical and, at least with this collection of isolates, that the
outbreaks did not originate from the Baltic countries or from Russia,
where this phage type predominates. It was also established that the outbreaks caused by PT4 all had different origins. Valuable information for future investigations was gained on the distribution of molecular subtypes of strains that originated from the tourist resorts that are
popular among Finns and of strains that were isolated from livestock.
*
Corresponding author. Mailing address: National Public
Health Institute, Laboratory of Enteric Pathogens,
Mannerheimintie 166, FIN-00300 Helsinki, Finland. Phone:
358-9-47448245. Fax: 358-9-47448238. E-mail:
anja.siitonen{at}ktl.fi.
Journal of Clinical Microbiology, July 1999, p. 2176-2182, Vol. 37, No. 7
0095-1137/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
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