Detection of enterohaemorrhagic Escherichia coli in patients attending hospital in Melbourne, Australia
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2013, Journal of InfectionCitation Excerpt :This group formed a substantial proportion of the additional C. difficile positives detected by multiplex PCR 29/48 (60%), and laboratories using the multiplex approach may wish to either add a comment or restrict reporting of results to children considered to be at risk for disease and/or where C. difficile testing is requested, e.g. paediatric oncology/haematology patients. Diagnostic laboratories are currently faced with the dilemma of deciding which faeces specimens should be tested for EHEC, as EHEC disease is difficult to clinically differentiate from other diarrhoeal diseases, and whilst O157 serotypes can be suspected by the growth of non-fermenting colonies of E. coli on sorbitol MacConkey agar, sorbitol fermenting non-O157 EHEC serotypes are emerging as important causes of diarrhoea worldwide.23,24 EIAs are available, but they suffer from low sensitivity unless broth enrichment is used.25
Prevalence, characterisation and clinical profiles of Shiga toxin-producing Escherichia coli in The Netherlands
2008, Clinical Microbiology and InfectionCitation Excerpt :In this large-scale, nationwide study, the overall STEC prevalence was 1.7%, ranging from 0.9% for young children to 3.5% for patients with macroscopic blood in their stool samples. These results correspond well with results from the limited number of similar studies published previously [9,16,33,34]. Among the STEC strains isolated, the non-O157 isolates clearly predominated over the O157 serogroup.
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