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- Inclusivity:

The strains or isolates of the target analyte(s) that the method

can detect.

- Exclusivity

:

The non-target strains or isolates, which are potentially cross-

reactive, that should not be detected by the method.

General Information

Most

E. coli

bacteria are harmless; however some produce a toxin (Shiga toxin) that can

cause serious illness, including bloody diarrhea, hemolytic uremic syndrome, renal failure,

and sometimes death. Like generic

E. coli

, toxin-producing Shiga-toxigenic

E. coli

(STEC)

are Gram-negative, rod-shaped bacteria, but are characterized by the production of Shiga

toxins (

stx1, stx2)

and

eae

. Depending on the reference cited, there are approximately 200

to 400 STEC serotypes, many of which have not been implicated in human illness;

however, a subset of STEC called enterohemorrhagic

Escherichia coli

(EHEC) includes

only those that cause serious illness. Serotype O157:H7 is the prototypic EHEC strain.

Although

E. coli

O157:H7 is currently the predominant strain and accounts for ~75% of the

EHEC infections worldwide, other non-O157 EHEC serotypes are emerging as a cause of

foodborne illnesses. In the United States the group known as the “Top 6” or “Big 6” (O111,

O26, O121, O103, O145, and O45) accounts for the majority of non-O157:H7 serotypes

isolated from clinical infections and, therefore, is currently a focus of concern.

EHEC outbreaks have been traced to many differenttypes of foods such asraw ground

meats, unpasteurized (“raw”) milk, unpasteurized fruit juice, lettuce, spinach, sprouts,

andmore recently, commercially manufactured frozen cookie dough. EHEC infections can

lead to life-threatening complications with children and immuno-compromised individuals

being at especially high risk. Thorough cooking of ground beef; washing raw fruits and

vegetables under clean, running water; and not drinking unpasteurized (“raw”) milk or

eating certain cheeses made from raw milk will decrease the chance of foodborne

illness.[4]

Principle of the Method

QIAGEN’s

mericon

E.coliO157 Screen Plus and

mericon

E.coliSTEC O-TypePathogen

Detection Assays are multiplex PCR assays that amplify both a specific DNA target and an

internal control with high specificity. The internal control provides data regarding the

presence of inhibitors in the tested samples and the overall quality of the PCR

run. Each

mericon

PCR Assay includes a PCR primer set for a pathogen-specific target

sequence, probes labeled with four distinct fluorescent dyes (

mericon

E. coliO157 Screen

Plus) or three distinct fluorescent dyes (

mericon

E. coliSTEC O-Type), positive control

DNA, and all of the reagents necessary to perform the analysis. The Multiplex PCR Master

Mix included in each kit contains QIAGEN proprietary technology, including

HotStarTaqplus DNApolymerase, patented multiplex PCR technology such as Factor MP,

and fast cycling technology including Q-bond. [5]

The Rotor-Gene Q cycler produces raw data files that are further interpreted by the

software using mathematical algorithms to characterize samples. The software guides the

user through each step and provides simplicity for beginners as well as an experimental

platform for advanced users. [6]

OMAMAN-36 E/ AOAC PTM Report

ERP Use Only

January 2017

AOAC Research Institute

Expert Review Panel Use O ly