Occurrence of Potentially Human-Pathogenic Escherichia coli O103 in Norwegian Sheep

Abstract

ABSTRACTThe investigation of an outbreak of hemorrhagic-uremic syndrome in Norway in 2006 indicated that the outbreak strainEscherichia coliO103:H25 could originate from sheep. A national survey of the Norwegian sheep population was performed, with the aim of identifying and describing a possible reservoir of potentially human-pathogenicE. coliO103, in particular of the H types 2 and 25. The investigation of fecal samples from 585 sheep flocks resulted in 1,222E. coliO103 isolates that were analyzed for the presence ofeaeandstxgenes, while a subset of 369 isolates was further examined for flagellar antigens (H typing),stxsubtypes,bfpA,astA, and molecular typing by pulsed-field gel electrophoresis (PFGE). The total ovineE. coliO103 serogroup was genetically diverse by numbers of H types, virulotypes, and PFGE banding patterns identified, although a tendency of clustering toward serotypes was seen. The flocks positive for potentially human-pathogenicE. coliO103 were geographically widely distributed, and no association could be found with county or geographical region. The survey showed thateae-negative,stx-negativeE. coliO103, probably nonpathogenic to humans, is very common in sheep, with 27.5% of flocks positive. Moreover, the study documented a low prevalence (0.7%) of potentially human-pathogenic Shiga toxin-producingE. coliO103:H2, while STEC O103:H25 was not detected. However, 3.1% and 5.8% of the flocks were positive for enteropathogenicE. coliO103 belonging to H types 2 and 25, respectively. These isolates are of concern as potential human pathogens by themselves but more importantly as possible precursors for human-pathogenic STEC.