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Detection of Live Escherichia coli O157:H7 Cells by PMA-qPCR
Published on: February 1, 2014
Four laboratory-associated cases of infection with Escherichia coli O157:H7
Nancy Spina1, Shelley Zansky, Nellie Dumas
1Emerging Infections Program, New York State Department of Health, Room 651 Corning Tower, Empire State Plaza, Albany, NY 12237, USA. nls04@health.state.ny.us
Abstract:
An investigation of four cases of infection with Escherichia coli O157:H7 among laboratorians from different clinical laboratories revealed that the DNA fingerprint pattern of each case isolate was indistinguishable from that of an isolate handled in the laboratory prior to illness. These data suggest that the infections were laboratory acquired, and they demonstrate the importance of laboratorians strictly adhering to biosafety practices recommended for the handling of infectious materials.
Insights
Four laboratorians contracted Escherichia coli O157:H7 infections, with DNA analysis confirming the pathogens originated from laboratory samples. Strict adherence to biosafety protocols is crucial for preventing laboratory-acquired infections.
Area of Science:
- Clinical microbiology
- Infectious disease epidemiology
- Occupational health in laboratory settings
Background:
- Escherichia coli O157:H7 is a significant human pathogen.
- Clinical laboratorians handle various infectious agents daily.
- Understanding routes of laboratory-acquired infections (LAIs) is vital for safety.
Observation:
- Four distinct cases of Escherichia coli O157:H7 infection occurred in laboratorians.
- Each infected laboratorian worked in a different clinical laboratory.
- Isolates from infected individuals matched isolates previously handled in their respective labs.
Findings:
- DNA fingerprinting confirmed indistinguishable genetic profiles between patient isolates and laboratory strains.
- The temporal and genetic links strongly suggest laboratory acquisition of Escherichia coli O157:H7.
- These cases highlight potential breaches in biosafety protocols.
Implications:
- Reinforces the critical need for strict adherence to biosafety practices when handling infectious materials.
- Underscores the risk of laboratory-acquired infections, even with common pathogens.
- Emphasizes the importance of robust safety training and oversight for laboratory personnel.
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