Title:
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The role of freshwater biofilms as reservoirs of Escherichia coli O157
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Escherichia coli 0157 is a strain of enteric bacteria that is associated with two
potentially fatal diseases, haemorrhagic colitis and haemolytic uraemic syndrome.
The bacterium has been implicated with outbreaks of disease where the individual
has been exposed either to water or to land contaminated with faecal material, or to
food poisoning pertaining to inadequate slaughter, cooking, or hygiene practices.
E. coli 0157 has been isolated from private and municipal water supplies, mainly as
a result of contamination of the source water. Animal grazing and the use of
untreated, manure-based fertiliser can lead to an influx of faecal bacteria to the soil,
where cultivation and natural run-off transfer the bacteria deep into the soil, as well
as ground and surface waters. A dairy farm in East Sussex (United Kingdom) was
used to investigate the potential of virulent E. coli 0157 isolates to exist within
temperate freshwater biofilms. Devices using indigenous flint shingle were set up at
four sites along the stream network to allow natural biofilm formation. Stones were
removed from each site at four week intervals for one year, and screened to
characterise eight Enterobacteriaceae genera and obtain total heterotrophic counts.
Pooled faecal samples were obtained from indigenous grazing animals were also
characterised to investigate their potential role as vectors of this pathogenic
organism. A total of 1002 E. coli isolates were recovered from both the biofilm and
animal faeces, 48 of which were identified as E. coli 0157. All E. coli isolates were
analysed for kinetic biochemical phenotypes using the PhenePlateTM technique, and
all confirmed E. coli 0157 isolates were subjected to an antibiotic resistance screen
in an attempt to develop a host-specific resistance profile using the VetMICTM
technique. The presence of five virulence traits known to cause or to be associated
with human enteric disease were identified among confirmed E. coli O157 isolates
using PCR. Phenotypic analysis revealed that distinct sub-populations of E. coli
exist for each animal population, some of which displayed a significant phenotypic
similarity to those recovered from the biofilms, suggesting that a source of faecal
bacteria may be entering the streams. The antibiotic screen was not able to determine
host-specific antibiotic profiles due to the small number of isolates recovered from
the pooled faeces from each animal population (fourteen from pooled goat faeces,
four from cattle, two from chickens and two from pigs). PCR confirmed the presence
of the two verotoxin genes, those for intimin and an enterohaemolysin-encoding
plasmid, as well as two ERIC sequences determined from E. coli O157 strains
known to cause disease. This work supports research revealing that the bacterium
can survive in environmental conditions that are in stark contrast to those of the
mammalian gastro-intestinal tract. It suggests a link between strains that are excreted
by grazing animals and those found in the aquatic epilithic biofilms, and represent a
potential reservoir for the dissemination of disease to susceptible human
populations. This research has implications for epidemiological studies, and suggests
that disease control measures should be adjusted to account for the transfer of
bacteria from land-based environments to aquatic ones, accounting for both natural
and human-associated processes. E. coli 0157 is a clear and present danger to
human health if ingested, but the bacterium exists in the biofilms as a naturallyoccurring
organism, and should be treated as a result of natural run-off and leaching
processes rather than the deliberate contamination of surface waters.
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