Can Shiga-toxin producing E. coli persist in water?

A toxin dangerous to humans may help E. coli fend off aquatic predators, enabling strains of E. coli that produce the toxin to survive longer in lake water than benign counterparts, a new study finds.

Researchers from the University at Buffalo and Mercyhurst University reported these results online June 7 in the journal Applied and Environmental Microbiology.

“The take-home lesson is that E. coli that produce Shiga toxin persisted longer in recreational water than E. coli that don’t produce this toxin,” said UB Professor of Biological Sciences Gerald Koudelka, PhD, who led the walkertonstudy. “This is because the toxin appears to help E. coli resist predation by bacterial grazers.”

The findings have implications for water quality testing. They suggest that measuring the overall population of E. coli in a river or lake — as many current tests do — may be a poor way to find out whether the water poses a danger to swimmers.

Past research has shown that overall E. coli concentrations don’t always correlate with the levels of dangerous, Shiga toxin-producing E. coli present in the water, Koudelka said. His new study provides one possible explanation for why this might be.

E. coli, short for Escherichia coli, is a bacteria found in human and animal intestines. Most types of E. coli are harmless. But those that produce Shiga toxin can make people very sick, causing symptoms such as hemorrhagic diarrhea. Severe cases can lead to death.

In their new study, Koudelka and his colleagues obtained water samples from Presque Isle State Park and Mill Creek Stream, both in northern Pennsylvania. The water contained protists — tiny, single-cellular creatures that feed on E. coli.

To test how Shiga toxin affects E. coli’s survival, the scientists placed several different strains of E. coli into the water samples: three strains of Shiga toxin-encoding E. coli (STEC), and three strains of E. coli that did not produce the toxin.

The results: The toxin producers fared much better against the grazing protists than their toxin-free counterparts. Over 24 hours, STEC populations fell by an average of 1.4-fold, in contrast to 2.5-fold for the Shiga-free bacteria.

The STEC strain that produced the most Shiga toxin also lasted the longest, persisting in water for about 48 hours before declining in numbers.

Each E. coli strain was tested in its own experiment (as opposed to one big experiment that included all six). All of the STEC strains studied were ones that had previously caused illness in humans.

The findings add to evidence suggesting that current water quality tests may not capture the whole story when it comes to E. coli danger in recreational waters, Koudelka said.

“If you’re only testing generally for fecal indicator bacteria, you could miss the danger because it’s possible to have low levels of E. coli overall, but have most of that E. coli be of the STEC variety,” he said. “This would be worse than having a large E. coli population but no STEC.”

The opposite problem can also occur, Koudelka said.

“You could have high E. coli populations in a lake, but absolutely no STEC,” he said. “This is the economic part of it: It’s a problem because you might have a beach that’s closed for days even though it’s safe.”

Young brothers hospitalized with E. coli in Kentucky

The 1- and 2-year-old grandsons of Ray and Stephanie Bogucki have been in Children’s Hospital in Cincinnati, Kentucky, since Monday, suffering from what appears to be a shiga-toxin producing E. coli.

Ray Bogucki told The Ledger Independent on Thursday, "It is important people know this can happen. …

“The 1-year-old is showing signs of improvement. He has received two units of blood and seems to be getting better. The 2-year-old is on his third unit of blood and has had dialysis treatment. His blood pressure was high and he is being treated for that.”

The strain Bogucki’s grandchildren have is the type attributed to cattle, which could also be related to vegetables grown where cattle manure is used as fertilizer, he said.

“That was what confused us at first, because the 1-year-old is still eating baby food and not any meat,” Bogucki said. ”But the doctors said it can come from anywhere, even a petting zoo. They are farm kids, petting cattle and being around them.”

E. coli O103 and O145 sickens 29 students who prepared deer in Minnesota

A Minnesota high school science project that involved hunting and butchering deer — including one road-kill capture — and turning the meat into venison kabobs backfired when 29 students were sickened with a rare kind of E. coli food poisoning, investigators say.

Linda Carroll of msnbc reports the 2010 incident, just now reported in the journal Emerging Infectious Diseases (abstract below) highlights the risks of E. coli contamination, not just from factory-produced meat, but also from small, local providers.

Doctors first knew they had a problem in December 2010 when two kids from the same high school turned up at a Minnesota hospital with abdominal pain and bloody diarrhea. Fearing they had a food poisoning outbreak on their hands, they quickly called in the state’s top-notch public health officials.

Both teens had taken part in a school environmental science and outdoor recreation class that involving hunting, shooting and butchering six white-tailed deer, explained Joshua Rounds, the study’s lead author and an epidemiologist with the Minnesota Department of Public Health. A seventh deer was harvested after being hit by a car, the report says.

The deer were processed on school grounds and then grilled and eaten in class a few weeks before the students got sick.

Epidemiologists interviewed 117 kids in five class periods and found that 29 definitely had become ill, but not with E. coli O157:H7, the strain commonly associated with food poisoning from ground beef.

Rounds suspected the deer might have carried another E. coli strain that also produces poisons known as Shiga toxins. He was right. Samples from the students and the deer meet turned up E. coli O103:H2, which is part of a larger category of non-O157 Shiga toxin-producing E. coli bugs, known as STECs.
Scientists also turned up another E. coli strain, E. coli O145:NM that didn’t produce Shiga toxins.

People don’t usually get sick from eating hunks or steaks of muscle meat, Rounds said. In this case, however, the meat had been skewered and cooked only to medium-rare. The skewers had dragged contaminants from the meat’s surface down to the center of the kabobs, which hadn’t been cooked to a high enough temperature to kill the bacteria.

Another factor was hand-washing when handling meat — or the lack of it, Rounds said.

“If you think about high school males, they’re probably not the best when it comes to food safety practices,” he said. “So you can have cross-contamination.”
The case is a reminder, Rounds said, that all meat, no matter where it comes from, should be treated with careful precautions.

Rounds JM, Rigdon CE, Muhl LJ, Forstner M, Danzeisen GT, Koziol BS, et al. 2012. Non-O157 Shiga toxin–producing Escherichia coli associated with venison. Emerg Infect Dis http://dx.doi.org/10.3201/eid1802.110855Description: xternal Web Site Icon

Abstract

We investigated an outbreak of non-O157 Shiga toxin–producing Escherichia coli at a high school in Minnesota, USA, in November 2010. Consuming undercooked venison and not washing hands after handling raw venison were associated with illness. E. coli O103:H2 and non-Shiga toxin–producing E. coli O145:NM were isolated from ill students and venison.

3 children stricken with shiga-toxin E. coli linked to South Australian petting zoo

South Australian health authorities have issued a warning over contact with animals after three children who visited the Royal Adelaide Show contracted two cases of shiga-toxin producing E. coli (STEC) infection and one case of hemolytic uremic syndrome (HUS).

Two of the three children – all aged between 4 and 12 years – had been in contact with farm animals at the show’s animal nursery.

SA Health’s Paddy Phillips said one of the children infected is in hospital with HUS and is in a serious but stable condition.

Professor Phillips said hand hygiene is the best method of preventing STEC after contact with animals.

And maybe not letting little kids with their soothers and food and hands in their mouths have contact with animals that can shed dangerous bacteria.

A table of international outbreaks at petting zoos and farm shows is available at: http://bites.ksu.edu/petting-zoos-outbreaks.