Hard-to-identify E coli strain found in UK outbreak

first_img The cases in England occurred about the same time as the Scottish nursery outbreak. The English samples were received for testing between April 25 and May 4 in conjunction with cases of HUS. Typing showed the isolates to be the same, and the BBC reported that investigators from Scotland and England were working together to determine whether any common factors link the cases from the different regions. The outbreak strain grows on sorbitol-containing agar (SMAC) and does not grow on the selective media (CT-SMAC) usually used for Shiga toxin–producing E coli (STEC) O157. Thus, illness cases caused by this strain, called a sorbitol-fermenting strain, could be missed in laboratories unless other testing methods are used. Jun 8, 2006 (CIDRAP News) – An unusual strain of Escherichia coli O157 that standard laboratory culture methods cannot detect has been identified in a disease outbreak associated with a nursery in Scotland and in other cases in Scotland and England, according to recent news reports. In a BBC story, Dr Cowden said, “This unusual strain reacts differently in the laboratory from other types of E coli O157, and this is why we are interested in finding out more about it. It produces the same symptoms as other strains, and our advice to reduce the possibility of becoming infected with any type of E coli remains the same.” Four unrelated adult cases of infection with the same strain have been identified elsewhere in Scotland, as have four cases in Yorkshire and the Humber region in England, according to BBC News reports. Sorbitol-fermenting Vero cytotoxin-producing E coli O157 (VTEC O157). CDR Weekly 2006 May 25;16(21) [Full text of the issue] UK health authorities have issued revised guidelines to laboratories and specialists to address possible cases involving this strain, according to a report in the May 25 Communicable Disease Report Weekly, published by the UK Health Protection Agency. They recommend that when clinical symptoms suggest STEC, especially in children younger than 15 years and adults 65 or older, and presumptive sorbitol-nonfermenting E coli O157 colonies are not observed on SMAC or CT-SMAC, then sorbitol-fermenting colonies should be tested for agglutination with E coli O157 antiserum. Colonies that have positive agglutination tests should be identified as E coli and sent to the proper health laboratory for confirmation, phage typing, and detection of Shiga toxin genes. The disease outbreak began at a nursery in Dunfermline, Scotland, on May 9, and had involved 13 cases of gastrointestinal illness in children and adults by late May, according to BBC News reports. Four children were hospitalized for treatment for hemolytic uremic syndrome (HUS), physicians at the Royal Hospital for Sick Children in Glasgow told BBC News. Health Protection Scotland stated that the sorbitol-fermenting strain has been rare in the United Kingdom, the BBC reported. The strain had first been identified in Germany in 1988 and was thought to be restricted to continental Europe until 2002, when it was identified in Australia and the UK. See also: Dr John Cowden, a Health Protection Scotland consultant, said clinicians had been urged to ensure that this unusual strain of E coli was not missed when screening samples from patients suspected of having any type of E coli O157 infection.last_img read more

Tusker, Sony play to a lackluster draw

first_img0Shares0000Tusker FC winger Noah Wafula vies for the ball with Sony Sugar’s Derrick Otanga during their Kenyan Premier League match at the Kenyatta Stadium in Machakos on April 18, 2019. PHOTO/Timothy OlobuluMACHAKOS, Kenya, Apr 18 – In a snoozing encounter devoid of a single shot on target in 90 minutes, 11-time Kenyan Premier League champions Tusker FC and Sony Sugar served up perhaps one of the most uninteresting league matches as they settled for a barren draw at the Kenyatta Stadium in Machakos on Thursday.The late kick off in any multiple-header KPL ties are always a reserve of mouth watering fixtures, but none of either Robert Mboya or Kevin ‘Saha’ Omondi were forced to work, save for collecting cross balls and restarting play. The only exciting piece of action the entire match was a Tobias Otieno freekick nine minutes from time at the edge of the box that rattled the crossbar.Chances were few, very few, and far in between. Former KPL player of the year Mike Madoya was handed a rare start by coach Robert Matano, but he struggled to make an impact and was hauled off at half time for Bill Oporia.The closest any team got to scoring in the opening 45 was five minutes from time when Timothy Otieno headed the ball for Clyde Ssenaji inside the box with no one marking him, but he skied the effort with the keeper at his mercy.In the second half, Sony had a chance six minutes in when skipper Enock Agwanda set up Maxwel Onyango but his shot went over.Four minutes later, youngster Joshua Otieno who had come on for the injured Ambrose Ayoyi had a chance thanks to some poor defending by Tusker but he could not get a shot on target.Tusker skipper Otieno had a brilliant chance when substitute Jackson Macharia flicked him through on goal but the striker shot wide one on one with the keeper.0Shares0000(Visited 1 times, 1 visits today)last_img read more

Former West Ham coach handed top job at Orient

first_img Ian Hendon 1 Leyton Orient have appointed former captain Ian Hendon as their new manager.Hendon succeeds Fabio Liverani after the Italian left the position following the club’s relegation from League One.The 43-year-old, who made 130 league appearances for the Os between 1993 and 1997, will officially take up the role on July 1.“Orient is a club that means a great deal to me – I hope that fans will remember the commitment I showed as a player, and know they can expect the same dedication from me as head coach,” he told www.leytonorient.com.Hendon has previous managerial experience at Dover and Barnet and has most recently been working as first-team coach at West Ham under Sam Allardyce.He added: “I’ve got a lot of experience of the lower leagues, having played at every level during my career and worked in League Two as player/manager, but having spent a few years working in the Premier League I have learnt a huge amount that will stand me in good stead for this new challenge.“I hope to be able to bring some stability to the club and help rebuild after the disappointment of last season. Promotion is the priority, but reconnecting with the fans is also important. Having met the president, I was impressed with his own long-term plans for the club, and I can’t wait to get started.”last_img read more