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FELDSINE ET AL.: JOURNAL OF AOAC INTERNATIONAL VOL. 85, NO.

5, 2002 1029

FOOD BIOLOGICAL CONTAMINANTS

Visual Immunoprecipitate Assay Eight Hour Method for


Detection of Enterohemorrhagic Escherichia coli O157:H7 in Raw
and Cooked Beef (Modification of AOAC Official Method
996.09): Collaborative Study
PHILIP T. FELDSINE, DAVID E. KERR, STEPHANIE C. LEUNG, ANDREW H. LIENAU, RUTH F. MOSER, and LINDA A. MUI
BioControl Systems, Inc., 12822 SE 32nd St, Bellevue, WA 98005

Collaborators: G. Anderson, M. Beasley, S. Clements, J. Dillon, P. Dombroski, R. Forgey, S. Gartside, C. Hernandez,


S. Hopkins, K. Johnson, J. Meier, T. Nguyen, R. Ortega, J. Reynolds, J. Smith, D. Solis, C. Summers, J. Terry, E. Tuncan,
D. Vrana, W. Warren, S. Wood

AOAC Official Method 996.09, Visual Immunoprecipitate Immunoprecipitate Assay (VIP) 8 h enrichment protocol for
Assay (VIPÒ) for Escherichia coli O157:H7, was the detection of Escherichia coli O157:H7 (EHEC) to the U.S.
modified to incorporate a new enrichment protocol Department of Agriculture/Food Safety and Inspection Ser-
using BioControl EHEC8™ medium for testing raw vice (USDA/FSIS) enrichment procedure (1) and the FDA
and cooked beef. Foods were tested by VIP assay Bacteriological Analytical Manual (BAM) isolation and con-
and the U.S. Department of Agriculture/Food firmation techniques (2) for raw and cooked beef products.
Safety and Inspection Service (USDA/FSIS) enrich- The VIP for EHEC is AOAC Official Method 996.09, which
ment procedure and the FDA Bacteriological Ana- consists of an overnight (18–28 h) enrichment protocol (3).
lytical Manual (BAM) isolation and confirmation This study describes a method modification that incorporates
techniques. A total of 15 collaborators participated. an 8 h enrichment protocol for use with raw and cooked beef
Raw and cooked ground beef were inoculated with test portions.
E. coli O157:H7 at 2 different levels: a high level, EHEC has recently been recognized as a pathogen, first
where predominantly positive results were ex- linked with human disease in 1982 (4, 5). An extensive epide-
pected, and a low level where fractional recovery miological study in 1995 reported a strong correlation be-
was anticipated. Collaborators tested 396 test por- tween eating rare ground beef and EHEC infections (6). Many
tions and controls by both methods, for a total of outbreaks have since been linked to the consumption of
792 test portions. Of the 396 paired test portions, ground beef (7–11), including a large outbreak in Washington
75 were positive and 230 were negative by both the in 1993 (12–16). The presence of EHEC in ground beef and
VIP and culture methods. Eleven test portions were cattle herds (17–21) still presents a significant health risk.
presumptively positive by VIP and could not be Most of the current methods require ≥20 h of enrichment be-
confirmed culturally; 32 were negative by VIP, but fore test portions can be analyzed with a rapid test kit as-
confirmed positive by culture; and 65 were nega- say (3, 22–24).
tive by the culture method, but confirmed positive A proprietary medium was developed to support the
by the VIP method. There was no statistical differ- growth of E. coli O157:H7 to detectable levels in raw and
ence between results obtained with the VIP for cooked beef products in 8 h. A 25 g test portion is weighed
EHEC 8 h method and the culture method except into 225 mL BioControl EHEC8™ broth and incubated for 8 h
for cooked beef, where the VIP had significantly at 42°C. A 4 mL test portion is heat-inactivated at 100°C for
higher recovery for one inoculation level. 10 min, and cooled to room temperature; 0.1 mL is then added
to the test portion well of the VIP device. A detection line in
the test window indicates a presumptive positive test portion.
multilaboratory collaborative study was conducted to

A demonstrate the equivalence of the Visual

Submitted for publication April 2002.


Study Design

Raw and cooked beef were inoculated with EHEC at 2 lev-


The recommendation was approved by the Methods Committee on els: a high level where predominantly positive results were ex-
Microbiology and Extraneous Materials as Revised First Action. See
“Official Methods Program Actions,” (2002) Inside Laboratory
pected, and a low level where fractional recovery was antici-
Management, September/October issue. pated. Each collaborator received 18 paired test portions
Corresponding author’s e-mail: ptf@biocontrolsys.com. (25 g/test portion) for a total of 36 test portions, of which 12
1030 FELDSINE ET AL.: JOURNAL OF AOAC INTERNATIONAL VOL. 85, NO. 5, 2002

were uninoculated controls, 12 were inoculated at the low agreement were also conducted according to the method of
level, and 12 represented contamination at the high level. Test McClure (26).
portions were delivered on dry ice via overnight mail and ar-
rived during the week preceding testing.
AOAC Official Method 996.09
Collaborative Study Escherichia coli O157:H7 in Selected Foods
Visual Immunoprecipitate Assay (VIP)
Test Portion Preparation First Action 1996
Revised 2002
Strains of E. coli O157:H7, used as the source of inocula, [Applicable to detection of Escherichia coli O157:H7
were grown in Tryptic soy broth (TSB) for 18–24 h at 35°C. (EHEC) in dairy foods, meats, poultry products, fruits,
The raw and cooked beef test portions received inocula of sta- nutmeats, seafood, pasta, and liquid eggs using an 18–28 h en-
tionary phase cells sufficient to achieve 2 seed levels. After ar- richment protocol. Applicable to detection of E. coli O157:H7
in raw and cooked beef using an 8 h enrichment protocol.]
tificial contamination, the beef (from each level) was thor-
oughly mixed and then divided into 25 g test portions. Test Caution: EHEC are pathogenic bacteria. Symptoms of in-
portions were randomized and stored frozen for a minimum of fection include bloody diarrhea and cramping, lit-
1 week before use. Most probable number (MPN) procedures tle or no fever, and hemolytic uremic syndrome.
were conducted on the day of test initiation. To determine the Sterilize contaminated equipment and media be-
E. coli O157:H7 level per gram of beef, test portions of 100, fore disposal or reuse.
10, 1, and 0.1 g were evaluated in triplicate by the
See Table 996.09 for the results of the interlaboratory study
USDA/FSIS enrichment procedure (1) followed by FDA
supporting acceptance of the method.
BAM isolation and confirmation techniques (2).
A. Principle
Test Portion Analysis
The EHEC Visual Immunoprecipitate Assay (VIP) detects
Collaborators were given 2 sets of identically labeled test the presence of E. coli O157:H7 in a variety of food types. The
portions. One set was tested by the culture method and the VIP for EHEC contains chromogenic particles with bound an-
other by the VIP test method. Collaborators were instructed to tibodies with a high specificity for E. coli O157:H7. Sepa-
rately, antibodies with similar high specificity are attached to a
analyze the randomly paired test portions using the
solid matrix. Enriched broth is added to the device, hydrating
USDA/FSIS enrichment, mEC + novobiocin (1), and by the chromogenic particles. If E. coli O157:H7 antigens are
BioControl EHEC8 broth. After 8 h of incubation, 4 mL en- present in the broth, they will bind to the particles. These anti-
riched EHEC8 broth was heat-inactivated at 100°C for gen-antibody-chromogen complexes flow across the solid
10 min. These test portions were subsequently analyzed by matrix and are captured by the bound antibody, forming a de-
VIP for EHEC. tectable line in the test window. A line forming in the control
window verifies proper completion of the test. Absence of a
Test Portion Confirmation line in the control window invalidates the test.

EHEC isolation and confirmation were performed on all en- B. Media and Reagents
riched test portions according to the FDA BAM culture (a) VIP unit.—One test unit per test portion (available as
method (2). All USDA/FSIS enrichment broths were plated on VIP for EHEC Assay from BioControl Systems, Inc., 12822
Tellurite-Cefixime Sorbitol MacConkey agar (TC-SMAC) af- SE 32nd St, Bellevue, WA 98005).
ter 6 h of incubation and at the end of the incubation period (to- (b) 8 h enrichment.—EHEC enrichment medium
tal of 20–24 h incubation). For the test method, appropriate di- (BioControl EHEC8).—Prewarm 225 mL sterile water at
42°C overnight. On day of use, aseptically transfer 10.6 g
lutions of the EHEC8 broths were plated onto TC-SMAC after
BioControl EHEC8 powder or one packet premeasured single
8 h incubation. All TC-SMAC plates were incubated overnight test dose powder into sterile water. Mix gently to dissolve
at 37°C. At least 10 suspect colonies from the TC-SMAC plates powder completely.
were selected for confirmation. (c) 18–28 h enrichment.—Modified Trypticase soy broth with
novobiocin (mTSB + N).—Mix 30.0 g Trypticase soy broth
Statistical Analysis (dehydrated), 1.5 g bile salts No. 3, and 1.5 g anhydrous
dipotassium phosphate in 1 L water. Sterilize by autoclaving
A paired statistical analysis of the methods was performed
at 121°C for 15 min. Prepare novobiocin solution by dissolv-
for each level using the method of McNemar (25). A chi ing 100 mg novobiocin in 1 mL H2O. Sterilize with 0.2 µm
square value of > 3.84 indicated a significant difference at the filter. On day medium is used, add 0.2 mL novobiocin solu-
5% probability level. Sensitivity, specificity, and percent tion to 1 L mTSB.
Table 996.09. Interlaboratory study results for detection of E. coli O157:H7 in raw and cooked beef by EHEC VIP and culture methods
Incidence of false Incidence of false
Sensitivity negatives among total Specificity positives among total
Test broths positive rate, %c positive samples, %d rate, %e negative samples, %f

VIP Agreement between


No. of No. of Chi VIP and culture
Food type Level MPN/g labs test portions Pres.a Conf.a Culture squareb VIP Culture VIP Culture VIP VIP methods, %g

Raw ground beef Low 0.007 10 60 32 28 16 2.2 80 49 20.0 51.0 100 0 52


High 0.147 10 60 52 55 53 0.0 96 93 4.0 7.0 100 0 85
Uninoculated NAh 10 60 4 0 0 — — — — — — — —
Cooked beef Low 0.004 12 72 21 25 11 2.7 81 35 19.0 65.0 100 0 61
High 0.014 12 72 37 37 21 6.8 86 49 14.0 51.0 100 0 60
Uninoculated NAh 12 72 0 0 0 — — — — — — — —

a
Pres. = presumptive positive data, Conf. = culturally confirmed data.

FELDSINE ET AL.: JOURNAL OF AOAC INTERNATIONAL VOL. 85, NO. 5, 2002 1031
b
Chi square, as defined by McNemar is (*a – b* – 1)2 / (a + b) where a = test portions positive by VIP and negative by culture, and b = test portions negative by VIP and positive by culture. A chi
square value >3.84 indicates significance at p < 0.05.
c
Sensitivity rate is defined as total number of confirmed positive test portions by VIP divided by total number of confirmed positive test portions by both the VIP and culture methods.
d
Incidence of false negatives is 100 – sensitivity rate. Low number of total confirmed positives will result in high false negative data.
e
Specificity rate is defined as total number of analyzed negative test portions by VIP divided by the total number of confirmed negative test portions by both the VIP and culture methods.
f
Incidence of false positives is 100 – specificity rate.
g
Rate reflects number of confirmed determinations that were equivalent between VIP and culture.
h
NA = not applicable. This previously screened food lot was verified to be negative for EHEC.
1032 FELDSINE ET AL.: JOURNAL OF AOAC INTERNATIONAL VOL. 85, NO. 5, 2002

C. Apparatus G. Reading and Interpreting Results


(a) Incubators.—Maintaining 35 ± 1 and 42 ± 0.5°C. Note: Examine device after 15–20 min incubation. Other-
(b) Micropipets.—Accurately dispensing 0.1 and 4.0 mL. wise, faint lines may develop because of nonspecific color de-
(c) Vortex mixer.—For mixing test broth tubes. velopment that should be disregarded.
(d) Water bath.—Maintaining 100°C. Alternatively, flow- Examine VIP unit for presence of distinct detection lines in
ing steam autoclave set at 100°C or dry heat block may be both test sample and test verification windows. Lines should
used. be dark when contrasted with white background and should
(e) Top loading balance.—For weighing test portions. extend across window. Intensity of test and verification lines
Measuring up to 1000 g, sensitivity of ± 0.1 g. may differ. Test is valid if line is present in test verification
(f) Stomacher.—IUL Instruments masticator or equivalent window.
for macerating test portions. Test sample is considered positive when lines are present
(g) pH meter in test window and in verification window. Test sample is
considered negative when control is valid and no line is seen
D. General Instructions in test sample window. If no line is present in test verification
window, test is invalid.
VIP units must be stored in foil pouch with desiccant at am-
Autoclave used VIP units 15 min at 121°C prior to dis-
bient temperature (15–25°C) in a dark place. After use, dis-
carding.
card units into decontamination container and sterilize before
disposal. Do not reuse and do not use VIP units after expira- H. Confirmation of Positive VIP Test Portions
tion date. Perform positive and negative control cultures to be-
Presumptive positive tests must be confirmed using culture
come familiar with interpretation of results.
methods as described in the current edition of BAM (2). Iso-
E. Preparation of Enriched Broth late from previously enriched broths.
(a) Enrichment.—(1) 8 h enrichment.—Raw and cooked
beef only: Aseptically weigh 25.0 g test portion into 225 mL
Table 1. Collaborator participation for VIP for EHEC 8 h
prewarmed (42°C) BioControl EHEC8, B(b). Masticate test
enrichment by food typea
portion for 2 min. Incubate for 8 h at 42°C.
(2) 18–28 h enrichment.—Food products: Aseptically Laboratory Raw ground beef Cooked beef
weigh 25.0 g test portion into 225 mL mTSB + N, B(c). If
larger test portion sizes are analyzed, proportionately increase 1 Y Y
volume of mTSB + N to maintain 1:9 dilution ratio. Mix well. 2 Y b
Y
Incubate overnight (18–28 h) at 35–37°C. For viscous test 3 Yb N
portions (i.e., powdered dairy products) add 2.25 mL steamed
4 Y Y
(15 min) Triton X-100 per 225 mL mTSB + N at time of test
portion addition and prior to incubation. 5 Y Yc
(b) Inactivation.—Applicable to 8 h enrichment 6 Y Y
only.—Gently mix enriched test portion and let food particles 7 Y Y
settle. Transfer 4.0 mL enriched broth to test tube. Inactivate 8 N Y
broth for 10 min at 100°C. Cool tubes to room temperature be- 9 Y Y
fore testing on VIP. Inactivated broths can be stored up to
10 Y Y
4 days at 2–8°C. Store remaining enriched broths, which have
not been inactivated, at 2–8°C for confirmation of presump- 11 N Y
tive positives. 12 N Yb
13 Y Y
F. VIP Assay Procedure
14 Y Y
(1) Open sealed pouch containing VIP units, B(a), and re- 15 Y Y
move required number of tests. One device is necessary for d
Total 12 14
each test broth. VIP units may not be reused. Reseal unused
VIP units in pouch containing desiccant. Store at ambient tem- a
Y = collaborator analyzed this food type; N = collaborator did not
perature in cool dark location. analyze this food type.
b
(2) Equilibrate enrichment broth to 25–37°C prior to as- Laboratory did not follow study instructions/did not complete
analysis. Results were not included in the statistical analysis for
say. the designated food types.
(3) Do not mix contents. Transfer 0.1 mL enriched broth, c
Uninoculated control samples were confirmed as E. coli O157:H7.
E(a)(2), for 18–28 h enrichment or E(b) for 8 h enrichment, to Results were not included in the statistical analysis for the
designated food types.
addition well. Transfer only liquid, not food particulates, to d
Total number of laboratories participating in the analysis of this
the device. food type.
(4) Incubate at ambient temperature for 15–20 min.
FELDSINE ET AL.: JOURNAL OF AOAC INTERNATIONAL VOL. 85, NO. 5, 2002 1033

Table 2. Analysis of raw ground beef by individual collaborators


High-level portions Low-level portions Uninoculated portions

Lab 2 6 7 10 14 17 3 4 9 12 13 16 1 5 8 11 15 18

VIP methoda

1 +/+ +/+ +/+ –/+ +/+ +/+ +/+ +/+ +/+ +/+ –/– +/+ –/– –/– –/– –/– –/– –/–
4 +/+ –/– +/+ +/+ +/+ +/+ –/– +/– –/– +/– –/– +/– –/– –/– –/– –/– +/– +/–
5 +/+ –/– –/– –/– +/+ +/+ –/– –/– +/– –/– +/+ +/– –/– –/– –/– –/– –/– –/–
6 +/+ +/+ +/+ +/+ +/+ +/+ +/+ –/– –/– –/– –/+ +/+ –/– +/– –/– +/– –/– –/–
7 +/+ +/+ +/+ +/+ +/+ +/+ –/+ +/+ –/– +/+ +/+ –/– –/– –/– –/– –/– –/– –/–
9 +/+ +/+ +/+ +/+ +/+ –/– –/– –/– +/+ –/– –/– –/– –/– –/– –/– –/– –/– –/–
10 +/+ –/+ –/+ +/+ +/+ +/+ +/+ –/– –/– +/+ –/– –/– –/– –/– –/– –/– –/– –/–
13 +/+ +/+ +/+ +/+ +/+ +/+ –/– +/– +/– –/– –/– +/+ –/– –/– –/– –/– –/– –/–
14 +/+ +/+ +/+ +/+ +/+ +/+ +/+ +/+ +/+ –/– +/+ +/+ –/– –/– –/– –/– –/– –/–
15 +/+ +/+ +/+ +/+ +/+ +/+ +/+ +/+ +/+ +/+ +/+ –/+ –/– –/– –/– –/– –/– –/–
Culture methodb

1 + + + + + + – – + – + – – – – – – –
4 + + + + + + + – – – – – – – – – – –
5 + – – – + + – – – – + – – – – – – –
6 – + + + + + – – – – + + – – – – – –
7 – + + + + + + – – – – – – – – – – –
9 + + – + + + – – + + – – – – – – – –
10 + + + + + + + + – – + – – – – – – –
13 + + + – + + + + – – – + – – – – – –
14 + + + + + + – + – – – – – – – – – –
15 + + + + + + – – – – – – – – – – – –

a
+ = EHEC was detected in sample; – = EHEC was not detected in sample. (/) = First entry is presumptive result / second entry is confirmed
result.
b
+ = EHEC was detected in sample; – = EHEC was not detected in sample.

Ref.: J. AOAC Int. 85, 1030–1033(2002) subcultured to selective agar. These 6 test broths were in-
cluded as false negatives for both VIP and culture methods.
Results Tables 2 and 3 present individual collaborator results. Re-
sults are analyzed by food type in the following sections. Ta-
Fifteen collaborators participated in the study. Each group ble 996.09 summarizes interlaboratory study results as well as
analyzed 18 test portions by VIP for EHEC and 18 test por- sensitivity and specificity data for each food type and inocula-
tions by the culture method. Eleven collaborators analyzed tion level.
both raw and cooked ground beef, one analyzed raw ground
Raw Ground Beef
beef only, and 3 analyzed cooked ground beef only (Table 1).
At the end of the study, valid data were submitted for 396 test Twelve collaborators agreed to analyze raw ground beef.
portions comprising 264 inoculated test portions and Collaborators 2 and 3 did not follow study instructions. Data
132 uninoculated test portions. from these collaborators were not included in the analysis.
Of the 396 test portions, 75 were positive and 230 were Ten collaborators followed study instructions and appeared to
negative by both VIP and culture methods. Additionally, have valid data as indicated by their summary of data
11 test portions were presumptively positive by VIP, but could worksheets (Table 2). Fractional recovery was observed for
not be confirmed culturally. A total of 32 test broths was nega- this food type.
tive by VIP, but confirmed positive by culture; 65 were nega- Test portions inoculated at the low level contained
tive by the culture method, but confirmed positive by the VIP 0.007 colony-forming units (CFU)/g. Seven test portions were
method; and 6 were negative by VIP and culture method, but confirmed positive and 25 were negative by both methods.
confirmed positive when VIP enrichment broths were Nineteen test portions were negative by the reference method,
1034 FELDSINE ET AL.: JOURNAL OF AOAC INTERNATIONAL VOL. 85, NO. 5, 2002

Table 3. Analysis of cooked beef by individual collaborators


High-level portions Low-level portions Uninoculated portions

Lab 4 8 10 12 15 18 2 3 6 9 14 17 1 5 7 11 13 16

VIP methoda

1 +/+ +/+ +/+ +/+ –/– +/+ –/– –/– +/+ +/+ +/+ +/+ –/– –/– –/– –/– –/– –/–
2 –/– –/– –/– –/– –/– –/– –/– –/– –/– –/– –/– –/– –/– –/– –/– –/– –/– –/–
4 –/– –/– –/– –/– –/– –/– –/– –/– –/– –/– –/– –/– –/– –/– –/– –/– –/– –/–
6 –/– +/+ +/+ –/+ +/+ –/– –/– –/– –/– –/– –/+ –/– –/– –/– –/– –/– –/– –/–
7 –/– –/– –/– –/– +/+ –/– –/– –/– –/– –/– –/– +/+ –/– –/– –/– –/– –/– –/–
8 +/+ –/– +/+ +/+ –/– –/– –/+ +/+ –/– –/+ –/– +/+ –/– –/– –/– –/– –/– –/–
9 –/– +/+ +/+ +/+ –/– –/– –/– –/– –/– –/– +/+ –/– –/– –/– –/– –/– –/– –/–
10 +/+ +/+ +/+ +/+ +/+ +/+ –/+ +/+ –/– –/– +/+ +/+ –/– –/– –/– –/– –/– –/–
11 –/– –/– +/– –/– –/– –/– –/– –/– –/– –/– –/– –/– –/– –/– –/– –/– –/– –/–
13 +/+ +/+ +/+ +/+ –/– +/+ +/+ –/– –/– –/– +/+ –/– –/– –/– –/– –/– –/– –/–
14 +/+ +/+ +/+ +/+ +/+ +/+ +/+ +/+ +/+ +/+ –/– +/+ –/– –/– –/– –/– –/– –/–
15 –/– +/+ –/– +/+ +/+ +/+ –/– +/+ +/+ –/– –/– +/+ –/– –/– –/– –/– –/– –/–
Culture methodb

1 – – + + – + – – – + – – – – – – – –
2 – – – – – – + – + – – – – – – – – –
4 + – – – – – + – – – – – – – – – – –
6 – – + – + + – – – + – – – – – – – –
7 – – – – – – – – – – – – – – – – – –
8 – + + + – + – – + – – + – – – – – –
9 – – – – – – – – – – – – – – – – – –
10 – – + + + – – – – – + – – – – – – –
11 – – – – – – – – – – – – – – – – – –
13 – – – + + – – – – – + – – – – – – –
14 + – + – – + – – – – – – – – – – – –
15 – + + – – – – – + – + – – – – – – –

a
+ = EHEC was detected in sample; – = EHEC was not detected in sample. (/) = First entry is presumptive result / second entry is confirmed
result.
b
+ = EHEC was detected in sample; – = EHEC was not detected in sample.

but confirmed positive by VIP, and 10 were confirmed posi- dicating that the methods are equivalent. There was no
tive by culture, but negative by VIP. There were 6 uncon- statistically significant difference between the VIP method
firmed positive test portions by VIP. One test portion was neg- and culture method in this test set.
ative by the culture method and by VIP, but was confirmed
Cooked Beef
positive when subcultured from the VIP enrichment broth.
This test portion was reported as a false negative for both the Fourteen collaborators agreed to analyze cooked ground
VIP and culture methods. Chi square analysis for the low in- beef. Collaborator 5 reported uninoculated controls as con-
oculation level was 2.2, indicating that the methods are equiv- firmed positive for EHEC. Collaborator 12 did not complete
alent. There was no statistically significant difference between the study. Data from these collaborators were not included in
the VIP and culture methods in this test set. the analysis. Twelve collaborators followed study instructions
Test portions inoculated at the high level contained and appeared to have valid data as indicated by data summary
0.147 CFU/g. Forty-eight test portions were confirmed posi- worksheets (Table 3). Fractional recovery was observed for
tive and 3 were negative by both methods. Four test portions this food type.
were negative by culture, but confirmed positive by VIP, and Test portions inoculated at the low level contained
5 were confirmed positive by culture, but negative by VIP. 0.004 CFU/g. Five test portions were confirmed positive and
Chi square analysis for the high inoculation level was 0.0, in- 41 were negative by both methods. Twenty test portions were
FELDSINE ET AL.: JOURNAL OF AOAC INTERNATIONAL VOL. 85, NO. 5, 2002 1035

negative by culture, but confirmed positive by VIP, and 10 Jackie Dillon and Rodney Ortega, Professional Service In-
were confirmed positive by culture, but negative by VIP. Four dustries, Arlington, TX
test portions were negative by the culture method and by VIP, Pete Dombroski, Illinois Department of Public Health,
but confirmed positive when subcultured from VIP enrich- Springfield, IL
ment broth. These test portions were reported as false nega- Robin Forgey, Justine Reynolds, and Christine Summers,
tives for both the VIP and culture methods. Chi square analy- Costco Wholesale, Inc., Issaquah, WA
sis for the low inoculation level was 2.7, indicating that the Christopher M. Hernandez and Daniel R. Solis, Food and
methods are equivalent. There was no statistically significant Drug Administration Pacific Regional Laboratory-Southwest,
difference between the VIP and culture methods in this test Los Angeles, CA
portion set. Stuart Hopkins and Julia Terry, BioControl Systems, Inc.,
Test portions inoculated at the high level contained Bellevue, WA
0.014 CFU/g. Fifteen test portions were confirmed positive Kenneth Johnson, Midwest Labs, Omaha, NE
and 29 were negative by both methods. Twenty-two test por- Julie Meier, Wendy Warren, and Sharon P. Wood, Food
tions were negative by culture, but confirmed positive by VIP, Safety Net Services, San Antonio, TX
and 7 were confirmed positive by culture, but negative by Tony Nguyen, Costco Wholesale, Inc., Tukwila, WA
VIP. There was one unconfirmed positive test portion by VIP. Janet W. Smith, Fieldale Farms Corp., Baldwin, GA
One test portion was negative by the culture method and by Erdal Tuncan and David Vrana, ConAgra Frozen Foods,
VIP, but confirmed positive when subcultured from the VIP Columbia, MO
enrichment broth. This test portion was reported as a false
negative for both the VIP and culture methods. Chi square References
analysis for the high inoculation level was 6.8, indicating a
statistically significant difference between the VIP and culture (1) Cray, W.C., Abbott, D.O., Beacorn, F.J., & Benson, S.T.
methods. The VIP method recovered a significantly higher (1998) in Microbiology Laboratory Guidelines, 3rd Ed.,
number of confirmed positive test portions than the culture USDA/FSIS, Washington, DC, Ch. 5
method. (2) FDA Bacteriological Analytical Manual (1998) 8th Ed.,
AOAC INTERNATIONAL, Gaithersburg, MD
(3) Feldsine, P.T., Falbo-Nelson, M.T., Brunelle, S.L., & Forgey,
Discussion
R.L. (1997) J. AOAC Int. 80, 517–529
(4) Centers for Disease Control and Prevention (1982) MMWR
VIP for EHEC is currently AOAC Official Method 996.09, 31, 580, 585
consisting of an overnight (18–28 h) enrichment protocol. In (5) Riley, L.W., Remis, R.S., Helgerson, S.D., McGee, H.B.,
this method modification, an alternative enrichment protocol Wells, J.G., Davis, B.R., Hebert, R.J., Olcott, E.S., Johnson,
that uses the BioControl EHEC8 broth was equivalent to, or L.M., Hargrett, N.T., Blake, P.A., & Cohen, M.L. (1983) N.
better than, culture method in raw and cooked beef. Engl. J. Med. 308, 681–685
(6) Tarr, P.I. (1995) Clin. Infect. Dis. 20, 1–8
Conclusions (7) Centers for Disease Control and Prevention (1997) MMWR
46, 777–778
The data indicate no statistical difference between results (8) Macdonald, C., Drew, J., Carlson, R., Dzogan, S., Tataryn,
obtained with the VIP for the EHEC 8 h method and the cul- S., Macdonald, A., Ali, A., Amhed, R., Easy, R., Clark, C., &
Rodgers, F. (2000) Can. Commun. Dis. Rep. 26, 109–111
ture method except for cooked beef, where the VIP had a sig-
(9) Todd, E.C. (2000) Can. Commun. Dis. Rep. 26, 111–116
nificantly higher recovery for one inoculation level.
(10) Centers for Disease Control and Prevention (1994) MMWR
43, 213–216
Recommendations (11) Centers for Disease Control and Prevention (1993) MMWR
42, 85–86
It is recommended that the method applicability statement (12) Bell, B.P., Goldoft, M., Griffin, P.M., Davis, M.A., Gordon,
for VIP for the detection of EHEC be modified to include an D.C., Tarr, P.I., Bartleson, C.A., Lewis, J.H., Barrett, T.J., &
8 h enrichment procedure for raw and cooked beef products Wells, J.G. (1994) JAMA 272, 1349–1353
and be adopted as revised First Action approval. (13) Ostroff, S.M., Griffin, P.M., Tauxe, R.V., Shipman, L.D.,
Greene, K.D., Wells, J.G., Lewis, J.H., Blake, P.A., &
Acknowledgments Kobayashi, J.M. (1990) Am. J. Epidemiol. 132, 239–247
(14) Tuttle, J., Gomez, T., Doyle, M.P., Wells, J.G., Zhao, T.,
Tauxe, R.V., & Griffin, P.M. (1999) Epidemiol. Infect. 122,
The participation of the following collaborators is ac-
185–192
knowledged with appreciation:
(15) Centers for Disease Control and Prevention (1993) MMWR
Gloria Anderson, Minnesota Valley Testing, New Ulm, MN 42, 258–263
Michael Beasley, Central States Analytical, Plainview, TX (16) Brandt, J.R., Fouser, L.S., Watkins, S.L., Zelikovic, I., Tarr,
Sandra Clements and Shawn Gartside, Central States Ana- P.I., Nazar-Stewart, V., & Avner, E.D. (1994) J. Pediatr. 125,
lytical, Evansville, IN 519–526
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A., Prado, C., Fernandez, L., Rio, M., Ramos, J., & Alonso, 985–989
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(19) Elder, R.O., Keen, J.E., Siragusa, G.R., Barkocy-Gallagher, 84, 737–751
G.A., Koohmaraie, M., & Laegreid, W.W. (2000) Proc. Natl. (23) Bird, C.B., Hoerner, R.J., & Restaino, L. (2001) J. AOAC Int.
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(20) Meyer-Broseta, S., Bastian, S.N., Arne, P.D., Cerf, O., & (24) Entis, P. (1998) J. AOAC Int. 81, 403–418
Sanaa, M. (2001) Int. J. Hyg. Environ. Health 203, 347–361 (25) Siegel, S. (1956) Nonparametric Statistics for the Behavioral
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