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1.
Microbiol Resour Announc ; 8(15)2019 Apr 11.
Artigo em Inglês | MEDLINE | ID: mdl-30975817

RESUMO

In this report, we announce the sequences of six genomes of Fusarium proliferatum (isolates MOD1-FUNGI8, -12, -13, -14, -15, and -19), four genomes of Fusarium oxysporum (MOD1-FUNGI9, -10, -11, and -16), and two genomes of the Fusarium incarnatum-Fusarium equiseti species complex (MOD1-FUNGI17 and MOD1-FUNGI18) isolated from moldy peanuts from the Washington, DC, area.

2.
Artigo em Inglês | MEDLINE | ID: mdl-30533715

RESUMO

Here, we report the genomes of all 72 isolates belonging to the Escherichia coli reference (ECOR) collection. Strains in this collection were isolated from diverse hosts and geographic locations and have been used for more than 30 years to represent the phylogenetic diversity of E. coli.

3.
Infect Genet Evol ; 65: 321-328, 2018 11.
Artigo em Inglês | MEDLINE | ID: mdl-30075254

RESUMO

Shigella infections account for a considerable burden of acute diarrheal diseases worldwide and remain a major cause of childhood mortality in developing countries. Although, all four species of Shigella (S. dysenteriae, S. flexneri, S. boydii, and S. sonnei) cause bacillary dysentery, historically only S. dysenteriae type 1 has been recognized as carrying the genes for Shiga toxin (stx). Recent epidemiological data, however, have suggested that the emergence of stx carrying S. flexneri strains may have originated from bacteriophage-mediated inter-species horizontal gene transfer in one specific geographical area, Hispaniola. To test this hypothesis, we analyzed whole genome sequences of stx-encoding phages carried by S. flexneri strains isolated in Haiti and S. flexneri S. boydii and S. dysenteriae strains isolated from international travelers who likely acquired the infection in Haiti or the Dominican Republic. Phylogenetic analysis showed that phage sequences encoded in the Shigella strains from Hispaniola were bacteriophage φPOC-J13 and they were all closely related to a phage isolated from a USA isolate, E. coli 2009C-3133 serotype O119:H4. In addition, despite the low genetic heterogeneity of phages from different Shigella spp. circulating in the Caribbean island between 2001 and 2014, two distinct clusters emerged in Haiti and the Dominican Republic. Each cluster possibly originated from phages isolated from S. flexneri 2a, and within each cluster several instances of horizontal phage transfer from S. flexneri 2a to other species were detected. The implications of the emergence of stx-producing non-S. dysenteriae type 1 Shigella species, such as S. flexneri, spans not only the basic science behind horizontal phage spread, but also extends to medical treatment of patients infected with this pathogen.


Assuntos
Bacteriófagos/genética , Bacteriófagos/fisiologia , Toxina Shiga/metabolismo , Shigella flexneri/metabolismo , Shigella flexneri/virologia , República Dominicana/epidemiologia , Disenteria Bacilar/epidemiologia , Disenteria Bacilar/microbiologia , Transferência Genética Horizontal , Variação Genética , Haiti/epidemiologia , Humanos , Filogeografia , Polimorfismo de Nucleotídeo Único
4.
Genome Announc ; 6(26)2018 Jun 28.
Artigo em Inglês | MEDLINE | ID: mdl-29954907

RESUMO

Here, we present the genome sequences of 23 Bifidobacterium isolates from several commercially available dietary supplements and cultured food products. Strains of this genus are natural inhabitants of the mammalian mouth, gastrointestinal tract, and vagina. Some species are considered beneficial to human health.

5.
Genome Announc ; 6(26)2018 Jun 28.
Artigo em Inglês | MEDLINE | ID: mdl-29954914

RESUMO

Here, we present the genome sequences of 56 isolates of 10 species of the genus Lactobacillus that are considered beneficial components of the gut microbiota. The isolates examined were found in commercially available dietary supplements in the U.S. market.

6.
Genome Announc ; 6(18)2018 May 03.
Artigo em Inglês | MEDLINE | ID: mdl-29724828

RESUMO

We report here the genome sequences of 55 strains belonging to the genus Escherichia from multiple animal and environmental sources. These strains include representatives of Escherichia albertii, Escherichia fergusonii, and six additional genetically distinct lineages of Escherichia spp., one of which is newly discovered and is being reported for the first time here.

7.
EcoSal Plus ; 8(1)2018 01.
Artigo em Inglês | MEDLINE | ID: mdl-29318984

RESUMO

The history of Shigella, the causative agent of bacillary dysentery, is a long and fascinating one. This brief historical account starts with descriptions of the disease and its impact on human health from ancient time to the present. Our story of the bacterium starts just before the identification of the dysentery bacillus by Kiyoshi Shiga in 1898 and follows the scientific discoveries and principal scientists who contributed to the elucidation of Shigella pathogenesis in the first 100 years. Over the past century, Shigella has proved to be an outstanding model of an invasive bacterial pathogen and has served as a paradigm for the study of other bacterial pathogens. In addition to invasion of epithelial cells, some of those shared virulence traits include toxin production, multiple-antibiotic resistance, virulence genes encoded on plasmids and bacteriophages, global regulation of virulence genes, pathogenicity islands, intracellular motility, remodeling of host cytoskeleton, inflammation/polymorphonuclear leukocyte signaling, apoptosis induction/inhibition, and "black holes" and antivirulence genes. While there is still much to learn from studying Shigella pathogenesis, what we have learned so far has also contributed greatly to our broader understanding of bacterial pathogenesis.


Assuntos
Disenteria Bacilar/história , Shigella/genética , Shigella/patogenicidade , Animais , Bacteriófagos , Modelos Animais de Doenças , Disenteria Bacilar/microbiologia , Disenteria Bacilar/transmissão , Células Epiteliais/microbiologia , Genes Bacterianos , Ilhas Genômicas/genética , História do Século XIX , História do Século XX , Interações Hospedeiro-Patógeno , Humanos , Camundongos , Plasmídeos , Virulência/genética , Fatores de Virulência/genética
8.
Genome Announc ; 5(50)2017 Dec 14.
Artigo em Inglês | MEDLINE | ID: mdl-29242221

RESUMO

Pathogenic and nonpathogenic Escherichia coli strains present a vast genomic diversity. We report the genome sequences of 2,244 E. coli isolates from multiple animal and environmental sources. Their phylogenetic relationships and potential risk to human health were examined.

9.
Infect Immun ; 84(8): 2362-2371, 2016 08.
Artigo em Inglês | MEDLINE | ID: mdl-27271741

RESUMO

Enteroinvasive Escherichia coli (EIEC) is a unique pathovar that has a pathogenic mechanism nearly indistinguishable from that of Shigella species. In contrast to isolates of the four Shigella species, which are widespread and can be frequent causes of human illness, EIEC causes far fewer reported illnesses each year. In this study, we analyzed the genome sequences of 20 EIEC isolates, including 14 first described in this study. Phylogenomic analysis of the EIEC genomes demonstrated that 17 of the isolates are present in three distinct lineages that contained only EIEC genomes, compared to reference genomes from each of the E. coli pathovars and Shigella species. Comparative genomic analysis identified genes that were unique to each of the three identified EIEC lineages. While many of the EIEC lineage-specific genes have unknown functions, those with predicted functions included a colicin and putative proteins involved in transcriptional regulation or carbohydrate metabolism. In silico detection of the Shigella virulence plasmid (pINV), which is essential for the invasion of host cells, demonstrated that a form of pINV was present in nearly all EIEC genomes, but the Mxi-Spa-Ipa region of the plasmid that encodes the invasion-associated proteins was absent from several of the EIEC isolates. The comparative genomic findings in this study support the hypothesis that multiple EIEC lineages have evolved independently from multiple distinct lineages of E. coli via the acquisition of the Shigella virulence plasmid and, in some cases, the Shigella pathogenicity islands.


Assuntos
Escherichia coli Enteropatogênica/classificação , Escherichia coli Enteropatogênica/genética , Escherichia coli/classificação , Escherichia coli/genética , Genoma Bacteriano , Genômica , Shigella/classificação , Shigella/genética , Biologia Computacional/métodos , Escherichia coli Enteropatogênica/isolamento & purificação , Genes Bacterianos , Genômica/métodos , Sequenciamento de Nucleotídeos em Larga Escala , Humanos , Fases de Leitura Aberta , Filogenia , Plasmídeos/genética , Virulência/genética
10.
Appl Environ Microbiol ; 82(11): 3384-3394, 2016 06 01.
Artigo em Inglês | MEDLINE | ID: mdl-27037122

RESUMO

UNLABELLED: Most Escherichia coli strains are nonpathogenic. However, for clinical diagnosis and food safety analysis, current identification methods for pathogenic E. coli either are time-consuming and/or provide limited information. Here, we utilized a custom DNA microarray with informative genetic features extracted from 368 sequence sets for rapid and high-throughput pathogen identification. The FDA Escherichia coli Identification (FDA-ECID) platform contains three sets of molecularly informative features that together stratify strain identification and relatedness. First, 53 known flagellin alleles, 103 alleles of wzx and wzy, and 5 alleles of wzm provide molecular serotyping utility. Second, 41,932 probe sets representing the pan-genome of E. coli provide strain-level gene content information. Third, approximately 125,000 single nucleotide polymorphisms (SNPs) of available whole-genome sequences (WGS) were distilled to 9,984 SNPs capable of recapitulating the E. coli phylogeny. We analyzed 103 diverse E. coli strains with available WGS data, including those associated with past foodborne illnesses, to determine robustness and accuracy. The array was able to accurately identify the molecular O and H serotypes, potentially correcting serological failures and providing better resolution for H-nontypeable/nonmotile phenotypes. In addition, molecular risk assessment was possible with key virulence marker identifications. Epidemiologically, each strain had a unique comparative genomic fingerprint that was extended to an additional 507 food and clinical isolates. Finally, a 99.7% phylogenetic concordance was established between microarray analysis and WGS using SNP-level data for advanced genome typing. Our study demonstrates FDA-ECID as a powerful tool for epidemiology and molecular risk assessment with the capacity to profile the global landscape and diversity of E. coli IMPORTANCE: This study describes a robust, state-of-the-art platform developed from available whole-genome sequences of E. coli and Shigella spp. by distilling useful signatures for epidemiology and molecular risk assessment into one assay. The FDA-ECID microarray contains features that enable comprehensive molecular serotyping and virulence profiling along with genome-scale genotyping and SNP analysis. Hence, it is a molecular toolbox that stratifies strain identification and pathogenic potential in the contexts of epidemiology and phylogeny. We applied this tool to strains from food, environmental, and clinical sources, resulting in significantly greater phylogenetic and strain-specific resolution than previously reported for available typing methods.


Assuntos
Escherichia coli/classificação , Escherichia coli/genética , Técnicas de Genotipagem/métodos , Análise em Microsséries/métodos , Epidemiologia Molecular/métodos , Sorotipagem/métodos , Fatores de Virulência/análise , Variação Genética , Estados Unidos , United States Food and Drug Administration , Fatores de Virulência/genética
11.
Open Forum Infect Dis ; 2(4): ofv134, 2015 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-26484357

RESUMO

Shiga toxins (Stx) are commonly produced by Shigella dysenteriae serotype 1 and Stx-producing Escherichia coli. However, the toxin genes have been detected in additional Shigella species. We recently reported the emergence of Stx-producing Shigella in travelers in the United States and France who had recently visited Hispaniola (Haiti and the Dominican Republic). In this study, we confirm this epidemiological link by identifying Stx-producing Shigella from Haitian patients attending clinics near Port-au-Prince. We also demonstrate that the bacteriophage encoding Stx is capable of dissemination to stx-negative Shigella species found in Haiti, suggesting that Stx-producing Shigella may become more widespread within that region.

12.
BMC Microbiol ; 15: 173, 2015 Aug 25.
Artigo em Inglês | MEDLINE | ID: mdl-26303940

RESUMO

BACKGROUND: Classical bacteriological characteristics of Salmonella enterica indicate that the members of this species are unable to utilize lactose as a carbon source. However, lactose-fermenting (Lac+) strains of several Salmonella serovars have been isolated from different foodborne outbreaks as well as different geographical regions worldwide. In the present study, we sequenced the genomes of 13 Lac + S. enterica isolates and characterized the lac region, comparing it to the lac region in other enteric bacterial species. RESULTS: Genetic analysis of the lac operons in the S. enterica genomes revealed that they all contain intact lacI, lacZ, and lacY genes. However, lacA was truncated in all of the S. enterica subsp. enterica isolates, encoding a 56 amino acid peptide rather than the full length 220 amino acid LacA protein. Molecular analyses of the 13 isolates revealed that the lac operon resided on a plasmid in some strains and in others was integrated into the bacterial chromosome. In most cases, an insertion sequence flanked at least one end of the operon. Interestingly, the S. enterica Montevideo and S. enterica Senftenberg isolates were found to harbor a plasmid with a high degree of sequence similarity to a plasmid from Klebsiella pneumoniae strain NK29 that also harbors the lac operon. In addition, two S. enterica Tennessee isolates carried two copies of the lac operon. Phylogenetic analysis based on lacIZY gene sequences determines distinct clusters, and reveals a greater correlation between lacIZY sequence and flanking organization than with either bacterial species or genomic location. CONCLUSIONS: Our results indicate that the lac region is highly mobile among Enterobacteriaceae and demonstrate that the Lac + S. enterica subsp. enterica serovars acquired the lac region through parallel events. The acquisition of the lac operon by several S. enterica serovars may be indicative of environmental adaptation by these bacteria.


Assuntos
Óperon Lac , Salmonella enterica/genética , Cromossomos Bacterianos , Análise por Conglomerados , Elementos de DNA Transponíveis , DNA Bacteriano/química , DNA Bacteriano/genética , Ordem dos Genes , Genoma Bacteriano , Dados de Sequência Molecular , Filogenia , Plasmídeos , Análise de Sequência de DNA , Homologia de Sequência
13.
Genome Announc ; 3(1)2015 Feb 05.
Artigo em Inglês | MEDLINE | ID: mdl-25657266

RESUMO

We report here the draft genome sequences of enteroinvasive Escherichia coli (EIEC) O124:H30 strain M4163 isolated from imported French cheese and EIEC O143:H26 strain 4608-58. The assembled data determined that both strains contain multiple copies of the ipaH gene, as well as the pINV A form of the invasion plasmid.

14.
Emerg Infect Dis ; 20(10): 1669-77, 2014 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-25271406

RESUMO

Shiga toxins (Stx) are cytotoxins involved in severe human intestinal disease. These toxins are commonly found in Shigella dysenteriae serotype 1 and Shiga-toxin-producing Escherichia coli; however, the toxin genes have been found in other Shigella species. We identified 26 Shigella flexneri serotype 2 strains isolated by public health laboratories in the United States during 2001-2013, which encode the Shiga toxin 1a gene (stx1a). These strains produced and released Stx1a as measured by cytotoxicity and neutralization assays using anti-Stx/Stx1a antiserum. The release of Stx1a into culture supernatants increased ≈100-fold after treatment with mitomycin C, suggesting that stx1a is carried by a bacteriophage. Infectious phage were found in culture supernatants and increased ≈1,000-fold with mitomycin C. Whole-genome sequencing of several isolates and PCR analyses of all strains confirmed that stx1a was carried by a lambdoid bacteriophage. Furthermore, all patients who reported foreign travel had recently been to Hispañiola, suggesting that emergence of these novel strains is associated with that region.


Assuntos
Disenteria Bacilar/epidemiologia , Disenteria Bacilar/microbiologia , Regulação Bacteriana da Expressão Gênica/fisiologia , Toxina Shiga I/metabolismo , Shigella flexneri/metabolismo , Animais , Chlorocebus aethiops , República Dominicana/epidemiologia , Regulação Bacteriana da Expressão Gênica/efeitos dos fármacos , Haiti/epidemiologia , Humanos , Lisogenia , Mitomicina/farmacologia , Mutação , Prófagos , Sorogrupo , Toxina Shiga I/classificação , Toxina Shiga I/genética , Shigella flexneri/classificação , Shigella flexneri/genética , Shigella flexneri/patogenicidade , Siphoviridae/genética , Siphoviridae/fisiologia , Células Vero , Virulência
15.
Sci Prog ; 97(Pt 2): 154-72, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-25108996

RESUMO

The recognition of Cronobacter as a public health concern was raised when powdered infant formula (PIF) was linked to several neonatal meningitis outbreaks. It is an opportunistic pathogen that causes necrotising enterocolitis, infantile septicaemia, and meningitis which carries a high mortality rate among neonates. It has been also linked with cases of infection in adults and elderly. Over the past decade, much focus has been made on developing sensitive and specific characterisation, detection, and isolation methods to ascertain the quality of foods, notably contamination of PIF with Cronobacter and to understand its ability to cause disease. Whole genome sequencing has unveiled several putative virulence factors, yet the full capacity of the pathogenesis of Cronobacter has not yet been elucidated.


Assuntos
Cronobacter/patogenicidade , Alimentos Infantis , Meningites Bacterianas/microbiologia , Cronobacter/isolamento & purificação , Microbiologia de Alimentos , Humanos , Recém-Nascido
16.
J Food Prot ; 75(6): 1144-7, 2012 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-22691486

RESUMO

A revised U.S. Food and Drug Administration (FDA) method for the isolation and detection of Cronobacter from powdered infant formula was recently developed, which combines real-time PCR, chromogenic agars, and RAPID ID 32E biochemical tests. This method provides an expedient analysis within 24 to 48 h. A collaborative validation study involving four different laboratories was conducted to compare the revised FDA method with the reference FDA method using casein- and soy-based powdered infant formula inoculated with different Cronobacter strains. Valid results from 216 test portions and controls from collaborating laboratories were obtained and showed that the revised FDA method performed significantly better than the reference FDA method. Newly revised PCR protocols and VITEK 2 were also evaluated to be integrated into the complete detection procedure.


Assuntos
Técnicas Bacteriológicas/métodos , Contagem de Colônia Microbiana/métodos , Cronobacter/isolamento & purificação , Contaminação de Alimentos/análise , Alimentos Infantis/microbiologia , Ágar , Compostos Cromogênicos , Cronobacter sakazakii/isolamento & purificação , Meios de Cultura , Microbiologia de Alimentos , Humanos , Fórmulas Infantis/normas , Recém-Nascido , Reação em Cadeia da Polimerase , Sensibilidade e Especificidade , Especificidade da Espécie , Estados Unidos , United States Food and Drug Administration
17.
J Food Prot ; 73(8): 1458-65, 2010 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-20819355

RESUMO

Shigella outbreaks are widely reported throughout the world. However, it remains a challenge to isolate Shigella spp. from foods by using conventional microbiological media. The main objective of this study was to determine the effectiveness of a novel chromogenic medium, Rainbow agar Shigella/Aeromonas (Rainbow agar), for the isolation and detection of Shigella spp. in foods. All four Shigella species, S. sonnei, S. flexneri, S. dysenteriae, and S. boydii, were studied. Rainbow agar was compared with tryptic soy agar, xylose lysine desoxycholate agar (XLD), and Salmonella Shigella agar (SSA) for enumeration of Shigella spp. in pure culture. This chromogenic agar and XLD were also used to isolate Shigella spp. in artificially contaminated foods (4.8 log CFU/g of food), including lettuce, parsley, cilantro, spinach, potato salad, and shrimp. The inhibitory effect on Shigella growth by Rainbow agar was between that of XLD and SSA. All vegetables studied showed a moderately high background microflora on XLD and Rainbow agar. With artificially inoculated produce, Rainbow agar recovered about 1 to 2 log CFU more S. sonnei, S. dysenteriae, and S. boydii per g of food than did XLD. For potato salad and shrimp, which had low background microflora on Rainbow agar, Rainbow agar was slightly better in recovering Shigella spp. than XLD was in most cases. However, we found that the addition of streptomycin (6.25 mg/liter) to Rainbow agar could facilitate the isolation of Shigella in vegetables tested. In conclusion, Rainbow agar was a much more effective medium than was XLD for the isolation of Shigella spp. from foods.


Assuntos
Aeromonas/isolamento & purificação , Ágar/química , Técnicas Bacteriológicas , Contaminação de Alimentos/análise , Shigella/isolamento & purificação , Aeromonas/classificação , Aeromonas/crescimento & desenvolvimento , Compostos Cromogênicos/metabolismo , Contagem de Colônia Microbiana , Qualidade de Produtos para o Consumidor , Meios de Cultura/química , Ácido Desoxicólico/metabolismo , Humanos , Lisina/metabolismo , Shigella/classificação , Shigella/crescimento & desenvolvimento , Xilose/metabolismo
18.
J Food Prot ; 73(9): 1618-25, 2010 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-20828467

RESUMO

Shigella species, particularly S. sonnei and S. flexneri, remain some of the leading bacterial etiological agents of gastrointestinal diseases in the United States and globally. The isolation and detection of these foodborne pathogens are critical for preventing the spread of disease and facilitating epidemiological investigations aimed at determining the source of a Shigella infection outbreak. A multiplex real-time PCR-based assay was developed that targets all four species of Shigella plus enteroinvasive Escherichia coli. The assay incorporates primers directed to the ipaH genes located on both the virulence plasmid and chromosome, the plasmid-encoded virulence gene mxiC, a mutated mxiC gene (mxiC::kan) that differentiates wild-type strains from a laboratory control strain, and an internal amplification control. More than 50 isolates of all four Shigella species were tested for inclusivity and specificity of the multiplex PCR assay, and more than 30 non-Shigella isolates were tested for exclusivity of the assay. The sensitivity of the assay was 1 to 3 CFU and 5 to 50 fg of target (total) DNA for the ipaH, mxiC, and mxiC::kan gene targets. The assay performed equally well and with no measurable inhibition in the Shigella target reactions when rinsates of several high-risk produce commodities (parsley, cilantro, alfalfa sprouts, and lettuce) were added to the reactions. This multiplex PCR assay is sensitive and specific and has the added dimension of discriminating all Shigella species from the positive control strain so that in any sample analysis other strains can be excluded as a source of contamination.


Assuntos
Escherichia coli/isolamento & purificação , Contaminação de Alimentos/análise , Reação em Cadeia da Polimerase/normas , Shigella/isolamento & purificação , Virulência/genética , Sequência de Bases , Contagem de Colônia Microbiana , DNA Bacteriano/análise , Escherichia coli/genética , Escherichia coli/patogenicidade , Microbiologia de Alimentos , Amplificação de Genes , Plasmídeos/genética , Reprodutibilidade dos Testes , Sensibilidade e Especificidade , Shigella/genética , Shigella/patogenicidade
19.
J Food Prot ; 73(6): 1016-22, 2010 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-20537255

RESUMO

Enterobacter sakazakii causes severe maladies and, in some cases, is fatal among infants. Powdered infant formula (PIF) contaminated with E. sakazakii has been documented as a potential cause of several outbreaks involving infants. This study describes the development of a method for the isolation and detection of E. sakazakii from PIF. It combines Taqman real-time PCR, Brilliance E. sakazakii and R&F chromogenic agars, and RAPID ID 32E biochemical tests. This method provides an expedient analysis within 1 to 2 days depending on the amount and stress status of E. sakazakii organisms and competing microorganisms in PIF. The real-time PCR has bifunctional applications, including both screening and culture confirmation of E. sakazakii.


Assuntos
Cronobacter sakazakii/isolamento & purificação , DNA Bacteriano/análise , Contaminação de Alimentos/análise , Alimentos Infantis/microbiologia , Reação em Cadeia da Polimerase/métodos , Qualidade de Produtos para o Consumidor , Humanos , Lactente , Fórmulas Infantis , Recém-Nascido
20.
J AOAC Int ; 92(3): 862-72, 2009.
Artigo em Inglês | MEDLINE | ID: mdl-19610379

RESUMO

A revised U.S. Food and Drug Administration (FDA) method for the detection and isolation of Enterobacter sakazakii in powdered infant formula was developed based on real-time PCR technology complemented by culture isolation on chromogenic agars. A validation study was conducted to compare the revised FDA method to the reference FDA method. Casein and soy powdered infant formula inoculated with morphologically typical and atypical strains of E. sakazakii were analyzed. Valid results were obtained from 360 test portions and controls and showed that the revised FDA method is significantly better (P < 0.05) than the reference FDA method for the detection of typical E. sakazakii strains and the two methods are equivalent for the detection of atypical E. sakazakii strains.


Assuntos
Cronobacter sakazakii/isolamento & purificação , Fórmulas Infantis/normas , Reação em Cadeia da Polimerase/métodos , Estados Unidos , United States Food and Drug Administration
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