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Euro Surveill. Prevalence of Salmonella enterica serovar 4,[5],12:i:- in England and Wales, 2010

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  • Euro Surveill. Prevalence of Salmonella enterica serovar 4,[5],12:i:- in England and Wales, 2010

    [Source: Eurosurveillance, full text: (LINK). Abstract, edited.]
    Eurosurveillance, Volume 17, Issue 37, 13 September 2012

    Research articles

    Prevalence of Salmonella enterica serovar 4,[5],12:i:- in England and Wales, 2010


    K L Hopkins ()<SUP>1</SUP>, E de Pinna<SUP>1</SUP>, J Wain<SUP>1</SUP>
    1. Health Protection Agency Colindale, London, United Kingdom
    <HR>
    Citation style for this article: Hopkins KL, de Pinna E, Wain J. Prevalence of Salmonella enterica serovar 4,[5],12:i:- in England and Wales, 2010. Euro Surveill. 2012;17(37):pii=20275. Available online: http://www.eurosurveillance.org/View...rticleId=20275
    Date of submission: 01 March 2012
    <HR>
    Difficulties in accurately identifying serovar 4,[5],12:i:- as monophasic variants of Salmonella enterica serovar Typhimurium mean there is confusion in the reporting of serovars Typhimurium and 4,[5],12:i:-. To gain insight into the prevalence and diversity of these monophasic variants in England and Wales, screening for fljB, hin and the serovar 4,[5],12:i:- DT193-associated genomic island was conducted on 609 S. enterica isolates designated as definitive phage type (DT) 193, and 142 isolates serologically-defined as monophasic variants of serovar Typhimurium but belonging to phage types other than DT193. All latter 142 isolates were subtyped by multilocus variable-number tandem repeat analysis (MLVA). MLVA was also applied to 70 DT193 serologically-defined monophasic variant isolates. Results indicate that serovar 4,[5],12:i:- accounted for 108 of 209 (52%) of DT193 isolates with available serological data and 99 of 142 (70%) monophasic variant isolates belonging to other phage types. Of 609 DT193 isolates, 463 (76%) lacked fljB and hin. Moreover, genetically-related isolates of DTs 120, 191, 191a, 195, phage types U311 and U323, and reacts but does not conform (RDNC) and untypable (UT) strains were also lacking either hin and/or fljB. Of note, the serovar 4,[5],12:i:- DT193-associated genomic island was identified in not only 458 of 463 (99%) monophasic DT193 isolates, but also 25 of 139 (18%) biphasic DT193 isolates and 56 of 76 (74%) monophasic variants of other phage types. Accurate monitoring of the emergence of serovar 4,[5],12:i:- isolates is important to ascertain the public health impact of these strains; since 2012 the Health Protection Agency?s Salmonella Reference Unit has therefore begun determining full antigenic structures of all presumptive O:4 isolates in addition to routinely performing phage typing for identification of variants of serovar Typhimurium.

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