Title: MMWR Vol. 58 / No. RR-12
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Recommendations and Reports
Volume 58, No. RR-12
October 16, 2009
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Recommendations for Diagnosis of Shiga Toxin–Producing Escherichia coli Infections by Clinical Laboratories
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Shiga toxin–producing Escherichia coli (STEC) are
a leading cause of bacterial enteric infections in
the United States. Prompt diagnosis of STEC infection is important to decrease the risk for serious complications. Prompt laboratory identification of STEC strains also is essential for detecting new and emerging serotypes, for effective and timely outbreak responses and control measures, and for monitoring trends in disease epidemiology. This report provides comprehensive and detailed recommendations for STEC testing by clinical laboratories, including the recommendation that
all stools submitted for routine testing from patients with acute community-acquired diarrhea be simultaneously cultured for E. coli O157:H7 and tested with an assay that detects Shiga toxins
to detect non-O157 STEC.
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Department of Health and Human Services
Centers for Disease Control and Prevention
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