Download (Pulse-field Gel Electrophoresis)

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Transcript
PFGE
(Pulse-field Gel Electrophoresis)
Why/When: PFGE is performed in the surveillance of retail foods and to monitor for
outbreaks. When two or more bacterial isolates match in banding pattern, state
epidemiologists are notified and they investigate. The investigation involves
interviewing patients to determine if they have a common link (for example: they ate the
same food or swam in the same pool). If a link is found, then an attempt is made to
collect samples from the same source (this is not always possible as food is not kept long).
If successful, the source sample is tested by the Environmental Microbiology Section. If
a similar bacterium is found it is also tested using PFGE to determine if it has the same
pattern (and therefore is the same strain) as the clinical isolates. This helps
epidemiologists focus on preventing any more exposures.
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PFGE for enteric bacteria – Salmonella, E. coli (STEC), Shigella, &
Campylobacter, and coming soon….Listeria!!
Pure enteric isolates from General Microbiology (human/veterinary)
or Environmental Microbiology (food/environmental) are suspended
in agar plugs (jello-like matrix) and treated to release whole genomic
DNA into the agar. A slice of this plug is enzyme-digested to cut up
the whole genomic DNA into large and small pieces of DNA
fragments. The fragments are run on a large horizontal gel and the
DNA fragments migrate towards the positive node, separating as
they move through the gel, smallest pieces migrating faster (and thus farther) than bigger pieces. Standards (St)
are run with every gel. Samples are compared to each other and to previous isolates to identify potential
matches. All data is submitted to PulseNet, a database maintained by the Centers for Disease Control and
Prevention in Atlanta, GA. Data is provided to PulseNet from all states as well as other countries such as Canada
and Mexico.