4ta Reunión Annual PulseNet América Latina Buenos Aires, Argentina June , 2006 Experience of Instituto Adolfo Lutz, Central Public Health Laboratory, São Paulo State, Brazil , on the use of standardized Pulsed-Field Gel Electrophoresis - PulseNet Protocol Tânia Mara Ibelli Vaz Instituto Adolfo Lutz São Paulo, Brazil SÃO PAULO STATE BRASIL * * * * * * * * * * * * Instituto Adolfo Lutz * Government of São Paulo State Secretary of Health, São Paulo Coordination of Diseases Control CCD Center of Sanitary Surveillance Micro Immunol Leptospira Dept. Mycobacteria Adolfo Lutz Division of Medical Biology Meningo, Pneumo, Haemophilus,Enteroc Instituto Section of Bacteriology Enterobacteria and other Gram negative Center of Epidemiological Surveillance Instituto Adolfo Lutz Central Public Health Laboratory São Paulo State, Brazil √ National Reference Laboratory for Escherichia coli (NRLEC) Salmonella √ Regional Reference Laboratory (RRL) Shigella Vibrio cholerae Strains to NRLEC / RRL sent by: National Public Health Laboratories NRLEC Regional Laboratories of Instituto Adolfo Lutz (11 Laboratories) Private and Public Hospital Laboratories RRL Central Public Health Laboratories Paraná Santa Catarina Rio Grande do Sul Mato Grosso do Sul Characterization of Salmonella Enteritidis strains isolated from foodborne outbreaks and from foods associated with these outbreaks Fig.1A. XbaI PFGE patterns of S.Enteritidis strains 1 2 3 4 5 6 7 8 9 10 1,5,10 , molecular marker, S. Braenderup H9812; 2,3,6,7,8 and 9 , S. Enteritidis strains from humans; 4, S. Enteritids from mayonnaise Fig 1B. XbaI PFGE patterns of S.Enteritidis strains 1 2 3 4 5 6 7 8 9 10 1,5,10 – molecular marker S. Braenderup H9812 4,6,7,8 and 9, S.Enteritidis strains from humans; 2 and 3, S.Enteritidis from food Characterization of Salmonella Johannesburg strains isolated from humans and foods Fig. 2. XbaI PGFE patterns of S. Johannesburg strains from humans and from foods 1 2 3 4 5 6 7 8 9 10 1,5,10 , molecular marker, Salmonella Braenderup H9812 2, 3 and 4, S. Johannesburg strains from humans; 6,7,8 and 9, S. Johannesburg strains from foods Salmonella Typhi strains isolated from two typhoid fever (TF) outbreaks and from sporadic cases of TF Fig.3. XbaI PFGE patterns of SalmonellaTyphi 1 2 3 4 5 6 7 8 1,8 , molecular, marker, S.Braenderup H9812; 2,3, S.Typhi from sporadic cases of TF; 4,5 STyphi from outbreak A; 6,7, S.Typhi from outbreak B Characterization of Salmonella I 1,4,[5],12:i:- and S.Typhimurium strains isolated from human and non- human sources (1991-2000) Fig 4A. XbaI PFGE patterns of Salmonella I 1,4,[5],12:i:1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 1,8,15 – Molecular marker, S. Braenderup H9812 ( XbaI);2,3,4,5,6,7,9,10,11,12,13,14 , Salmonella I1,4,[5],12:i:- Fig 4B. XbaI PFGE patterns of SalmonellaTyphimurium 1 2 3 4 5 6 7 8 9 10 11 1 13 14 15 1,8,15 – molecular marker S. Braenderup H9812 2,3,4,5,6,7,9,10,11,12,13,14 – S. Typhimurium Characterization of Salmonella Typhimurium isolated from sporadic cases of human diseases and from non-human sources (2003-2004) Fig.5 XbaI PFGE patterns of SalmonellaTyphimurium 1 2 3 4 5 6 7 8 9 10 11 12 13 1,7,13 – molecular marker, S. Braenderup H9812 2,3,4,5,6,8,9,10,11,12 – S. Typhimurium strains Characterization of E.coli O157:H7 Fig 6.XbaI PFGE patterns of E.coli O157:H7 1 2 3 4 5 6 7 8 9 10 1,5 and10- molecular marker; 2,3,4,6,7,8 and 9 – E.coli o157:H7 strains Tânia Mara Ibelli Vaz - VazTMI Instituto Adolfo Lutz Av.Dr.Arnaldo 351, 9o andar CEP 01246-902 Cerqueira Cesar – São Paulo – SP Brazil [email protected] [email protected]