Package Insert - 14080 - O - en - 30122
Package Insert - 14080 - O - en - 30122
Package Insert - 14080 - O - en - 30122
Based on the specific phage capture technology, VIDAS® UP E. coli O157 (including H7) is an automated qualitative test
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for use on the VIDAS family of instruments for the detection of potentially enterohemorrhagic E. coli O157 in food
products, soil and environmental samples.
SUMMARY AND EXPLANATION The Solid Phase Receptacle (SPR®) serves as the solid
Escherichia coli O157:H7 is a recognized cause of phase as well as the pipetting device. The interior of the
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hemorrhagic colitis and has been implicated in a number SPR is coated with recombinant phage tail fiber protein
of outbreaks in Japan, the United States, Canada, the for the capture of E. coli O157 including H7. Reagents for
United Kingdom and Belgium (1, 2). The most common the assay are ready-to-use and pre-dispensed in the
source of infection has been raw beef although other sealed reagent strips.
foods such as milk, apple cider, fresh salad, and spinach All of the assay steps are performed automatically by the
have also been implicated. instrument. The reaction medium is cycled in and out of
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Infection by E. coli O157:H7 is characterized by severe the SPR several times.
abdominal cramps and bloody diarrhea. Infection Part of the enrichment broth is dispensed into the reagent
progresses to acute kidney failure (hemolytic uremic strip. The E. coli O157 including H7 present are captured
syndrome) in about 10% of the cases. Children under the by the recombinant phage protein coating the interior of
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age of five and the elderly are the most susceptible (3). the SPR . Unbound components are eliminated during
Thanks to an innovative technology based on a the washing steps. Alkaline phosphatase conjugate is
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recombinant phage tail fiber protein, VIDAS ECPT
® then cycled in and out of the SPR and will bind to any E.
enables the specific detection of E. coli O157 including coli O157 including H7 which are themselves bound to the
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H7. phage protein on the SPR wall.
Recent studies have shown that non-H7 E. coli O157 Further wash steps remove unbound conjugate.
strains can be pathogenic since they are carriers of During the final detection step, the substrate (4-Methyl-
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virulence genes (4, 5, 6) umbelliferyl phosphate) is cycled in and out of the SPR .
The conjugate enzyme catalyzes the hydrolysis of this
PRINCIPLE substrate into a fluorescent product (4-Methyl-
® umbelliferone), the fluorescence of which is measured at
VIDAS ECPT is an automated assay based on the ELFA 450 nm.
technique (Enzyme-Linked Fluorescent Assay) for use on At the end of the assay, the results are analyzed
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the instruments of the VIDAS family (see the User automatically by the instrument which generates a test
Manual). value for each sample. This value is compared to a set of
stored standards (thresholds) and each result is
interpreted (positive, negative).
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VIDAS UP E. coli O157 (including H7) (ECPT) 14080 O - en - 2018/02
Hazard statement
H318 : Causes serious eye damage.
Precautionary statement
P280: Wear protective gloves/protective clothing/eye protection/face protection.
P305 + P351 + P338: IF IN EYES: Rinse cautiously with water for several minutes. Remove contact lenses, if present
and easy to do. Continue rinsing.
For further information, refer to the Material Safety Data Sheet.
REAGENTS, MATERIALS AND DISPOSABLES The following references, available from bioMérieux or
REQUIRED BUT NOT PROVIDED one of its companies, are given as a guide.
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Instrument of the VIDAS family Buffered Peptone Water
Disposable pipettes and/or micropipettes to dispense - 5-liter bag (ref. AEB910305/2)
appropriate volumes - 3-liter bag (ref. AEB910303/4)
Swabs/sponges for environmental sampling - 225 mL bottle (ref. 42043)
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VIDAS Heat and Go (bioMérieux ref. 93554 or 93555 - 225 mL mini-bag (ref. 42729)
or 93556: Contact your bioMérieux representative) or a - 90 mL bottle (ref. 42042)
water-bath (95-100°C) or an equivalent system - 9 mL tube (ref. 42111)
Paddle blender (example: SMASHER™ ref. Cefixime-Tellurite Mixture (CT) (ref. 42606)
AESAP1064 or SMASHER™ XL ref. AESAP1100) SMAC CT Agar (ref. 43391)
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Blender bag with filter SLIDEX E. coli O157 (ref. 417407)
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VIDAS ICE kit (bioMérieux ref. 30526, 30 tests) For other specific materials and disposables, please refer
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chromID EHEC Agar (EHEC) (bioMerieux ref. 413093 to the Instrument User Manual.
and 413697)
Cefsulodin WARNINGS AND PRECAUTIONS
Cefixime
Vancomycin or Vancomycin Supplement (VANCO For professional use only.
SUPP) (bioMérieux ref. 412498) Place the instrument in a room designed for
Acriflavine microbiological analysis.
Comply with Good Laboratory Practice (e.g., standard
EN ISO 7218) (7).
Pathogenic enterohemorrhagic Escherichia coli
O157 are category 3 T* organisms. Samples should
be handled observing the usual safety precautions
and in accordance with any applicable regulations.
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VIDAS UP E. coli O157 (including H7) (ECPT) 14080 O - en - 2018/02
The kit contains products of animal origin. Certified Method certified NF VALIDATION (BIO-12/25-05/09)
knowledge of the origin and/or sanitary state of the
Procedure for raw beef and veal (including seasoned
animals does not totally guarantee the absence of
meats) limited to a 25 g test sample
transmissible pathogenic agents. It is therefore
recommended that these products be treated as In a blender bag with filter, aseptically place:
potentially infectious, and handled observing the usual - X g of sample.
safety precautions (do not ingest; do not inhale). - 9X mL of Buffered Peptone Water preheated at
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Do not use the SPR s if the pouch is pierced or if the 41.5 ± 1°C.
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dot sealing a SPR has come unstuck. Mix using a paddle blender.
Do not use visibly deteriorated STRs (damaged foil or Incubate for 7-24 hours at 41.5 ± 1°C.
plastic). After incubation, mix the contents of the blender bag
Do not use reagents after the expiration date indicated manually.
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on the kit label. If the VIDAS Heat and Go is used, transfer 0.5 mL of
Do not mix reagents (or disposables) from different lots. enrichment broth into the sample well on the strip. Heat
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Kit reagents contain sodium azide which can react with for 5 1 minutes (see the VIDAS Heat and Go User
lead or copper plumbing to form explosive metal azides. Manual). Remove the strip and leave to cool for at least
If any liquid containing sodium azide is disposed of in 10 minutes.
the plumbing system, drains should be flushed with If a water-bath is used, transfer 1-2 mL of enrichment
water to avoid build-up. broth into a tube. Seal the tube. Heat for 5 1 minutes
The substrate in well 10 contains an irritant agent (6.6% at 95-100°C. Cool the tube (do not mix). Transfer 0.5 mL
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diethanolamine). Refer to the hazard statements "H" of boiled broth into the sample well on the VIDAS strip.
and the precautionary statements "P" above. Note: For samples which coagulate after heating, it is
Spills should be wiped up thoroughly after treatment recommended to mix the boiled broth using a vortex-
with liquid detergent or a solution of household bleach type mixer.
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containing at least 0.5 % sodium hypochlorite. See the Perform the VIDAS assay.
User Manual for cleaning spills on or in the instrument. Note: The non-heated enrichment broth can be stored
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Do not autoclave solutions containing bleach. for 48 hours at 2-8°C before the VIDAS test is
The instrument should be regularly cleaned and performed.
decontaminated (see the User Manual). Confirm the positive results.
Note: If confirmation is not initiated immediately after a
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STORAGE CONDITIONS positive VIDAS test, store the enrichment broth at
® 2-8°C. Confirmation must be initiated within 48 hours
Store the VIDAS ECPT kit at 2-8°C. following the end of incubation.
Do not freeze reagents.
Store all unused reagents at 2-8°C. Procedure for raw beef and veal limited to a 25 g test
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After opening the kit, check that the SPR pouch is sample (including seasoned meats) (protocol
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correctly sealed and undamaged. If not, do not use the harmonized with VIDAS SPT)
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SPR s. In a blender bag with filter, aseptically place:
Carefully reseal the pouch with the desiccant inside - X g of sample.
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after use to maintain stability of the SPR s and - 9X mL of Buffered Peptone Water preheated at
return the complete kit to 2-8°C. 41.5 ± 1°C + Y mL (± 5%) of Vancomycin Supplement
If stored according to the recommended conditions, all (refer to the package insert for Vancomycin
components are stable until the expiration date indicated Supplement ref. 412498) or 8 mg/L of Vancomycin.
on the label. Note 1: If the 1/10 dilution in Buffered Peptone Water
is also used for the enumeration of quality indicator
SAMPLES (PREPARATION) organisms, follow the recommendations in the
The following protocols are recommended. standard ISO 7218 (7). Take this sampling portion into
Frozen samples must be thawed beforehand. account when initially weighing the sample. Sampling
Incubation conditions may have repercussions on short should be performed before adding the supplement or
detection procedures. The temperatures indicated must the Vancomycin.
Note 2: The supplement or the Vancomycin can be
be scrupulously respected.
added directly to the Buffered Peptone Water if the
In particular, it is advisable to ensure that the conditions
enumeration of quality indicator organisms is not
for preheating the enrichment broth enable the indicated
performed using the same test sample.
temperature to be reached. The sample preparation time
Mix using a paddle blender.
(time between the end of the enrichment broth pre-heating
Incubate for 16-24 hours at 41.5 ± 1°C.
phase and the start of the food sample incubation phase),
must not exceed 45 minutes. It is recommended to use a
ventilated incubator for the incubation phase.
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VIDAS UP E. coli O157 (including H7) (ECPT) 14080 O - en - 2018/02
After incubation, mix the contents of the blender bag After incubation, mix the contents of the blender bag
manually. manually.
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If the VIDAS Heat and Go is used, transfer 0.5 mL of If the VIDAS Heat and Go is used, transfer 0.5 mL of
enrichment broth into the sample well on the strip. Heat enrichment broth into the sample well on the strip. Heat
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for 5 1 minutes (see the VIDAS Heat and Go User for 5 1 minutes (see the VIDAS Heat and Go User
Manual). Remove the strip and leave to cool for at least Manual). Remove the strip and leave to cool for at least
10 minutes. 10 minutes.
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If a water-bath is used, transfer 2-3 ml of the enrichment Note: Do not use the VIDAS Heat and Go for poultry
broth into a tube (for samples showing strong samples.
coagulation after heating, it is recommended to heat a If a water-bath is used, transfer 1-2 mL of enrichment
larger volume (example: 10 mL)). Seal the tube. Heat for broth into a tube. Seal the tube. Heat for 5 1 minutes
5 1 minutes at 95-100°C. Cool the tube. Mix the boiled at 95-100°C. Cool the tube. Mix the boiled broth using a
broth using a vortex-type mixer and transfer 0.5 mL into vortex-type mixer and transfer 0.5 mL into the sample
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the sample well on the VIDAS strip. well on the VIDAS strip.
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Perform the VIDAS assay. Perform the VIDAS assay.
Note: The non-heated enrichment broth can be stored Note: The non-heated enrichment broth can be stored
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for 72 hours at 2-8°C before the VIDAS test is for 48 hours at 2-8°C before the VIDAS test is
performed. performed.
Confirm the positive results. Confirm the positive results.
Note: If confirmation is not initiated immediately after a Note: If confirmation is not initiated immediately after a
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positive VIDAS test, store the enrichment broth at positive VIDAS test, store the enrichment broth at
2-8°C. Confirmation must be initiated within 72 hours 2-8°C. Confirmation must be initiated within 48 hours
following the end of incubation. following the end of incubation.
Procedure for raw beef and veal for a test sample Procedure for raw vegetables
between 50 and 375 g (excluding seasoned meats) In a blender bag with filter, aseptically place:
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(protocol harmonized with VIDAS SPT) - X g (or X mL) of sample.
In a blender bag with filter, aseptically place: Note: In the context of NF VALIDATION mark, no test
- X g of sample. samples over 25 g were tested.
- 3X mL of Buffered Peptone Water preheated at - 9X mL of Buffered Peptone Water preheated at
41.5 ± 1°C + Y mL (± 5%) of Vancomycin Supplement 41.5 ± 1°C + Y mL (± 5%) of Vancomycin Supplement
(refer to the package insert for Vancomycin (refer to the package insert for Vancomycin
Supplement ref. 412498) or 8 mg/L of Vancomycin. Supplement ref. 412498) or 8 mg/L of Vancomycin.
Mix using a paddle blender. Mix using a paddle blender.
Incubate for 8-24 hours at 41.5 ± 1°C. Incubate for 8-24 hours at 41.5 ± 1°C.
After incubation, mix the contents of the blender bag After incubation, mix the contents of the blender bag
manually. manually.
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Transfer 2-3 mL of the enrichment broth into a tube. If the VIDAS Heat and Go is used, transfer 0.5 mL of
Seal the tube. Heat in a water-bath for 5 1 minutes at enrichment broth into the sample well on the strip. Heat
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95-100°C. Cool the tube (do not mix). Transfer 0.5 mL of for 5 1 minutes (see the VIDAS Heat and Go User
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boiled broth into the sample well on the VIDAS strip. Manual). Remove the strip and leave to cool for at least
Note: For samples which coagulate after heating, or for 10 minutes.
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a protocol that is harmonized with the VIDAS UP If a water-bath is used, transfer 1-2 mL of enrichment
Salmonella method, it is recommended to mix the boiled broth into a tube. Seal the tube. Heat for 5 1 minutes
broth using a vortex-type mixer. at 95-100°C. Cool the tube. Mix the boiled broth using a
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Perform the VIDAS assay. vortex-type mixer and transfer 0.5 mL into the sample
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Note: The non-heated enrichment broth can be stored well on the VIDAS strip.
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for 48 hours at 2-8°C before the VIDAS test is Perform the VIDAS assay.
performed. Note: The non-heated enrichment broth can be stored
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Confirm the positive results. for 48 hours at 2-8°C before the VIDAS test is
Note: If confirmation is not initiated immediately after a performed.
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positive VIDAS test, store the enrichment broth at Confirm the positive results.
2-8°C. Confirmation must be initiated within 48 hours Note: If confirmation is not initiated immediately after a
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following the end of incubation. positive VIDAS test, store the enrichment broth at
Note: Prolonging the incubation period up to 24 hours 2-8°C. Confirmation must be initiated within 48 hours
improves the performance of the alternative method. following the end of incubation.
Note: Prolonging the incubation period up to 24 hours
Procedure for all raw meat products
improves the performance of the alternative method.
In a blender bag with filter, aseptically place:
- X g (or X mL) of sample.
Note: In the context of NF VALIDATION mark, no test
samples over 25 g were tested.
- 9X mL of Buffered Peptone Water preheated at
41.5 ± 1°C + Y mL (± 5%) of Vancomycin Supplement
(refer to the package insert for Vancomycin
Supplement ref. 412498) or 8 mg/L of Vancomycin.
Mix using a paddle blender.
Incubate for 16-24 hours at 41.5 ± 1°C.
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VIDAS UP E. coli O157 (including H7) (ECPT) 14080 O - en - 2018/02
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VIDAS UP E. coli O157 (including H7) (ECPT) 14080 O - en - 2018/02
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VIDAS UP E. coli O157 (including H7) (ECPT) 14080 O - en - 2018/02
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VIDAS UP E. coli O157 (including H7) (ECPT) 14080 O - en - 2018/02
A result with a test value that is less than the threshold Caution
value indicates that the sample does not contain E. coli ®
The VIDAS ECPT assay has been evaluated on a large
O157 or contains E. coli O157 at a concentration below number of products. Given the wide variety of products
the detection limit. and manufacturing procedures, it is recommended to
A result with a test value that is greater than or equal to check that the composition of the matrices tested does not
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the threshold value indicates a sample contaminated with affect the reliability of the VIDAS ECPT results.
E. coli O157. In this case, refer to the section on The VIDAS® Heat and Go system has been evaluated on
"Confirmation of positive results". a large number of food matrices. Given the wide variety of
Invalid results are reported: food matrices and manufacturing procedures, when
when the background reading is above a pre- commissioning the system, it is recommended to verify
determined cut-off (indicating substrate contamination). that the heating step does not result in a substantial
In this case, repeat the assay with the heated broth or coagulation or precipitation of the sample in the sample
the reagent concerned (S1, C1 or C2). well as this could lead to an incorrect volume of sample
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if there is no standard available for the lot number of the being taken into the SPR .
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sample test strip. Note: Do not use the VIDAS Heat and Go for egg
In this case, run a standard in duplicate in strips with the products and poultry samples.
same lot number as the invalid sample test. The sample
test result can then be recalculated using the new stored PERFORMANCE
standards. See the User Manual for complete The performance data obtained in the context of NF
information. VALIDATION certification are available in the synthesis
report on the AFNOR certification website: http://nf-
QUALITY CONTROL validation.afnor.org/en.
One positive control and one negative control are included
® All of the results were obtained using bioMerieux Buffered
in each VIDAS ECPT kit.
Peptone Water.
These controls must be performed each time a new lot of
reagents is opened to verify the calibration (see section ®
The VIDAS UP E. coli O157 (including H7) (ECPT)
“Calibration”). method has been certified NF VALIDATION as an
It is also recommended to perform the controls each time alternative analysis method for the detection of E. coli
new kits are received to ensure that reagent performance O157 in raw meat products, raw vegetables, raw milk
has not been altered. dairy products and production environmental
The instrument will only be able to check the control samples.
values if they are identified by C1 and C2. This validation has been obtained by comparison with
Results cannot be validated if the control values deviate the reference method described in the international
from the expected values. standard EN ISO 16654 (8) according to the standard
Note EN ISO 16140-2 (12).
The BIO-12/25-05/09 validation certificate can be
It is the responsibility of the user to perform Quality obtained from our Technical Assistance Service or
Control in accordance with any applicable local from AFNOR Certification. The date of end of validity
regulations. for the NF VALIDATION certification is indicated on
the certificate.
LIMITATIONS OF THE METHOD
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The VIDAS ECPT assay alerts the user to the possible
presence of E. coli O157 including H7. The user is
therefore more vigilant during the confirmation process.
BIO-12/25-05/09
Reactions have been observed with strains, such as ALTERNATIVE ANALYTICAL METHODS FOR AGRIBUSINESS
group N Salmonella, that possess the same surface Certified by AFNOR Certification
http://nf-validation.afnor.org/en
receptors as E. coli O157 including H7 (11). These
strains, which are non-typical on selective agar used for
confirmation, can be at the origin of rare discrepancies The VIDAS® UP E. coli O157 (including H7) (ECPT)
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between a VIDAS ECPT test result and the result of the method has been validated and certified by the AOAC
confirmation test. Research Institute as a Performance Tested Method
Other rare discrepancies can be obtained with sorbitol- (Certificate No. 060903) for the detection of E. coli
positive strains of E. coli O157 including H7 which are O157 in a variety of foods.
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positive with the VIDAS ECPT test and non-typical on
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the confirmation agar. The principle of the chromID
EHEC agar is based on the dual sorbitol-negative and PERFORMANCE TESTED METHOD
glucuronidase-negative characteristic of E. coli O157:H7 Certified by AOAC Research Institute
www.aoac.org
or O157:H- strains. The non-H7 E. coli strains ( The following matrices were included in the AOAC
glucuronidase-positive) are positive with the validation: raw beef, beef trim, irrigation water, fresh
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VIDAS ECPT test and non-typical on this agar. This can spinach, bagged lettuce.
also be the case for the rare strains of E. coli O157:H7
that are sorbitol-negative but glucuronidase-positive.
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VIDAS UP E. coli O157 (including H7) (ECPT) 14080 O - en - 2018/02
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VIDAS UP E. coli O157 (including H7) (ECPT) 14080 O - en - 2018/02
REVISION HISTORY
Change type categories:
N/A Not applicable (First publication)
Correction Correction of documentation anomalies
Technical change Addition, revision and/or removal of information related to the product
Administrative Implementation of non-technical changes noticeable to the user
Note: Minor typographical, grammar, and formatting changes are not included in the revision history.
BIOMERIEUX, the BIOMERIEUX logo, CHROMID, SLIDEX, SMASHER, SPR and VIDAS are used, pending, and/or registered trademarks belonging to
bioMérieux, or one of its subsidiaries, or one of its companies.
Any other name or trademark is the property of its respective owner.