According to the initial screening, 56 isolates showed yellow colonies on TSA, typical for Cronobacter spp. However, when the isolates were subjected to API 20E biochemical profiling, only 42 isolates (75%) were identified as E. sakazakii with high identity scores (80-99% E. PI3K inhibitor sakazakii) (Tables 5 and 6) and thus were considered YM155 cell line presumptive Cronobacter spp. API 20E biochemical profiling can thus be considered a first screening or presumptive identification method for Cronobacter spp., after which the isolates should undergo further diagnostic analyses. To that end, the presumptive isolates were grown on chromogenic media
(α-MUG, DFI and EsPM) as a second step of identification. Results showed that none of the three chromogenic media was 100% reliable (Table 7) for confirming the identity of Cronobacter spp.
isolates. However, it is worth mentioning EVP4593 supplier that both chromogenic α-MUG and DFI gave no false negatives and only few false positives (5 and 3 for α-MUG and DFI respectively) compared to the EsPM media which missed 3 positives and identified 7 non-Cronobacter spp. isolates as Cronobacter spp. These results proved that DFI followed by α-MUG are more reliable than the EsPM Media as intermediate confirmation steps. Among the non-Cronobacter spp. isolates, two isolates did not grow on DFI media although they tested positive for α-glucosidase activity on α-MUG. These isolates may be sensitive to the sodium deoxycholate, an ingredient added to the medium to suppress gram positive bacteria [1]. Table 5 Confirmed isolates of Cronobacter spp. by biochemical testing (API 20E), chromogenic (α-MUG, DFI and EsPM), eight sets of Cronobacter spp. specific primers (α-GluA, α-GluB, SG, SI, Saka, OmpA, zpx and BAM) and 16S rRNA sequence analysis. Isolate PCR Primers ID Source API 20E α-MUG DFI EsPM$ α-GluA α-GluB SG SI Saka OmpA zpx BAM€ 16S rRNA 51329 ATCC + + + BB + ND§ + + + + + +* Crono. £ 29544 ATCC + + + BB +
+ ND ND ND ND + + Crono. Jor32 Infant food + + + BB + ND + + + + + + Crono. Jor20B Spices + + + BB + ND + + + + + + Crono. Jor22 Chamomile + + + BB + ND + + + + + + Crono. Florfenicol Jor44A Spices + + + BB + ND + + + + – + Crono. Jor44B Spices + + + BB + ND + + + + + + Crono. Jor77 Anise + + + BB + ND + + + + + +* Crono. Jor93 spices + + + BB + ND + + + + – + Crono. Jor95 Anise + + + BB + ND + + + + + +* Crono. Jor96 Fennel + + + BB + ND + + + + – + Crono. Jor112 Liquorice + + + BB + ND + + + + + +* Crono. Jor146B Liquorice + + + BB + ND + + + + – + Crono. Jor148 Spices + + + BB + ND + + + + + + Crono. Jor149 Anise + + + BB – - + + + + + +* Crono. Jor154 Spices + + + BB – + + – + + + + Crono. Jor160A Vac dust¥ + + + BB + ND + + + + + + Crono. Jor160B Vac dust¥ + + + BB + ND + + + + – + Crono. Jor171 Fennel + + + BB + ND + + + + + +* Crono.