molecular method for detection of total coliforms in drinking water...

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1 Molecular Method for Detection of Total Coliforms in Drinking 1 Water Samples 2 3 Andrée F. Maheux 1,2* , Dominique K. Boudreau 3 , Marc-Antoine Bisson 1,4 , Vanessa Dion- 4 Dupont 1,4 , Sébastien Bouchard 1,4 , Martine Nkuranga 1,4 , Michel G. Bergeron 3,5 , and Manuel J. 5 Rodriguez 1,2 6 7 1 Chaire de recherche en eau potable de l’Université Laval, Québec City (Québec), Canada. 8 2 École supérieure d’aménagement du territoire et de développement régional, Université Laval, 9 Québec City (Québec), Canada. 10 3 Centre de recherche en infectiologie de l’Université Laval, Axe Maladies infectieuses et 11 immunitaires, Centre de recherche du CHU de Québec, Québec City (Québec), Canada. 12 4 Centre de recherche en aménagement et développement de l’Université Laval, Québec City 13 (Québec), Canada. 14 5 Département de microbiologie-infectiologie et d’immunologie, Faculté de médecine, Université 15 Laval, Québec City (Québec), Canada. 16 17 18 * Corresponding author. Mailing address: ÉSAD, 1616 Pavillon Savard, Université Laval, Québec 19 City (Québec), Canada G1K 7P4. Phone: 418-656-2131 extension 8933. Fax: 418-656-2018. E- 20 mail: [email protected] 21 22 Running title: Molecular detection of total coliforms in water 23 AEM Accepts, published online ahead of print on 25 April 2014 Appl. Environ. Microbiol. doi:10.1128/AEM.00546-14 Copyright © 2014, American Society for Microbiology. All Rights Reserved. on May 24, 2018 by guest http://aem.asm.org/ Downloaded from

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Page 1: Molecular Method for Detection of Total Coliforms in Drinking Water …aem.asm.org/content/early/2014/04/22/AEM.00546-14.ful… ·  · 2014-04-2428 detect the presence of total coliforms

1

Molecular Method for Detection of Total Coliforms in Drinking 1

Water Samples 2

3

Andrée F. Maheux1,2*, Dominique K. Boudreau3, Marc-Antoine Bisson1,4, Vanessa Dion-4

Dupont1,4, Sébastien Bouchard1,4, Martine Nkuranga1,4, Michel G. Bergeron3,5, and Manuel J. 5

Rodriguez1,2 6

7

1 Chaire de recherche en eau potable de l’Université Laval, Québec City (Québec), Canada. 8

2 École supérieure d’aménagement du territoire et de développement régional, Université Laval, 9

Québec City (Québec), Canada. 10

3 Centre de recherche en infectiologie de l’Université Laval, Axe Maladies infectieuses et 11

immunitaires, Centre de recherche du CHU de Québec, Québec City (Québec), Canada. 12

4 Centre de recherche en aménagement et développement de l’Université Laval, Québec City 13

(Québec), Canada. 14

5 Département de microbiologie-infectiologie et d’immunologie, Faculté de médecine, Université 15

Laval, Québec City (Québec), Canada. 16

17

18

* Corresponding author. Mailing address: ÉSAD, 1616 Pavillon Savard, Université Laval, Québec 19

City (Québec), Canada G1K 7P4. Phone: 418-656-2131 extension 8933. Fax: 418-656-2018. E-20

mail: [email protected] 21

22

Running title: Molecular detection of total coliforms in water 23

AEM Accepts, published online ahead of print on 25 April 2014Appl. Environ. Microbiol. doi:10.1128/AEM.00546-14Copyright © 2014, American Society for Microbiology. All Rights Reserved.

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Abstract 24

25

This work demonstrates the ability of a bacterial concentration and recovery procedure combined 26

with three different PCR assays targeting LacZ, WecG, and 16S rRNA genes, respectively, to 27

detect the presence of total coliforms in 100-mL samples of potable water (presence/absence 28

test). PCR assays were first compared to the culture-based Colilert® (Colilert) and MI agar 29

methods to determine their ability to detect 147 coliform strains representing 76 species of 30

Enterobacteriaceae encountered in fecal and environmental settings. Results showed that 86 31

(58.5%) and 109 (74.1%) strains yielded a positive signal with Colilert and MI agar methods 32

respectively, whereas the LacZ, WecG, and 16S rRNA PCR assays detected 133 (90.5%), 111 33

(75.5%), and 146 (99.3%) of the 147 total coliform strains tested. These assays were then 34

assessed by testing 122 well water samples collected in the Québec City region. Results showed 35

that 97 (79.5%) of the culture-based methods and 95 (77.9%), 82 (67.2%) and 98 (80.3%) of 36

samples tested using PCR-based methods contained total coliforms, respectively. Consequently, 37

despite the high genetic variability of the total coliform group, this study demonstrated that it is 38

possible to use molecular assays to detect total coliforms in potable water: the 16S rRNA 39

molecular-based assay was shown to be as efficient as recommended culture-based methods. This 40

assay might be used in combination with an Escherichia coli molecular assay to assess drinking 41

water quality. 42

43

44

45

Keywords: Drinking water, microbiological analysis, CRENAME procedure, PCR, Total 46

coliforms.47

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1. Introduction 48

49

Individual pathogen monitoring in water is technically achievable but currently unfeasible due to 50

the costs involved and the number of possible pathogens. Since numerous pathogens occur in 51

feces, water is monitored for microbial contamination using indicator organisms such as total 52

coliforms and Escherichia coli (1). Total coliforms are a group of bacteria commonly found in 53

the aquatic environment in soil and vegetation, as well as in the intestines of mammals, including 54

humans (2). Despite reservations about their usefulness as indicators of fecal contamination, the 55

total coliform group remains a water quality indicator in many countries and continues to be used 56

to some extent as a regulatory parameter (3, 4). Indeed, even in situations where fecal 57

contamination is present, total coliforms are more numerous than E. coli, thereby representing a 58

more sensitive indicator (5). Furthermore, some members of the total coliform group are 59

considerably more resistant to disinfection than E. coli and are better indicators of poor 60

disinfection (3, 5). The presence of total coliforms in a water distribution system can also indicate 61

a lack of system integrity (6). Thus, total coliform bacteria are commonly used to evaluate the 62

general sanitary quality of water (3, 5). 63

64

The use of coliform organisms as indicators of water quality dates back to the early 20th century 65

when MacConkey described the presence of lactose-fermenting organisms in feces (7). In 1914, 66

the U.S. Public Health Service determined that the total coliform group included all aerobic and 67

facultative anaerobic, gram-negative, non-spore forming bacilli that, when incubated at 35-37°C, 68

ferment lactose and produce acid and gas (CO2) within 48 hours (8). Since then, there have been 69

developments in the methodologies used to detect coliform organisms, but for many years the 70

group was defined by procedures that relied upon their relative resistance to the presence of bile 71

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salts and their ability to ferment lactose with the production of acid and gas (5). However, in the 72

past 15 years, significant changes have occurred in terms of the definition and taxonomy of the 73

coliform group and the methods used for their detection (5). 74

75

In 1994, regulatory authorities in the United Kingdom published the sixth edition of 76

“Bacteriological Examination of Drinking Water Supplies” (9) wherein it was acknowledged that 77

a substantial proportion of coliform organisms did not produce gas or did so irregularly during 78

the fermentation of lactose. Thus, the definition of the coliform group changed to include 79

anaerogenic lactose-fermenting organisms. This broadened the number of genera termed “total 80

coliforms” regularly found in water. The more narrow definition included primarily four genera: 81

Escherichia, Klebsiella, Citrobacter and Enterobacter, while the inclusion of anaeorgenic lactose 82

fermenters added Kluyvera, Yersinia, Serratia, Hafnia and Pantoea (10). Additional changes in 83

microbial taxonomy and the use of methods that recover coliforms based on the detection of β-D-84

galactosidase further increased the number of genera to include Cedecea, Yokenella, Ewingella, 85

Leclercia, Buttiauxella, Rahnella and Moellerella. Continuing improvements in microbial 86

taxonomy will certainly result in more genera being included in the group known as “total 87

coliforms” (5). Since the definition of the coliform group evolved in the past years, previous total 88

coliforms-specific PCR assays as well as culture-based chromogenic methods must be evaluated 89

along the new definition for specificity and ubiquity. In this study, all enterobacterial species 90

included in the total coliform group were considered as total coliform (Table 1). 91

92

Since the total coliform group of organisms defined by the water industry is a diverse group 93

containing many genera and excluding some that are closely, the application of PCR technology 94

to the detection of this group of organisms is much more difficult. Indeed, the primers used must 95

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be capable of detecting all coliform members, but not non-coliform bacteria. Furthermore, the 96

application of molecular testing to the microbiological quality of potable water is far from 97

commonplace due to the scarcity of simple technological solutions for tackling the major task of 98

efficiently concentrating and recovering as little as one microbial particle (indicator and/or 99

pathogen) from a water sample (11). 100

101

Primers to detect total coliforms in water based on the LacZ gene encoding the β-galactosidase 102

protein were first described by Bej et al. (12). These primers were further used, tested, and/or 103

validated (13-19). However, the definition of the total coliform group has changed since 1990. 104

Indeed, the total coliform group now includes anaerogenic lactose-fermenting and β-D-105

galactosidase-producing organisms (9-10). 106

107

In this study, three PCR primer sets designed to detect total coliform or enterobacterial species 108

from water samples were compared for their respective ability to detect total coliform strains 109

using genomic DNA extracted from an extensive panel of strains (147 total coliform strains 110

representing 76 species belonging to the Enterobacteriaceae). The concentration and recovery 111

procedure developed by Maheux et al. (20) was then applied to these three molecular assays to 112

evaluate the detection of total coliforms in potable ground water samples. Results obtained were 113

compared to the Colilert and MI agar culture-based methods in terms of ubiquity (ability to detect 114

total coliform strains), specificity, sensitivity, time to result, ease to use, and affordability. 115

116

117

118

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2. Materials and methods 119

120

2.1 Analytical comparison 121

122

2.1.1 Bacterial strains 123

The ability of culture-based and PCR-based methods to detect total coliforms strains was 124

verified using 147 different strains representing 76 species of the total coliform group (see first 125

column of Table 1) as well as 23 non-total coliform strains (representing 17 species; see first 126

column of Table 2). Species identification was reconfirmed using an automated MicroScan 127

Autoscan-4 system (Siemens Healthcare Diagnostic Inc., Newark, DE, USA) or a Vitek 2 128

system (bioMérieux SA, Marcy l’Étoile, France). Bacterial strains were grown from frozen 129

stocks kept at -80°C in a Brucella medium (Beckton, Dickinson and Company, Mississauga, 130

Ontario, Canada) containing 10% glycerol and cultured on BHI or sheep blood agar. Three 131

passages were performed prior to analysis of each strain with each culture-based method. 132

133

2.1.2 Culture-based methods 134

2.1.2.1 Preparation of the bacterial cell suspension 135

Bacterial colonies were suspended in BHI broth and adjusted to a 0.5 McFarland standard (Fisher 136

Scientific Company, Ottawa, Ontario, Canada), before being serially diluted ten-fold in 137

phosphate-buffered saline (PBS; 137 mM NaCl, 6.4 mM Na2HPO4, 2.7 mM KCl, 0.88 mM 138

KH2PO4, pH 7.4). An aliquot (50 µL) of the 10−5 dilution was spiked in sterile reverse osmosis 139

water (resistivity of 18 MΩ-cm min at 25°C) to produce suspensions containing approximately 140

50 colony forming units (CFU) per 100 mL of water. Bacterial counts were verified by filtering 141

100 mL of each spiked water sample through a Millipore membrane filter (47 mm diameter, 0.45 142

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μm pore size; Millipore Corporation, Billerica, MA, USA) with a standard platform manifold 143

(Millipore Corporation) followed by incubation on BHI or sheep blood agar for 24 ± 2 h at 35.0 ± 144

0.5°C. Tests to confirm the sterility of filter membranes and the buffer used for rinsing the 145

filtration apparatus were also performed. 146

147

2.1.2.2 Membrane filtration method 148

The membrane filtration method was performed according to Maheux et al. (21). A 100 mL 149

volume was filtered on Millipore filters with a standard platform manifold. The filter was 150

incubated on MI agar (MI; BD, Franklin Lakes, NJ, USA) for 24 h ± 2 h at 35.0 ± 0.5°C, before 151

determining colony counts and fluorescence. Each preparation of MI plates was tested for 152

performance using positive and negative control strains (Enterobacter aerogenes ATCC 13048, 153

Escherichia coli ATCC 25922, and Pseudomonas aeruginosa ATCC 27853), as recommended 154

by the manufacturer’s labeled instructions and the USEPA microbiology methods manual. 155

Sterility controls of membrane filters and buffer were also included (8). 156

157

2.1.2.3 Liquid culture method 158

For the detection of total coliform strains with Colilert® (Colilert; IDEXX Laboratories Canada 159

Corp., Toronto, Ontario, Canada), all steps involved in preparation, validation, storage and 160

handling were performed according to the manufacturer’s instructions. Briefly, one snap pack 161

containing the Colilert reagent was dissolved in 100 mL of spiked water samples. The solution 162

was then added to a Quanti-tray® and sealed and incubated at 35.0 ± 0.5°C for 24 h ± 2 h prior to 163

the identification of total coliform positive samples presenting yellow colouration. 164

165

2.1.3 Molecular-based methods 166

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2.1.3.1 Preparation of the DNA extract 167

PCR amplifications were performed using a bacterial suspension adjusted to a 0.5 McFarland 168

standard (Fisher Scientific Company, Ottawa, Ontario, Canada). The cells were lysed using the 169

BD Diagnostics-GeneOhm Rapid Lysis kit as recommended by the manufacturer (BD 170

Diagnostics-GeneOhm, Québec City, Québec, Canada). 171

172

2.1.3.2 PCR primers 173

The sequences of the PCR primers evaluated in this study to detect total coliforms are presented 174

in Table 3. The PCR primer set targeting the WecG gene encoding for the enterobacterial 175

common antigen (ECA) was developed as follows. First, WecG gene sequences available from 176

public databases were analyzed with GCG programs (version 8.0; Accelrys, Madison, WI, USA). 177

The PCR primers were designed from highly conserved regions of the WecG gene based on a 178

multiple sequence alignment and the Oligo primer analysis software (version 5.0; National 179

Biosciences, Plymouth, MN, USA). The Enterobacteriaceae-specific PCR primers chosen 180

included WecGEnbG118 (5’- ACGYTGGTIGCIATIAAYGCIG-3’) and WecGEnbG490 (5’- 181

GAICCCATIGCIACRGTIAC-3’) which generated specific amplicons of 372 base pairs. 182

Oligonucleotide primers were synthesized by Integrated DNA Technologies (Coralville, IA, 183

USA). 184

185

2.1.3.2 PCR amplification 186

Briefly, 1 µL of the standardized lysed bacterial suspension was transferred directly to a 19 µL 187

PCR mixture containing 50 mM KCl, 10 mM Tris-HCl (pH 9.0), 0.1% Triton X-100, 2.5 mM 188

MgCl2, 0.4 mM of each primer, 200 mM each of deoxyribonucleoside triphosphate (GE 189

Healthcare Bio-Sciences Inc., Baie d’Urfé, Québec, Canada), 3.3 mg per mL of bovine serum 190

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albumin (BSA; Sigma-Aldrich Canada Ltd., Oakville, Ontario, Canada), 0.06 µg/µL methoxalen 191

(Sigma-Aldrich Canada Ltd.), 0.5U of Taq DNA polymerase (Promega, Madison, WI, USA) and 192

TaqStart antibody (Clonetech Laboratories, Mountain View, CA, USA). Decontamination of the 193

PCR mixtures prior to PCR was achieved using the UV crosslinker Spectrolinker™ model XL-194

1000 (Spectronics Corporation, Westbury, NY, USA; 22). For each experiment, 1µL of sterile 195

water was added to the PCR mixture as a negative control. The PCR mixtures were subjected to 196

thermal cycling (3 min at 95°C and then 40 cycles of 1 s at 95°C, 30s at 57°C, 60°C, or 65°C 197

(Table 2), and 30 s at 72°C, with a 5-min final extension step at 72°C) with a PCT-200 DNA 198

engine thermocycler (Bio-Rad Laboratories, Hercules, CA, USA). An agarose gel analysis of the 199

amplified PCR products was performed as previously described (23). 200

201

202

2.2 Comparison using well water samples 203

204

2.2.1 Sample collection 205

During the summer of 2012, 122 1-L raw well water samples from individual households were 206

collected in the Québec City region (Canada). For all well water samples, a process control 207

consisting of approximately 60 Bacillus atrophaeus subsp. globigii (BG) spores per 100 mL was 208

added prior the filtration. Spores were prepared according to Picard et al. (24). Then, each well 209

water sample was divided into 100-mL subsamples for simultaneous testing by standard 210

microbiological methods consisting of MI agar and Colilert® (see sections 2.1.2.2 and 2.1.2.3). 211

One 100-mL subsample was used for molecular detection and the microbial DNA preparation 212

obtained was used to perform the three total coliform PCR assays as well as the BG PCR assay 213

(24). 214

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215

2.2.2 Water sample treatment for molecular detection 216

The filtration of each 100 mL of well water sample was completed using a 3-place manifold, 217

according to Maheux et al. (21). Following filtration, the membrane was aseptically removed 218

from the filtration manifold, transferred to a 15-mL polypropylene tube (Sarstedt, Newton, NC, 219

U.S.A.), exposed for 10 seconds to 8.5 mL of HPLC-grade methanol (Sigma-Aldrich, St. Louis, 220

MO, U.S.A.) and vortexed for 10 seconds. The reaction tube and its contents were then 221

centrifuged for three minutes at 2100 x g. The supernatant was removed and 1 mL of 222

histological-grade acetone (EMD Chemicals, San Diego, CA, U.S.A.) was added to the pellet. 223

Complete dissolution was achieved by vortexing. The resulting clear acetone solution was 224

transferred to a 2-mL tube containing a mixture of glass beads (150-212 µm and 710-1180 µm; 225

Sigma-Aldrich, St. Louis, MO, U.S.A.), centrifuged for three minutes at 15800 x g, and the 226

supernatant was removed. 227

228

To maximize the recovery of filtered cells, the 15-mL polypropylene tube used above was rinsed 229

briefly with 1.0 mL of histological-grade acetone and the resulting mixture was transferred to the 230

glass beads tube used previously. The tube was then centrifuged for three minutes at 15800 x g. 231

The resulting pellet was washed with 1.0 mL of TE (Tris-HCl 100 mM, EDTA 1 mM, pH 8.0) 232

and centrifuged for three minutes at 15800 x g. After centrifugation of the washed filtrate-glass 233

beads suspension in the presence of TE buffer, the supernatant was removed. The dead volume in 234

the glass beads was estimated to be approximately 25 µL. 235

236

Forty (40) µL of Illustra GenomiPhi™ V2 sample buffer (part of the Illustra GenomiPhi™ DNA 237

Amplification Kit; GE Healthcare, Montréal, Québec, Canada) was added to the 25 µL-reaction 238

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mixture. The cells contained in the pellet were lysed mechanically by mixing at maximum speed 239

on a vortex mixer for 5 minutes. The reaction tube containing the crude cell extract was then 240

incubated three minutes at 95°C then kept on ice for a minimum of three minutes. A mixture of 241

forty-five (45) µL of GenomiPhi™ reaction buffer and 4 µL of Phi29 (φ29) DNA polymerase 242

(GenomiPhi™ DNA Amplification Kit) was added to the extract, gently mixed by finger tapping, 243

before being briefly spun in a microcentrifuge. The whole genome amplification (WGA) reaction 244

mixture was incubated for three hours at 30°C. The enzymatic reaction was then arrested by 10-245

minute incubation at 65°C. One (1) µL of WGA-amplified products was then used as a template 246

for the total coliform-specific LacZ, WecG, and 16S rRNA, as well as BG rtPCR amplification 247

using the conditions described above. The detection of BG served as a procedural control and to 248

monitor for inhibition. 249

250

For the BG detection, 1 mL of the standardized lysed bacterial suspension was transferred 251

directly to a 24 µL PCR mixture containing 50 mM KCl, 10 mM Tris-HCl (pH 9.0), 0.1% Triton 252

X-100, 2.5 mM MgCl2, 0.4 µM each of primer, 0.2 µM of BG probe, 200 µM each of 253

deoxyribonucleoside triphosphate (GE Healthcare Bio-Sciences Inc., Baie d’Urfé, Quebec, 254

Canada), 3.3 µg per µL of bovine serum albumin (BSA; Sigma-Aldrich Canada Ltd., Oakville, 255

Ontario, Canada), 0.06 µg/µL methoxalen (Sigma-Aldrich Canada Ltd.), 0.5 U of Taq DNA 256

polymerase (Promega, Madison, WI, USA) and TaqStart antibody (Clonetech Laboratories, 257

Mountain View, CA, USA). Decontamination of the PCR mixtures prior to PCR was achieved 258

using the UV crosslinker Spectrolinker™ Model XL-1000 (Spectronics Corporation, Westbury, 259

NY, USA; 22). The rtPCR mixture was subjected to thermal cycling (1 min at 95°C and then 45 260

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cycles of 15 s at 95°C and 60 s at 60°C) with a Rotor-Gene thermocycler (Corbett Life Science, 261

Sidney, Australia, now QIAGEN company). 262

263

2.3 Statistical analysis 264

265

All individual results were recorded using Microsoft Excel 2010 software (Microsoft 266

Corporation; Redmond, WA, USA) and the statistical analysis was performed using the SAS 9.3 267

(SAS Institute Inc. 2011, Cary, NC). 268

269

Species identification by the MicroScan AutoScan-4 or the Vitek-2 system was used as the 270

reference to determine the ability of the molecular method to detect all or most of the total 271

coliform strains used in the study (ubiquity). Agreement was calculated by dividing the number 272

of strains detected by the test by the number of total coliform strains tested. 273

274

All water samples were recorded as positive or negative for total coliforms. The culture-based 275

methods were used to determine the specificity and sensitivity of a particular PCR test for the 276

detection of total coliforms. 277

278

McNemar’s test was used to compare paired proportions with a 95% confidence interval. When 279

the (two-sided) P-value was less than 0.05, we concluded that there was a significant difference 280

between the methods. 281

282

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An overly conservative measure of agreement, Cohen's kappa coefficient was also used to 283

measure the inter-rater agreement. Fleiss (25) magnitude guidelines were used to characterize the 284

κ values (˃ 0.75 = excellent, 0.40 to 0.75 = fair to good, and ˂ 0.40 = poor). 285

286

Ubiquity is the ability of a method to detect all or most targeted strains. We used it in this study 287

when we validated our assays against a panel of known microorganisms. Positive predictive 288

values could also have been used in this study with Colilert and MI agar serving as gold 289

standards when we compared results obtained with well water samples. However, since the 290

ubiquity and specificity tests of reference methods were not perfect, the methods were compared 291

using the Index of agreement, Cohen kappa, and McNemar statistical tests. 292

293

294

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3. Results 295

296

3.1 Ability of MI agar, Colilert, and the three PCR assays to detect total coliform strains 297

One hundred and forty-seven (147) total coliform strains, representing 76 species isolated from 298

fecal and environmental settings, were used to demonstrate the ability of the culture-based 299

Colilert® (Colilert) and MI agar (MI) methods as well as three different PCR assays targeting 300

LacZ, WecG, and 16S rRNA genes, respectively, to detect total coliform strains (Table 1). 301

Eighty-six (58.5%) and 109 (74.1%) yielded a β-galactosidase-positive signal with the Colilert 302

and MI culture-based methods, while the LacZ, WecG, and 16S rRNA primer sets tested 303

positive for 133 (90.5%), 111 (75.5%) and 146 (99.3%), respectively, out of 147 total coliform 304

strains tested. 305

306

The specificity of both the culture-based methods and the three PCR assays was verified by 307

testing 23 non-total coliform strains from fecal and environmental settings (Table 2). Only one 308

(4.3%) and three (13.0%) yielded a β-galactosidase-positive signal with the Colilert and MI 309

culture-based methods, respectively, while the LacZ, WecG, and 16S rRNA primer sets tested 310

positive with 17 (73.9%), 7 (30.4%), and 18 (78.3%) out of 23 non-total coliform enterobacterial 311

strains tested, respectively. For confirmatory purposes, all strains that presented negative results 312

were tested a second time with a different lot of kits/media. 313

314

315

3.2 Detection of total coliform in potable water samples 316

The microbiological quality of 122 well water samples collected in the Québec City region was 317

assessed by both culture-based and molecular methods (sensitivity testing). Results showed that 318

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97 (79.5%) and 97 (79.5%) samples using the culture-based methods (Colilert and MI), and 95 319

(77.9%), 82 (67.2%), and 98 (80.3%) samples using the PCR-based methods (LacZ, WecG, and 320

16S rRNA) contained total coliforms, respectively. Positive and negative controls performed as 321

expected. 322

323

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4. Discussion 324

In the present study, Colilert and MI agar detected 58.5% and 74.1% of total coliform strains 325

tested, respectively. The difference observed between the two culture-based methods (15.6%) is 326

in accordance with the 15.0% difference observed by Maheux et al. (26) after testing a panel of 327

107 total coliform strains isolated from fecal and environmental settings. Interestingly, 27 328

(18.4%) of the 147 total coliform strains tested in this study with the Colilert method yielded a 329

lighter yellow colouration than the comparator provided by the company after a 28h-incubation 330

leading to false-negative results. 331

332

It is well known in environmental microbiology that the total coliforms group is not well defined 333

based on phenotypic characteristics, (27). Indeed, our results showed a lack of correlation 334

between the two culture-based methods tested either within the same genera or within the same 335

species. Thus, according to Maheux et al (26), identification methods relying solely on the 336

activity of a single enzyme are subject to a lack of robustness and may lead to misinterpretations 337

since enzymatic activity can be transient and highly regulated by environmental factors. 338

Consequently, since molecular assays are based on more stable genetic parameters, PCR assays 339

should potentially offer greater sensitivity than culture-based methods. 340

341

Primers based on the LacZ gene encoding the β-galactosidase protein for the detection of total 342

coliforms in water were first described by Bej et al. (8). To determine the specificity of coliform 343

detection by their LacZ PCR-gene probe method, Bej et al. (12) tested the following bacterial 344

strains: E. coli ATCC 11775, E. coli ATCC 10798, E. coli ATCC 15224, E. coli ATCC 25404, 345

Enterobacter cloacae ATCC 13047, Salmonella typhimurium ATCC 19585, Citrobacter freundii 346

ATCC 33128, Klebsiella pneumoniae ATCC 13883, Shigella flexneri ATCC 12022, Shigella 347

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sonnei ATCC 25931, Pseudomonas putida mt-2, Lactococcus lactis ATCC 19435, and 32 348

environmental isolates from m-Endo agar plates identified as E. coli. They detected E. coli and 349

other coliform bacteria (including Shigella spp.) but not Salmonella spp. and non-coliform 350

bacteria with this assay. 351

352

Fricker and Fricker (15) used the LacZ primers (12) for the identification of total coliform 353

colonies isolated after overnight growth on MacConkey agar. They tested 441 different putative 354

total coliform colonies randomly selected from those routinely isolated from water and identified 355

using the ATB 32E system (BioMérieux, Marcy l’Étoile, France). More specifically, the total 356

coliform panel was composed of Buttiauxella agrestis (n = 4), Citrobacter freundii (n = 54), 357

Enterobacter agglomerans (n = 63), Enterobacter amnigenus (n = 25), Enterobacter cloacae (n = 358

51), Enterobacter intermedius (n = 1), Enterobacter taylorae (n = 1), Escherichia coli (n = 122), 359

Escherichia vulneris (n = 1), Hafnia alvei (n = 8), Klebsiella terrigena (n = 11), Klebsiella 360

oxytoca (n = 52), Klebsiella ozaenae (n = 8), Klebsiella pneumoniae (n = 35), Leclercia 361

adecarboxylata (n = 4), and Serratia rubideae (n = 1). Using this panel, Fricker and Fricker (15) 362

found that the LacZ primer set correctly identified 79.4% (350/441) of the bacterial strains tested 363

as coliforms. 364

365

In the present study, among the bacterial species tested by Fricker and Fricker, we tested B. 366

agrestis (n = 1), C. freundii (n = 6), Enterobacter amnigenus (n = 1), E. cloacae (n = 4), 1 E. 367

intermedius (n = 1), E. coli (n = 19), E. vulneris (n = 3), H. alvei (n = 4), K. oxytoca (n = 3), K. 368

pneumoniae (n = 4), L. adecarboxylata (n = 2), and S. rubideae (n = 2). No E. agglomerans, E. 369

taylorae, K. terrigena, and K. ozonae were tested. In this study, 48 (96%) out of the 50 total 370

coliform strains tested were detected, contrary to Fricker and Fricker (15) who had noted that the 371

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LacZ primer set did not perform very well since many total coliform strains tested did not 372

amplify sufficiently to be detected on an agarose gel. While Fricker and Fricker (15) used a PCR 373

amplification protocol of 25 cycles and an annealing temperature of 60°C, we modified the PCR 374

amplification protocol using 40 cycles and an annealing temperature step of 57°C. The detection 375

problem observed by Fricker and Fricker (15) was not observed using this optimized protocol. 376

Using our more extended panel composed of 147 total coliform strains representing 76 377

enterobacterial species isolated from fecal and environmental settings (Table 1), 133 strains 378

yielded a LacZ PCR-positive signal, for a sensitivity of 90.5%. This lack of sensitivity can be 379

explained by the fact that microbes are known to evolve rapidly. Thus, different strains of the 380

same species could present significant genetic polymorphisms and the design of a PCR primer 381

pair enabling to detect all target strains becomes more difficult. Using conserved genes to design 382

primer sets could be a good alternative since they present more conserved DNA regions. In order 383

to develop a PCR assay with a higher sensitivity, other target genes were studied. Thus, a PCR 384

assay targeting the WecG gene and encoding the enterobacterial common antigen was developed 385

and tested against our extended panel of total coliform strains. The WecG gene was chosen on the 386

basis that Enterobacteriaceae family encompasses approximately 20 genera, including E. coli 387

and all members of the coliform group. In addition it includes the food-borne pathogens of 388

Salmonella, Shigella, and Yersinia. The family was also originally proposed as an alternative 389

indicator to the coliform group because testing the entire family would be more inclusive for 390

pathogenic bacteria. Collectively, they have greater resistance to the environment than coliforms 391

(28). Consequently, Enterobacteriaceae may be superior to coliforms as indicators of sanitation. 392

Unfortunately, in the present study, of the 147 total coliform strains tested, the WecG PCR assay 393

yielded a positive signal for only111 (75.5%) strains (Table 1). 394

395

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The Enterobacteriaceae-specific PCR assay targeting the 16S rRNA designed by Nakano et al. 396

(29) was also tested against our extended panel of total coliform strains. Of the 147 total coliform 397

strains tested, the 16S rRNA PCR assay yielded a positive signal for 146 (99.3%) strains (Table 398

1). This is similar to the findings of Nakano et al. (29) who tested 72 different bacterial species 399

representing 49 genera and found positive PCR results for every enterobacterial total coliform 400

strain tested. Among all PCR primer sets tested, the Enterobacteriaceae-specific PCR assay 401

targeting the 16S rRNA designed by Nakano et al. (29) presents the best sensitivity. 402

403

Non-total coliform enterobacterial strains were also tested (Table 2). Only one (4.3%) and three 404

(13.0%) yielded a β-galactosidase-positive signal with the Colilert and MI culture-based 405

methods, while the LacZ, WecG, and 16S rRNA primer sets tested positive with 17 (73.9%), 406

seven (30.4%), and 18 (78.3%) of 23 non-total coliform enterobacterial strains, respectively. The 407

impact of this non-specific amplification was determined by testing real drinking water samples. 408

409

Guidelines of the United States Environmental Protection Agency (USEPA), Canada, and the 410

World Health Organization (WHO) require that total coliforms not be detectable per 100 mL of 411

water (3, 30, 31). Assessments of drinking water quality can be performed using quantitative or 412

presence/absence tests (3). However, the use of rapid molecular testing is hampered by the lack 413

of simple solutions for concentrating and recovering very low numbers of microbial particles 414

(indicators and pathogens) present in a water sample. In this study, we found that culture-based 415

methods identified 97 (79%) of potable water samples containing total coliforms while PCR 416

assays reported 77.9% (LacZ), 67.2% (WecG), and 80.3% (16S rRNA) of samples containing 417

total coliforms (Table 4). A statistical analysis revealed that the WGA WecG-PCR method is 418

statistically different from both Colilert and Mi agar methods, whereas WGA LacZ-PCR and 419

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WGA 16S rRNA are statistically comparable (Table 5). However, with these 122 drinking water 420

samples, the WGA 16S rRNA-PCR presents the highest inter-rater agreement and paired 421

proportions (Table 5). 422

423

In terms of ease of use, Colilert was the simplest method to use and its unit-dosed packaging 424

eliminates media preparation. Furthermore, there is no repeat testing due to clogged filters. 425

Finally, its use does not require well-trained employees. The MI method, on the other hand, 426

provides ease of use comparable to all membrane filtration methods. The medium must be 427

prepared and quality control led with each batch prepared. Employee training is also more 428

important than the Colilert method. However, employees already using the membrane filtration 429

equipment can easily use this method. The CRENAME (concentration and recovery of microbial 430

particles, extraction of nucleic acids, and molecular enrichment) WGA-rtPCR assay requires 431

highly trained employees. 432

433

In terms of time to result, the Colilert and MI methods both required 24 hours prior to obtaining 434

results without confirmation step, whereas the CRENAME WGA-rtPCR assay needed 5 hours. 435

Reduction of microbiological risk to an acceptable level remains a priority in drinking water 436

treatment. Currently, culture-based methods are routinely used to determine the microbiological 437

quality of raw water and check the compliance of treated water using indicator microorganisms. 438

However, the relatively long time required to obtain results (≥ 24 hours) and the poor prediction 439

of the presence of more resistant pathogens (parasites and viruses) do not allow conventional 440

methods to fully and reliably ensure the microbiological quality of the water before it is 441

distributed (8, 32). CRENAME WGA-rtPCR assay could help to overcome the limitations of 442

culture-based methods by providing results more quickly (5 hours instead of 24 hours) and by 443

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leading to better correlations with the presence of pathogens (20, 33-34). 444

445

In terms of affordability, the MI agar method is the most affordable. The Colilert method is more 446

expensive (6 to 10 times more expensive than MI agar per water sample). However, when no 447

trained employee and/or membrane filtration equipment is available, the Colilert method is more 448

advantageous. For example, in Nunavik, potable water is routinely tested for total coliform and E. 449

coli contamination using the Colilert method because it is more user-friendly and less equipment-450

intensive than standard membrane filtration-based methods (35, 36). At the present time, 451

molecular technologies are expensive (around 30$ from water sample to result) and not fully 452

automated. However, the day will come where assessing drinking water quality by molecular 453

methods will be more cost-effective and rapid. Furthermore, automation will not require well-454

trained employees. Then, molecular technologies will compete advantageously with culture-455

based technologies. 456

457

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Conclusion 458

459

Despite the high genetic variability of the total coliform group, this study showed that it is 460

possible to use molecular assays to detect total coliforms in drinking water: the 16S rRNA 461

molecular-based assay proved to be as sensitive as recommended, culture-based methods. Since 462

the total coliform group is not well defined, perhaps the detection of all Enterobacteriaceae 463

species should be considered to evaluate the microbiological quality of water by molecular 464

technologies. This suggestion is supported in the present study by the fact that the detection of 465

non-total coliform Enterobacteriaceae species did not influence the results when real water 466

samples were tested. Accordingly, this assay could be used in combination with an Escherichia 467

coli molecular assay to assess potable water quality. However, larger scale validation studies will 468

be required to demonstrate its usefulness and applicability. 469

470

Additionally, rapid molecular microbiology testing could provide useful tools for these purposes, 471

since the monitoring of fecal contamination indicators might not suffice to assess the risk of 472

waterborne diseases attributed to pathogens such as Vibrio cholerae and protozoan parasites (e.g., 473

Cryptosporidium, Giardia, and/or Toxoplasma) whose presence is not well indicated by 474

conventional index microorganisms. 475

476

The results obtained in the present study are only applicable to drinking water samples. Results 477

could be different with other types of water. 478

479

480

481

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Acknowledgments 482

483

Many thanks to Ève Bérubé (Centre de recherche en infectiologie, CHU de Québec, Québec 484

City (Québec), Canada) for her technical assistance. Many thanks also to Steve Charette (IBIS; 485

Institut de Biologie Intégrative et des Systèmes, Université Laval, Québec City (Québec), 486

Canada) for providing laboratory space. Finally, we wish to thank Hélène Crépeau 487

(Département de mathématiques et statistique, Université Laval, Québec City (Québec), 488

Canada) for her help with the statistical analyses. 489

490

This research project is partially supported by an Engage Grant (EG) 413660 from the Natural 491

Sciences and Engineering Research Council of Canada (NSERC) and by the partners of the 492

Research Chair on Drinking Water of Université Laval. The first author is supported by a 493

postdoctoral fellowship from NSERC. 494

495

496

497

498

499

500

501

502

503

504

505

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TABLES AND FIGURES 648

Strains No. Reference

Colilert MI agarPCR LacZ

PCR WecG

PCR 16S rRNA

Total coliform (n = 147)

Budvicia aquatica ATCC 35567 - - - - +Buttiauxella agretis ATCC 33320 + + + + +Cedeca davisae ATCC 33431 - - + + +Cedeca lapagei ATCC 33432 - + + + +Cedeca neteri ATCC 33855 - + + - +Citrobacter amalonaticus ATCC 25405 - + + + +Citrobacter braakii ATCC 43162 + + + - +Citrobacter farmeri ATCC 51112 - + + + +Citrobacter freundii ATCC 6879 + + + - +Citrobacter freundii ATCC 8454 + + + - +Citrobacter freundii ATCC 8090 + + + - +Citrobacter freundii CCRI-14799 + + + - +Citrobacter freundii CCRI-14827 - + + - +Citrobacter freundii CCRI-14856 + + + - +Citrobacter gillenii ATCC 51117 + + + + +Citrobacter koseri ATCC 27028 - + + + +Citrobacter koseri ATCC 27156 + + + + +Citrobacter koseri ATCC 29225 + + + + +Citrobacter murliniae ATCC 51641 + + + + +Citrobacter sedlakii ATCC 51115 + + + + +Citrobacter sedlakii ATCC 51493 + + + - +Citrobacter werkmanii ATCC 51114 + + + - +Citrobacter youngae ATCC 29935 + + + + +Cronobacter sakazakii ATCC 29004 + - + + +Cronobacter sakazakii ATCC 29544 + - + + +Cronobacter sakazakii ATCC 51329 + + + - +Cronobacter sakazakii CCRI-17037 + + + + +Enterobacter aerogenes ATCC 13048 + + + - +Enterobacter aerogenes ATCC 35029 + + + + +Enterobacter aerogenes ATCC 51342 + + + + +Enterobacter amnigenus ATCC 33072 - + + + +Enterobacter asburiae ATCC 35954 + + + + +Enterobacter asburiae ATCC 35956 + + + + +Enterobacter cloacae ATCC 13047 + + + + +Enterobacter cloacae ATCC 23355 + + + + +Enterobacter cloacae ATCC 35588 + + + + +Enterobacter cloacae CCRI-17108 + + + + +Enterobacter dissolvens ATCC 23373 + + + + +Enterobacter enterogenus ATCC 33241 + + + + +Enterobacter enterogenus ATCC 35317 + + + + +Enterobacter enterogenus ATCC 49817 + + + + +Enterobacter gergoviae ATCC 33028 - + + + +Enterobacter gergoviae ATCC 33426 - + + + +Enterobacter gergoviae ATCC 33428 - + + + +

TABLE 1. Ability of Colilert and MI agar culture-based methods as well as LacZ , WecG , and 16S rRNA PCR assays to detect total coliform strains.

Test methods

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TABLE 1. (continued)

Strains No. Reference

Colilert MI agarPCR LacZ

PCR WecG

PCR 16S rRNA

Enterobacter hormaechei ATCC 49162 + - + + +Enterobacter hormaechei ATCC 49163 - + - + +Enterobacter intermedium ATCC 33110 - + + + +Enterobacter pyrinus ATCC 49851 - + + + +Erwinia amylovora ATCC 14976 - - - + +Escherichia blattae ATCC 29907 - - + + +Escherichia coli ATCC 11775 + + + + +Escherichia coli ATCC 23511 + + + + +Escherichia coli ATCC 35401 + + + + +Escherichia coli ATCC 43886 + + + + +Escherichia coli ATCC 43890 + + + + +Escherichia coli ATCC 43894 + + + + +Escherichia coli ATCC 43895 + + + + +Escherichia coli ATCC 43896 + + + + +Escherichia coli LSPQ 2086 + + + + +Escherichia coli LSPQ 2092 + + + + +Escherichia coli LSPQ 2113 - + + + +Escherichia coli LSPQ 2115 + + + + +Escherichia coli LSPQ 2117 + - + + +Escherichia coli LSPQ 2118 + + + + +Escherichia coli LSPQ 2125 + + + + +Escherichia coli LSPQ 2127 + + + + +Escherichia coli LSPQ 3760 + + + + +Escherichia coli LSPQ 3761 + + + + +Escherichia coli LSPQ 3762 + + + + +Escherichia fergusonii ATCC 35469 - + + + +Escherichia hermanii ATCC 33650 - - + + +Escherichia vulneris ATCC 29943 + + + + +Escherichia vulneris ATCC 33821 - + + + +Escherichia vulneris ATCC 33832 + + + + +Ewingella americana ATCC 33852 - - - + +Ewingella americana ATCC 33854 - - - + +Hafnia alvei ATCC 13337 - - + - +Hafnia alvei ATCC 25927 - - + - +Hafnia alvei ATCC 51873 - + + - +Hafnia alvei CCRI-16651 - - + - +Klebsielle oxytoca ATCC 13182 + + - + +Klebsielle oxytoca ATCC 33496 + + - + +Klebsielle oxytoca ATCC 41931 + + + + +Klebsiella pneumoniae ATCC 27736 + + + + +Klebsiella pneumoniae CCRI-17014 + + + + +Klebsiella pneumoniae CCRI-17064 - - + + +Klebsiella pneumoniae CCRI-17074 + + + + +Kluyvera ascorbata ATCC 33433 + + + + +Kluyvera ascorbata ATCC 33434 + - + + +Kluyvera cryocrescens ATCC 14239 + + + + +Kluyvera cryocrescens ATCC 33435 + - + + +Kluyvera georgina ATCC 51603 + + + + +Kluyvera georgina ATCC 51702 + + + + +Leclercia adecarboxylata ATCC 23216 + + + - +Leclercia adecarboxylata ATCC 27984 + + + + +Moellerella wisconsensis ATCC 35017 + + + - +Pantoea agglomerans ATCC 27155 - - + - +Pantoea dispersa ATCC 14589 - - + - +Rahnella aquatilis ATCC 33071 + + + + +

Test methods

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TABLE 1. (continued)

Strains No. Reference

Colilert MI agarPCR LacZ

PCR WecG

PCR 16S rRNA

Raoutella ornithinolytica ATCC 31898 + + + + +Raoutella planticola ATCC 33531 + + + + +Raoutella terrigena ATCC 33257 - + + - +Salmonella bongori ATCC 43975 + + + + +Salmonella enterica subsp. houtenae ATCC 43974 - - - + +Salmonella enterica subsp. salamae ATCC 43972 - - + + +Salmonella typhimurium ATCC 14028 + - + + +Serratia entomophila ATCC 43705 - + + + +Serratia ficaria ATCC 33105 - + - + +Serratia fonticola ATCC 29844 - + - + +Serratia grimesii ATTC 14460 + + + - +Serratia liquefaciens ATCC 27592 + + + + +Serratia liquefaciens ATCC 25641 - + + + +Serratia marcescens ATCC 8100 - + - - +Serratia marcescens ATCC 29021 + + + - +Serratia marcescens ATCC 43862 + + + - +Serratia odorifera ATCC 33077 + + + - +Serratia odorifera ATCC 33132 + + + + +Serratia odorifera ATCC 33133 + + + + +Serratia plymuthica ATCC 183 + + - + +Serratia proteomaculans ATCC 33765 + + - - -Serratia rubidaea ATCC 27593 + + + + +Serratia rubidaea ATCC 29023 + + + + +Shigella boydii ATCC 9207 - - + + +Shigella dysenteriae ATCC 11835 - - + + +Shigella flexneri ATCC 12022 - - + + +Trabulsiella guamensis ATCC 49490 + + + - +Yersinia aldovae ATCC 35236 - - + + +Yersinia aldovae ATCC 35237 - - + + +Yersinia bercovieri ATCC 43970 - + + + +Yersinia enterolitica ATCC 9610 - - - + +Yersinia frederiksenii ATCC 29912 - + + - +Yersinia frederiksenii ATCC 33641 + + + + +Yersinia intermedia ATCC 29909 - - + + +Yersinia intermedia ATCC 33647 - + + + +Yersinia intermedia ATCC 33648 - + + + +Yersinia kristensenii ATCC 33638 - - + - +Yersinia molareti ATCC 43939 - - + + +Yersinia pseudotuberculosis ATCC 13979 - - + + +Yersinia pseudotuberculosis ATCC 27802 - - + + +Yersinia pseudotuberculosis ATCC 29833 - - + + +Yersinia rohdei ATCC 43380 - - + - +Yersinia rohdei ATCC 43871 - - + - +Yersinia rohdei ATCC 43873 - + + - +Yersinia ruckeri ATCC 29473 - - + + +Yokenella regenburgei ATCC 35313 - + + - +Yokenella regenburgei ATCC 43001 - - + + +Yokenella regenburgei ATCC 43003 - + + - +

Total: 86/147 109/147 133/147 111/147 146/147 (58.5%) (74.1%) (90.5%) (75.5%) (99.3%)

Positive resultsCCRI: Centre de recherche en infectiologie strain collection

Test methods

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Strains (n = 23) No. Reference

Colilert MI agarPCR LacZ

PCR WecG

PCR 16S rRNA

Edwardsiella hoshinae ATCC 33379 - - + - +Edwardsiella ictaluri ATCC 33202 - - - + +Edwardsiella tarda ATCC 15947 - - + - +Leminorella richardii ATCC 33998 - - + - +Leminorella richardii ATCC 33999 - - + - +Morganella morganii subsp. morganii ATCC 9237 - - + - +Morganella morganii subsp. morganii ATCC 27975 - - + - +Morganella morganii subsp. sibonii ATCC 51206 - + + - +Obesumbacterium proteus ATCC 12841 - - + - +Photorhabdus asymbiotica ATCC 43948 - - + - +Plesiomonas shigelloides ATCC 14029 - - + + +Pragia fontium ATCC 49100 - - + + +Proteus mirabilis ATCC 7002 - - - - -Proteus mirabilis ATCC 25933 - - + - +Proteus mirabilis ATCC 33583 - - + - -Proteus mirabilis ATCC 35659 - - - - -Providencia rettgeri ATCC 9250 - - + - -Providencia rettgeri ATCC 29944 - - + + -Salmonella cholerasuis ATCC 7001 - - - + +Salmonella enterica subsp. arizonae ATCC 13314 + + + + +Shigella sonnei ATCC 29930 - + + + +Tatumella ptyseos ATCC 33301 - - - - +Xenorhabdus nematophilus ATCC 19061 - - - - +

Positive results*: Untested enterobacterial genus: Arenicola , Averyella , Biostraticola , Brenneria , Buchneria , Dickeya , Gibbsiella , Grimontella , Guhaiyinggella , Lonsdalea , Mangrovibacter , Margalefia , Pectobacterium , Phytobacter , Samsonia , Sodalis , Thorsellia , Tiedjeia , Wiggelworthia.

Test methods

TABLE 2. Ability of Colilert and MI culture-based methods as well as LacZ , WecG , and 16S rRNA PCR assays to detect non-total coliform Enterobacteriaceae strains*.

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654

655

656

657

658

659

660

661

662

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Ref

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EN

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6042

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a -CG

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CC

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CC

GG

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CT

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GA

AA

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Prim

er d

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ies:

R =

A/G

, Y =

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, I =

inos

ine

a : FA

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Method and results + - + - + -

MI+ 90 7 82 15 95 2- 5 20 0 25 3 22

Colilert+ 90 7 82 15 95 2- 5 20 0 25 3 22

No. of results by WGA - LacZ PCR

No. of results by WGA - WecG PCR

No. of results by WGA - 16S rRNA PCR

Table 4. Comparison of methods for detection of total coliform presence in well water samples (n = 122)

665

666

667

668

669

670

671

672

673

674

675

676

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678

679

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681

682

683

684

685

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687

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ally

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nific

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iffer

ence

.

Tab

le 5

. Sta

tistic

al a

naly

sis

of W

GA

-PC

R a

ssay

s ve

rsus

MI

agar

and

Col

ilert

cul

ture

-bas

ed m

etho

ds fo

r th

e de

tect

ion

of to

tal c

olifo

rm p

rese

nce

in w

ell

wat

er s

ampl

es.

Sta

tistic

WG

A L

acZ

- P

CR

WG

A W

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CR

WG

A 1

6S r

RN

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RM

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