Advertisement

Forage Feeding to Reduce Preharvest Escherichia coli Populations in Cattle, a Review

  • T.R. Callaway
    Correspondence
    Corresponding author.
    Affiliations
    Food and Feed Safety Research Unit, Southern Plains Agricultural Research Center, Agricultural Research Service, USDA, College Station, TX 77845, USA
    Search for articles by this author
  • R.O. Elder
    Affiliations
    Food and Feed Safety Research Unit, Southern Plains Agricultural Research Center, Agricultural Research Service, USDA, College Station, TX 77845, USA
    Search for articles by this author
  • J.E. Keen
    Affiliations
    Meat Animal Research Center, Clay Center, NE
    Search for articles by this author
  • R.C. Anderson
    Affiliations
    Food and Feed Safety Research Unit, Southern Plains Agricultural Research Center, Agricultural Research Service, USDA, College Station, TX 77845, USA
    Search for articles by this author
  • Author Footnotes
    1 Proprietary or brand names are necessary to report factually on available data; however, the USDA neither guarantees nor warrants the standard of the product, and the use of the name by the USDA implies no approval of the product, and exclusion of others that may be suitable.
    D.J. Nisbet
    Footnotes
    1 Proprietary or brand names are necessary to report factually on available data; however, the USDA neither guarantees nor warrants the standard of the product, and the use of the name by the USDA implies no approval of the product, and exclusion of others that may be suitable.
    Affiliations
    Food and Feed Safety Research Unit, Southern Plains Agricultural Research Center, Agricultural Research Service, USDA, College Station, TX 77845, USA
    Search for articles by this author
  • Author Footnotes
    1 Proprietary or brand names are necessary to report factually on available data; however, the USDA neither guarantees nor warrants the standard of the product, and the use of the name by the USDA implies no approval of the product, and exclusion of others that may be suitable.

      Abstract

      Although Escherichia coli are commensal organisms that reside within the host gut, some pathogenic strains of E. coli can cause hemorrhagic colitis in humans. The most notable enterohemorrhagic E. coli (EHEC) strain is O157:H7. Cattle are asymptomatic natural reservoirs of E. coli O157:H7, and it has been reported that as many as 30% of all cattle are carriers of this pathogen, and in some circumstances this can be as high as 80%. Feedlot and high-producing dairy cattle are fed large grain rations in order to increase feed efficiency. When cattle are fed large grain rations, some starch escapes ruminal microbial degradation and passes to the hindgut where it is fermented. EHEC are capable of fermenting sugars released from starch breakdown in the colon, and populations of E. coli have been shown to be higher in grain fed cattle, and this has been correlated with E. coli O157:H7 shedding in barley fed cattle. When cattle were abruptly switched from a high grain (corn) diet to a forage diet, generic E. coli populations declined 1000-fold within 5 d, and the ability of the fecal generic E. coli population to survive an acid shock similar to the human gastric stomach decreased. Other researchers have shown that a switch from grain to hay caused a smaller decrease in E. coli populations, but did not observe the same effect on gastric shock survivability. In a study that used cattle naturally infected with E. coli O157:H7, fewer cattle shed E. coli O157:H7 when switched from a feedlot ration to a forage-based diet compared with cattle continuously fed a feedlot ration. Results indicate that switching cattle from grain to forage could potentially reduce EHEC populations in cattle prior to slaughter; however the economic impact of this needs to be examined.

      Key words

      Abbreviation Key:

      EHEC (enterohaemorrhagic E. coli), HUS (hemolytic uremic syndrome), IMS (immunomagnetic bead separation)

      Introduction

      Escherichia coli is a facultative anaerobic bacterium that is a normal inhabitant of the mammalian intestinal tract (
      • Drasar B.S.
      Some factors associated with geographical variations in the intestinal microflora.
      ). Many E. coli strains are harmless or even beneficial to the host; however, some strains of E. coli can be pathogenic to humans and can be harbored within food animals. Although several E. coli strains (e.g., O111, O26) can cause hemorrhagic colitis in humans, E. coli O157:H7 is the best known enterohemorrhagic E. coli (EHEC) strain. Escherichia coli O157:H7 causes over 73,000 illnesses in the United States each year and approximately 60 deaths (
      • Mead P.S.
      • Slutsker L.
      • Dietz V.
      • McCaig L.F.
      • Bresee J.S.
      • Shapiro C.
      • Griffin P.M.
      • Tauxe R.V.
      Food-related illness and death in the United States.
      ). Enterohemorrhagic E. coli infections are estimated to cost the US economy approximately $1 billion per year (

      USDA:ERS. 2001. Estimated annual costs due to selected food-borne pathogens. Available at: http://www.ers.usda.gov/Emphases/SafeFood/features.htm#start. (Accessed 10 July 2001.).

      ).
      The most frequently implicated vector for E. coli O157:H7 outbreaks has been ground beef, and bovine-derived products have been linked to approximately 75% of outbreaks (
      USDA:APHIS
      An update: Escherichia coli O157:H7 in humans and cattle.
      ). It is now widely accepted that ruminants are natural reservoirs of EHEC (including E. coli O157:H7) (
      • Chapman P.A.
      • Siddons C.A.
      • Wright D.J.
      • Norman P.
      • Fox J.
      • Crick E.
      Cattle as a possible source of verocytotoxin-producing E. coli O157 infections in man.
      ;
      • Rasmussen M.A.
      • Cray W.C.
      • Casey T.A.
      • Whip S.C.
      Rumen contents as a reservoir of enterohemorrhagic Escherichia coli.
      ;
      • Armstrong G.L.
      • Hollingsworth J.
      • Morris J.G.
      Emerging foodborne pathogens: Escherichia coli O157:H7 as a model of entry of a new pathogen into the food supply of the developed world.
      ). Repeated outbreaks of hemorrhagic colitis linked to ground beef and/or cattle manure has firmly established the connection between cattle and E. coli O157:H7 in the public mind. Repeated large-scale recalls of contaminated ground beef, and the deaths of children who consumed foods contaminated by exposure to meat products have further shaken the confidence of consumers in the wholesomeness and safety of beef.
      Sanitation efforts after slaughter reduce contamination of carcasses with E. coli O157:H7 (
      • Elder R.O.
      • Keen J.E.
      • Siragusa G.R.
      • Barkocy-Gallagher G.A.
      • Koohmaraie M.
      • Laegreid W.W.
      Correlation of enterohemorrhagic Escherichia coli O157 prevalence in feces hides and carcasses of beef cattle during processing.
      ); however, these efforts are not necessarily enough. Approximately 30% of all cattle are asymptomatic carriers of E. coli O157:H7 (
      • Elder R.O.
      • Keen J.E.
      • Siragusa G.R.
      • Barkocy-Gallagher G.A.
      • Koohmaraie M.
      • Laegreid W.W.
      Correlation of enterohemorrhagic Escherichia coli O157 prevalence in feces hides and carcasses of beef cattle during processing.
      ). Therefore, methods that focus on reducing E. coli O157:H7 populations in food animals before entry to the food chain have the potential to reduce human illnesses. This review examines the effects of dietary manipulations on E. coli populations in cattle.

      Discussion

       Enterohaemorrhagic E. coli as a Food-Borne Pathogen

      Escherichia coli O157:H7 was first isolated during a fatal outbreak of bloody diarrhea (hemorrhagic colitis) in 1982 caused by improperly cooked hamburger meat (
      • Riley L.W.
      • Remis R.S.
      • Helgerson S.D.
      • McGee H.B.
      • Wells J.G.
      • Davis B.R.
      • Hebert R.J.
      • Olcott E.S.
      • Johnson L.M.
      • Hargrett N.T.
      • Blake P.A.
      • Cohen M.L.
      Hemorrhagic colitis associated with a rare Escherichia coli serotype.
      ). In recent years there have been repeated outbreaks of hemorrhagic colitis in humans (
      • Doyle M.P.
      • Zhao T.
      • Meng J.
      • Zhao S.
      Escherichia coli O157:H7.
      ) and, in fact, E. coli O157:H7 infection in humans has become known as “hamburger disease,” “barbecue season syndrome,” or in some alarmist circles, “feedlot disease” (

      Martens, M. H. 2000. Debunking the industrial agriculture myth that organic foods are more likely to be carriers of dangerous bacteria such as E. coli O157:H7 or plant fungus such as fuminosin. Available at: http://www.purefood.org/Organic/ecolimyths.cfm. (Accessed 10 July 2001).

      ). Even though E. coli O157:H7 is only one of several strains of EHEC, it is responsible for most of the large-scale outbreaks in the United States (
      • O’Brien A.D.
      • Kaper J.B.
      Shiga toxin-producing Escherichia coli: Yesterday, today and tomorrow.
      ).
      The impact of EHEC on the human intestinal tract is profound. Escherichia coli O157:H7 tightly binds the bacterium to the intestinal epithelial surface and produces “attaching and effacing” lesions (
      • Kaper J.B.
      • Gansheroff L.J.
      • Wachtel M.R.
      • O’Brien A.D.
      Intimin-mediated adherence of shiga toxin-producing Escherichia coli and attaching-and-effacing pathogens.
      ). Enterohemorrhagic E. coli strains produce toxins homologous to the toxins of Shigella dysenteriae and are therefore also interchangeably known as shiga toxin-producing or verotoxin-producing E. coli (STEC or VTEC, respectively) (
      • Mainil J.
      Shiga/Verocytotoxins and Shiga/verotoxigenic Escherichia coli in animals.
      ). Shiga toxins inhibit protein synthesis in the intestinal epithelium producing bloody diarrhea (
      • Su C.
      • Brandt L.J.
      Escherichia coli O157:H7 infection in humans.
      ). Shiga toxins that cross the epithelium can reach the bloodstream and eventually the kidneys and induce a condition in humans known as hemolytic uremic syndrome (HUS) (
      • Griffin P.M.
      Epidemiology of shiga toxin-producing Escherichia coli infections in humans in the United States.
      ). Approximately 5% of the cases of E. coli O157:H7 hemorrhagic colitis progress to the level of HUS, which can include severe kidney damage or complete renal failure and can become life threatening, especially in children and the elderly (
      • Mead P.S.
      • Slutsker L.
      • Dietz V.
      • McCaig L.F.
      • Bresee J.S.
      • Shapiro C.
      • Griffin P.M.
      • Tauxe R.V.
      Food-related illness and death in the United States.
      ). The CDC conservatively estimates 3000 cases of HUS, and at least 60 deaths each year are attributable to E. coli O157:H7 in the United States (
      • Mead P.S.
      • Slutsker L.
      • Dietz V.
      • McCaig L.F.
      • Bresee J.S.
      • Shapiro C.
      • Griffin P.M.
      • Tauxe R.V.
      Food-related illness and death in the United States.
      ).

       Gastric Shock Survival

      The gastric stomach serves as a barrier to intestinal colonization by pathogenic bacteria because of its low pH and enzymatic activity (
      • Waterman S.R.
      • Small P.L.C.
      Acid-sensitive enteric pathogens are protected from killing under extremely acidic conditions of pH 2.5 when they are inoculated onto certain food sources.
      ). However, some bacteria are able to survive gastric passage. Bacteria that are more resistant to the gastric environment therefore have a greater opportunity to survive and to ultimately colonize the intestinal tract and cause illness. The infectious dose is indicative of the virulence of pathogenic bacteria, and E. coli O157:H7 has an extremely low infectious dose. In one outbreak, the contamination level of E. coli O157:H7 in uncooked hamburger meat was less than 700 cells/patty and some victims ingested very little of the (improperly) cooked meat (
      • Griffin P.M.
      Epidemiology of shiga toxin-producing Escherichia coli infections in humans in the United States.
      ). In another outbreak the infectious dose of O157:H7 was less than 50 cells (
      • Tilden J.
      • Young W.
      • McNamara A.
      • Custer C.
      • Boesel B.
      • Lambert-Fair M.
      • Majkowski J.
      • Vugia D.
      • Werner S.B.
      • Hollingsworth J.
      • Morris J.G.
      A new route of transmission for Escherichia coli: infection from dry fermented salami.
      ), and for the EHEC O111, less than 1 cell/10 g of salami was sufficient to induce hemorrhagic colitis (
      • Paton A.W.
      • Ratcliff R.M.
      • Doyle R.M.
      • Seymour-Murray J.
      • Davos D.
      • Lanser J.A.
      • Paton J.C.
      Molecular microbiological investigation of an outbreak of hemolytic uremic syndrome caused by dry fermented sausage contaminated with Shiga-like toxin producing Escherichia coli.
      ). Because such a low number of cells are capable of causing illness, the capacity of E. coli O157:H7 to survive gastric exposure directly impacts its ability to cause illness.
      • Diez-Gonzalez F.
      • Callaway T.R.
      • Kizoulis M.G.
      • Russell J.B.
      Grain feeding and the dissemination of acid-resistant Escherichia coli from cattle.
      reported that grain-feeding greatly increased the acid resistance of E. coli in cattle, but some workers have challenged this conclusion (
      • Hovde C.J.
      • Austin P.R.
      • Cloud K.A.
      • Williams C.J.
      • Hunt C.W.
      Effect of cattle diet on Escherichia coli O157:H7 acid resistance.
      ). Indeed,
      • Hovde C.J.
      • Austin P.R.
      • Cloud K.A.
      • Williams C.J.
      • Hunt C.W.
      Effect of cattle diet on Escherichia coli O157:H7 acid resistance.
      concluded that diet was without effect. This contradiction may be at least partially explained by the use of different in vitro methods of cultivation. If E. coli are cultivated in the lab in a rich medium before acid shock, acid resistance is induced by amino acids, and it is impossible to detect a diet difference (
      • Jarvis G.N.
      • Russell J.B.
      Differences in Escherichia coli culture conditions can have a large impact on the induction of extreme acid resistance.
      ). Confusion has also arisen regarding the definition of acid resistance; some of this debate can be attributed to confusion over the terminology “acid resistance” which has been used interchangeably to describe both growth at acidic pH, as well as the ability to survive an acid (gastric) shock.
      • Lin J.
      • Smith M.P.
      • Chapin K.C.
      • Baik H.S.
      • Bennett G.N.
      • Foster J.W.
      Mechanisms of acid resistance in enterohemorrhagic Escherichia coli.
      suggested that a term to describe survival after an acid (gastric) shock should be “extreme acid resistance.” In some cases, differences between reports can be attributed to different acid shock methodologies (e.g., differences in shock pH, length of shock time, etc.) and others can be considered artifacts of culture growth methods and recovery media (
      • Diez-Gonzalez F.
      • Callaway T.R.
      • Kizoulis M.G.
      • Russell J.B.
      Grain feeding and the dissemination of acid-resistant Escherichia coli from cattle.
      ;
      • Hovde C.J.
      • Austin P.R.
      • Cloud K.A.
      • Williams C.J.
      • Hunt C.W.
      Effect of cattle diet on Escherichia coli O157:H7 acid resistance.
      ;
      • Jarvis G.N.
      • Russell J.B.
      Differences in Escherichia coli culture conditions can have a large impact on the induction of extreme acid resistance.
      ). The use of different acid shock culture methodologies makes direct comparisons between the studies of
      • Hovde C.J.
      • Austin P.R.
      • Cloud K.A.
      • Williams C.J.
      • Hunt C.W.
      Effect of cattle diet on Escherichia coli O157:H7 acid resistance.
      and Russell et al. difficult (
      • Jarvis G.N.
      • Russell J.B.
      Differences in Escherichia coli culture conditions can have a large impact on the induction of extreme acid resistance.
      ). Because the ability to survive gastric passage is critical to the virulence of E. coli O157:H7, factors that impact the development of “extreme acid resistance” are important to reducing human illness and need to be elucidated through the use of a standardized acid shock methodology.

       Cattle as Reservoirs of Enterohaemorrhagic E. coli

      Ruminant animals are populated by a microbial consortium that allows the animal to convert cellulosic forages to high quality meat, milk, or fiber (
      • Hungate R.E.
      The rumen bacteria.
      ). It is well known that ruminants (both domestic and wild) can be asymptomatic reservoirs of EHEC (
      • Wells G.
      • Shipman L.D.
      • Greene K.D.
      • Sowers E.G.
      • Green J.H.
      • Cameron D.N.
      • Downes F.P.
      • Martin M.L.
      • Griffin P.M.
      • Ostroff S.M.
      • Potter M.E.
      • Tauxe R.V.
      • Wachsmuth I.K.
      Isolation of Escherichia coli O157:H7 and other shiga-like-toxin producing E. coli from dairy cattle.
      ;
      • Hancock D.D.
      • Besser T.E.
      • Kinsel M.L.
      • Tarr P.I.
      • Rice D.H.
      • Paros M.G.
      The prevalence of Escherichia coli O157:H7 in dairy and beef cattle in Washington state.
      ;
      • Bialaszewska M.
      • Schmidt H.
      • Liesegang A.
      • Prager R.
      • Rabsch W.
      • Tschape H.
      • Cizek A.
      • Janda J.
      • Blahova K.
      • Karch H.
      Cattle can be a reservoir of sorbitol-fermenting shiga toxin-producing Escherichia coli O157:H7-strains and a source of human diseases.
      ). The microbial population of the ruminant is very diverse and microbes are found throughout the reticulorumen, as well as the intestinal tract. Because the gastrointestinal tract is well suited for microbial growth it is no surprise that the ubiquitous and adaptableE. coli (represented by many strains, including EHEC) lives in the gut of mammals, including cattle and humans (

      Drasar, B. S., and P. A. Barrow. 1985. Intestinal Microbiology. Pages 19–40 in A.S.F. Microbiol. ed. Washington, DC.

      ).
      Escherichia coli are rarely cultured in high numbers from the rumen of cattle (less than 106 cells/ml out of a population of 1010 cells/ml) (
      • Wolin M.J.
      Volatile fatty acids and the inhibition of Escherichia coli growth by rumen fluid.
      ) and are found at concentrations from 102 to 107 cells/g of feces at slaughter (
      • Davidson C.M.
      • Taylor M.
      Variability of E. coli levels in bovine feces and its implications on guidelines for ground beef.
      ). Escherichia coli have rarely been considered important members of the ruminal microbial ecosystem due to the toxicity of high ruminal concentrations of VFA and competition for available nutrients (
      • Wolin M.J.
      Volatile fatty acids and the inhibition of Escherichia coli growth by rumen fluid.
      ). However, this sensitivity of E. coli to VFA is strain specific and can be linked to the use of strains maintained in vitro for long periods of time; several nonlaboratory-adapted strains (fresh isolates) of E. coli are quite capable of growth in conditions similar to those found in the rumen (
      • Diez-Gonzalez F.
      • Russell J.B.
      The ability of Escherichia coli O157:H7 to decrease its intracellular pH and resist the toxicity of acetic acid.
      ). Even though E. coli strains comprise a larger proportion of the intestinal microbial population (up to 1%), E. coli counts are highly variable and are still outnumbered by the strictly anaerobic bacterial population (
      • Davidson C.M.
      • Taylor M.
      Variability of E. coli levels in bovine feces and its implications on guidelines for ground beef.
      ;

      Drasar, B. S., and P. A. Barrow. 1985. Intestinal Microbiology. Pages 19–40 in A.S.F. Microbiol. ed. Washington, DC.

      ;
      • Diez-Gonzalez F.
      • Callaway T.R.
      • Kizoulis M.G.
      • Russell J.B.
      Grain feeding and the dissemination of acid-resistant Escherichia coli from cattle.
      ). Enterohemorrhagic E. coli strains are very rarely the predominant strains of E. coli found in the rumen or intestine. Although other EHEC strains responsible for human illnesses have been isolated from cattle (e.g., O111, O136) (
      • Midgley J.
      • Fegan N.
      • Desmarchelier P.
      Dynamics of shiga toxin-producing Escherichia coli (STEC) in feedlot cattle.
      ;
      • Hornitzky M.A.
      • Bettelheim K.A.
      • Djordjevic S.P.
      The isolation of enterhaemorrhagic Escherichia coli O111:H- from Australian cattle.
      ), most surveys in cattle have primarily measured O157:H7 (
      • Hancock D.D.
      • Besser T.E.
      • Kinsel M.L.
      • Tarr P.I.
      • Rice D.H.
      • Paros M.G.
      The prevalence of Escherichia coli O157:H7 in dairy and beef cattle in Washington state.
      ,
      • Hancock D.D.
      • Besser T.E.
      • Rice D.H.
      Ecology of Escherichia coli O157:H7 in cattle and impact of management practices.
      ). Recently, however,
      • Acheson D.W.K.
      How does Escherichia coli O157:H7 testing in meat compare with what we are seeing clinically?.
      has emphasized that surveys should examine the prevalence of all EHEC rather than certain species.
      Cattle are not known to express receptors for Shiga toxins and do not suffer from hemorrhagic diarrhea when infected with EHEC (
      • Pruimboom-Brees I.M.
      • Morgan T.W.
      • Ackermann M.R.
      • Nystrom E.D.
      • Samuel J.E.
      • Cornick N.A.
      • Moon H.W.
      Cattle lack vascular receptors for Escherichia coli O157:H7 Shiga toxins.
      ). Therefore it is impossible to visually identify “sick” animals. Even though cattle have been shown to be a reservoir for E. coli O157:H7 (
      • Wells G.
      • Shipman L.D.
      • Greene K.D.
      • Sowers E.G.
      • Green J.H.
      • Cameron D.N.
      • Downes F.P.
      • Martin M.L.
      • Griffin P.M.
      • Ostroff S.M.
      • Potter M.E.
      • Tauxe R.V.
      • Wachsmuth I.K.
      Isolation of Escherichia coli O157:H7 and other shiga-like-toxin producing E. coli from dairy cattle.
      ;
      • Rasmussen M.A.
      • Cray W.C.
      • Casey T.A.
      • Whip S.C.
      Rumen contents as a reservoir of enterohemorrhagic Escherichia coli.
      ), it has been thought that the colonization by EHEC is transient (
      • Hancock D.D.
      • Besser T.E.
      • Rice D.H.
      Ecology of Escherichia coli O157:H7 in cattle and impact of management practices.
      ). Detection of E. coli O157:H7 in the live animal has been hampered because studies have used enrichment culture followed by direct plate counting, which has a very low sensitivity (
      • Buchko S.J.
      • Holley R.A.
      • Olson W.O.
      • Gannon V.P.J.
      • Veira D.M.
      The effect of fasting and diet on fecal shedding of Escherichia coli O157:H7 by cattle. Can.
      ). Even with the use of more sophisticated molecular detection methods, shedding of EHEC still appears sporadic. Estimates of E. coli O157:H7 and EHEC populations using molecular techniques and immunomagnetic bead separation (IMS) demonstrated an E. coli O157:H7 incidence of up to 100-fold greater than previously reported by use of culture-based enrichment techniques (
      • Chapman P.A.
      • Cerdan Malo A.T.
      • Siddons C.A.
      • Harkin M.
      Use of commercial enzyme immunoassays and immunomagnetic separation systems for detecting Escherichia coli O157:H7 in bovine fecal samples.
      ,
      • Chapman P.A.
      • Siddons C.A.
      • Malo Cerdan A.T.
      • Harkin M.A.
      A 1-year study of Escherichia coli O157:H7 in cattle, sheep, pigs, and poultry.
      ;
      • Mechie S.C.
      • Chapman P.A.
      • Siddons C.A.
      A fifteen month study of Escherichia coli O157:H7 in a dairy herd.
      ;
      • Buchko S.J.
      • Holley R.A.
      • Olson W.O.
      • Gannon V.P.J.
      • Veira D.M.
      The effect of fasting and diet on fecal shedding of Escherichia coli O157:H7 by cattle. Can.
      ).
      Whereas the majority of the epidemiological data collected on EHEC in cattle was gathered using less sensitive culture-based techniques, these studies provide important information on factors that affect the prevalence of E. coli O157:H7. The prevalence of E. coli O157:H7 in cattle was found to vary widely in culture-based several surveys, but is highly dependent on cattle age and season (
      USDA:APHIS
      An update: Escherichia coli O157:H7 in humans and cattle.
      ;
      • Zhao T.
      • Doyle M.P.
      • Shere J.
      • Garber L.
      Prevalence of enterohemorrhagic Escherichia coli O157:H7 in a survey of dairy herds.
      ). Calves shed more E. coli O157:H7 cells and for longer periods of time than did adult cows (
      • Zhao T.
      • Doyle M.P.
      • Shere J.
      • Garber L.
      Prevalence of enterohemorrhagic Escherichia coli O157:H7 in a survey of dairy herds.
      ;
      • Mechie S.C.
      • Chapman P.A.
      • Siddons C.A.
      A fifteen month study of Escherichia coli O157:H7 in a dairy herd.
      ). Periparturient cows demonstrated increased fecal shedding of coliform bacteria during the period immediately before and after calving (
      • Pelan-Mattocks L.S.
      • Kehrli M.E.
      • Casey T.A.
      • Goff J.P.
      Fecal shedding of coliform bacteria during the periparturient period in dairy cows.
      ). Escherichia coli O157:H7 populations in cattle vary throughout the year: as many as 80% of all feedlot cattle may be infected during the summer months, but as few as 10% may shed during the winter (
      • Elder R.O.
      • Keen J.E.
      • Siragusa G.R.
      • Barkocy-Gallagher G.A.
      • Koohmaraie M.
      • Laegreid W.W.
      Correlation of enterohemorrhagic Escherichia coli O157 prevalence in feces hides and carcasses of beef cattle during processing.
      ; R. O. Elder, unpublished data). This correlates with a rise in human outbreaks during each summer/early fall thus emphasizing a linkage between animal (reservoir) populations and human food-borne outbreaks. Surveys conducted throughout the United States indicated that the distribution of E. coli O157:H7 in cattle was not geographically linked (
      • Dargatz D.A.
      • Wells S.J.
      • Thomas L.A.
      • Hancock D.D.
      • Garber L.P.F.
      Factors associated with the presence of Escherichia coli O157 in feces of feedlot cattle.
      ;
      • Hancock D.D.
      • Rice D.H.
      • Thomas L.A.
      • Dargatz D.A.
      • Besser T.E.
      Epidemiology of Escherichia coli O157 in feedlot cattle.
      ); however, this appears to contradict a report that human outbreaks are more prevalent in the northern United States (
      • Griffin P.M.
      Epidemiology of shiga toxin-producing Escherichia coli infections in humans in the United States.
      ).
      Escherichia coli O157:H7 colonization appears to be widespread in both beef and dairy herds and is highly variable within each animal and herd; however, some herds appear to have higher shedding incidences than do others (
      USDA:APHIS
      An update: Escherichia coli O157:H7 in humans and cattle.
      ;
      • Hancock D.D.
      • Besser T.E.
      • Rice D.H.
      Ecology of Escherichia coli O157:H7 in cattle and impact of management practices.
      ). The median percentage of E. coli O157:H7 positive animals in studies that used traditional culture techniques was estimated at 1.7% (
      • Jackson S.G.
      • Goodbrand R.B.
      • Johnson R.P.
      • Odorico V.G.
      • Alves D.
      • Rahn K.
      • Wilson J.B.
      • Welch M.K.
      • Khakhria R.
      Escherichia coli O157:H7 diarrhoea associated with well water and infected cattle on an Ontario farm.
      ). Other culture-based studies have indicated that 4% of cattle were colonized by up to 26 different serotypes of EHEC (
      • Schurman R.D.
      • Hariharan H.
      • Heaney S.B.
      • Rahn K.
      Prevalence and characteristics of Shiga toxin-producing Escherichia coli in beef cattle slaughtered on Prince Edward Island.
      ).
      Until recently, it was thought that only 1 to 3% of cattle were carriers of E. coli O157:H7. However, the use of immunomagnetic bead separation (IMS) to identify E. coli O157:H7 in feces has steadily increased the accepted incidence value (
      • Chapman P.A.
      • Cerdan Malo A.T.
      • Siddons C.A.
      • Harkin M.
      Use of commercial enzyme immunoassays and immunomagnetic separation systems for detecting Escherichia coli O157:H7 in bovine fecal samples.
      ;
      • Mechie S.C.
      • Chapman P.A.
      • Siddons C.A.
      A fifteen month study of Escherichia coli O157:H7 in a dairy herd.
      ). Researchers using IMS initially found that 16% of the animals tested in both beef and dairy herds were E. coli O157:H7 positive, and as many as 62% of dairy heifers were populated with E. coli O157:H7 (
      • Mechie S.C.
      • Chapman P.A.
      • Siddons C.A.
      A fifteen month study of Escherichia coli O157:H7 in a dairy herd.
      ). Additional IMS studies in Europe indicated that 18, 32, and 75% of dairy cows, sheep, and goats, respectively (
      • Zschöck M.
      • Hamann H.P.
      • Kloppert B.
      • Wolter W.
      Shiga-toxin-producing Escherichia coli in faeces of healthy dairy cows, sheep and goats: prevalence and virulence properties.
      ), and 20% of feedlot cattle in the Czech Republic were EHEC carriers (
      • Cizek A.
      • Alexa P.
      • Literák I.
      • Hamrik J.
      • Novák P.
      • Smola J.
      Shiga toxin producing Escherichia coli O157 in feedlot cattle and Norwegian rats from a large-scale farm.
      ). In the United States,
      • Elder R.O.
      • Keen J.E.
      • Siragusa G.R.
      • Barkocy-Gallagher G.A.
      • Koohmaraie M.
      • Laegreid W.W.
      Correlation of enterohemorrhagic Escherichia coli O157 prevalence in feces hides and carcasses of beef cattle during processing.
      demonstrated that 28% of all feedlot cattle contained E. coli O157:H7. More recent IMS studies have shown that approximately 50% of feedlot cattle harbor E. coli O157:H7; during summer months this proportion can be as high as 80% (
      • Keen J.E.
      • Uhlich G.A.
      • Elder R.O.
      Effects of hay- and grain-based diets on fecal shedding in naturally-acquired enterohemorrhagic E. coli (EHEC) O157 in beef feedlot cattle.
      ; R. O. Elder, unpublished data). These results collectively indicate that the prevalence of E. coli O157:H7 is much greater than was previously reported but also indicates that processing plants effectively reduce the spread of E. coli O157:H7 to finished carcasses (
      • Elder R.O.
      • Keen J.E.
      • Siragusa G.R.
      • Barkocy-Gallagher G.A.
      • Koohmaraie M.
      • Laegreid W.W.
      Correlation of enterohemorrhagic Escherichia coli O157 prevalence in feces hides and carcasses of beef cattle during processing.
      ). However, significant levels of E. coli O157:H7 still enter the abattoir within the live animal and enter the food chain, thus posing a risk to human health.

       Effects of Management Strategies on E. coli Populations

      Several epidemiological and risk assessment studies have been performed to identify cattle management strategies associated with an increased risk of E. coli O157:H7 fecal shedding (
      • Dargatz D.A.
      • Wells S.J.
      • Thomas L.A.
      • Hancock D.D.
      • Garber L.P.F.
      Factors associated with the presence of Escherichia coli O157 in feces of feedlot cattle.
      ;
      • Hancock D.D.
      • Besser T.E.
      • Rice D.H.
      Ecology of Escherichia coli O157:H7 in cattle and impact of management practices.
      ;
      • Herriott D.E.
      • Hancock D.D.
      • Ebel E.D.
      • Carpenter L.V.
      • Rice D.H.
      • Besser T.E.
      Association of herd management factors with colonization of dairy cattle by shiga toxin-positive Escherichia coli O157.
      ). However, most of these studies were performed using less sensitive, culture-based methodologies rather than the more sensitive IMS technique; hence, the incidence rate in these studies was quite low, making it impossible to demonstrate management, or diet-dependent differences. Additionally, there have been conflicting correlations drawn because of the nature of these survey-based studies. Different dietary regimes and stages of production have been linked to E. coli O157:H7 shedding; however, the correlations have not been strong enough to lead to any new management or nutritional practices to reduce EHEC shedding.
      Abrupt weaning practices have been shown to increase colonization with EHEC (
      • Herriott D.E.
      • Hancock D.D.
      • Ebel E.D.
      • Carpenter L.V.
      • Rice D.H.
      • Besser T.E.
      Association of herd management factors with colonization of dairy cattle by shiga toxin-positive Escherichia coli O157.
      ); however, heifers older than 3 mo are the most commonly colonized group of cattle (
      • Hancock D.D.
      • Besser T.E.
      • Kinsel M.L.
      • Tarr P.I.
      • Rice D.H.
      • Paros M.G.
      The prevalence of Escherichia coli O157:H7 in dairy and beef cattle in Washington state.
      ;
      • Hancock D.D.
      • Besser T.E.
      • Rice D.H.
      • Herriott D.E.
      • Tarr P.I.
      A longitudinal study of Escherichia coli O157 in fourteen cattle herds.
      ;
      • Mechie S.C.
      • Chapman P.A.
      • Siddons C.A.
      A fifteen month study of Escherichia coli O157:H7 in a dairy herd.
      ). The only dietary practice that significantly increased the risk of EHEC shedding among heifers was feeding corn silage (
      • Herriott D.E.
      • Hancock D.D.
      • Ebel E.D.
      • Carpenter L.V.
      • Rice D.H.
      • Besser T.E.
      Association of herd management factors with colonization of dairy cattle by shiga toxin-positive Escherichia coli O157.
      ). The use of feed additives, such as monensin and lasalocid, demonstrated a marginally significant increase of EHEC shedding by heifers (
      • Herriott D.E.
      • Hancock D.D.
      • Ebel E.D.
      • Carpenter L.V.
      • Rice D.H.
      • Besser T.E.
      Association of herd management factors with colonization of dairy cattle by shiga toxin-positive Escherichia coli O157.
      ). In adult cows, the only dietary variable that significantly impacted EHEC shedding was the inclusion of animal byproducts in the ration (
      • Herriott D.E.
      • Hancock D.D.
      • Ebel E.D.
      • Carpenter L.V.
      • Rice D.H.
      • Besser T.E.
      Association of herd management factors with colonization of dairy cattle by shiga toxin-positive Escherichia coli O157.
      ). Other studies have found feeding whole cottonseed reduced E. coli O157 shedding (
      • Hancock D.D.
      • Besser T.E.
      • Kinsel M.L.
      • Tarr P.I.
      • Rice D.H.
      • Paros M.G.
      The prevalence of Escherichia coli O157:H7 in dairy and beef cattle in Washington state.
      ;
      • Garber L.P.
      • Wells S.J.
      • Hancock D.D.
      • Doyle M.P.
      • Tuttle J.
      • Shere J.A.
      • Zhao T.
      Risk factors for fecal shedding of Escherichia coli O157:H7 in dairy calves.
      ). Barley feeding was linked (albeit at a low correlation) to E. coli O157:H7 shedding (
      • Dargatz D.A.
      • Wells S.J.
      • Thomas L.A.
      • Hancock D.D.
      • Garber L.P.F.
      Factors associated with the presence of Escherichia coli O157 in feces of feedlot cattle.
      ), and in recent studies barley feeding was again associated with increased shedding of E. coli O157:H7 from experimentally infected feedlot cattle (
      • Buchko S.J.
      • Holley R.A.
      • Olson W.O.
      • Gannon V.P.J.
      • Veira D.M.
      The effect of different grain diets on fecal shedding of Escherichia coli O157:H7 by steers.
      ).
      Ruminal and intestinal VFA concentrations have been suggested to limit the proliferation of E. coli (
      • Wolin M.J.
      Volatile fatty acids and the inhibition of Escherichia coli growth by rumen fluid.
      ). Feed withdrawal or starvation results in decreased VFA concentration in the rumen and hindgut. Cattle can be transported long distances before slaughter, and feed may be withdrawn for a period of time from 6 h up to 48 h. A fasting period has been shown to increase E. coli, Enterobacter, and total anaerobic bacterial populations throughout the intestinal tract (
      • Buchko S.J.
      • Holley R.A.
      • Olson W.O.
      • Gannon V.P.J.
      • Veira D.M.
      The effect of fasting and diet on fecal shedding of Escherichia coli O157:H7 by cattle. Can.
      ;
      • Gregory N.G.
      • Jacobson L.H.
      • Nagle T.A.
      • Muirhead R.W.
      • Leroux G.J.
      Effect of preslaughter feeding system on weight loss, gut bacteria, and the physico-chemical properties of digesta in cattle.
      ), increase Salmonella and E. coli populations in the rumen (
      • Brownlie L.E.
      • Grau F.H.
      Effect of food intake on growth and survival of salmonellas and Escherichia coli in the bovine rumen.
      ). Additionally fasting has been shown to induce “apparently E. coli (O157:H7) negative animals to become positive” (
      • Kudva I.T.
      • Hatfield P.G.
      • Hovde C.J.
      Effect of diet on the shedding of Escherichia coli O157:H7 shedding in a sheep model.
      ). Other studies have indicated that fasting made calves more susceptible to colonization by inoculated E. coli O157:H7 and demonstrated that fasted calves inoculated with E. coli O157:H7 shed greater populations than did calves fed normally (
      • Cray J.W.C
      • Casey T.A.
      • Bosworth B.T.
      • Rasmussen M.A.
      Effect on dietary stress on fecal shedding of Escherichia coli O157:H7 in calves.
      ). Other researchers have shown that cattle fasted for 48 h before slaughter contained significantly greater E. coli populations throughout the gut than did cattle fed hay or pasture (
      • Gregory N.G.
      • Jacobson L.H.
      • Nagle T.A.
      • Muirhead R.W.
      • Leroux G.J.
      Effect of preslaughter feeding system on weight loss, gut bacteria, and the physico-chemical properties of digesta in cattle.
      ). In contrast, however,
      • Harmon B.G.
      • Brown C.A.
      • Tkalcic S.
      • Mueller P.O.E.
      • Parks A.
      • Jain A.V.
      • Zhao T.
      • Doyle M.P.
      Fecal shedding and rumen growth of Escherichia coli O157:H7 in fasted calves.
      demonstrated that fasting reduced ruminal VFA concentrations but did not significantly influence E. coli O157:H7 shedding.
      Determination of dietary and management factors that influence EHEC shedding has been difficult using culture-based methodologies and surveys. The use of more sensitive molecular detection methods, such as IMS, in future studies may be able to elucidate subtle correlations between dietary factors and fecal shedding of EHEC. Additionally, direct, controlled experiments rather than general surveys, need to be conducted to determine the impact of specific dietary modifications on intestinal EHEC populations and shedding in cattle.

       Forage- vs Grain-Based Diet Effects on Fecal E. coli Populations

      Finishing beef and lactating dairy cattle in the United States are often fed high grain rations in order to improve performance and animal production (
      • Huntington G.B.
      Starch utilization by ruminants: from basics to the bunk.
      ). Ruminant animals evolved to eat cellulosic plant material; however, the ruminal microbial population can degrade starch. Dietary starch is often enclosed by a protein (zein) matrix that protects the starch from ruminal microbial degradation and allows some of the starch to reach the intestine (
      • Huntington G.B.
      Starch utilization by ruminants: from basics to the bunk.
      ). Ruminants have low pancreatic amylase activity; therefore, some of the dietary starch that escapes ruminal degradation passes through the small intestine to the cecum and colon, where it undergoes a secondary microbial fermentation (
      • Huntington G.B.
      Starch utilization by ruminants: from basics to the bunk.
      ). Colonic and cecal starch fermentation by bacteria (including EHEC) produces VFA that can reduce the pH of the colonic digesta and inhibit E. coli. However, in spite of these harsh conditions, E. coli thrives in the intestinal tract of cattle fed high-grain rations (
      • Allison M.J.
      • Robinson I.M.
      • Dougherty R.W.
      • Bucklin J.A.
      Grain overload in cattle and sheep: changes in microbial populations in the cecum and rumen.
      ;
      • Diez-Gonzalez F.
      • Callaway T.R.
      • Kizoulis M.G.
      • Russell J.B.
      Grain feeding and the dissemination of acid-resistant Escherichia coli from cattle.
      ; Keen et al., 1998;
      • Tkalcic S.
      • Brown C.A.
      • Harmon B.G.
      • Jain A.V.
      • Mueller E.P.O.
      • Parks A.
      • Jacobsen K.L.
      • Martin S.A.
      • Zhao T.
      • Doyle M.P.
      Effects of diet on rumen proliferation and fecal shedding of Escherichia coli O157:H7 in calves.
      ;

      Scott, T., C. Wilson, D. Bailey, T. Klopfenstein, T. Milton, R. Moxley, D. Smith, J. Gray, and L. Hungerford. 2000. Influence of diet on total and acid resistant E. coli and colonic pH. 2000 Nebraska Beef Rep. 39–41.

      ;
      • Stanton T.L.
      • Schutz D.
      Effect of switching from high grain to hay five days prior to slaughter on finishing cattle performance.
      ).
      Feeding grain to cattle has a pronounced effect on the ruminal microbial ecosystem and overall animal health (
      • Russell J.B.
      • Rychlik J.L.
      Factors that alter rumen microbial ecology.
      ). Studies have indicated that varying the forage-to-grain ratio in cattle rations can have a marked effect on shedding of E. coli O157:H7, but some studies have produced contradictory results (Table 1). Early studies indicated that a sudden decrease in hay intake increased E. coli populations in cattle feces (
      • Brownlie L.E.
      • Grau F.H.
      Effect of food intake on growth and survival of salmonellas and Escherichia coli in the bovine rumen.
      ). Overfeeding of cattle with grain has been shown to cause a 2-log10 increase in total coliform counts (
      • Allison M.J.
      • Robinson I.M.
      • Dougherty R.W.
      • Bucklin J.A.
      Grain overload in cattle and sheep: changes in microbial populations in the cecum and rumen.
      ). Other studies using experimentally infected sheep found that a switch from an alfalfa pellet diet to a low quality forage diet increased E. coli O157:H7 shedding (
      • Kudva I.T.
      • Hatfield P.G.
      • Hovde C.J.
      Effect of diet on the shedding of Escherichia coli O157:H7 shedding in a sheep model.
      ).
      • Kudva I.T.
      • Hunt C.W.
      • Williams C.J.
      • Nance U.M.
      • Hovde C.J.
      Evaluation of dietary influences on Escherichia coli O157:H7 shedding by sheep.
      found that sheep shifted from a 50:50 corn/alfalfa ration to a poor quality grass hay shed greater populations of E. coli O157:H7 than animals fed the corn/alfalfa ration.
      Table 1Published reports of effects of diet on fecal Escherichia coli populations.
      AuthorsConcentrate dietE. coli cfu/g fecesForage dietE. coli cfu/g fecesLog10 impact
      • Allison M.J.
      • Robinson I.M.
      • Dougherty R.W.
      • Bucklin J.A.
      Grain overload in cattle and sheep: changes in microbial populations in the cecum and rumen.
      Normal diet8 × 106 coliforms
      Over-fed grain1 × 1010 coliforms
      • Kudva I.T.
      • Hatfield P.G.
      • Hovde C.J.
      Effect of diet on the shedding of Escherichia coli O157:H7 shedding in a sheep model.
      100% Alfalfa pelletsShed O157:H7 for 4 dSagebrush/bunchgrassShed O157:H7 for 15 d
      • Diez-Gonzalez F.
      • Callaway T.R.
      • Kizoulis M.G.
      • Russell J.B.
      Grain feeding and the dissemination of acid-resistant Escherichia coli from cattle.
      90% Concentrate8 × 107100% Timothy Hay3 × 104−3.5
      • Jordan D.
      • McEwen S.A.
      Effect of duration of fasting and a short-term high-roughage ration on the concentration of Escherichia coli biotype 1 in cattle feces.
      44% Dry corn7 × 10650% Corn silage

      50% Alfalfa
      4 × 106−0.3
      7% Dry Gluten
      7% Distiller's
      Dried Grains
      • Keen J.E.
      • Uhlich G.A.
      • Elder R.O.
      Effects of hay- and grain-based diets on fecal shedding in naturally-acquired enterohemorrhagic E. coli (EHEC) O157 in beef feedlot cattle.
      85% Concentrate52% shedding O157:H7100% Forage18% shedding O157:H7
      • Hovde C.J.
      • Austin P.R.
      • Cloud K.A.
      • Williams C.J.
      • Hunt C.W.
      Effect of cattle diet on Escherichia coli O157:H7 acid resistance.
      62% Barley/19% corn7 × 106 peak (4 d of shedding)Alfalfa or Grass Hay7 × 106 peak (39 or 42 d shedding)
      90% Corn
      • Stanton T.L.
      • Schutz D.
      Effect of switching from high grain to hay five days prior to slaughter on finishing cattle performance.
      85% Whole Corn3.2 × 10730% Millet hay1 × 106−1.2
      62% whole corn

      Scott, T., C. Wilson, D. Bailey, T. Klopfenstein, T. Milton, R. Moxley, D. Smith, J. Gray, and L. Hungerford. 2000. Influence of diet on total and acid resistant E. coli and colonic pH. 2000 Nebraska Beef Rep. 39–41.

      84% Dry rolled corn or3 × 108100% Alfalfa hay1 × 107−1.2
      41% Dry rolled corn5 × 1089 × 106−1.6
      45% Wet corn gluten
      • Buchko S.J.
      • Holley R.A.
      • Olson W.O.
      • Gannon V.P.J.
      • Veira D.M.
      The effect of fasting and diet on fecal shedding of Escherichia coli O157:H7 by cattle. Can.
      80% Concentrate5% shedding O157:H7100% Alfalfa silage (after 48 h fast)5% shedding O157:H7
      Re-fed 100%42% shedding
      Alfalfa silage (after 48 h fast)O157:H7 after 5 d
      In recent research, cattle fed a 90% corn/soybean meal ration (feedlot-type ration) contained generic E. coli populations that were 100-fold higher than cattle fed a 100% good-quality hay (Timothy) diet (
      • Diez-Gonzalez F.
      • Callaway T.R.
      • Kizoulis M.G.
      • Russell J.B.
      Grain feeding and the dissemination of acid-resistant Escherichia coli from cattle.
      ). The E. coli recovered from the feces of grain-fed cattle were 1000-fold more resistant to an “extreme” acid shock that simulated passage through the human stomach than were E. coli from cattle fed only hay (
      • Diez-Gonzalez F.
      • Callaway T.R.
      • Kizoulis M.G.
      • Russell J.B.
      Grain feeding and the dissemination of acid-resistant Escherichia coli from cattle.
      ). When cattle were abruptly switched from a 90% grain finishing ration to a 100% hay diet, fecal E. coli populations declined 1000-fold, and the population of E. coli resistant to an extreme acid shock declined more than 100,000-fold within 5 d (
      • Diez-Gonzalez F.
      • Callaway T.R.
      • Kizoulis M.G.
      • Russell J.B.
      Grain feeding and the dissemination of acid-resistant Escherichia coli from cattle.
      ). Although no E. coli O157:H7 were specifically detected in this study, it was previously demonstrated that E. coli O157:H7 could grow in VFA concentrations and at pH similar to those found in the colon of these grain-fed cattle (
      • Diez-Gonzalez F.
      • Russell J.B.
      The ability of Escherichia coli O157:H7 to decrease its intracellular pH and resist the toxicity of acetic acid.
      ). Based on these results the authors suggested that feedlot cattle be switched from high grain diets to hay for 5 d before slaughter to reduce E. coli contamination entering the abattoir (
      • Diez-Gonzalez F.
      • Callaway T.R.
      • Kizoulis M.G.
      • Russell J.B.
      Grain feeding and the dissemination of acid-resistant Escherichia coli from cattle.
      ).
      The impact of brief periods of hay feeding on weight gain and carcass characteristics has not been examined in a systematic fashion, but research that has been recently performed indicates that it does not have a dramatic impact on carcass characteristics or final BW (
      • Stanton T.L.
      • Schutz D.
      Effect of switching from high grain to hay five days prior to slaughter on finishing cattle performance.
      ). When cattle were fed hay during this final period had lower DMI and lost an average of 2.2 lb/heat per day (
      • Stanton T.L.
      • Schutz D.
      Effect of switching from high grain to hay five days prior to slaughter on finishing cattle performance.
      ). Hot carcass weight and dressing percentage were not significantly reduced by hay feeding (
      • Stanton T.L.
      • Schutz D.
      Effect of switching from high grain to hay five days prior to slaughter on finishing cattle performance.
      ). Hay feeding did not significantly impact carcass grades, quality parameters or cause dark cutters, but did significantly reduce total coliform counts as well as generic E. coli counts (
      • Stanton T.L.
      • Schutz D.
      Effect of switching from high grain to hay five days prior to slaughter on finishing cattle performance.
      ), but they were not reduced as greatly as those reported by
      • Diez-Gonzalez F.
      • Callaway T.R.
      • Kizoulis M.G.
      • Russell J.B.
      Grain feeding and the dissemination of acid-resistant Escherichia coli from cattle.
      . Neither E. coli O157:H7 populations, nor the acid resistance of E. coli were measured in this study (
      • Stanton T.L.
      • Schutz D.
      Effect of switching from high grain to hay five days prior to slaughter on finishing cattle performance.
      ). In another study, cattle fed hay for 48 h before transport to slaughter did not lose more weight during transport than fasted or pasture fed animals (
      • Gregory N.G.
      • Jacobson L.H.
      • Nagle T.A.
      • Muirhead R.W.
      • Leroux G.J.
      Effect of preslaughter feeding system on weight loss, gut bacteria, and the physico-chemical properties of digesta in cattle.
      ).
      • Keen J.E.
      • Uhlich G.A.
      • Elder R.O.
      Effects of hay- and grain-based diets on fecal shedding in naturally-acquired enterohemorrhagic E. coli (EHEC) O157 in beef feedlot cattle.
      also found that switching cattle from grain to hay caused a decrease in BW gain (approximately 1.25 lb/hd per day compared to controls). Through the use of modern molecular separation techniques, 200 cattle maintained on a grain ration were screened for natural E. coli O157:H7 infection and 53% were found to be positive (
      • Keen J.E.
      • Uhlich G.A.
      • Elder R.O.
      Effects of hay- and grain-based diets on fecal shedding in naturally-acquired enterohemorrhagic E. coli (EHEC) O157 in beef feedlot cattle.
      ). When these cattle were divided into two groups and one was fed grain and the other abruptly switched to hay, 52% of the grain-fed cattle remained E. coli O157:H7 positive, but only 18% of the hay-fed cattle continued to shed E. coli O157:H7 (
      • Keen J.E.
      • Uhlich G.A.
      • Elder R.O.
      Effects of hay- and grain-based diets on fecal shedding in naturally-acquired enterohemorrhagic E. coli (EHEC) O157 in beef feedlot cattle.
      ). These results again indicated that feeding hay could impact the fecal shedding of E. coli and potentially reduce EHEC entry into the food chain.
      The proposal of such a dietary switch provoked a great deal of scientific controversy (
      • Hancock D.D.
      • Besser T.E.
      • Gill C.
      • Hovde-Bohach C.
      Cattle, hay and E. coli.
      ;
      • Russell J.B.
      • Diez-Gonzalez F.
      Cattle, hay and E. coli—the response.
      ;
      • Russell J.B.
      • Diez-Gonzalez F.
      • Jarvis G.N.
      Effects of diet shifts on E. coli in cattle.
      ) and led to several studies that have evaluated the effect of radical dietary changes on E. coli populations in cattle; however, these studies have also produced conflicting results (Table 1). When cattle were fed a high-concentrate diet and switched to a diet containing 50% corn silage and 50% alfalfa hay, generic E. coli counts decreased 0.3 log in 4 d (
      • Jordan D.
      • McEwen S.A.
      Effect of duration of fasting and a short-term high-roughage ration on the concentration of Escherichia coli biotype 1 in cattle feces.
      ). Cattle fed an 80% barley ration, fasted for 48 h, and switched to 100% alfalfa silage did not exhibit any change in E. coli O157:H7 shedding (
      • Buchko S.J.
      • Holley R.A.
      • Olson W.O.
      • Gannon V.P.J.
      • Veira D.M.
      The effect of fasting and diet on fecal shedding of Escherichia coli O157:H7 by cattle. Can.
      ). However, when these same forage-fed animals were again fasted for 48 h and refed 100% alfalfa silage, the prevalence of E. coli O157:H7 shedding increased significantly (
      • Buchko S.J.
      • Holley R.A.
      • Olson W.O.
      • Gannon V.P.J.
      • Veira D.M.
      The effect of fasting and diet on fecal shedding of Escherichia coli O157:H7 by cattle. Can.
      ).
      Using cattle experimentally infected with E. coli O157:H7,
      • Hovde C.J.
      • Austin P.R.
      • Cloud K.A.
      • Williams C.J.
      • Hunt C.W.
      Effect of cattle diet on Escherichia coli O157:H7 acid resistance.
      found that cattle fed hay shed E. coli O157:H7 longer than did grain-fed cattle (42 vs. 4 d, respectively), but concentrations of E. coli O157:H7 shed were similar between dietary regimes. Generic coliform bacteria from these hay-fed cattle were significantly more sensitive to acid shock than those from grain-fed cattle (
      • Hovde C.J.
      • Austin P.R.
      • Cloud K.A.
      • Williams C.J.
      • Hunt C.W.
      Effect of cattle diet on Escherichia coli O157:H7 acid resistance.
      ), but the difference in acid shock sensitivity was not as great as that found by
      • Diez-Gonzalez F.
      • Callaway T.R.
      • Kizoulis M.G.
      • Russell J.B.
      Grain feeding and the dissemination of acid-resistant Escherichia coli from cattle.
      . Feeding a high-grain or -forage diet did not affect the acid resistance of E. coli O157:H7 isolated from these cattle; however, the researchers were unable to demonstrate sensitivity to an acid shock under their experimental conditions with an extreme shock-sensitive E. coli O157:H7 control strain (
      • Hovde C.J.
      • Austin P.R.
      • Cloud K.A.
      • Williams C.J.
      • Hunt C.W.
      Effect of cattle diet on Escherichia coli O157:H7 acid resistance.
      ). However, differences in culture methodologies make direct comparisons between this study and previous studies impossible (
      • Jarvis G.N.
      • Russell J.B.
      Differences in Escherichia coli culture conditions can have a large impact on the induction of extreme acid resistance.
      ).
      Other research groups have reported high grain of high forage diets did not affect the duration of shedding of fecal E. coli O157:H7 populations in experimentally inoculated calves; however, the calves that consistently shed the highest concentrations of E. coli O157:H7 were fed a high concentrate diet (
      • Tkalcic S.
      • Brown C.A.
      • Harmon B.G.
      • Jain A.V.
      • Mueller E.P.O.
      • Parks A.
      • Jacobsen K.L.
      • Martin S.A.
      • Zhao T.
      • Doyle M.P.
      Effects of diet on rumen proliferation and fecal shedding of Escherichia coli O157:H7 in calves.
      ). Ruminal fluid from steers fed a high-forage diet allowed greater proliferation of E. coli O157:H7 in vitro than did ruminal fluid from high-grain fed steers (
      • Tkalcic S.
      • Brown C.A.
      • Harmon B.G.
      • Jain A.V.
      • Mueller E.P.O.
      • Parks A.
      • Jacobsen K.L.
      • Martin S.A.
      • Zhao T.
      • Doyle M.P.
      Effects of diet on rumen proliferation and fecal shedding of Escherichia coli O157:H7 in calves.
      ), possibly due to differences in VFA concentrations. Acid shock experiments indicated that E. coli O157:H7 incubated in ruminal fluid taken from steers fed a high-grain diet was more acid shock-resistant than E. coli O157:H7 cells incubated in forage-fed ruminal fluid (
      • Tkalcic S.
      • Brown C.A.
      • Harmon B.G.
      • Jain A.V.
      • Mueller E.P.O.
      • Parks A.
      • Jacobsen K.L.
      • Martin S.A.
      • Zhao T.
      • Doyle M.P.
      Effects of diet on rumen proliferation and fecal shedding of Escherichia coli O157:H7 in calves.
      ). The authors stated that the ability of E. coli O157:H7 to become acid resistant could be one factor that influences fecal shedding in cattle (
      • Tkalcic S.
      • Brown C.A.
      • Harmon B.G.
      • Jain A.V.
      • Mueller E.P.O.
      • Parks A.
      • Jacobsen K.L.
      • Martin S.A.
      • Zhao T.
      • Doyle M.P.
      Effects of diet on rumen proliferation and fecal shedding of Escherichia coli O157:H7 in calves.
      ).
      In a recent study, it was demonstrated that switching cattle from pasture to hay for 48 h before slaughter significantly reduced the E. coli burden throughout the gut (
      • Gregory N.G.
      • Jacobson L.H.
      • Nagle T.A.
      • Muirhead R.W.
      • Leroux G.J.
      Effect of preslaughter feeding system on weight loss, gut bacteria, and the physico-chemical properties of digesta in cattle.
      ). The authors found that hay feeding increased intestinal Enterococci populations that are capable of inhibiting E. coli populations (
      • Gregory N.G.
      • Jacobson L.H.
      • Nagle T.A.
      • Muirhead R.W.
      • Leroux G.J.
      Effect of preslaughter feeding system on weight loss, gut bacteria, and the physico-chemical properties of digesta in cattle.
      ). However, in this study the effects of high grain vs. forage diets were not examined, only the effects of fasting vs. pasture vs. hay-feeding (
      • Gregory N.G.
      • Jacobson L.H.
      • Nagle T.A.
      • Muirhead R.W.
      • Leroux G.J.
      Effect of preslaughter feeding system on weight loss, gut bacteria, and the physico-chemical properties of digesta in cattle.
      ). Based on their results, the authors concluded, “the most effective way of manipulating gastro-intestinal counts of E. coli was to feed hay” (
      • Gregory N.G.
      • Jacobson L.H.
      • Nagle T.A.
      • Muirhead R.W.
      • Leroux G.J.
      Effect of preslaughter feeding system on weight loss, gut bacteria, and the physico-chemical properties of digesta in cattle.
      ).
      Because switching feedlot cattle from grain to hay immediately before slaughter is not immediately practicable, feeding low-starch or high-fiber rations has been suggested as an alternative method to reduce E. coli O157:H7 shedding by reducing the starch load in the colon before slaughter (

      Scott, T., C. Wilson, D. Bailey, T. Klopfenstein, T. Milton, R. Moxley, D. Smith, J. Gray, and L. Hungerford. 2000. Influence of diet on total and acid resistant E. coli and colonic pH. 2000 Nebraska Beef Rep. 39–41.

      ). Fecal samples from cattle fed dry rolled corn, high-moisture corn, and wet corn gluten feed did not contain different populations of generic E. coli, or extreme acid-resistant E. coli during a limit-feeding period (

      Scott, T., C. Wilson, D. Bailey, T. Klopfenstein, T. Milton, R. Moxley, D. Smith, J. Gray, and L. Hungerford. 2000. Influence of diet on total and acid resistant E. coli and colonic pH. 2000 Nebraska Beef Rep. 39–41.

      ). However, cattle fed wet corn gluten ad libitum contained significantly higher concentrations of extreme acid resistant E. coli than cattle fed dry-rolled or high moisture corn (

      Scott, T., C. Wilson, D. Bailey, T. Klopfenstein, T. Milton, R. Moxley, D. Smith, J. Gray, and L. Hungerford. 2000. Influence of diet on total and acid resistant E. coli and colonic pH. 2000 Nebraska Beef Rep. 39–41.

      ). When these cattle were abruptly switched from a finishing diet to alfalfa hay, colonic pH increased, total E. coli populations decreased approximately 10-fold, and acid-shock resistant E. coli populations were reduced by over 99% (

      Scott, T., C. Wilson, D. Bailey, T. Klopfenstein, T. Milton, R. Moxley, D. Smith, J. Gray, and L. Hungerford. 2000. Influence of diet on total and acid resistant E. coli and colonic pH. 2000 Nebraska Beef Rep. 39–41.

      ). These authors concluded “increased colonic pH was not associated with reduced populations of acid resistant E. coli” but “feeding hay for a short duration can reduce acid-resistant E. coli populations” (

      Scott, T., C. Wilson, D. Bailey, T. Klopfenstein, T. Milton, R. Moxley, D. Smith, J. Gray, and L. Hungerford. 2000. Influence of diet on total and acid resistant E. coli and colonic pH. 2000 Nebraska Beef Rep. 39–41.

      ). Again, these results emphasize that dietary manipulations (e.g., hay feeding) could be a powerful method to reduce E. coli/EHEC populations in cattle prior to harvest.
      The cleanliness of animals entering holding pens at the abattoir is an important, and often overlooked factor that can impact the incidence of food-borne illness. Dried manure on the hide and hooves has been implicated as a primary route of contamination of carcasses via removal machinery (
      • Grau F.H.
      Prevention of microbial contamination in the export beef abattoir.
      ;
      • Hancock D.D.
      • Besser T.E.
      • Gill C.
      • Hovde-Bohach C.
      Cattle, hay and E. coli.
      ). However,
      • Elder R.O.
      • Keen J.E.
      • Siragusa G.R.
      • Barkocy-Gallagher G.A.
      • Koohmaraie M.
      • Laegreid W.W.
      Correlation of enterohemorrhagic Escherichia coli O157 prevalence in feces hides and carcasses of beef cattle during processing.
      demonstrated that there was a direct correlation between fecal populations of E. coli O157:H7 and carcass contamination levels. In a study by
      • Gregory N.G.
      • Jacobson L.H.
      • Nagle T.A.
      • Muirhead R.W.
      • Leroux G.J.
      Effect of preslaughter feeding system on weight loss, gut bacteria, and the physico-chemical properties of digesta in cattle.
      , when cattle arrived at the slaughter plant the hides of cattle fed hay for 48 h before transport were as clean as fasted cattle and were significantly cleaner than pasture-fed cattle (
      • Gregory N.G.
      • Jacobson L.H.
      • Nagle T.A.
      • Muirhead R.W.
      • Leroux G.J.
      Effect of preslaughter feeding system on weight loss, gut bacteria, and the physico-chemical properties of digesta in cattle.
      ). Therefore these authors stated that feeding hay prior to transport to slaughter “offered the most advantages” (
      • Gregory N.G.
      • Jacobson L.H.
      • Nagle T.A.
      • Muirhead R.W.
      • Leroux G.J.
      Effect of preslaughter feeding system on weight loss, gut bacteria, and the physico-chemical properties of digesta in cattle.
      ). Feeding strategies that result in cattle arriving at the abattoir with less “tag” on the hide at the time of slaughter can greatly enhance food safety.

      Conclusions

      The United States has the safest food supply in the history of the world; however, food-borne pathogenic bacteria are still significant threats to human health. Sanitation steps following slaughter effectively reduce carcass contamination with E. coli O157:H7, but preharvest intervention strategies offer avenues to reduce pathogen populations in food animals before they enter the food chain. Attempts to modify fecal shedding of E. coli O157:H7 through fasting and feeding poor-quality forages have been shown to increase shedding in cattle. However, abruptly switching cattle from a high grain ration to a high-quality hay-based diet has been shown to reduce generic E. coli and E. coli O157:H7 populations, but the magnitude of reduction has varied among studies. Switching all feedlot cattle in the United States from grain-based diets to hay prior to slaughter is not currently feasible, in spite of the potential benefits. Further research is needed to elucidate the mechanism by which forage-feeding impacts the microbial ecology of the bovine intestinal tract, including E. coli populations, so that economically viable dietary modifications can be devised and implemented.

      References

        • Acheson D.W.K.
        How does Escherichia coli O157:H7 testing in meat compare with what we are seeing clinically?.
        J. Food Prot. 2000; 63: 819-821
        • Allison M.J.
        • Robinson I.M.
        • Dougherty R.W.
        • Bucklin J.A.
        Grain overload in cattle and sheep: changes in microbial populations in the cecum and rumen.
        Am. J. Vet. Res. 1975; 36: 181-185
        • Armstrong G.L.
        • Hollingsworth J.
        • Morris J.G.
        Emerging foodborne pathogens: Escherichia coli O157:H7 as a model of entry of a new pathogen into the food supply of the developed world.
        Epidemiol. Rev. 1996; 18: 29-51
        • Bialaszewska M.
        • Schmidt H.
        • Liesegang A.
        • Prager R.
        • Rabsch W.
        • Tschape H.
        • Cizek A.
        • Janda J.
        • Blahova K.
        • Karch H.
        Cattle can be a reservoir of sorbitol-fermenting shiga toxin-producing Escherichia coli O157:H7-strains and a source of human diseases.
        J. Clin. Microbiol. 2000; 38: 3470-3473
        • Brownlie L.E.
        • Grau F.H.
        Effect of food intake on growth and survival of salmonellas and Escherichia coli in the bovine rumen.
        J. Gen. Microbiol. 1967; 46: 125-134
        • Buchko S.J.
        • Holley R.A.
        • Olson W.O.
        • Gannon V.P.J.
        • Veira D.M.
        The effect of fasting and diet on fecal shedding of Escherichia coli O157:H7 by cattle. Can.
        J. Anim. Sci. 2000; 80: 741-744
        • Buchko S.J.
        • Holley R.A.
        • Olson W.O.
        • Gannon V.P.J.
        • Veira D.M.
        The effect of different grain diets on fecal shedding of Escherichia coli O157:H7 by steers.
        J. Food Prot. 2000; 63: 1467-1474
        • Chapman P.A.
        • Cerdan Malo A.T.
        • Siddons C.A.
        • Harkin M.
        Use of commercial enzyme immunoassays and immunomagnetic separation systems for detecting Escherichia coli O157:H7 in bovine fecal samples.
        Appl. Environ. Microbiol. 1997; 63: 2549-2553
        • Chapman P.A.
        • Siddons C.A.
        • Malo Cerdan A.T.
        • Harkin M.A.
        A 1-year study of Escherichia coli O157:H7 in cattle, sheep, pigs, and poultry.
        Epidemiol. Infect. 1997; 119: 245-250
        • Chapman P.A.
        • Siddons C.A.
        • Wright D.J.
        • Norman P.
        • Fox J.
        • Crick E.
        Cattle as a possible source of verocytotoxin-producing E. coli O157 infections in man.
        Epidemiol. Infect. 1993; 111: 439-447
        • Cizek A.
        • Alexa P.
        • Literák I.
        • Hamrik J.
        • Novák P.
        • Smola J.
        Shiga toxin producing Escherichia coli O157 in feedlot cattle and Norwegian rats from a large-scale farm.
        Lett. Appl. Microbiol. 1999; 28: 435-439
        • Cray J.W.C
        • Casey T.A.
        • Bosworth B.T.
        • Rasmussen M.A.
        Effect on dietary stress on fecal shedding of Escherichia coli O157:H7 in calves.
        Appl. Environ. Microbiol. 1998; 64: 1975-1979
        • Dargatz D.A.
        • Wells S.J.
        • Thomas L.A.
        • Hancock D.D.
        • Garber L.P.F.
        Factors associated with the presence of Escherichia coli O157 in feces of feedlot cattle.
        J. Food Prot. 1997; 60: 466-470
        • Davidson C.M.
        • Taylor M.
        Variability of E. coli levels in bovine feces and its implications on guidelines for ground beef.
        Can. Inst. Food Sci. Technol. J. 1978; 11: 53
        • Diez-Gonzalez F.
        • Russell J.B.
        The ability of Escherichia coli O157:H7 to decrease its intracellular pH and resist the toxicity of acetic acid.
        Microbiology. 1997; 143: 1175-1180
        • Diez-Gonzalez F.
        • Callaway T.R.
        • Kizoulis M.G.
        • Russell J.B.
        Grain feeding and the dissemination of acid-resistant Escherichia coli from cattle.
        Science. 1998; 281: 1666-1668
        • Doyle M.P.
        • Zhao T.
        • Meng J.
        • Zhao S.
        Escherichia coli O157:H7.
        in: Doyle M.P. Beuchat L.R. Montville T.J. Food Microbiology: Fundamentals and Frontiers. ASM Press, Washington, DC1997: 171-191
        • Drasar B.S.
        Some factors associated with geographical variations in the intestinal microflora.
        in: Skinner F.A. Carr J.G. The Normal Microbial Flora of Man. Academic Press, London1974: 187-196
      1. Drasar, B. S., and P. A. Barrow. 1985. Intestinal Microbiology. Pages 19–40 in A.S.F. Microbiol. ed. Washington, DC.

        • Elder R.O.
        • Keen J.E.
        • Siragusa G.R.
        • Barkocy-Gallagher G.A.
        • Koohmaraie M.
        • Laegreid W.W.
        Correlation of enterohemorrhagic Escherichia coli O157 prevalence in feces hides and carcasses of beef cattle during processing.
        Proc. Natl. Acad. Sci. 2000; 97: 2999-3003
        • Garber L.P.
        • Wells S.J.
        • Hancock D.D.
        • Doyle M.P.
        • Tuttle J.
        • Shere J.A.
        • Zhao T.
        Risk factors for fecal shedding of Escherichia coli O157:H7 in dairy calves.
        JAVMA. 1995; 207: 46-49
        • Grau F.H.
        Prevention of microbial contamination in the export beef abattoir.
        in: Smulders J.M. Elimination of Pathogenic Microorganisms from Meat and Poultry. Elsevier Science Publishers, Amsterdam1987: 221-233
        • Gregory N.G.
        • Jacobson L.H.
        • Nagle T.A.
        • Muirhead R.W.
        • Leroux G.J.
        Effect of preslaughter feeding system on weight loss, gut bacteria, and the physico-chemical properties of digesta in cattle.
        N.Z. J. Agric. Res. 2000; 43: 351-361
        • Griffin P.M.
        Epidemiology of shiga toxin-producing Escherichia coli infections in humans in the United States.
        in: Kaper J.B. O’Brien A.D. Escherichia coli O157:H7 and Other Shiga Toxin-Producing E. coli Strains. ASM Press, Washington, DC1998: 15-22
        • Hancock D.D.
        • Besser T.E.
        • Kinsel M.L.
        • Tarr P.I.
        • Rice D.H.
        • Paros M.G.
        The prevalence of Escherichia coli O157:H7 in dairy and beef cattle in Washington state.
        Epidemiol. Infect. 1994; 113: 199-207
        • Hancock D.D.
        • Besser T.E.
        • Rice D.H.
        • Herriott D.E.
        • Tarr P.I.
        A longitudinal study of Escherichia coli O157 in fourteen cattle herds.
        Epidemiol. Infect. 1997; 118: 193-195
        • Hancock D.D.
        • Rice D.H.
        • Thomas L.A.
        • Dargatz D.A.
        • Besser T.E.
        Epidemiology of Escherichia coli O157 in feedlot cattle.
        J. Food Prot. 1997; 60: 462-465
        • Hancock D.D.
        • Besser T.E.
        • Rice D.H.
        Ecology of Escherichia coli O157:H7 in cattle and impact of management practices.
        in: Kaper J.B. O’Brien A.D. Escherichia coli O157:H7 and Other Shiga Toxin-Producing E. coli Strains. ASM Press, Washington, DC1998: 85-91
        • Hancock D.D.
        • Besser T.E.
        • Gill C.
        • Hovde-Bohach C.
        Cattle, hay and E. coli.
        Science. 1999; 284: 51-52
        • Harmon B.G.
        • Brown C.A.
        • Tkalcic S.
        • Mueller P.O.E.
        • Parks A.
        • Jain A.V.
        • Zhao T.
        • Doyle M.P.
        Fecal shedding and rumen growth of Escherichia coli O157:H7 in fasted calves.
        J. Food Prot. 1999; 62: 574-579
        • Herriott D.E.
        • Hancock D.D.
        • Ebel E.D.
        • Carpenter L.V.
        • Rice D.H.
        • Besser T.E.
        Association of herd management factors with colonization of dairy cattle by shiga toxin-positive Escherichia coli O157.
        J. Food Prot. 1998; 61: 802-807
        • Hornitzky M.A.
        • Bettelheim K.A.
        • Djordjevic S.P.
        The isolation of enterhaemorrhagic Escherichia coli O111:H- from Australian cattle.
        Aus. Vet. J. 2000; 78: 636-637
        • Hovde C.J.
        • Austin P.R.
        • Cloud K.A.
        • Williams C.J.
        • Hunt C.W.
        Effect of cattle diet on Escherichia coli O157:H7 acid resistance.
        Appl. Environ. Microbiol. 1999; 65: 3233-3235
        • Hungate R.E.
        The rumen bacteria.
        The Rumen and Its Microbes. Academic Press, New York1966 (pages 8–90)
        • Huntington G.B.
        Starch utilization by ruminants: from basics to the bunk.
        J. Anim. Sci. 1997; 75: 852-867
        • Jackson S.G.
        • Goodbrand R.B.
        • Johnson R.P.
        • Odorico V.G.
        • Alves D.
        • Rahn K.
        • Wilson J.B.
        • Welch M.K.
        • Khakhria R.
        Escherichia coli O157:H7 diarrhoea associated with well water and infected cattle on an Ontario farm.
        Epidemiol. Infect. 1998; 120: 17-20
        • Jarvis G.N.
        • Russell J.B.
        Differences in Escherichia coli culture conditions can have a large impact on the induction of extreme acid resistance.
        Curr. Microbiol. 2001; 43: 215-219
        • Jordan D.
        • McEwen S.A.
        Effect of duration of fasting and a short-term high-roughage ration on the concentration of Escherichia coli biotype 1 in cattle feces.
        J. Food Prot. 1998; 61: 531-534
        • Kaper J.B.
        • Gansheroff L.J.
        • Wachtel M.R.
        • O’Brien A.D.
        Intimin-mediated adherence of shiga toxin-producing Escherichia coli and attaching-and-effacing pathogens.
        in: Kaper J.B. O’Brien A.D. Escherichia coli O157:H7 and Other Shiga Toxin-Producing E. coli Strains. ASM Press, Washington, DC1998: 148-156
        • Keen J.E.
        • Uhlich G.A.
        • Elder R.O.
        Effects of hay- and grain-based diets on fecal shedding in naturally-acquired enterohemorrhagic E. coli (EHEC) O157 in beef feedlot cattle.
        in: 80th. Conference Research Workers in Animal Diseases, Nov. 7–9, Chicago, IL1999
        • Kudva I.T.
        • Hatfield P.G.
        • Hovde C.J.
        Effect of diet on the shedding of Escherichia coli O157:H7 shedding in a sheep model.
        Appl. Environ. Microbiol. 1995; 61: 1363-1370
        • Kudva I.T.
        • Hunt C.W.
        • Williams C.J.
        • Nance U.M.
        • Hovde C.J.
        Evaluation of dietary influences on Escherichia coli O157:H7 shedding by sheep.
        Appl. Environ. Microbiol. 1997; 63: 3878-3886
        • Lin J.
        • Smith M.P.
        • Chapin K.C.
        • Baik H.S.
        • Bennett G.N.
        • Foster J.W.
        Mechanisms of acid resistance in enterohemorrhagic Escherichia coli.
        Appl. Environ. Microbiol. 1996; 62: 3094-3100
        • Mainil J.
        Shiga/Verocytotoxins and Shiga/verotoxigenic Escherichia coli in animals.
        Vet. Res. (Paris). 1999; 30: 235-257
      2. Martens, M. H. 2000. Debunking the industrial agriculture myth that organic foods are more likely to be carriers of dangerous bacteria such as E. coli O157:H7 or plant fungus such as fuminosin. Available at: http://www.purefood.org/Organic/ecolimyths.cfm. (Accessed 10 July 2001).

        • Mead P.S.
        • Slutsker L.
        • Dietz V.
        • McCaig L.F.
        • Bresee J.S.
        • Shapiro C.
        • Griffin P.M.
        • Tauxe R.V.
        Food-related illness and death in the United States.
        Emerg. Infect. Dis. 1999; 5: 607-625
        • Mechie S.C.
        • Chapman P.A.
        • Siddons C.A.
        A fifteen month study of Escherichia coli O157:H7 in a dairy herd.
        Epidemiol. Infect. 1997; 118: 17-25
        • Midgley J.
        • Fegan N.
        • Desmarchelier P.
        Dynamics of shiga toxin-producing Escherichia coli (STEC) in feedlot cattle.
        Lett. Appl. Microbiol. 1999; 29: 85-89
        • O’Brien A.D.
        • Kaper J.B.
        Shiga toxin-producing Escherichia coli: Yesterday, today and tomorrow.
        in: Kaper J.B. O’Brien A.D. Escherichia coli O157:H7 and Other Shiga Toxin-Producing E. coli Strains. ASM Press, Washington, DC1998: 1-11
        • Paton A.W.
        • Ratcliff R.M.
        • Doyle R.M.
        • Seymour-Murray J.
        • Davos D.
        • Lanser J.A.
        • Paton J.C.
        Molecular microbiological investigation of an outbreak of hemolytic uremic syndrome caused by dry fermented sausage contaminated with Shiga-like toxin producing Escherichia coli.
        J. Clin. Microbiol. 1996; 34: 1622-1627
        • Pelan-Mattocks L.S.
        • Kehrli M.E.
        • Casey T.A.
        • Goff J.P.
        Fecal shedding of coliform bacteria during the periparturient period in dairy cows.
        Am. J. Vet. Res. 2000; 61: 1636-1638
        • Pruimboom-Brees I.M.
        • Morgan T.W.
        • Ackermann M.R.
        • Nystrom E.D.
        • Samuel J.E.
        • Cornick N.A.
        • Moon H.W.
        Cattle lack vascular receptors for Escherichia coli O157:H7 Shiga toxins.
        Proc. Nat. Acad. Sci. (USA). 2000; 97: 10325-10329
        • Rasmussen M.A.
        • Cray W.C.
        • Casey T.A.
        • Whip S.C.
        Rumen contents as a reservoir of enterohemorrhagic Escherichia coli.
        FEMS Microbiol. Lett. 1993; 114: 79-84
        • Riley L.W.
        • Remis R.S.
        • Helgerson S.D.
        • McGee H.B.
        • Wells J.G.
        • Davis B.R.
        • Hebert R.J.
        • Olcott E.S.
        • Johnson L.M.
        • Hargrett N.T.
        • Blake P.A.
        • Cohen M.L.
        Hemorrhagic colitis associated with a rare Escherichia coli serotype.
        N. Engl. J. Med. 1983; 308: 681-685
        • Russell J.B.
        • Diez-Gonzalez F.
        Cattle, hay and E. coli—the response.
        Science. 1999; 284: 51-52
        • Russell J.B.
        • Diez-Gonzalez F.
        • Jarvis G.N.
        Effects of diet shifts on E. coli in cattle.
        J. Dairy Sci. 2000; 83: 863-873
        • Russell J.B.
        • Rychlik J.L.
        Factors that alter rumen microbial ecology.
        Science. 2001; 292: 1119-1122
        • Schurman R.D.
        • Hariharan H.
        • Heaney S.B.
        • Rahn K.
        Prevalence and characteristics of Shiga toxin-producing Escherichia coli in beef cattle slaughtered on Prince Edward Island.
        J. Food Prot. 2000; 63: 1583-1586
      3. Scott, T., C. Wilson, D. Bailey, T. Klopfenstein, T. Milton, R. Moxley, D. Smith, J. Gray, and L. Hungerford. 2000. Influence of diet on total and acid resistant E. coli and colonic pH. 2000 Nebraska Beef Rep. 39–41.

        • Stanton T.L.
        • Schutz D.
        Effect of switching from high grain to hay five days prior to slaughter on finishing cattle performance.
        Colorado State Univ. Research Report. Ft, Collins, CO2000
        • Su C.
        • Brandt L.J.
        Escherichia coli O157:H7 infection in humans.
        Ann. Intern. Med. 1995; 123: 698-714
        • Tilden J.
        • Young W.
        • McNamara A.
        • Custer C.
        • Boesel B.
        • Lambert-Fair M.
        • Majkowski J.
        • Vugia D.
        • Werner S.B.
        • Hollingsworth J.
        • Morris J.G.
        A new route of transmission for Escherichia coli: infection from dry fermented salami.
        Am. J. Public Health. 1996; 86: 1142-1145
        • Tkalcic S.
        • Brown C.A.
        • Harmon B.G.
        • Jain A.V.
        • Mueller E.P.O.
        • Parks A.
        • Jacobsen K.L.
        • Martin S.A.
        • Zhao T.
        • Doyle M.P.
        Effects of diet on rumen proliferation and fecal shedding of Escherichia coli O157:H7 in calves.
        J. Food Prot. 2000; 63: 1630-1636
        • USDA:APHIS
        An update: Escherichia coli O157:H7 in humans and cattle.
        CEAH, Fort Collins, CO1997
      4. USDA:ERS. 2001. Estimated annual costs due to selected food-borne pathogens. Available at: http://www.ers.usda.gov/Emphases/SafeFood/features.htm#start. (Accessed 10 July 2001.).

        • Waterman S.R.
        • Small P.L.C.
        Acid-sensitive enteric pathogens are protected from killing under extremely acidic conditions of pH 2.5 when they are inoculated onto certain food sources.
        Appl. Environ. Microbiol. 1998; 64: 3882-3886
        • Wells G.
        • Shipman L.D.
        • Greene K.D.
        • Sowers E.G.
        • Green J.H.
        • Cameron D.N.
        • Downes F.P.
        • Martin M.L.
        • Griffin P.M.
        • Ostroff S.M.
        • Potter M.E.
        • Tauxe R.V.
        • Wachsmuth I.K.
        Isolation of Escherichia coli O157:H7 and other shiga-like-toxin producing E. coli from dairy cattle.
        J. Clin. Microbiol. 1991; 29: 985-989
        • Wolin M.J.
        Volatile fatty acids and the inhibition of Escherichia coli growth by rumen fluid.
        Appl. Microbiol. 1969; 17: 83-87
        • Zhao T.
        • Doyle M.P.
        • Shere J.
        • Garber L.
        Prevalence of enterohemorrhagic Escherichia coli O157:H7 in a survey of dairy herds.
        Appl. and Environ. Microbiol. 1995; 61: 1290-1293
        • Zschöck M.
        • Hamann H.P.
        • Kloppert B.
        • Wolter W.
        Shiga-toxin-producing Escherichia coli in faeces of healthy dairy cows, sheep and goats: prevalence and virulence properties.
        Lett. Appl. Microbiol. 2000; 31: 203-208