And Cindy...do not forget this!! Kerry
What's New in Medicine
There are some interesting developments in the world of medicines and diagnostic tests for the treatment and detection of E.coli O157:H7.
Probably the most promising is a drug called SYNSORB Pk manufactured by the Calgary, Alberta, Canada company Synsorb. SYNSORB Pk is a drug taken orally essentially made up of clay, charcoal, and a saccharide of sugar. For some odd reason the E.coli binds itself molecularly with the saccharide and then in conjunction with the clay it is naturally eliminated from the body. The charcoal acts as an agent to absorb the E.coli toxins and is also naturally eliminated. This drug is currently in clinical testing in Canada. We have also received orphan drug status for SYNSORB PK, which means once it is approved in Canada, it will immediately be approved for use in the United States, without undergoing the required additional lengthy testing in this country for the FDA (Food and Drug Administration).
Two companies in this country have come out with a rapid test for E.coli testing. The standard "old" test was the MacConkey-Sorbitol test which required 48 to 72 hours in an attempt to grow (culture) an E.coli colony of bacteria in an agar dish. This test had three distinct drawbacks: 1) the time element was too long; 2) it looked for the bacteria, not the toxins created by the bacteria; and 3) it was only good for E.coli O157:H7 and not any of the other 100+ strains of pathogenic E.coli. In many cases, by the time the medical community decided to look for E.coli O157:H7 all the bacteria had already died, and thereby releasing their deadly toxins which may cause hemolytic uremic syndrome (HUS). And if all the bacteria where already dead it is impossible to culture them. This frequently happens if an E.coli victim has already been treated with antibiotics, which are contraindicated by all leading medical researchers as well as the Centers for Disease Control (CDC).
Meridian Diagnostics, Inc. of Cincinnati, Ohio and MicroCarb Inc. of Gaithersburg, Maryland have independently come up with tests that look for the E.coli toxins and not the bacteria. Both of these tests look for toxins produced by any pathogenic strain of E.coli, not just O157. According to researchers, probably one-third of all E.coli infections are caused by strains other than O157. And there have now been over 100 different strains of mutant E.coli bacteria identified, such as O103, O111, O112, and O114.
Meridian's test is called Premier EHEC EIA. This test is effective on both stool samples as well as the actual meat. Once the stool or meat has been cultured for 16 hours, EHEC as it is known for short, will detect the toxins in less than two hours using an automatable procedure. The EHEC test can be used on stool samples without the culture period, but it's accuracy rate is not as high doing the test this way.
MicroCarb's test is called VeroTest. Like Meridian's product, the VeroTest can be used on both stool or meat samples. And like Meridian's test it can detect both Shiga-like toxins (SLTs) or verotoxin (VT) producing strains of Escherichia coli O157:H7. Meridian classifies them as SLT-1's and SLT-2's. The VeroTest is an easy to use and convenient toxin detection test with accuracy and sensitivity equal to the standard cytotoxicity cell assay. VeroTest reduces the time needed to identify toxin positive cultures from three days to three hours.
On the home front, Dupont has introduced Microban. Microban, according to Dupont, is a material which has anti-bacterial protection built into it. This product is now be used to manufacture cutting boards and all-purpose towels. A company called Delka Ltd. out of Weston, Connecticut is selling these two products on QVC, the cable TV shopping channel. The towels are sold under the name Absorbeeze and remain effective even after 100 machine washings. The cutting boards made of Microban are automatically rejuvenated each time they are used.
NVID International, Inc. of Sarasota, Florida has just introduced a new disinfectant called Microsafe (F-7). According to company president Bob Bunte, independent test results have shown Microsafe to equal or exceed Lysol brand disinfectant spray in killing dangerous bacteria (E.coli O157:H7, Salmonella Cholersuis, Staphylococcus Aureus, and Listeria Monocytogenes) without the toxic effects and environmental hazards of Lysol. Tests showed Microsafe (F-7) to be effective in killing 99.998% of the above bacteria after 10 seconds of contact time. The company will produce Microsafe as a topical spray to be used in similar applications to Lysol. Other applications will include anti-microbacterial hand soap, anti-microbacterial wash, and an anti-microbacterial and fungicidal shampoo.
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