In Argentina, Shiga toxin-producing Escherichia coli (STEC) is the primary aetiological agent of haemolytic uremic syndrome (HUS), and E. coli O157:H7 is the predominant serotype. The consumption of undercooked ground meat or cross-contamination during food preparation are also common routes of STEC infection.
In Buenos Aires, as a part of monitoring, samples of raw and cooked hamburgers were obtained from a fast food restaurant and were studied at the local bromatology laboratory. The isolated STEC strains were pheno-genotypically characterized using traditional methods and sent to the National Reference Laboratory for massive whole-genome sequencing. The strains were sequenced with the Illumina platform and were analyzed based on a command line scheme: FastQC, Kraken, MLST, ARIBA (Virulencefinder/Plasmidfinder/Resfinder), srst2, Unicycler, ipcress, Prokka, and Snippy. In all samples of raw and cooked hamburgers, E.coli O157:H7 stx1a/stx2c/eae/ehxA (ST7816) was isolated, and the following virulence genes were detected: astA, iha, traT, espA, espB, espJ, gad, chuA, eae, iss, nleA, nleB, nleC, ompT, terC, tir, stx1, and stx2. These virulence genes are mainly related to adherence, secretion system, and toxins. The strains are not part of a hypervirulent clade. In the sequences, no genes associated with resistance were detected and showed only seven SNPs of difference, indicating high genetic similarity between the isolates. In our country, the prevalence of HUS in the pediatric population has reached worrying numbers and the consumption of hamburgers in fast food chains is a common practice. We consider it essential that random samples continue to be studied in this type of establishments, since we were able to demonstrate that the cooking process affects the presence of the pathogen in food. The application of good hygiene practices in the handling of said foods is important to reduce the risk of transmission of STEC infection.