In this study, we determined the sequence of the EcoRI-PstI fragment o
f the plasmid pCVD432, also termed the enteroaggregative Escherichia c
oli (EAggEC) probe. A primer pair complementary to this probe,vas desi
gned for PCR amplification of a 630-bp region. Comparison of the analy
sis of the EAggEC probe sequence with those in database libraries reve
aled no significant similarity to any known bacterial gene. Pure cultu
res of E. coli cells, as well as mixed cultures from stool specimens,
were investigated with the PCR assay, the EAggEC probe test, and the a
dherence test, Of 50 E. coli strains which demonstrated aggregative ad
herence to HEp-2 cells, 43 (86%) were positive with the EAggEC PCR. Al
l 43 of these strains reacted with the EAggEC probe. Six EAggEC strain
s gave negative results by both molecular techniques. In contrast, onl
y 4 of 418 (0.96%) strains representing other categories of diarrheage
nic E. coli demonstrated a positive PCR result. The PCR was also succe
ssful in screening for the presence of EAggEC in enriched cultures gro
wn from steal specimens. Compared with cell culture assays and colony
hybridization, our findings revealed that the PCR assay was more rapid
, simple, and highly sensitive and can therefore be recommended as a s
creening method for EAggEC in the clinical laboratory.