Forty-four Escherichia coli O75 strains from patients with urinary tra
ct infections were characterized by a variety of methods to obtain evi
dence of their clonal distribution and uropathogenic properties. By K
and H antigen typing, the strains were divided into the following sero
types: O75:K5:H- (18 strains), O75:K95:H- (10 strains), O75:K95:H5 (7
strains), O75:K100:H5 (4 strains), and O75:K-:H55 (5 strains). General
ly, biotyping proved to be of no discriminative value. With two except
ions the strains were found to be sensitive to the bactericidal effect
of normal human serum. As shown by multilocus enzyme electrophoresis,
the whole-cell protein profile (WCPP), and the patterns of the outer
membrane proteins and lipopolysaccharides, all but the five O75:H55 st
rains were genetically closely related to each other and could be clas
sified into one clonal group. The O75:K-:H55 strains proved to be quit
e different and lacked type 1 fimbriae. All 17 K95 (H-, H5) strains pr
oduced hemolysin and P fimbriae. Five of the O75:K5:H- strains were di
fferent from the other K5 strains by showing hemagglutinating properti
es, on the basis of the presence of the OX adhesin. The last two group
s are suggested to be uropathogenic and are proposed to represent sepa
rate clonal groups or subgroups.