Food and Environmental Proficiency Testing Unit Store LENTICULE disc samples @ -20°C Laboratory identification no. (check):Please enter your lab number Dispatch date: 28 September 2015 Final date for return of results: 30 October 2015 Results may be returned by fax, mail or e-mail Contact details: The Organisers - FEPTU Public Health England 61 Colindale Avenue, London, NW9 5EQ, UK. Fax: +44 (0) 20 8200 8264 Tel: +44 (0) 20 8327 7119 e-mail: foodeqa@phe.gov.uk Shiga toxin pilot Request/Report Form Distribution No.: STXP Sample numbers: StxP1A, StxP1B, StxP2A and StxP2B Download the safety data sheet: www.gov.uk/government/publications/safety-data-sheet-for-lenticules If you cannot examine any of these samples return your results as ‘Not examined’ Request: I. Determine if sample is STEC positive Page 1 of 9 Food and Environmental Proficiency Testing Unit Laboratory identification no. (check): Please enter your lab number SAMPLE: StxP1 A (including a DNA extraction process) Store LENTICULE disc samples @ -20°C STEC / VTEC / EHEC (Shiga / verocytotoxic / enterohemorrhagic):Not exam Shiga toxin test result Test result CT value If Stx positive CT value Identification Stx positive Stx 1 E.coli O157 Stx negative Stx 2 STEC non-O157 Fail Stx 1 & 2 eae Fail Fail Other…………… Other………… Other routine tests for similar samples:Not exam Additional tests Serogroup (eg. O157) O157 O26 O103 O104 O111 O145 Other………………….. Other………………….. Serotype (eg. H7) CT value Additional comments (continue on separate sheet if necessary) H4 Page 2 of 9 CT value Laboratory identification no. (check): Please enter your lab number SAMPLE: StxP1 B (not including a DNA extraction process) Ration of sample to master mix (eg. 5 μl sample to 25 μl of master mix) Store LENTICULE disc samples @ -20°C STEC / VTEC / EHEC (Shiga / verocytotoxic / enterohemorrhagic):Not exam Shiga toxin test result Test result CT value If Stx positive CT value Identification Stx positive Stx 1 E.coli O157 Stx negative Stx 2 STEC non-O157 Fail Stx 1 & 2 eae Fail Fail Other…………… Other………… Other routine tests for similar samples:Not exam Additional tests Serogroup (eg. O157) O157 O26 O103 O104 O111 O145 Other………………….. Other………………….. Serotype (eg. H7) CT value Additional comments (continue on separate sheet if necessary) H4 Page 3 of 9 CT value Laboratory identification no. (check): Please enter your lab number SAMPLE: StxP2 A (including a DNA extraction process) Store LENTICULE disc samples @ -20°C STEC / VTEC / EHEC (Shiga / verocytotoxic / enterohemorrhagic):- Shiga toxin test result Stx positive Stx 1 E.coli O157 Stx negative Stx 2 STEC non-O157 Fail Stx 1 & 2 eae Fail Fail Other…………… Other………… Other routine tests for similar samples:Not exam Additional tests Serogroup (eg. O157) O157 O26 O103 O104 O111 O145 Other………………….. Other………………….. Serotype (eg. H7) CT value Additional comments (continue on separate sheet if necessary) H4 Page 4 of 9 Laboratory identification no. (check): Please enter your lab number SAMPLE: StxP2 B (NOT including a DNA extraction process) Ration of sample to master mix (eg. 5 μl sample to 25 μl of master mix) Store LENTICULE disc samples @ -20°C STEC / VTEC / EHEC (Shiga / verocytotoxic / enterohemorrhagic):Not exam Test result CT value If Stx positive CT value Identification Stx positive Stx 1 E.coli O157 Stx negative Stx 2 STEC non-O157 Fail Stx 1 & 2 eae Fail Fail Other…………… Other………… Other routine tests for similar samples:Not exam Additional tests Serogroup (eg. O157) O157 O26 O103 O104 O111 O145 Other………………….. Other………………….. Serotype (eg. H7) CT value Additional comments (continue on separate sheet if necessary) H4 Page 5 of 9 CT value Any further comments: Authorised by: Date reported: Page 6 of 9 METHOD QUESTIONAIRRE (include as much detail as possible or references to full details): Do you follow ISO13136:2012 Microbiology of food and animal feed -- Realtime polymerase chain reaction (PCR)-based method for the detection of food-borne pathogens -- Horizontal method for the detection of Shiga toxinproducing Escherichia coli (STEC) and the determination of O157, O111, O26, O103 and O145 serogroups If yes please give details of primers (eg. in house / commercial kit) Give details of any deviations from ISO13136 How do you perform your enrichment stage? What is your DNA extraction method? Page 7 of 9 YES NO Type of molecular test Volume tested from extraction Details of master mix Cycle information (eg. Tempr, times etc) Analysis (eg. baseline threshold level etc) Page 8 of 9 Other (eg. Controls, etc) Page 9 of 9