Professional Documents
Culture Documents
According to MacFaddin (2000), coagulase is an with infections in pigs, skin lesions in cattle and horses,
enzyme which converts fibrinogen to fibrin, resulting in osteomyelitis in poultry and cattle, and occasionally
a visible clot. It may be present in two forms, the bound with mastitis in cattle. S. delphini is associated with skin
coagulase or “clumping factor” and the free coagulase lesions in dolphins. S. schleiferi subsp. coagulans is asso-
or “clotting factor”. The free coagulase is extracellular ciated with ear otitis in dogs.
and reacts with the coagulase-reacting factor “CRF” Among the coagulase positive strains S. aureus, S. hyi-
(a thrombin-like substance in the plasma) to form a cus and S. intermedius are the species associated with
coagulase-CRF complex. This complex indirectly con- food intoxication outbreaks (Bennett and Hait, 2011).
verts fibrinogen to fibrin forming a clot. The detection
is achieved by the tube coagulase test. The clumping
10.1.1.3 Staphylococcus aureus
factor is located on the surface of cell walls and forms
clots with no involvement of “CRF”. It is not inhib- S. aureus is subdivided into two subspecies, S. aureus
ited by antibodies to free coagulase and the detection is subsp. aureus and S. aureus subsp. anaerobius. The char-
achieved by the slide coagulase test. acteristics differentiating the two subspecies are shown
The main characteristics of the coagulase positive in Table 10.1.
staphylococci are shown in Table 10.1. According to S. aureus subsp. anaerobius grows microaerobically
Schleifer and Bell (2009b) S. aureus subsp. aureus is and anaerobically, but the aerobic growth is weak. It
the most common pathogen among the coagulase posi- is distinguished from S. aureus subsp. aureus by three
tive staphylococci. Some strains produce enterotoxins. characteristics: the lack of pigment and clumping fac-
S. aureus subsp. anaerobius is found in abcesses of sheep tor, the inability to ferment mannitol anaerobically, and
and is also pathogenic for goats. It produces coagulase the inability to grow at 45°C. The temperature range
but does not produce enterotoxins. S. intermedius is for optimal growth is 30–40°C and it does not grow
opportunistic pathogenic of dogs, S. hyicus is associated at 20 or 45°C. All strains tolerate 10% of NaCl; most
Table 10.1 Biochemical and growth characteristics of the species and subspecies of coagulase positive Staphylococcus (Schleifer and Bell,
2009).
Catalase + −
+ + + +
Oxidase − − − − − −
Pigment +w − − − − −
Aerobic growth + −
+ + + +
Anaerobic growth + + + (+) + +
(thiglycolate medium)
Growth on 10% of NaCl (w/v) + + + + + ND
Growth on 15% of NaCl (w/v) w d −
w d + ND
Growth at 15°C + ND + + ND ND
Growth at 45°C + − −
w + + ND
Alkaline phosphatase + + + + + +
Tellurite reduction + + ND −
ND ND
Coagulase + + d + + +
Clumping factor + − −
d − −
Protein A + −
ND −
ND −
Heat stable nuclease + + + + −
+
Hemolysisa + + −
d + +
Acid from mannitol + − −
(d) + d
+, 90% or more strains positive; −, 90% or more strains negative; d, 11–89% strains positive; ( ), delayed reaction; w, weak reaction;
–w, negative to weak reaction; +w, positive to weak reaction; ND, not determined.
a
Positive hemolytic reactions include greening of the agar as well as clearing.
do not tolerate 15%. The primary isolation requires a involved with cell lysis and tissue invasion (Ferry et al.,
medium supplemented with serum, egg yolk or blood 2005). The exfoliative toxins (ETs) (also known as
(Schleifer and Bell, 2009b). “epidermolytic” toxins) are responsible for the staphy-
S. aureus subsp. aureus is usually called only S. aureus lococcal scalded skin syndrome (disease characterized
in the literature, without mention of the subspecies. by the loss of superficial skin layers, dehydration, and
According to Schleifer and Bell (2009b) it is faculta- secondary infections) (Bukowski et al., 2010). The toxic
tive anaerobic but growth is best under aerobic condi- shock syndrome toxin (TSST-1) is responsible for the
tions. Protein A is produced and the positive reactions toxic shock syndrome (acute onset illness characterized
include alkaline phosphatase, coagulase, clumping fac- by fever, rash formation and hypotension that can lead
tor, heat stable nuclease (thermonuclease), hemolysin, to multiple organ failure and lethal shock (Ferry et al.,
and lipase. Acid is produced aerobically from glucose 2005). The enterotoxins are involved in staphylococcal
and mannitol. The temperature range for growth is 10 food poisoning, one of the most common food-borne
to 45°C and the optimum is 30 to 37°C. diseases worldwide.
S. aureus is not heat resistant, and is easily destroyed The enterotoxins responsible for staphylococcal
by pasteurization or by normal cooking. Enterotoxins, food poisoning are produced primarily by Staphyloco-
on the other hand, are highly heat-resistant and survive ccus aureus, although S. intermedius and S. hyicus also
heat treatments as severe as those used to sterilize low- have been shown to be enterotoxigenic (Bennett and
acid foods (ICMSF, 1996). Hait, 2011). S. intermedius was isolated from butter
S. aureus is a salt tolerant microorganism and accord- blend and margarine in a food poisoning outbreak in
ing to Schleifer and Bell (2009b) its growth is good in United States (Khambaty et al., 1994, Bennett, 1996).
medium containing 10% of NaCl and poor at 15%. A coagulase negative S. epidermidis was reported to have
According to ICMSF (1996) it grows at a water activity caused at least one outbreak (Breckinridge and Berg-
as low as 0.85 (salt content 25% w/w). From this aspect, doll, 1971).
S. aureus is an atypical bacterium among the foodborne S. aureus enterotoxins (SEs) and toxic shock syn-
pathogens, which normally do not grow at such a low drome toxin (TSST-1) are broadly classified as super-
water activity. antigens (SAgs), which have the ability to stimulate
large populations of T cells leading to the production
of a cytokine bolus (Pinchuk et al., 2010). In 1990 the
10.1.2 Pathogenicity staphylococcal research community published a stand-
ard nomenclature for the superantigens expressed by
According to Bien et al. (2011) S. aureus can cause a Staphylococcus aureus (Betley et al., 1990). At this time
wide variety of infections, including wound infection, the classical members of this family included toxic
toxinoses (food poisoning, scalded skin syndrome, toxic shock–syndrome toxin-1 (TSST-1) and five antigenic
shock syndrome) and systemic conditions (endocardi- variants of S. aureus enterotoxins, designated “SEA”,
tis, osteomyelitis, pneumonia, brain abscesses, menin- “SEB”, “SEC”, “SED”, and “SEE” (Lina et al., 2004).
gitis, bacteremia). The TSST-1 was initially designated as “SEF” (Bergdoll
According to Schleifer and Bell (2009) S. aureus was et al., 1981) but was later designated as TSST-1 because
responsible for considerable morbidity and mortal- did not show in-vivo biological activity characteristic of
ity among hospitalized patients from 1950 to 1960. true enterotoxins (Fueyo et al., 2005).
Methicillin-resistant S. aureus (MRSA) strains emerged Newly SEs described after 1990 received a letter desig-
in 1980 and become a great epidemiological problem nation in the order in which they have been discovered.
in hospitals. Enterotoxin-producing S. aureus strains In 2004 the International Nomenclature Committee for
are the most common coagulase positive staphylococci Staphylococcal Superantigens proposed an international
associated with food intoxication outbreaks. procedure for the designation of newly described SAgs
and putative SAgs, reported by Lina et al. (2004). The
rules are: a) Toxin genes identified but not confirmed
10.1.2.1 Staphylococcus aureus
to be expressed should not be subject to the standard-
enterotoxins
ized toxin nomenclature. b) Only toxins that induce
S. aureus produces various types of toxins. The alpha, emesis after oral administration in a primate model
beta, delta and gamma toxins, and the leukocidins are should be designated as enterotoxin. c) The current
letter designation should be retained for SEs in which The symptoms become evident between one to seven
S = S. aureus and E = enterotoxin. d) The SE should be hours after ingestion, and include nausea, vomiting,
followed by a letter assigned sequentially until the 25th retching and abdominal cramping. Dehydration, head-
toxin (SEZ) has been assigned (SEF has been retired). ache, muscle cramping, and changes in blood pressure
Thereafter, newly described toxins should be numbered and pulse rate may occur in more severe cases. Recov-
sequentially beginning with SE26. e) Related toxins that ery occurs in few hours to one day and complications
lack emetic properties (or have not been tested) should or death are rare (Hait, 2012). It is easily diagnosed,
be designated “staphylococcal enterotoxin-like” (SEl), to especially in the cause of outbreaks in which nausea and
indicate that their potential role in staphylococcal food vomiting predominate, and with a short interval between
poisoning has not been confirmed. To minimize confu- the food ingestion and the onset of symptoms.
sion and significant renaming, SEls should receive a let- S. aureus can be found in the nasal airways, throat,
ter designation in the order in which they are described. skin and hair of 50% or more of healthy human indi-
If the proteins are later shown to have enterotoxic activi- viduals. Food handlers are a common source of con-
ties, the SEl designation can be changed to SE. tamination, although equipment and food handling
In the IAFP 4th European Symposium on Food Safety surfaces in processing environments may also contami-
a presentation made by Smith (2008) showed the fol- nate the foods (Hait, 2012).
lowing situation: Foods that have already been implicated in outbreaks
include meat and meat products; poultry and egg prod-
• Classic staphylococcal enterotoxins: SEA, SEB, ucts; salads, such as egg, tuna, chicken, potato, and
SEC (including three variants SEC1, SEC2, SEC3 macaroni; bakery products, such as cream-filled pastries,
and SEC ovine and SEC bovine variants), SED, and cream pies, and chocolate éclairs; sandwich fillings; and
SEE. milk and dairy products. The foods at greatest risk are
• Newer SEs: SEG, SEH, SEI, SER, SES, and SET. those that are intensely handled during their prepara-
• Enterotoxin-like proteins (SEls): SElJ, SElK, SElL, tion and/or those that remain at room temperature after
SElM, SElN, SElO, SElP, SElQ, SElU, SElV, SElW. preparation (Hait, 2012).
Table 10.2 Analytical kits adopted as AOAC Official Methods for Staphylococcus aureus in foods (Horwitz and Latimer, 2010, AOAC Inter-
national, 2010).
993.06 TECRA™ Staph Enterotoxin EIA (colorimetric visual or Extracts prepared from beef, pasta,
VIA, 3M Microbiology Products photometer) in microtiter plate chicken, lobster bisque, mushrooms,
nonfat milk.
995.12 Aureus Test™, Trisum Corp. Polystyrene latex particles coated Pure culture isolated from foods.
with anti-protein A immunoglobulin
and fibrinogen that bind protein A
and coagulase.
2001.05 Petrifilm™ Rapid S. aureus Cultural, plate count in dry Pasta filled with beef and cheese,
Count Plate, 3M Microbiology rehydratable film frozen hash browns, cooked chicken
Products patty, egg custard, frozen ground raw
pork, and instant nonfat dried milk.
2003.07 Petrifilm™ Staph Express Count Plate, Cultural, plate count in dry Frozen lasagna, custard, frozen mixed
3M Microbiology Products rehydratable film vegetables, frozen hash browns, and
frozen batter-coated mushrooms.
2003.08 Petrifilm™ Staph Express Count Plate, Cultural, plate count in dry Ice cream, raw milk, yogurt, whey
3M Microbiology Products rehydratable film powder and cheese.
2003.11 Petrifilm™ Staph Express Count Plate, Cultural, plate count in dry Cooked and diced chicken, ham,
3M Microbiology Products rehydratable film salmon, and pepperoni.
thermonuclease. There are several growth media avail- grow, producing similar colonies, thereby creating the
able for direct plate counts, which combine one or more need to subject typical colonies to the coagulase test for
selective/differential characteristics, such as Mannitol confirmation.
Salt Agar, Vogel-Johnson Agar, Egg Yolk Azide Agar, Other methods that already have been officially rec-
Phenolphthalein Polymyxin Phosphate Agar, Milk-Salt ognized by the AOAC International are microbiological
Agar, Tellurite Glycine Agar, Tellurite Polymyxin Egg test kits described in Table 10.2.
Yolk and Staphylococcus Medium number 110. In gen-
eral, these media should not be used for foods in which
the presence of injured cells is expected, since they are 10.2 Plate count method APHA
considered restrictive to the recovery of injuries. 2001 for coagulase positive
The most widely used medium is Baird-Parker Agar staphylococci and S. aureus
(BP), which combines potassium tellurite (0.01%), gly- in foods
cine (1.2%) and lithium chloride (0.5%), as selective
agents and the reduction of tellurite and the hydrolysis Method of the American Public Health Association
of egg yolk as differential characteristics. In addition, (APHA), as described in the Chapter 39 of the 4th Edi-
the medium contains 1% of sodium pyruvate, which is tion of the Compendium of Methods for the Microbiologi-
considered an excellent means to recover injured cells, cal Examination of Foods (Lancette & Bennett, 2001)
since it avoids accumulation of hydrogen peroxide (toxic and Chapter 5 of the 17th Edition of the Standard
for cells). It may be used for direct plating of processed Methods for the Examination of Dairy Products (Henning
or fresh (“in natura”) foods, both for enumeration for et al., 2004).
indicative purposes as for enumeration for public health This method is suitable for the analysis of foods
purposes. On the other hand, BP Agar, as well as all in which more than 100 S. aureus cells/g may be
the other media cited above, is not able to completely expected.
suppress the growth of competitors of S. aureus. Other Before starting activities, read the guidelines in
non-pathogenic species of the Staphylococcus genus may Chapter 3, which deal with all details and measures
required for performing plate counts of microorgan- Examination of Dairy Products recommends an ana-
isms, from dilution selection to calculating the results. lytical unit of 50 g.
The procedure described below does not present b) Inoculation: Select three appropriate dilutions of
these details, as they are supposed to be known to the the sample and inoculate 0.1 ml each on Baird Parker
analyst. Agar, using the spread plate technique. Spread inoc-
ulum over surface of agar plate, using sterile bent
glass streaking rod. Retain plates in upright position
10.2.1 Material required for analysis until inoculum is absorbed by agar.
Note b.1) For solid samples with low count, inoculate 1 ml of
Preparation of the sample and the first dilution and 0.1 ml of the two subsequent
serial dilutions dilutions (distribute 1 ml of first dilution on four
• Diluent: 0.1% Peptone Water (PW) or Butterfield’s plates: 0.3 ml, 0.3 ml, 0.3 ml, and 0.1 ml). For
Phosphate Buffer liquid samples with low count, start with 1 ml of
the sample without dilution.
• Dilution tubes containing 9 ml of 0.1% Peptone
c) Incubation and colony counting: Incubate plates
Water (PW) or Butterfield’s Phosphate Buffer
(inverted) at 35–37°C/45–48 h.
• Observation: consult Annex 2.2 of Chapter 2 to
Note c.1) The incubation temperature is 35 ± 1°C in the Stand-
check on special cases in which either the type or
ard Methods for the Examination of Dairy Products
volume of diluent vary as a function of the sample (Henning et al., 2004).
to be examined. Examine plates for typical S. aureus colonies:
black or gray, small (maximum 2–3 mm in diam-
Direct plate count method eter), surrounded by an opaque halo and frequently
• Baird-Parker (BP) Agar plates with an outer clear halo. Non-lipolytic strains form
• Laboratory incubator set to 35–37°C (35 ± 1°C for similar colonies but without the opaque and clear
dairy products) halos. Select plates containing 20–200 colonies for
counting and if more than one type of presump-
Confirmation tive S. aureus colonies are present count each type
• Brain Hearth Infusion Broth (BHI) tubes separately.
• Trypticase Soy Agar (TSA) slants d) Confirmation: Select five typical colonies for coag-
• Coagulase plasma (rabbit) with EDTA ulase test. If there are fewer than five colonies, select
• Toluidine Blue-DNA agar plates or slides all. If several types of presumptive S.aureus colo-
• 3% Hydrogen Peroxide (for catalase test) nies are present, select one or more colonies of each
• 0.02M Phosphate-Saline Buffer type.
• Lysostaphin Transfer suspect S. aureus colonies to Brain Heart
• Purple Broth with 0.5% Glucose Infusion (BHI) Broth tubes and emulsify. From
• Purple Broth with 0.5% Mannitol the BHI tubes transfer a loopful to Trypticase Soy
• Paraffin oil, sterile Agar (TSA) slants. Incubate BHI and TSA tubes at
• Gram Stain Reagents 35–37°C/18–24 h. Use the BHI culture for coagu-
• Laboratory incubator set to 35–37°C lase test. Keep TSA cultures at ambient tempera-
ture for other tests, if necessary.
10.2.2 Procedure d.1) Coagulase test: From the BHI culture trans-
fer 0.2 ml to an empty sterile tube. Add
A general flowchart for the enumeration of coagulase 0.5 ml of reconstituted coagulase plasma
positive staphylococci and Staphylococus aureus in foods with EDTA and mix. Use a tube with 0.2 ml
using the plate count method APHA 2001 is shown in of BHI and 0.5 ml of reconstituted coagu-
Figure 10.1. lase plasma with EDTA as a negative control.
Incubate the tubes at 35–37°C in a water
a) Preparation of the samples and serial dilutions: bath and examine periodically over a six-hour
Follow the procedures described in Chapter 2. For period for clot formation. Classify the result
dairy product analysis the Standard Methods for the as described below.
25g of sample +
9ml 9ml
225ml of Peptone Water (PW) PW PW
0.1ml 0.1ml
0.3ml 0.3ml 0.3ml 0.1ml
BP BP BP BP BP
35-37oC/45-48h
Typical colonies (5)
1 loopful
Trypticase Soy Agar (TSA) Brain Heart Infusion (BHI) Broth
35-37oC/18-24h 35-37oC/18-24h
COAGULASE TEST
Save for additional tests
(if required)
Water bath
35-37oC/6h
Additional Confirmed
tests required tubes
S. aureus
CFU/g
Figure 10.1 Scheme of analysis for the enumeration of coagulase positive staphylococci and Staphylococus aureus in foods using the plate
count method APHA 2001 (Lancette & Bennett, 2001).
Table 10.3 Typical characteristics used to differentiate Staphylococcus aureus from Staphylococcus epidermidis and Micrococcus (Bennett &
Lancette, 2001).
Catalase activity + + +
Coagulase production + − −
Thermonuclease production + − −
Lysostaphin sensitivity Susceptible Susceptible Resistant
Anaerobic utilization of glucose + + −
Anaerobic utilization of mannitol + − −
a
+ = 90% or more strains are positive; − = 90% or more strains are negative.
b
The 4th Edition of the Compendium (Bennett & Lancette, 2001) does not differentiate Micrococcus and Kocuria.
Example 2: The count obtained with 10−2 dilution of • Dilution tubes containing 9 ml of 0.1% Peptone
sample was 30 (20 colonies of one type and 10 colonies Water (PW) or Butterfield’s Phosphate Buffer
of another type). Five colonies of the first type tested • Observation: consult Annex 2.2 of Chapter 2 to
were confirmed (100%). Two of five colonies of the check on special cases in which either the type or
second type tested were confirmed (40%). The number volume of diluent vary as a function of the sample
of S. aureus cells/g of food is (20 × 1 × 102 × 10) + to be examined.
(10 × 0.4 × 102 × 10) = 2.4 × 104 CFU/g
MPN Counting
• Trypticase Soy Broth (TSB) with 10% NaCl and
10.3 Most probable number (MPN) 1% Sodium Pyruvate (10 ml tubes)
method APHA 2001 for • Baird Parker (BP) Agar plates
coagulase positive staphylococci • Laboratory incubator set to 35–37°C
and S. aureus in foods
Confirmation
Method of the American Public Health Association • The same material required as for the plate count
(APHA), as described in Chapter 39 of the 4th Edition method APHA 2001 (item 10.2.1)
of the Compendium of Methods for the Microbiological
Examination of Foods (Lancette & Bennett, 2001).
This method is recommended for products in which 10.3.2 Procedure
small numbers of S. aureus and a large population of
competing species are expected. A general flowchart for the enumeration of coagulase
Before starting activities, carefully read the guidelines positive staphylococci and Staphylococus aureus in foods
in Chapter 4, which deals with all the details and meas- using the Most Probable Number (MPN) method
ures required for MPN counts of microorganisms, from APHA 2001 is shown in Figure 10.2.
dilution selection to calculating the results. The proce-
dure described below does not present these details, as a) Preparation of the samples and inoculation.
they are supposed to be known to the analyst. For preparation of the samples and serial dilu-
tions (10−1, 10−2 and 10−3) follow the procedures
described in Chapter 2. Inoculate three 1 ml por-
10.3.1 Material required for analysis tions of each dilution into three tubes containing
10 ml of Trypticase Soy Broth (TSB) with 10%
Preparation of the sample and NaCl and 1% Sodium Pyruvate. Incubate tubes at
serial dilutions 35–37°C/48 ± 2 h and examine for visible growth.
• Diluent: 0.1% Peptone Water (PW) or Butterfield’s b) Confirmation. Streak a loopful from each tube
Phosphate Buffer showing growth (turbidity) on the surface of
9ml 9ml
PW PW
25g of sample +
225ml of Peptone Water (PW)
35-37oC/48±2h
Tubes with growth
Streak a loopful on
Baird-Parker (BP) Agar
35-37oC/48±2h
Typical colonies
1 loopful
Trypticase Soy Agar (TSA) Brain Heart Infusion (BHI) Broth
35-37oC/18-24h
35-37oC/18-24h
COAGULASE TEST
Water Bath
35-37oC/6h
Additional Confirmed
tests required tubes
S. aureus
MPN/g
Figure 10.2 Scheme of analysis for the enumeration of coagulase positive staphylococci and Staphylococus aureus in foods using the Most
Probable Number (MPN) method APHA 2001 (Lancette & Bennett, 2001).
50g sample +
450ml Peptone Water (PW)
50ml
Double strenght
PRE-ENRICHMENT Trypticase Soy Broth (TSB) (50ml)
35-37oC/3h
0.1ml 0.1ml
Typical colonies
1 loopful
Trypticase Soy Agar (TSA)
Brain Heart Infusion (BHI) Broth
35-37oC/18-24h
35-37oC/18-24h
COAGULASE TEST
Water Bath
35-37oC/6h
Additional Confirmed
tests required tubes
S. aureus
CFU/g
Figure 10.3 Scheme of analysis for the detection of coagulase positive staphylococci and Staphylococus aureus in foods using the presence/
absence method APHA 2001 (Lancette & Bennett, 2001).
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