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10 Staphylococcus aureus

10.1 Introduction The staphylococci cells are spherical and characteris-


tically divide in more than one plane to form irregular
Staphylococcus aureus is a pathogenic bacterium, which grape like clusters. The Gram stain is positive, the cells
causes a foodborne disease classified by the Interna- are nonmotile and nonspore-forming. The catalase reac-
tional Commission on Microbiological Specifications tion is usually positive and oxidase is usually negative.
for Foods (ICMSF, 2002) in Risk Group III: “diseases Chemo-organotrophs, the carbohydrate metabolism
of moderate hazard usually not life threatening, nor- is respiratory and fermentative. Susceptible to lysis by
mally of short duration without substantial sequelae, lysostaphin and resistant to lysis by lysozyme. Predomi-
with symptoms that are self-limiting but can cause nantly associated with skin, skin glands and mucous
severe discomfort”. membranes of warm-blooded animals (Schleifer and
Bell, 2009b).
The Staphylococcus species can be grouped into groups
10.1.1 Taxonomy
and the most important groups are (Schleifer and Bell,
2009b):
10.1.1.1 The genus Staphylococcus
Group S. epidermidis (e.g., S. epidermidis, S. capitis,
In the 9th Edition of Bergey’s Manual of Determinative S. caprae, S. haemolyticus, S. hominis, S. saccharolyticus,
Bacteriology (Holt et al., 1994) the genus Staphylococcus S. warneri) and Group S. simulans (e.g., S. simulans,
was placed in group 17, which includes the Gram posi- S. carnosos), which are coagulase negative and novo-
tive cocci. In the 2nd Edition of Bergey’s Manual of System- biocin susceptible.
atic Bacteriology the members of group 17 are subdivided Group S. saprophyticus (e.g., S. saprophyticus, S. cohnii,
into three phyla: the genus Deinococcus was transferred S. xylosus) and Group S. sciuri (e.g., S. sciuri, S. lentus,
to the phylum Deinococcus-Thermus, the genus Micro- S. vitulinus), which are coagulase negative and novo-
coccus and the genus Stomatococcus were transferred to biocin resistant.
the phylum Actinobacteria and the other genera of Gram Group S. intermedius (e.g., S. intermedius, S. del-
positive cocci, including Staphylococcus, were transferred phini) and Group S. aureus (e.g., S. aureus subsp. aureus,
to the phylum Firmicutes (Garrity and Holt, 2001). S. aureus subsp. anaerobius), which are coagulase posi-
The affiliation of Micrococcus and Staphylococcus to tive and novobiocin susceptible.
different phyla indicates a great phylogenetic distance
between these genera. However, they share many phe-
10.1.1.2 The coagulase positive
notypic characteristics and in the 1st Edition of Bergey’s
staphylococci
Manual of Systematic Bacteriology (Sneath et al., 1986)
the two genera were located in the same family. The coagulase positive staphylococci are S. aureus,
The phylum Firmicutes includes the Gram positive S. intermedius, S. delphini, and S. schleiferi subsp. coag-
bacteria with a low DNA mol% G+C content (<50) ulans. S. hyicus is coagulase variable. These species are
(Schleifer, 2009). The genus Staphylococcus is a member considered potentially serious pathogens (Schleifer and
of the family Staphylococacaeae, which also contains the Bell, 2009b) and, for this reason, the production of
genera Jeotgalicoccus, Macrococcus and Salinicocus (Sch- coagulase is considered as an indication of pathogenic-
leifer and Bell, 2009a). ity among the species of Staphylococcus.

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106 Microbiological examination methods of food and water

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).

S. aureus S. aureus S. schleiferi


Characteristic subsp. aureus subsp. anaerobius S. hyicus S. intermedius S. delphini subsp. coagulans

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.

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Staphylococcus aureus 107

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

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108 Microbiological examination methods of food and water

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).

Only a few of the staphylococcal enterotoxins have


been studied in depth. They are pyrogenic and share 10.1.3 Methods of analysis
some other important properties that include the super-
antigenicity and the ability to induce emesis and gastro- There are several methods available for counting
enteritis (Pinchuk et al., 2010). S. aureus, the degree of sensitivity of which may vary
The different SE serotypes are identified serologically both in function of the selective/differential character-
as separate proteins (Bennett and Hait, 2011). They istics used in formulating the culture media, as in func-
resist acid and are stable over a wide pH range. They are tion of the enumeration technique itself (direct plate
highly heat-resistant and are not completely denatured count or the Most Probable Number technique). Even-
by cooking. They are resistant to inactivation by gas- tually, and depending on the objective of analysis and
trointestinal and other proteases (pepsin, trypsin, chy- the conditions of the injuries inflicted on the cells, it
motrypsin, rennin, papain) (Smith, 2008). may be advisable to use a simple presence/absence test,
with a non-selective pre-enrichment step, which will
ensure recovery from the injuries.
10.1.2.2 Staphylococcal food poisoning
The main selective characteristics used to isolate
The disease transmitted by S. aureus is an intoxication, S. aureus are the ability of this microorganism to grow
caused by the ingestion of enterotoxins formed in the in the presence of NaCl (5.5 to 10%), potassium tellur-
food as a result of the multiplication of the bacterial cells. ite (0.0025 a 0.05%), lithium chloride (0.01 to 0.05%),
The intake of a dose smaller than 1μg may cause symp- glycine (0.12 to 1.26%) and polymyxin (40 mg/l).The
toms of intoxication and this quantity is reached when differential characteristics are the capacity to reduce
the population of S. aureus attains values greater than potassium tellurite (producing black colonies in solid
105 UFC/g of food (Hait, 2012). The serotype A is the media), the capacity to hydrolyze egg yolk, the capacity
most frequently involved in foodborne staphylococcal to use mannitol and grow at 42–43°C under selective
illness (Bennett and Hait, 2011). conditions, the activity of coagulase and the activity of

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Staphylococcus aureus 109

Table 10.2 Analytical kits adopted as AOAC Official Methods for Staphylococcus aureus in foods (Horwitz and Latimer, 2010, AOAC Inter-
national, 2010).

Method Kit Name and Manufacturer Principle Matrices

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.

EIA = Enzyme immunoassay.

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

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110 Microbiological examination methods of food and water

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.

7007TS-DASILVA-Book.indb 110 11/26/2012 11:15:26 AM


-3
10 -1 10 -2 10
Homogenization 1ml 1ml

25g of sample +
9ml 9ml
225ml of Peptone Water (PW) PW PW

0.1ml 0.1ml
0.3ml 0.3ml 0.3ml 0.1ml

Baird-Parker (BP) Agar


(spread plate)

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)

Culture 0.2ml Control (-)


Coagulase Plasma EDTA 0.5ml BHI Broth 0.2ml
Coagulase Plasma EDTA 0.5ml

Water bath

35-37oC/6h

(-) (1+) (2+) (3+) (4+)

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).

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112 Microbiological examination methods of food and water

4+ positive: The entire content of tube coagulates of 25 μg lysostaphin/ml. To another 0.1 ml


and is not displaced when tube is inverted. portion of the BHI culture, add 0.1 ml of
3+ positive: Large and organized clot. 0.02 M Phosphate Buffer containing 2%
2+ positive: Small organized clot. NaCl (negative control). Also include S. aureus
1+ positive: Small unorganized clot. ATCC 12600 as a positive control and Kocu-
Negative: No evidence of fibrin formation ria varians ATCC 15306 (formerly Micrococ-
A 3+ or 4+ clot formation is considered a positive cus varians) as a negative control in the assay.
reaction for S. aureus. Incubate the tubes at 35°C for not more than
Note d.1.1) The Standard Methods for the Examination 2 h. If turbidity clears in the test mixture, the
of Dairy Products (Henning et al., 2004) test is considered positive (susceptible). No
and the Bacteriological Analytical Manual clearing after 2 h is considered a negative result
(Bennett & Lancette, 2001) consider
(resistant). S. aureus is generally susceptible to
confirmed only cultures showing level 4+
positive coagulase test. lysostaphin, showing positive result in this
Note d.1.2.) A clumping factor latex agglutination test
test.
may be used if a more rapid procedure Note d.4.1) The Standard Methods for the Examination
than coagulase test is desired. In this case, of Dairy Products (Henning et al., 2004)
follow the manufacturers’ instructions. uses Lysostaphin dissolved in 0.02M
Phosphate Buffer containing 1% NaCl.
Cultures showing levels 1+ or 2+ should be
d.5) Anaerobic utilization of glucose and man-
confirmed by performing the additional tests
nitol. From the TSA slant, inoculate a tube
listed below. Observe the cultures for Gram
of Purple Broth with 0.5% glucose and a
stain and morphology. S. aureus are Gram
tube of Purple Broth with 0.5% mannitol
positive cocci occurring typically in irregular
(exhaust oxygen from tubes before inocula-
clusters (resembling clusters of grapes).
tion). Also include S. aureus ATCC 12600
d.2) Catalase test: From the TSA culture emul-
as a positive control and Kocuria varians
sify a loopful in one drop of 3% Hydrogen
ATCC 15306 (formerly Micrococcus varians)
Peroxide on a glass slide. Immediate bubbling
as a negative control in the assay. Cover the
is a positive reaction. S. aureus is catalase
surface of agar with a 25 mm layer of sterile
positive.
paraffin oil. Incubate the tubes at 37°C for
d.3) Thermostable nuclease test (thermonu-
five days. The acid production anaerobically
clease test): Boil a portion of the culture
(color change to yellow throughout tube)
grown in BHI for 15 min and use for ther-
indicates a positive test. Lack of change in
monuclease test. Prepare microslides by
color indicates a negative test. S aureus is
spreading 3 ml Toluidine Blue DNA Agar
positive for anaerobic utilization of glucose.
on the surface of each microscope slide.
Most strains are positive for mannitol, but
When agar has solidified, cut 2 mm or larger
some strains are negative. K. varians is nega-
wells in agar (10–12 per slide) and fill with
tive for both.
the boiled culture (about 0.01 ml). Also
e) Interpretation and calculation of results: Con-
include S. aureus ATCC 12600 as a positive
sider as S. aureus the cultures showing coagulase
control and S. epidermidis ATCC 14990 as
test level 3+ and 4+ or cultures level 1+ and 2+ with
a negative control in the assay Incubate at
typical characteristics presented in Table 10.3.
35–37°C/4 h or 50°C/2 h. Development of
bright pink halo extending at least 1 mm Calculate number of S. aureus cells/g of sample, based
from periphery of well indicates a positive on percentage of colonies tested that are confirmed as
reaction. Lack of the pink halo indicates a S. aureus.
negative reaction. S. aureus is thermonucle- Example 1: The presumptive count obtained with 10−4
ase positive. dilution of sample was 65 and four of five colonies
d.4) Lysostaphin sensitivity test: Mix 0.1 ml of tested were confirmed (80%). The number of S. aureus
the BHI culture with 0.1 ml of Lysostaphin cells/g of food is 65 × 0.8 × 104 × 10 = 5.2 × 106 CFU/g
(dissolved in 0.02 M Phosphate Buffer con- (dilution factor is tenfold higher than sample dilution
taining 2% NaCl) to give a final concentration because only 0.1 ml was tested).

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Staphylococcus aureus 113

Table 10.3 Typical characteristics used to differentiate Staphylococcus aureus from Staphylococcus epidermidis and Micrococcus (Bennett &
Lancette, 2001).

Characteristica S. aureus S. epidermidis Micrococcusb

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

7007TS-DASILVA-Book.indb 113 11/26/2012 11:15:26 AM


-1 -3
10 10-2 10
Homogenization 1ml 1ml

9ml 9ml
PW PW
25g of sample +
225ml of Peptone Water (PW)

1ml 1ml 1ml 1ml 1ml 1ml 1ml 1ml 1ml

TSB (10ml) Trypticase Soy Broth (TSB) TSB (10ml)


with 10% NaCl and 1% Sodium
Pyruvate (10ml)

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

Save for additional tests


(if required) Control (-)
Culture 0.2ml
Coagulase Plasma EDTA 0.5ml BHI Broth 0.2ml
Coagulase Plasma EDTA 0.5ml

Water Bath

35-37oC/6h

(-) (1+) (2+) (3+) (4+)

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).

7007TS-DASILVA-Book.indb 114 11/26/2012 11:15:27 AM


Staphylococcus aureus 115

Baird-Parker (BP) Agar plates. Incubate the plates 10.4.2 Procedure


at 35–37°C/48 ± 2 h and examine for typical
S. aureus colonies, as described in the plate count A general flowchart for the determination of S. aureus
method APHA 2001 above (10.2.2.c). From each by the APHA presence/absence method is shown in
plate showing growth, select at least one suspect Figure 10.3.
colony and confirm, as described in the plate count
method APHA 2001 (10.2.2.d). In the absence of a) Pre-enrichment. Following the procedures described
suspected colonies, consider the tube negative for in Chapter 2 homogenize 50 ml of the sample with
S. aureus. 450 ml of Peptone Water (PW) (10−1 dilution).
c) Calculation of results. Record the number of con- Transfer 50 ml of the 10−1 dilution (5 g of sample)
firmed tubes and determine the MPN/g or MPN/ into 50 ml of double strength Trypticase Soy Broth
ml as detailed in Chapter 4, using one of the MPN (TSB). Incubate at 35–37°C/3 h.
tables. Note a.1) To increase the detection limits an analytical unit
of 100 g (in 900 ml of diluent) may be used. For
liquid samples it is not necessary to dilute.
10.4 Presence/absence method b) Selective enrichment. After the 3 h incubation
APHA 2001 for coagulase period, add 100 ml of single strength Trypticase
positive staphylococci Soy Broth (TSB) with 20% NaCl to the pre-en-
and S. aureus in foods riched sample. Incubate at 35–37°C/24 ± 2 h.
c) Confirmation. Inoculate two 0.1 ml portions
Method of the American Public Health Association of the selective enrichment broth onto duplicate
(APHA), as described in Chapter 39 of the 4th Edition plates of Baird-Parker (BP) Agar (spread plate).
of the Compendium of Methods for the Microbiological Incubate plates at 35–37°C/46 ± 2 h and exam-
Examination of Foods (Lancette & Bennett, 2001). ine for typical colonies, as described in the plate
This method is recommended for processed foods count method APHA 2001 above (10.2.2.c).
likely to contain a small population of injured cells. From each plate showing growth, select at least one
presumptive colony and confirm, as described in
the plate count method APHA 2001 (10.2.2.d).
10.4.1 Material required for analysis Report results as S. aureus presence or absence in
5 g of food.
Preparation of the sample and
serial dilutions
• Diluent: 0.1% Peptone Water (PW) or Butterfield’s 10.5. References
Phosphate Buffer
• Observation: consult Annex 2.2 of Chapter 2 to AOAC International (2010). Rapid Methods Adopted as AOAC
Official MethodsSM. [Online] Available from: http://www.aoac.
check on special cases in which either the type or
org/vmeth/oma_testkits.pdf [Accessed 26th April 2011).
volume of diluent vary as a function of the sample Bennett, R.W. (1996) Atypical toxigenic Staphylococcus and non-
to be examined. Staphylococcus aureus species on the Horizon? An Update. J. Food
Protection, 59, 1123–1126.
Presence/absence test Bennett, R.W. & Hait, J.M. (2011) Staphylococcal enterotoxins:
• Double strength Trypticase Soy Broth (TSB) (50 ml micro-slide double diffusion and elisa-based methods. In: FDA
(ed.) Bacteriological Analytical Manual, Chapter 13A. [Online]
flasks) Silver Spring, Food and Drug Administration. Available from:
• Single strength Trypticase Soy Broth (TSB) with http://www.fda.gov/Food/ScienceResearch/LaboratoryMethods/
20% NaCl (100 ml flasks) BacteriologicalAnalyticalManualBAM/default.htm [accessed 10th
• Baird Parker (BP) Agar plates October 2011].
• Laboratory incubator set to 35–37°C Bennett, R.W. & Lancette, G.A. (2001) Staphylococcus aureus.
In: FDA (ed.) Bacteriological Analytical Manual, Chapter 12.
[Online] Silver Spring, Food and Drug Administration. Avail-
Confirmation able from: http://www.fda.gov/Food/ScienceResearch/Laborato-
• The same material required as for the plate count ryMethods/BacteriologicalAnalyticalManualBAM/default.htm
method APHA 2001 (item 10.2.1) [accessed 10th October 2011].

7007TS-DASILVA-Book.indb 115 11/26/2012 11:15:27 AM


-1
10
Homogenization

50g sample +
450ml Peptone Water (PW)
50ml

Double strenght
PRE-ENRICHMENT Trypticase Soy Broth (TSB) (50ml)
35-37oC/3h

TSB with 20% NaCl (100ml)

SELETIVE ENRICHMENT 35-37oC/24±2h

0.1ml 0.1ml

Baird-Parker (BP) Agar Baird-Parker (BP) Agar


35-37oC/46±2h 35-37oC/46±2h

Typical colonies

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) Control (-)
Culture 0.2ml
Coagulase Plasma EDTA 0.5ml BHI Broth 0.2ml
Coagulase Plasma EDTA 0.5ml

Water Bath

35-37oC/6h

(-) (1+) (2+) (3+) (4+)

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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Staphylococcus aureus 117

Betley, M.J., Schlievert, P.M., Bergdoll, M.S., Bohach, G.A., Lan- Henning, D.R., Flowers, R., Reiser, R. & Ryser, E.T. (2004) Patho-
dolo, J.J., Khan, S.A., Patee, P.A. & Reiser, R.F. (1990). Staphy- gens in milk and milk products. In: Wehr, H.M. & Frank, J.F
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Lancet, 1, 1017–1021. tions for Foods) (1996) Microorganisms in Foods 5. Microbiologi-
Bien, J., Sokolova, O. & Bozko, P. (2011) Characterization of cal Specifications of Food Pathogens. London, Blackie Academic &
Virulence Factors of Staphylococcus aureus: Novel Function of Professional.
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Airway Epithelial Proinflammatory Response. Journal of Pathogens tions for Foods) (2002) Microorganisms in Foods 7. Microbiological
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gastroenteritis due to a coagulase negative enterotoxin producing pulsed-field gel electrophoresis to the epidemiological characteri-
Staphylococcus. New England Journal of Medicine, 248, 541–543. zation of Staphylococcus intermedius implicated in a food-related
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ins A and C. Clinical and Infectious Diseases, 32(3), 53–56. Foods. 4th edition. Washington, American Public Health Associa-
FDA/CFSAN (ed.) (2009) Foodborne Pathogenic Microorganisms and tion. Chapter 39, pp. 387–403.
Natural Toxins Handbook “Bad Bug Book”. [Online] College Park, Lina, G., Bohach, G.A., Nair, S.P., Hiramatsu, K., Jouvin-Marche,
Food and Drug Administration, Center for Food Safety & Applied E. & Mariuzza, R. (2004) Standard Nomenclature for the Super-
Nutrition. Available from: http://www.fda.gov/food/foodsafety/ antigens Expressed by Staphylococcus. Journal of Infectious Dis-
foodborneillness/foodborneillnessfoodbornepathogensnaturaltox- eases, 189, 2334–2336.
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Ferry, T., Perpoint, T., Vandenesch, F. & Etienne, J. (2005) Viru- cal Bacteria. 3rd edition. Philadelphia, Lippincott Williams and
lence determinants in Staphylococcus aureus and their involve- Wilkins. pp. 363–367.
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420–428. Enterotoxins. Toxins, 2, 2177–2197.
Fueyo, J.M. (2005) Frecuencia y tipos de toxinas superantígenos en Sta- Schleifer, K. (2009) Phylum XIII Firmicutes. In: DeVos, P., Garrity,
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