produce enterotoxin, the food can be tested for the
type of enterotoxin produced by them. In the case
where staphylococci cannot be isolated but the
TNase test is positive, the foods must be tested for
enterotoxin because it is not known whether the
staphylococci that grew in the food were capable of
producing enterotoxin.
0008 Phage typing of the staphylococci isolated from the
food is done in order to aid in the identification of the
source of contamination. Any staphylococci isolated
from an individual who handled food that was
implicated in a food-poisoning outbreak should be
phage-typed. If the isolates from the food and the
individual have the same phage pattern, it can be
concluded that the individual was the source of the
contamination. (See Food Poisoning: Tracing Origins
and Testing.)
Detection of the Enterotoxins
0009 All of the methods for the detection of the enterotox-
ins are based on the use of specific antibodies to the
enterotoxins. Detection of the enterotoxins is compli-
cated by the fact that seven enterotoxins have been
identified – enterotoxins A (SEA), B (SEB), C
1
(SEC
1
),
C
2
(SEC
2
), C
3
(SEC
3
), D (SED), and E (SEE). Five
specific antibodies are needed for their analysis; the
SECs can be detected by one antibody. Unidentified
enterotoxins do exist, but their involvement in food
poisoning is minor. Antibodies prepared in animals
such as rabbits are polyclonal and react with entero-
toxins in gels to give precipitin reactions. Monoclonal
antibodies cannot be used in gels because their reac-
tions with the enterotoxins do not result in the forma-
tion of precipitates.
0010 The detection of enterotoxin in foods requires
methods that are much more sensitive than those
required for determination of the enterotoxigenicity
of strains. The quantity of enterotoxin present in
foods involved in food-poisoning outbreaks may
vary considerably, from less than 1 ng g
1
to greater
than 50 ng g
1
. Usually, little difficulty is encountered
in detecting the enterotoxin in foods involved in
staphylococcal food-poisoning outbreaks. However,
outbreaks do occur in which the amount of entero-
toxin is less than 1 ng per gram of food. In such cases,
the enterotoxin can only be detected by the most
sensitive methods. Another situation in which it is
essential to use a very sensitive method is in determin-
ing the safety of a food for consumption.
Gel Diffusion Methods
0011 Many types of gel reactions have been used in the
detection of the enterotoxins; the most common ones
are some form of either the Ouchterlony gel plate or
the microslide (Figure 1). These methods have been
used widely in the determination of the enterotoxi-
genicity of staphylococcal strains. The modification
of the Ouchterlony gel plate test that is used in the
Food Research Institute, University of Wisconsin, and
recommended to others is the optimum sensitivity
plate (OSP) method (Figure 2). It is easy to use and,
in conjunction with production of the enterotoxins by
the membrane-over-agar method (Figure 3) or the sac
culture method, is of adequate sensitivity to detect
most enterotoxigenic staphylococci. In the sac culture
method, the medium is inside a dialysis sac that is
placed in an Erlenmeyer flask with the inoculum in
buffer outside the bag; incubation is with shaking.
The normal sensitivity of the OSP method is 0.5 mg
ml
1
, but can be increased to 0.1 mgml
1
by a fivefold
concentration of the staphylococcal culture super-
natant fluids. The microslide is used by some investi-
gators, but care is needed in preparing the slides; even
so, the results are often difficult to interpret. Experi-
ence is important in achieving its maximum sensitiv-
ity (50–100 ng ml
1
), but even with experience many
individuals are unable to achieve this sensitivity.
0012The original methods for the detection of entero-
toxin in foods employed the microslide as the test
method for detection of the enterotoxins. These
methods required the use of 100 g of food and extrac-
tion and concentration procedures to reduce the ex-
tract to 0.1–0.2 ml. These were cumbersome and
time-consuming procedures which have been out-
dated by more sensitive methods for the detection of
the enterotoxin in the extracts. The US Food and
Drug Administration personnel still use the original
method developed in 1965 and consider it the official
method for the detection of enterotoxins in foods.
Sensitive Detection Methods
0013Development of sensitive methods for the detection of
proteins at less than 1 ng per milliliter of fluid greatly
simplified the detection of enterotoxins in foods.
Thus, it was possible to use a simple procedure for
extracting the enterotoxin from foods. The one used
in the Food Research Institute, University of Wiscon-
sin, is an example: (1) grind the food to a homoge-
neous slurry with 1–1.5 ml of fluid per gram of food;
(2) adjust the pH to 4.5 and centrifuge; (3) adjust the
supernatant fluid to pH 7.5 and centrifuge if neces-
sary; (4) extract with chloroform if fat interferes,
centrifuge, and filter. Use of simple extraction proced-
ures not only greatly shortens the time required to
prepare the sample for enterotoxin detection (from
2–3daysto1–2 h), but also improves the recovery of
the enterotoxin from the food. This is particularly
important in cases where very low amounts of enter-
otoxin (1ngg
1
) are present. In these cases one can
5552
STAPHYLOCOCCUS
/Detection