Etiological study on an outbreak caused by enterotoxin A, B, D and E producing Staphylococcus aureus
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(Ningbo Center for Disease Control and Prevention,Zhejiang Ningbo 315010,China)

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    Abstract:

    To detect staphylococcal enterotoxins (SEs) in combination with Staphylococcus aureus (S.aureus) in an investigation of a suspected staphylococcal food poisoning (SFP) event.Methods According to epidemiological investigation, SEs were detected in the suspected food using ELISA and strains from food and patients' vomits were isolated. The presumptive isolates were identified using Vitek2 Compact and coagulase test. The identified isolates were further analyzed for the excretion of SEs and the typing of SE genes using ELISA and PCR. Pulsed-field gel electrophoresis (PFGE) was conducted for clustering analysis of the identified isolates. Results 2 and 11 S.aureus isolates were recovered from food and patients, respectively. The results of PCR and ELISA assay showed that 12 out of 13 isolates harbored enterotoxin genes of SEA, SEB, SED, SEE and expressed them simultaneously. PFGE results suggested 12 enterotoxigenic S.aureus isolates were highly homologous. Conclusion The SFP incident discussed here was caused by a S.aureus strain with unique enterotoxin phenotype. During laboratory investigation of SFP incidents, SEs detection combined with pathogen source analysis could provide reliable scientific information for such public health events.

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YE Shuo, YANG Yuan-bin, SHEN Xuan-yi, ZHANG Dan-yang, SONG Qi-fa. Etiological study on an outbreak caused by enterotoxin A, B, D and E producing Staphylococcus aureus[J].中国食品卫生杂志,2016,28(3):301-305.

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History
  • Received:January 13,2016
  • Revised:
  • Adopted:
  • Online: June 02,2016
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