Mushroom Biology and Mushroom Products. Sánchez et al. (eds). 2002 UAEM. ISBN 968-878-105-3 IMPROPER POSTHARVEST HANDLING PRACTICES MAY INCREASE THE RISK OF STAPHYLOCOCCAL ENTEROTOXIN PRODUCTION IN FRESH AND BLANCHED MUSHROOMS P. A. Cheplick and R. B. Beelman 116 D, Borland Laboratory, Department of Food Science The Pennsylvania State UniversityUniversity Park, Pennsylvania 16802, U.S.A. <rbb6@psu.edu> ABSTRACT Several food poisoning outbreaks in the U. S. linked to the consumption of canned mushrooms from the People’s Republic of China (PRC) have prompted studies to examine potential causes of this problem. It was shown that the presence of staphylococcal enterotoxin (SE) in mushrooms from China was responsible for the outbreaks and was most likely present in the mushrooms before thermal processing. Two potential scenarios that could permit growth of Staphylococcus aureus to sufficient populations to produce SE prior to canning were examined: time/temperature abuse of fresh mushrooms during transport to the processing plant, and time/temperature abuse of blanched mushrooms in the processing plant prior to thermal processing. Fresh mushrooms were inoculated with enterotoxigenic type A S. aureus 743 and stored under time/temperature abuse conditions (35ºC and 40ºC for 24 hr.) and subsequently analyzed for growth of natural microflora and S. aureus as well as the formation of SE. Enterotoxin was detected by the mini VIDAS fluorescent immunoassay system and SE concentration was estimated by employing a standard curve generated using purified enterotoxin. Blanched mushrooms, held in water at 95ºC for 5 min. and cooled to 20ºC in tap water, were also examined in a similar manner. Time/temperature abuse of fresh mushrooms permitted sufficient growth of S. aureus to allow production of SE in less than 24 hours. More rapid growth and SE production was observed earlier (12 vs. 16 hours) at 40º C than at 35º C, respectively. Growth and SE production occurred more rapidly in blanched mushrooms. SE was detected in 8 and 9 hours at 40º C and 35ºC, respectively. Although higher S. aureus populations and enterotoxin concentrations were found in blanched mushrooms, higher temperature (40ºC) had more of a stimulatory effect on enterotoxin production in fresh mushrooms than in blanched mushrooms. These results indicate that time/ temperature abuse of either fresh or blanched mushrooms contaminated with S. aureus can permit sufficient bacterial growth to produce SE and cause food poisoning from consumption of fresh or canned products. INTRODUCTION Canned mushrooms imported from the People’s Republic of China (PRC) were implicated in several food poisoning outbreaks in 1989. The outbreaks occurred primarily in food-service establishments that were using the mushrooms from #10 (68oz) cans as toppings or condiments for main items (CDC 1989). The cause of the outbreaks was determined to be the presence of staphylococcal enterotoxin (SE) in the product. As a result, the United States Food and Drug Administration issued a mandatory hold on all imported canned mushroom products from the PRC. Prior to the outbreaks and subsequent FDA action against the PRC, the United States had imported about 50 million pounds of mushrooms annually (Levine et al. 1996). These outbreaks were significant because they were the first major outbreaks of staphylococcal food poisoning in the United States directly related to a canned food product (Beelman 1990, Hardt-English 1990). Since then, several studies have focused on the causative factors involved in these outbreaks (Martin and 345 Beelman 1996, Brunner and Wong 1992), however many questions remain to be answered in order to fully understand this potential problem. Staphylococcal enterotoxin is a proteinaceous toxin produced by the bacteria, Staphylococcus aureus, and is responsible for the physiological effects of staphylococcal food poisoning. Staphylococcal food poisoning is characterized by severe cramps, abdominal pain, nausea, diarrhea, and vomiting. Infants, the elderly, and those with compromised immune systems are primarily affected (Genigeorgis 1989). The enterotoxin is produced by the organism once a cell concentration of at least 106 CFU/g food is present, which normally requires growth of the organism in a food prior to thermal processing. While examining potential scenarios that would have lead to staphylococcal contamination of the mushrooms in the PRC, Martin and Beelman (1996) demonstrated that growth of S. aureus and SE production could occur in fresh mushrooms in as few as 18 hours. Additionally, the enterotoxin has been shown to be extremely heat stable, enough so that it can survive a typical thermal process for canned foods (Anderson et al. 1996). Therefore, current knowledge indicates that if S. aureus grows to sufficient populations to produce SE before thermal processing, the potential exists for staphylococcal intoxication from canned mushrooms. The goal of this study was to model the potential abusive handling and storage conditions that fresh and blanched mushrooms may have been exposed to in the PRC, thereby resulting in food poisoning outbreaks in the United States. In addition, the parameters used in previous studies (Martin and Beelman 1996) were expanded upon to provide a more complete understanding of the relationship time and temperature has in regard to S. aureus growth and SE production. Several potential scenarios that could permit growth of S. aureus to sufficient populations to produce SE prior to canning were examined: 1) time/temperature abuse of fresh mushrooms during transport to the processing plant, and 2) time/temperature abuse of blanched mushrooms in the processing plant prior to thermal processing. The goal of this study was to provide the domestic mushroom and mushroom-product industry with detailed information in regard to safe handling and processing of their products in order to reduce the risk of staphylococcal food poisoning. MATERIALS AND METHODS Staphylococcus aureus Culture Staphylococcus aureus 743 (isolated from a food poisoning outbreak) was grown in Brain Heart Infusion broth (BHI) at 37C to a final concentration of approx. 2 x 109 CFU/ml. This strain produces staphylococcal enterotoxin Type A (SEA), which is the enterotoxin serotype most commonly associated with food poisoning. Mushrooms All mushrooms used in this study were a hybrid off-white (U-1) strain of Agaricus bisporus and were obtained from a University-operated mushroom growing facility. In all cases, the mushrooms were stored for approx. 24 hr in 4C immediately after harvesting, prior to inoculation and storage. Inoculation of Fresh Mushrooms An overnight culture of Staphylococcus aureus 743 was inoculated onto fresh mushrooms using a stock suspension at approximately 2 x 105 CFU/ml. To obtain the desired concentration of cells on each mushroom, a 10µl disposable loop was used to spread the diluted stock suspension over the cap of each mushroom. The mushrooms were then transferred aseptically into 8-oz polystyrene tills 346 which were subsequently overwrapped with a commercial plasticized polyvinyl chloride (PVC) film. Upon being overwrapped, two, 2-mm holes were made in the film at opposite corners to prevent development of an anaerobic environment within the till. Uninoculated, control mushrooms were prepared in the same manner, and all tills were then incubated at the appropriate temperature. Inoculation of Blanched Mushrooms Mushroom stipes were trimmed to within 5mm of the cap and an appropriate amount was then blanched by submersion in boiling water for 5 min. Immediately following blanching, the mushrooms were transferred to one of two cooling water buckets and held for 24hr at 4C. The cooling water contained either sterile water (control) or water inoculated with S. aureus 743 at a final cell concentration of ~ 104 CFU/g mushroom. Mushrooms were then transferred to sterile storage containers, covered with aluminum foil, and placed into the appropriate incubator. Sampling of Mushrooms Fresh and blanched mushrooms that were held at 35C were sampled every 6 hr while mushrooms held at 40C were sampled every 4 hr. At the appropriate time interval, one control and one inoculated till of fresh mushrooms was removed from the incubator and used to enumerate S. aureus cells and background microflora. The mushrooms were transferred into sterile blender jars to which an equal weight of sterile 0.25M TRIS buffer (pH 8) was added (TRIS: Fisher Biotech, Fair Lawn, NJ). The mushrooms were then blended for 2 min using a Waring blender and appropriate serial dilutions were made using 0.1% peptone dilution blanks. Following dilution, 0.1ml of each dilution was spread plated in duplicate onto Tryptic Soy agar and Baird-Parker agar for the enumeration of background microflora and S. aureus, respectively. The plates were incubated at 35C for 48 hr prior to counting. An aliquot of each mushroom blend was set aside for use in determining the presence of SE. Detection of Staphylococcal Enterotoxin After the bacterial enumeration procedures of the mushrooms were completed, 100g samples of the mushroom blend was carefully transferred to sterile centrifuge bottles and centrifuged for 20 min / 4C / 10,000g. It was assumed that if any staphylococcal enterotoxin was present in the sample blend, it was present in the supernatant. A 2ml aliquot of the supernatant was removed and stored in cryogenic Nalgene tubes at -70C until needed for further analysis. Similarly, 2ml aliquots of the BHI broth samples were removed and stored, however the broth cultures were not centrifuged prior to this removal. The miniVIDAS (bioMerieux Vitek, Inc., Hazelwood, MI) system was used to detect for staphylococcal enterotoxin in samples. This system is a diagnostic assay system which is used to perform an automated qualitative enzyme-linked fluorescent immunoassay for the detection of staphylococcal enterotoxins in food ingredients and products. The intensity of fluorescence is related to the amount of SE present in a sample, and is printed as a Test Value (TV) after analysis by the system’s on-board computer. Any TV < 0.13 was interpreted as a negative sample while any sample with a TV 0.13 was considered positive for staphylococcal enterotoxin. Final SE concentrations were estimated using a standard curve generated using highly purified (96%) staphylococcal enterotoxin A and plotting TV versus known SE concentrations (data not shown). 347 Statistical Analysis All statistical analysis was performed using StatView Version 4.5 (Brainpower, Inc., Berkeley, CA). ANOVA tables and Fisher’s Protected Mean Separation procedure were used to determine significant differences between temperatures and other treatments in regard to S. aureus growth and enterotoxin production. Additionally, StatView was used to calculate standard error of the mean which was used as the basis for Y-error bars found in the graphs of the results section. RESULTS AND DISCUSSION Fresh Mushrooms When fresh mushrooms were inoculated with S. aureus and held at 35C and 40C, rapid growth and enterotoxin production occurred (Figure 1). Fresh mushrooms stored at 40C allowed increased growth, and much more rapid and extensive production of enterotoxin than at 35C. SE was detected earlier at 12 hours at 40C, as compared to 16 hours at 35C (Figure 1). By 24 hours of storage, the difference in SE production was highly significant and considerably more dramatic than the difference in growth (Figure 1B). Holding temperatures of 40C could easily occur under Chinese processing conditions where refrigeration is lacking and mushrooms are often transported long distances from farms to canning factories. Hence, the results of this experiment present a realistic scenario of how SE could be present in mushrooms canned in China. In addition it is likely they could cause staphylococcal food poisoning, since it is now known that thermal processing does not destroy SE (Anderson et al. 1996). Martin and Beelman (1996) previously demonstrated that growth of S. aureus and SE production in fresh mushrooms could occur within 18 hours at 35C. However, they did not evaluate higher temperatures on growth and SE production of S. aureus and they did not quantitate enterotoxin produced. Interestingly, Martin and Beelman (1996) found that growth of the natural microflora in fresh mushrooms was suppressed when stored at 35C compared to 25C and 30C. They suggested that this suppression might have been responsible for the more rapid growth of S. aureus at 35C. Hence, it was assumed that the natural microflora would be suppressed even more in this study when mushrooms were stored at 40C and this might allow more rapid growth of S. aureus. However this was not observed; the rate of natural microflora growth was similar at both 35C and 40C (Figure 2). In the present study, the initial natural microflora populations on the fresh mushrooms were approximately 106 CFU/g and populations increased slowly and at the same rate over the 24 hr incubation period at both temperatures. Although not identified in this work, the majority of the background microflora were most likely fluorescent Pseudomonas spp. Fluorescent Pseudomonas spp. are the most prevalent microbes native to fresh mushrooms (Doores et al. 1986). Blanched Mushrooms Results indicated that rapid growth of S. aureus and subsequent SE production occurred within 24 hr when blanched mushrooms were stored at 35C and 40C. SE was detected as soon as 8 hr after incubation at 40C and as soon as 9 hr at 35C (Figure 3). These temperatures were used to simulate abusive conditions blanched mushrooms may have been subjected to at Chinese mushroom processing facilities prior to thermal processing. Although blanched mushrooms held at both 35C and 40C permitted rapid growth and SE production, there were no significant differences between temperatures in regard to these parameters. The rapid growth and SE production was most likely caused by the absence of competing microflora due to the blanching process. 348 Comparing Growth and SE Production in Fresh vs. Blanched Mushrooms Stored at Elevated Temperatures At 35ºC, SE was detected earlier, 9 vs. 16 hr, in blanched mushrooms compared to fresh mushrooms. The amount of enterotoxin produced by S. aureus in blanched mushrooms after 24 hr of storage was significantly greater at 175.07 ng/ml, compared to 18.67 ng/ml in fresh mushrooms. Similar results were observed at 40ºC. Significantly more rapid growth and SE production occurred in blanched mushrooms compared to fresh mushrooms (Figure 5). SE was again detected earlier in blanched mushrooms as compared to fresh mushrooms (8 vs. 12 hr, respectively). The production of increased amounts of SE occurred over the 24 hr storage period although the difference between fresh and blanched mushrooms was not as dramatic as that found at 35ºC. This was likely caused by the significant increase in SE production that occurred in fresh mushrooms held at 40ºC rather than a decrease in SE production in blanched mushrooms. Blanched mushrooms appear to provide a better environment for growth of S. aureus due to disruption of the cell membranes within the mushroom tissue during the blanching process that releases nutrients to become available for bacterial growth. Additionally, in blanched mushrooms, there is less competitive inhibition of the S. aureus by other microorganisms, as found in fresh mushrooms. Also, the blanched mushrooms have more moisture on their surface, aiding in the growth of S. aureus. CONCLUSIONS These experiments demonstrate that rapid growth of S. aureus and higher enterotoxin concentrations were produced in blanched mushrooms compared to fresh mushrooms held under the same time/temperature abusive conditions. Higher temperature (40ºC) had a stimulatory effect on enterotoxin production in fresh mushrooms than in blanched mushrooms. Potential contamination with S. aureus, probably occurs during harvest and handling of fresh mushrooms. If abusive storage temperatures are encountered during transport and storage of fresh mushrooms, the risk for occurrence of SE production would be increased. This could have important food safety implications where proper refrigeration and handling could be compromised. Due to insufficient refrigeration and large distances between harvesting and processing areas, the abusive conditions examined in this study may have occurred in China at several points during the mushroom processing schedule. Results from this study demonstrate that these abusive conditions permit and sometimes enhance growth and SE production by S. aureus in mushrooms. These situations may have been responsible for the outbreaks of staphylococcal food poisoning due to canned mushrooms in the United States in 1989. Control of both processing time and storage temperature has been shown to be critical in ensuring safe, unadulterated product. These results should also serve as a guide for mushrooms producers to ensure the processing and delivery of safe products to consumers. 349 log CFU/g mushroom 10 A. * 8 * * 6 * 35 deg.C 4 40 deg.C 2 0 4 8 12 16 20 24 Time (hr) 150 B. 125 * Toxin (ng/ml) 100 75 50 25 * 0 0 4 8 12 Time (hr) 16 20 24 Figure 1. Growth of Staphylococcus aureus 743 (A) and enterotoxin production (B) in fresh mushrooms at 35ºC and 40ºC. Data points represent the mean of three replicate experiments and error bars represent standard error of the mean. Means followed by an asterisk (*) are significantly different (p < 0.05). Arrows (A) and where curves cross dashed line (B) represent time at which samples were positive for SE. 350 log CFU/g mushroom 10 8 6 35 deg.C 40 deg.C 4 0 4 8 12 16 20 24 Time (hr) Figure 2. Growth of natural microflora on fresh mushrooms held at 35ºC and 40ºC. Data points represent the mean of three replicate experiments and error bars represent standard error of the mean. Means followed by an asterisk (*) are significantly different (p < 0.05). 351 10 A. * * log CFU/g mushroom 8 6 35 deg.C 40 deg.C 4 * * 2 0 4 8 12 16 20 24 16 20 24 Time (hr) 200 B. 175 Toxin (ng/ml) 150 125 100 75 50 25 0 0 4 8 12 Time (hr) Figure 3. Growth of Staphylococcus aureus 743 (A) and enterotoxin production (B) in blanched mushrooms at 35ºC and 40ºC. Data points represent the mean of three replicate experiments and error bars represent standard error of the mean. Means followed by an asterisk (*) are significantly different (p < 0.05). Arrows (A) and where curves cross dashed line (B) represent time at which samples were positive for SE. 352 10 A. * log CFU/g mushroom 8 * * 6 * 4 Blanched Fresh 2 0 0 4 8 12 16 20 24 Time (hr) 200 B. 175 * Toxin (ng/ml) 150 125 100 75 50 25 * 0 0 4 8 12 16 20 24 Time (hr) Figure 4. Growth of Staphylococcus. aureus 743 (A) and enterotoxin production (B) in fresh and blanched mushrooms at 35ºC. Data points represent the mean of three replicate experiments and error bars represent standard error of the mean. Means followed by an asterisk (*) are significantly different (p < 0.05). Arrows (A) and where curves cross dashed line (B) represent time at which samples were positive for SE. 353 10 A. * * log CFU/g mushroom 8 * 6 * 4 Blanched Fresh 2 0 0 4 8 12 16 20 24 16 20 24 Time (hr) 200 B. 175 Toxin (ng/ml) 150 125 * 100 75 50 25 * 0 0 4 8 12 Time (hr) Figure 5. Growth of Staphylococcus aureus 743 (A) and enterotoxin production (B) in fresh and blanched mushrooms at 40ºC. Data points represent the mean of three replicate experiments and error bars represent standard error of the mean. Means followed by an asterisk (*) are significantly different (p < 0.05). 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