PREVALENCE OF Staphylococcus spp. IN FRESH MEAT IN KHARTOUM STATE By Arafat Mohammed Goja B.Sc. (Honors) 2000 Faculty of Natural Resources and Environmental Studies, University of Kordofan, Elobeid, Sudan. A thesis submitted in partial fulfillment of the requirements of the degree of M.Sc. in Food Science and Technology Supervisor: Prof. Hamid Ahmed Dirar Department of Food Science and Technology Faculty of Agriculture, University of Khartoum 2004 1 DEDICATION TO MY FAMILY TO MY FRIENDS AND COLLEAGUES TO MY SUPERVISOR I DEDICATE THIS WORK WITH MY DEEP LOVE ARAFAT 2 ACKNOWLEDGEMENTS FIRST I THANK ALLAH, WHO GAVE ME THE ABILITY TO COMPLETE THIS WORK. MY DEEP THANKS GO TO MY SUPERVISIOR PROFESSOR HAMID AHMED DIRAR, FOR HIS GUIDAANCE, ADVICE, ENCOURAGEMENT AND HELP. I WOULD LIKE TO THANK ALL THE TECHNICAL STAFF MEMBERS OF THE DEPT. OF MICROBIOLOGY, FACULTY OF VETERINARY MEDCINE, ESPECIALY A/ALLAH, MONA, FAWZIA, A/AZIZ AND HASHIM FOR HELP. I DEEPLY THANK MY FRIENDS, ALI KARAR AND TAGELDIEN FOR THEIR GREAT HELP. MY THANKS ALSO EXTEND TO MY COLLEAGUES IN THE FACULTY OF AGRICULTURE AND NATURAL RESOUCES- UNIVERSITY OF BAKHT-ERUDA. 3 ABSTARACT THE PRESENT WORK WAS DONE TO KNOW THE TOTAL VIABLE COUNT OF STAPHYLOCOCCUS AND TO IDENTIFY SPP.PRESENT IN FRESH MEAT. STAPHYLOCOCCUS STAPH. COUNT RANGED FROM 3.23×103 TO 8.7 ×103 AND TOTAL VIABLE COUNT RANGED FROM 4.78 × 104 TO 3.39 × 105 CFU/G. IN THIS STUDY, 58 STAPH. ISOLATES WERE MADE FROM 40 SAMPLES OF FRESH BEEF COLLECTED FROM DIFFERENT MARKETS IN KHARTOUM STATE.THEY BELONGED TO STAPHYLOCOCCUS. THE ISOLATES 19 SPECIES OF THE GENUS SPECIES WERE GROUPED AS FOLLOWS: * COAGULASE- POSITIVE SPECIES, WAS STAPHYLOCOCCUS AUREUS * COAGULASE-NEGATIVE SPECIES ISOLATES, STAPH. LUGDUNENSIS, STAPH. EPIDERMIDIS, STAPH. WARNERI, STAPH. CHROMOGENES, STAPH. (NOVOBIOCIN-SENSITIVE): CASEOLYTICUS, STAPH. HAEMOLYTICUS, TEN STAPH. CAPITIS, STAPH. FELIS, STAPH. CAPITIS SSP. UREALYTICUS AND STAPH. HYCIUS. * COAGULASE-NEGATIVE EIGHT ISOLATES, STAPH. KLOOSII, STAPH. LENTUS, (NOVOBIOCIN-RESISTANT): SPECIES SAPROPHYTICUS, STAPH. COHNI, STAPH. STAPH. XYLOSUS, STAPH. SCIURI, STAPH. GALLINARUM AND STAPH. COHNI SSP. UREALYTICUS. THE FREQUENCY KHARTOUM STATE FOLLOWED BY AMONG OF ISOLATION WAS HIGHER IN BAHRI CITY (31%) OF IN OMDURMAN CITY (39.7 %) AND KHARTOUM CITY (29.3%). THESE ISOLATES OF STAPHYLOCOCCI, 4 STAPHYLOCOCCI STAPH. EPIDERMIDIS, STAPH. AUREUS , STAPH. CASEOLYTICUS AND WERE THE MOST ABUNDANT ISOLATES. 5 STAPH. SAPROPHYTICUS ﻣﻠﺨﺺ اﻷﻃﺮوﺣﺔ أﺟﺮﻳ ﺖ ه ﺬﻩ اﻟﺪراﺳ ﺔ ﻟﻤﻌﺮﻓ ﺔ اﻟﺤﻤ ﻞ اﻟﻤﻴﻜﺮوﺑ ﻲ ﻟﻠﺤ ﻮم اﻷﺑﻘ ﺎر اﻟﻄﺎزﺟ ﺔ ﺑﻮﻻﻳ ﺔ اﻟﺨﺮﻃﻮم وآﺬﻟﻚ ﻣﻌﺮﻓﺔ أﻧﻮاع وأﻋﺪاد ﻣﻴﻜﺮوﺑﺎت اﻟﺒﻜﺘﺮﻳﺎ اﻟﻌﻨﻘﻮدﻳﺔ. 5 وﺟﺪ أن ﻋﺪد اﻟﺘﻘﺪﻳﺮ اﻟﻜﻠﻰ ﻟﻠﻤﻜﺮوﺑﺎت ﻳﺘ ﺮاوح ﺑ ﻴﻦ 410 × 4.78إﻟ ﻰ 10× 3.39 ﺑﻴﻨﻤ ﺎ ﺑﻜﺘﺮﻳ ﺎ اﻟﻤﻜ ﻮرات اﻟﻌﻨﻘﻮدﻳ ﺔ ﺗﺘ ﺮاوح ﺑ ﻴﻦ 310× 3.23إﻟ ﻰ 310 × 8.7وﺣ ﺪة ﻣﻜﻮﻧ ﺔ ﻟﻠﻤﺴﺘﻌﻤﺮات ﺑﺎﻟﺠﺮام . ﺑﻠﻐ ﺖ ﺟﻤﻠ ﺔ اﻟﻌﻴﻨ ﺎت اﻟﺘ ﻲ ﺗ ﻢ اﺧﺘﻴﺎره ﺎ 40ﻋﻴﻨ ﺔ ،وﺗ ﻢ ﻋ ﺰل 58ﻋﺰﻟ ﺔ ﻣ ﻦ ﺑﻜﺘﺮﻳ ﺎ اﻟﻤﻜﻮرات اﻟﻌﻨﻘﻮدﻳﺔ ﻣﻦ ﻣﺠﻤﻮﻋﺎت اﻟﻌﻴﻨ ﺎت اﻟﺘ ﻲ ﺷ ﻤﻠﺘﻬﺎ اﻟﺪراﺳ ﺔ .وﺻ ﻨﻔﺖ ﺗﻠ ﻚ اﻟﻌ ﺰﻻت ﻋﺎ وﺗﻢ ﺗﻘﺴﻴﻤﻬﺎ إﻟﻰ ﻣﺠﻤﻮﻋﺎت آﻤﺎ ﻳﻠﻲ: إﻟﻰ 19ﻧﻮ ً ﻋ ﺎ واﺣ ًﺪا ﻓﻘ ﻂ ه ﻲ اﻟﻤﻜ ﻮرات اﻟﻤﺠﻤﻮﻋﺔ اﻟﻤﻮﺟﺒﺔ ﻻﺧﺘﺒﺎر ﺗﺨﺜ ﺮ اﻟﺒﻼزﻣ ﺎ وﺗ ﻀﻢ ﻧﻮ ً اﻟﻌﻨﻘﻮدﻳﺔ اﻟﺬهﺒﻴﺔ اﻟﻤﻤﺮﺿﺔ )(STAPHYLOCOCCUS AUREUS اﻟﻤﺠﻤﻮﻋ ﺔ اﻟ ﺴﺎﻟﺒﺔ ﻻﺧﺘﺒ ﺎر ﺗﺨﺜ ﺮ اﻟﺒﻼزﻣ ﺎ اﻟﺤ ﺴﺎﺳﺔ ﻻﺧﺘﺒ ﺎر اﻟﻨﻮﻓ ﻮ ﺑﺎﻳﻮﺳ ﻴﻦ وﺗ ﻀﻢ 10 أﻧﻮاع هﻲ: اﻟﻤﻜ ﻮرات اﻟﻌﻨﻘﻮدﻳ ﺔ اﻟﺒ ﺸﺮﻳﺔ ) ،(SAPH.EPIDRMIDISاﻟﻤﻜ ﻮرات اﻟﻌﻨﻘﻮدﻳ ﺔ اﻟﻤﺘﺠﺒﻨ ﺔ ) ، (STAPH.CASEOLYTICUSاﻟﻤﻜ )، (STAPH.LUGDUNENSISاﻟﻤﻜ ﻮرات اﻟﻌﻨﻘﻮدﻳ ﻮرات اﻟﻌﻨﻘﻮدﻳ ﺔ اﻟﻠﻘﺪوﻧ ﺴﻴﺔ ﺔ اﻟﻜﺮوﻣﻮﺟﻴﻨﻴ ﺔ ) ،(STAPH.CHROMOGENESاﻟﻤﻜ ﻮرات اﻟﻌﻨﻘﻮدﻳ ﺔ اﻟﺮأﺳ ﻴﺔ ) (STAPH.CAPITIS ،اﻟﻤﻜ ﻮرات اﻟﻌﻨﻘﻮدﻳ ﺔ اﻟﻘﻄﻴ ﺔ ) ،(STAPH.FELISاﻟﻤﻜ ﻮرات اﻟﻌﻨﻘﻮدﻳ ﺔ اﻟﻮرﻧﻴ ﺔ ) ،( STAPH.WARNERIاﻟﻤﻜ ﻮرات اﻟﻌﻨﻘﻮدﻳ ﺔ اﻟﻤﺤﻠﻠ ﺔ ﻟﻠ ﺪم ) ، ( STAPH.HAEMOLYTICUSاﻟﻤﻜﻮرات اﻟﻌﻨﻘﻮدﻳ ﺔ اﻟﺮأﺳ ﻴﺔ ﻣ ﺎ ﺗﺤ ﺖ اﻟ ﺴﻼﻟﺔ اﻟﺒﻮﻟﻴ ﺔ )SSP. UREALYTICUS ( STAPH.CAPITISو اﻟﻤﻜ ﻮرات اﻟﻌﻨﻘﻮدﻳ ﺔ اﻟﺤﻴ ﺴﻴﺔ ) (STAPH. HYCIUS 6 اﻟﻤﺠﻤﻮﻋﺔ اﻟﺴﺎﻟﺒﺔ ﻻﺧﺘﺒﺎر ﺗﺨﺜﺮ اﻟﺒﻼزﻣﺎ اﻟﻤﻘﺎوﻣﺔ ﻻﺧﺘﺒﺎر اﻟﻨﻮﻓ ﻮ ﺑﺎﻳﻮﺳ ﻴﻦ وﺗ ﻀﻢ 8اﻧﻮاع هﻰ : اﻟﻤﻜ ﻮرات اﻟﻌﻨﻘﻮدﻳ ﺔ اﻟ ﺴﺎﺑﺮو ﻓﻴﺘﻴ ﺔ ) ،( STAPH.SAPROPHYTICUSاﻟﻤﻜ ﻮرات اﻟﻌﻨﻘﻮدﻳ ﺔ اﻟﺰاﻳﻠﻮﺳ ﻴﺔ ) هﺎﺿ ﻤﺔ زﻳ ﺖ اﻟﺨ ﺸﺐ() ،( STAPH.XYLOSUSاﻟﻤﻜ ﻮرات اﻟﻌﻨﻘﻮدﻳ ﺔ اﻟﻜﻠ ﻮرات اﻟﻌﻨﻘﻮدﻳ ﺴﻴﺔ ) ،( STAPH.KLOOSIIاﻟﻤﻜ ﺔ اﻟﻌﺪﺳ ﻴﺔ ) ،( STAPH.LENTUSاﻟﻤﻜ ﻮرات اﻟﻌﻨﻘﻮدﻳ ﺔ اﻟﻜﻮﻧﻴ ﺔ) ،(STAPH.COHNIاﻟﻤﻜ ﻮرات اﻟﻌﻨﻘﻮدﻳ ﺔ اﻟ ﺴﻨﺠﺎﺑﻴﺔ ) ،( STAPH.SCIURIاﻟﻤﻜ ﻮرات اﻟﻌﻨﻘﻮدﻳ ﺔ اﻟﻘﺎﻟﻨﻴﺮﻳ ﺔ ) ( STAPH.GALINARUMواﻟﻤﻜ ﻮرات اﻟﻌﻨﻘﻮدﻳ ﺔ اﻟﻜﻮﻧﻴ ﺔ ﻣ ﺎ ﺗﺤ ﺖ اﻟ ﺴﻼﻟﺔ اﻟﺒﻮﻟﻴﺔ).( STAPH.COHNI SSP. UREALYTICUS آ ﺎن ﻣﻌ ﺪل ﻋ ﺰل ه ﺬﻩ اﻟﻤﻜ ﻮرات اﻟﻌﻨﻘﻮدﻳ ﺔ ﻋﺎﻟﻴ ًﺎ ﻓ ﻲ ﻣﺪﻳﻨ ﺔ ام درﻣ ﺎن ) ( 39.2% ﺗﻠﺘﻬﺎ ﻣﺪﻳﻨﺔ ﺑﺤﺮي ) (31%ﺛﻢ ﻣﺪﻳﻨﺔ اﻟﺨﺮﻃﻮم) . (29.3 %ﻣﻦ ﺑ ﻴﻦ أﻧ ﻮاع ه ﺬﻩ اﻟﻤﻜ ﻮرات اﻟﻌﻨﻘﻮدﻳﺔ اﻟﻤﻌﺰوﻟﺔ ،ﻇﻬ ﺮت اﻟﻤﻜ ﻮرات اﻟﻌﻨﻘﻮدﻳ ﺔ اﻟﺒ ﺸﺮﻳﺔ )،( STAPH.EPIDERMIDIS اﻟﻤﻜ ﻮرات اﻟﻌﻨﻘﻮدﻳ ﺔ اﻟﻤﻤﺮﺿ ﺔ ) ،( STAPH.AUREUSاﻟﻤﻜ ﻮرات اﻟﻌﻨﻘﻮدﻳ ﺔ اﻟﻤﺘﺠﺒﻨ ﺔ )، ( STAPH.CASEOLYTICUSاﻟﻤﻜ ﻮرات اﻟﻌﻨﻘﻮدﻳ ) ( STAPH.SAPROPHYTICUSﺑﻨﺴﺐ أآﺜﺮ ﻣﻦ ﻏﻴﺮهﺎ . 7 ﺔ اﻟ ﺴﺎﺑﺮو ﻓﻴﺘﻴ ﺔ LIST OF CONTENTS PAGE DEDICATION.......................................................................................................................... I ...... ACKNOWLEDGEMENT ............................................................................................................. II ABSTRACT ................................................................................................................................... III ARABIC ABSTRACT .................................................................................................................... IV LIST OF CONTENTS ................................................................................................................... VI LIST OF TABLES......................................................................................................................... IX LIST OF FIGURES ..................................................................................................................... X CHAPTER ONE: INTRODUCTION ................................................................. 1 CHAPTER TWO: LITERATURE REVIEW................................................. 3 2.1. THE GENUS STAPHYLOCOCCUS................................................................... 3 2.2. COAGULASE-POSITIVE STAPHYLOCOCCI...................................................................... 4 2.2.1. STAPHYLOCOCCUS AUREUS......................................................................................... 4 2.3. COAGULASE-NEGATIVE STAPHYLOCOCCI.................................................................... 5 2.3.1. STAPHYLOCOCCUS EPIDERMIDIS.............................................................................. 6 2.3.2 STAPHYLOCOCCUS 6 8 SAPROPHYTICUS.......................................................................... 2.3.3 STAPHYLOCOCCUS 7 CASEOLYTICUS.............................................................................. 2.4 STAPHYLOCOCCUS CHARACTERISTICS.................................................................... 2.4.1 MORPHOLOGICAL 7 CHARACTERISTICS............................................................................ 7 2-4-2 COLONIES PIGMENTATION.......................................................................................... 7 2-4-3 HAEMOLYSIS................................................................................................................ 8 2.5 MEAT CONTAMINATION..................................................................................................... 9 2.6 STAPHYLOCOCCAL FOOD POISONING............................................................................ 10 2.7 STAPHYLOCOCCAL TOXIN, ENZYMES AND 11 DISEASES................................................. 2.7.1 EXOTOXIN........................................................................................................................ 11 2.7.1.1 LEUKOCIDIN TOXIN.................................................................................................. 12 2.7.1.2 TOXIC SHOCK SYNDROME TOXIN 12 ......................................................................... 2.7.1.3 EXFOLIATIVE TOXIN................................................................................................... 12 2.7.2 ENTEROTOXIN.................................................................................................................. 9 13 2.7.3 COAGULASE 13 ENZYME................................................................................................... 2.8 SELECTIVE 14 MEDIA............................................................................................................ 2.8.1 BAIRD-PARKER 14 MEDIUM.......................................................................................... 2.8.2 MANNITOL SALT AGAR MEDIUM (M.S.A) 14 ........................................................... CHPTER THREE: MATERIALS AND METHODS……………………..…. 16 3.1. STERILIZATION.................................................................................................................... 16 3.1.1. HOT-AIR OVEN (160 – 170OC FOR ONE HOUR) 16 ................................................... 3.1.2. AUTOCLAVING (121ºC – 15IB./ SQUARE INCH) 16 .............................................. 3.1.3. IRRADIATION AND 16 DISINFECTION................................................................................. 3.2. COLLECTION OF BLOOD, PLASMA AND FIBRIN CLOTS FROM LABORATORY ANIMALS 16 ..................................................................................................................................... 3.3 PREPARATION OF MEDIA................................................................................................... 3.3.1. SOLID MEDIA ............................................................................................................... 17 3.3.1.1 NUTRIENT 17 AGAR........................................................................................................... 17 3.3.1.2 BLOOD AGAR MEDIUM (OXOID) 17 10 ........................................................................... 3.3.1.3 BAIRD-PARKER MEDIUM (OXOID) 18 ....................................................................... 3.3.1.4 MANNITAL SALT AGAR MEDIUM (OXOID) 18 ........................................................... 3.3.2 SEMISOLID MEDIA ....................................................................................................... 18 3.3.2.1 HUGH AND LEIFSON'S (O/F MEDIUM ) 18 ............................................................. 3.3.2.2 CHRISTENSEN'S UREA MEDIUM (OXOID) 19 ............................................................ 3.3.3 LIQUID MEDIA ............................................................................................................ 19 3.3.3.1 NUTRIENT BROTH (OXOID) ...................................................................................... 19 3.3.3.2 PEPTONE WATER (OXOID) ...................................................................................... 19 3.3.3.3 GLUCOSE PHOSPHATE MEDIUM........................................................................... 19 3.3.3.4 COOKED MEAT MEDIUM....................................................................................... 20 3.4 COLLECTION OF SAMPLES…………………………………………………………......... 3.5 MICROBIOLOGICAL 20 METHODS.......................................................................................... 20 3. 5.1 PRIMARY ISOLATION..................................................................................................... 20 3.5.2 PREPARING THE DILUTION............................................................................................. 11 21 3.5.3 PURIFICATION, IDENFIFICATION AND 21 PRESERVATION............................................... 3.6 BIOCHEMICAL METHODS ...................................................................................... 3.61 COAGULASE-TEST ................................................................................................ 21 3.6.1.1 SLIDE COAGULASE 21 TEST.............................................................................................. 21 3.6.1.2 TUBE COAGELASE TEST.............................................................................................. 22 3.6.2 CATALASE TEST............................................................................................................... 22 3.6.3 OXIDASE TEST................................................................................................................. 22 3.6.4 UREA TEST....................................................................................................................... 22 3.6.5 V P TEST (VOGES–PROSKAUER TEST) 22 ....................................................................... 3.6.6 SUGAR FERMENTATION................................................................................................... 23 3.6.7 NOVOBIOCIN SENSITIVITY TEST.................................................................................. 23 CHAPTER FOUR: RESULTS AND DISCUSSION................................... 24 CHAPTER FIVE: CONCLUSION AND RECOMMENDATION …... 42 REFERENCES................................................................................................................... 45 APPENDIX.......................................................................................................................... 53 12 LIST OF TABLES TITLE PAGE NO. TABLE (1) TOTAL VIABLE COUNT AND STAPHYLOCOCCUS COUNT OF FRESH BEEF COLLECTED FROM KHARTOUM STATE............................................................ 25 TABLE (2) SOURCE AND PREVALENCE OF ISOLATED OF STAPHYLOCOCCI FROM FRESH BEEF SAMPLES COLLECTED FROM KHARTOUM STATE................................... 26 TABLE (3) THE PERCENTAGE OF INDIVIDUAL STAPHYLOCOCCUS SPP. TO THE TOTAL NO. OF ISOLATES.................................................................................................. 26 TABLE (4): COAGULASE-POSITIVE AND COAGULASE-NEGATIVE STAPHYLOCCUS SPECIES ISOLATED FROM FRESH BEEF SAMPLES COLLECTED KHARTOUM FROM STATE............................................................................................... 28 TABLE (5) STAPHYLOCOCCUS SPP. ISOLATED FROM FRESH BEEF IN KHARTOUM CITY.......................................................................................................... 31 TABLE (6) STAPHYLOCOCCUS SPP. ISOLATED FROM FRESH BEEF IN BAHRI CITY................................................................................................................................ 33 .. TABLE (7) STAPHYLOCOCCUS SPP. ISOLATION FROM FRESH BEEF IN OMDURMAN CITY........................................................................................................ 34 TABLE (8) PREVALENCE OF STAPHYLOCOCCI IN KHARTOUM, BAHRI AND OMDURMAN................................................................................................................ 13 38 .. TABLE (9) PERCENTAGE OF STAPHYLOCOCCUS SPP. ISOLATED FROM FRESH BEEF COLLECTED FROM KHARTOUM STATE............................................................... 39 TABLE (10) % ISOLATES OF STAPH. EPIDERMIDIS, STAPH. AUREUS, STAPH. CASEOLYTICUS AND STAPH. SAPROPHYTICUS FROM FRESH BEEF COLLECTED FROM KHARTOUM, BAHRI AND OMDURMAN.................................................... 40 14 LIST OF FIGURES FIG. TITLE NO . 1. COLONIES OF STAPH. EPIDERMIDIS ON MANNITOL SALT AGAR MEDIUM. 2. 29 COLONIES OF STAPH. EPIDERMIDIS ON BAIRD-PARKER 29 MEDIUM. ................ 3. COLONIES OF STAPH. AURES ON MANNITOL SALT AGAR 29 MEDIUM.................... 4. COLONIES OF STAPH. AURES ON BAIRD-PARKER MEDIUM. 29 ............................. 5. NOVOBIOCIN RESISTANCE OF STAPH. SAPROPHYTICUS. 36 ................................... 6. NOVOBIOCIN SENSITIVITY OF STAPH. EPIDERMIDIS. 36 ....................................... 7. ß-HEMOLYSIS OF STAPH. AUREUS. ....................................................................... 8. Α-HEMOLYSIS OF STAPH. LUGDUNENSIS. 36 .......................................................... 9. 36 COLONIES OF STAPH. SAPROPHYTICUS ON MANNITOL SALT AGAR. ................. 41 15 10. COLONIES OF STAPH. CASEOLYTICUS ON MANNITOL SALT 41 AGAR MEDIUM 11. SUGAR TEST. RIGHT, A POSITIVE TEST. MIDDLE, A NEGATIVE TEST. LEFT, IS A CONTROL. ................................................................................................................ 12. UREASE TEST. RIGHT, A NEGATIVE TEST. LEFT, A POSITIVE TEST...................... 13. 41 PREVALENCE OF STAPHYLOCOCCI SPP. IN KHARTOUM STATE........................... 14. 55 STAPHYLOCOCCUS SPP. ISOLATED FROM FRESH BEEF IN KHARTOUM CITY 15. 55 STAPHYLOCOCCUS SPP. ISOLATED FROM FRESH BEEF IN BAHRI CITY.............. 16. 56 STAPHYLOCOCCUS SPP. ISOLATED FROM FRESH BEEF IN 56 OMDURMAN CITY 17. 41 PREVALENCE OF THE MOST ABUNDANT OF STAPHYLOCOCCI SPP. IN KHARTOUM STATE....................................................................................................... 16 57 CHAPTER ONE INTRODUCTION FOODS ARE SUBJECT TO ATTACK BY MICROORGANISM IN A VARIETY OF WAYS, AND SUCH ATTACK IS USUALLY HARMFUL TO THE FOOD. THE PHYSICAL AND CHEMICAL CHARACTERISTICS OF THE FOOD DETERMINE ITS DEGREE OF SUSCEPTIBILITY TO MICROBIAL ATTACK, THE KIND OF MICROORGANISM THAT WILL INFECT IT, AND KIND OF SPOILAGE THAT WILL RESULT (1). MEAT IS A MAJOR CONSTITUENT OF THE HUMAN DIET IN SUDAN. IT IS AN ESSENTIAL FOOD ITEM AND ONE OF THE MAIN SOURCES OF PROTEIN, FATS, MINERALS AND VITAMINS. BEING A GOOD MATERIAL FOR BACTERIAL GROWTH, ITS QUALITY DEPENDS ON THE INITIAL CONTAMINATION CAUSES BACTERIAL CONTAMINATION. THIS MEAT DETERIORATION, LOWERS QUALITY, AND SOMETIMES ILLNESS MAY BE CAUSED BY BACTERIAL PATHOGENS OR THEIR TOXINS THROUGH MEAT AND MEAT PRODUCTS. IN SUDAN, THERE ARE STUDIES ON THE GENERA OF AEROBIC BACTERIA IN FRESH MEAT (2,3). BACILLUS SPP., MICROCOCCUS SPP., STAPHYLOCOCCUS SPP., PSEUDOMONUS SPP., ACINETOBACTER 17 SPP. AND PROTEUS SPP. WERE ISOLATED FROM BEEF . BUT ADDITIONAL RESEARCH IS NEEDED TO KNOW THE SPECIES OF EACH SPECIFIC GENUS. THE PRESENT WORK WAS DONE TO KNOW THE STAPHYLOCOCCUS SPP. PRESENT IN FRESH MEAT. STAPHYLOCOCCUS EXISTS IN AIR, DUST, SEWAGE, WATER, MILK, FOOD OR FOOD EQUIPMENT, ENVIRONMENTAL SURFACE, HUMANS AND ANIMALS; SOME OF USEFUL IN STAPHYLOCOCCUS AGRICULTURAL ARE SAPROPHYTIC AND MAY BE PROCESSES BECAUSE OF THEIR FERMENTATIVE ACTIVITY, AND OTHERS ARE PATHOGENIC TO HUMAN BEINGS AND ANIMALS (4; 5). THE OBJECTIVE OF THIS STUDY WAS TO: - KNOW MICROBIAL LOAD OF FRESH MEAT. - IDENTIFY STAPHYLOCOCCI PRESENT IN FRESH MEAT. - INVESTIGATE THE PRESENCE OF STAPHYLOCOCCAL PATHOGENS THAT MAY CONSTITUTE A PUBLIC HEALTH HAZARD FROM CONSUMPTION OF MEAT. 18 CHAPTER TWO LITERATURE REVIEW 2.1. THE GENUS STAPHYLOCOCCUS STAPHYLOCOCCUS WAS SEEN IN PUS BY KOCK IN 1878 AND WAS CULTIVATED BY PASTEUR IN 1880 AND SHOWN BY OGSTON IN 1881 (6). THE NAME STAPHYLOCOCCUS IS DERIVED FROM THE GREEK TERM STAPHYLE, MEANING "A BUNCH OF GRAPES". THIS NAME REFERS TO THE FACT THAT THE CELLS OF THESE GRAM-POSITIVE COCCI GROW IN A PATTERN RESEMBLING A CLUSTER OF GRAPES (7). STAPHYLOCOCCI ARE GRAM-POSITIVE COCCI (0.5 TO 1.5 µM DIAMETER) THAT OCCUR SINGLY AND IN PAIRS, TETRADS, LIKE CLUSTERS. THEY ARE NON-MOTILE, NON-SPORE-FORMING AND USUALLY CATALASE-POSITIVE, FACULTATIVE ANAEROBES AND FERMENT SUGAR WITH FORMATION OF LACTIC ACID AS ONE OF THE MAJOR PRODUCTS (8; 9). STAPHYLOCOCCI ARE SOME OF THE MOST RESISTANT OF ALL NON-SPORE-FORMING ORGANISMS TO SUCH DESTRUCTIVE INFLUENCES AS HEAT, DRYING AND THE ACTION OF CHEMICALS. ALTHOUGH VEGETATIVE BACTERIA ARE DESTROYED BY A TEMPERATURE OF FOR 30 MINUTES, STAPHYLOCOCCI 19 FREQUENTLY MOST 60ºC RESIST A TEMPERATURE OF 60ºC FOR AN HOUR AND SOME STRAINS MAY RESIST A TEMPERATURE OF 80ºC FOR 30 MINUTES (10). HISTORICALLY, STAPHYLOCOCCI HAVE BEEN CLASSIFIED INTO COAGULASE- POSITIVE AND COAGULASE-NEGATIVE ON THE BASIS OF COAGULASE PRODUCTION (5). THE GENUS STAPHYLOCOCCUS HAS AT LEAST 30 THREE MAIN SPECIES OF CLINICAL IMPORTANCE ARE SPECIES. STAPH. THE AUREUS, STAPH. EPIDERMIDIS AND STAPH. SAPROPHYTICUS (11). Natural populations of staphylococci are associated with skin, skin glands and mucous membranes of warm-blooded animals; they are also found in varying number in air and dust, as well as in water, milk, food, feaces and sewage (6; 12). 2.2. COAGULASE-POSITIVE STAPHYLOCOCCI COAGULASE-POSITIVE THREE SPECIES, SAPH. STAPHYLOCOCCI WERE DIVIDED INTO AUREUS, STAPH. INTERMIDIUS AND STAPH. HYCIUS; ALL THESE MEMBERS HAVE THE ABILITY TO PRODUCE COAGULASE-ENZYME WHICH CLOTS PLASMA (13; 16). 2.2.1. STAPHYLOCOCCUS AUREUS IT FORMS A FAIRLY LARGE YELLOW COLONY ON RICH MEDIA AND IS HEMOLYTIC ON BLOOD AGAR, GROWS AT TEMPERATURES AND AT ENZYME NACL CONCENTRATIONS AS HIGH AS COAGULASE AND SHOULD 20 ALWAYS 15%, BE 15 – 45ºC PRODUCES THE CONSIDERED A POTENTIAL PATHOGEN. IT IS FOUND ON THE ANTERIOR NASAL MUCOSA OF 40 – 50% OF HEALTHY ADULTS, IN THE THROATS OF MANY OF THEM, IN FACES OF ABOUT 20% AND ON THE SKIN OF 5 – 10% (14. 15). THE PRESENCE OF STAPH. AUREUS IN FOOD IS USUALLY TAKEN TO INDICATE CONTAMINATION FROM THE SKIN, MOUTH OR NOSE OF WORKERS HANDLING THE FOOD, BUT INADEQUATELY EQUIPMENT MAY ALSO BE A SOURCE OF CONTAMINATION NAIROBI (17). IN CLEANED (16). IN IT WAS ISOLATED FROM BEEF CARCASSES AND MINCED BEEF THE SUDAN IT WAS ISOLATED FROM SAUSAGE, MINCED MEAT AND BEEF-BURGER MEAT (18). 2.3. COAGULASE-NEGATIVE STAPHYLOCOCCI THESE ANIMALS SPECIES ARE ENDOGENOUS TO HUMAN AND CERTAIN AND HAVE PREVIOUSLY BEEN CONSIDERED TO BE SAPROPHYTIC OR OF LOW PATHOGENICITY. SEVERAL OF THESE SPECIES WERE DESIGNATIONS OF A SINGLE SPECIES, STAPHYLOCOCCUS EPIDERMIDIS OR STAPH. ALBUS (8). COAGULASE-NEGATIVE STAPHYLOCOCCI ARE FOUND IN BOTH HUMAN AND ANIMAL AS PART OF THE NORMAL FLORA AND AS INFECTION AGENTS (19, 20). 21 MOST OF STAPHYLOCOCCI FOUND ON THE SKIN AND IN THE UPPER RESPIRATORY TRACT ARE COAGULASE-NEGATIVE STAPHYLOCOCCI; AND OTHERS ARE ENVIRONMENTAL (15; 21). ALTHOUGH COAGULASE-NEGATIVE SPECIES OTHER THAN STAPH. EPIDERMIDIS AND SAPROPHYTICUS ARE NOT FREQUENTLY STAPH. RECOVERED FROM SIGNIFICANT INFECTION, SEVERAL OTHER SPECIES HAVE BEEN REPORTED PRINCIPALLY IN WOUNDS AND URINARY TRACT INFECTION. STAPH. THEY INCLUDE LUGDUNENSIS, STAPH. STAPH. HAEMOLYTICUS, HOMINIS AND STAPH. STAPH. WARNERI, SACCHAROLYTICUS (22). 2.3.1. STAPHYLOCOCCUS EPIDERMIDIS RESEMBLES STAPH. AUREUS IN MOST RESPECTS EXCEPT THAT IT IS COAGULASE-NEGATIVE, USUALLY FORMS WHITE COLONIES, FOUND IN LARGE NUMBERS ALL OVER THE HUMAN SKIN AND ON MANY MUCOUS SURFACES, CAUSES INFECTION AROUND CEREBROSPINAL FLUID, SHUTS, ARTIFICIAL HEART VALVES AND OTHER PROSTHESES. IT IS COMMONLY RESPONSIBLE FOR URINARY TRACT INFECTIONS IN ELDERLY MALES, PARTICULARLY AFTER BLADDER PROSTATECTOMY (15). 22 INSTRUMENTATION OR CLINICAL STUDIES DONE FOUND THAT STAPH. EPIDERMIDIS WAS THE MOST FREQUENTLY RECOVERED ORGANISM ISOLATED FROM CLINICAL INFECTIONS(23, 24). IN SUDAN, THIS ORGANISM WAS ISOLATED FROM THE MEDICAL LABORATORY ENVIRONMENTS (25) AND FROM EYE, EAR, SKIN, NOSE AND THROAT(26). 2.3.2 STAPHYLOCOCCUS SAPROPHYTICUS THIS SPECIES IS A WELL DOCUMENTED PATHOGEN CAUSING PRIMARILY ACUTE URINARY TRACT INFECTION IN YOUNG WOMEN (22,27&28). IT IS THE SECOND MOST COMMON CAUSE OF CYSTITIS AFTER ESCHERICHIA COLI (22). IN SUDAN, IT WAS ISOLATED FROM SKIN (26) AND FROM MEDICAL LABORATORY EQUIPMENT, SAUSAGE AND MINCED MEAT (25). IT 2.3.3 STAPHYLOCOCCUS CASEOLYTICUS WAS RECOGNIZED AS ENVIRONMENTAL COAGULASE-NEGATIVE SPECIES, FOUND IN MILK AND OTHER DAIRY PRODUCTS (22). IN SUDAN, IT WAS ISOLATED FROM SAUSAGE, BEEF BURGER AND MINCED MEAT (18), FROM HUMAN MOUTH, NOSE, AXILLA AND THROAT MOUTH AND ABSCESS (26). 2.4STAPHYLOCOCCUS CHARACTERISTICS 2.4.1 MORPHOLOGICAL CHARACTERISTICS 23 (29) AND FROM EYE, STAPHYLOCOCCAL CELLS ARE PERFECTLY SPHERICAL, NON- MOTILE CELLS WHICH GROW IN CLUSTERS, AND ARE CATALASEPOSITIVE WHICH HELPS TO DISTINGUISH STAPHYLOCOCCI FROM STREPTOCOCCI. YOUNG COCCI STAIN STRONGLY GRAM- POSITIVE, BUT ON AGING THEY MAY BECOME GRAM-NEGATIVE; THEIR COLONIES ARE SMOOTH, CIRCULAR, LOW CONVEX, GLISTENING AND BUTYROUS. THEY ARE DISTINGUISHED FROM THOSE OF MOST OTHER BACTERIA BY THEIR GOLDEN OR WHITE PIGMENTATION (14; 30). STAPHYLOCOCCI READILY ON MOST BACTERIOLOGICAL MEDIA AT OR MICROAEROBIC CONDITIONS. THEY GROW 37OC UNDER AEROBIC ARE ABLE TO GROW ON MEDIA CONTAINING HIGH CONCENTRATIONS OF (10% OR MORE) NACL, WHICH IS INHIBITORY TO MANY OTHER BACTERIA, PARTICULARLY THE GRAMNEGATIVE ORGANISMS (11; 30). 2-4-2 COLONIES PIGMENTATION COLONIAL PIGMENT IS VARIABLE AND IS INFLUENCED BY GROWTH CONDITIONS (31). PIGMENT PRODUCTION TENDS TO BE ENHANCED WITH AGE OR STORAGE AT REFRIGERATOR TEMPERATURE. ON NUTRIENT AGAR, MAXIMUM PIGMENTATION OCCURS AFTER OVERNIGHT INCUBATION IN THE DARK AT 37OC FOLLOWED BY INCUBATION IN THE LIGHT AT ROOM 24 TEMPERATURE (6). THE COLONIES CAN BE WHITE, GRAY-WHITE, OR YELLOW DEPENDING ON THE SPECIES (32). 2-4-3 HAEMOLYSIS STAPHYLOCOCCUS PRODUCES AT LEAST FOUR HAEMOLYSINS: Α, Β, Γ AND ∆, WHICH ARE ANTIGENICALLY DISTINCT AND DIFFER FROM ONE ANOTHER IN THEIR ACTIVITY AGAINST THE RED BLOOD CELLS OF DIFFERENT ANIMAL SPECIES. ALPHA- TOXIN IS MOST STRONGLY ACTIVE ON RABBIT CELLS, Β- TOXIN ON SHEEP CELLS, WHILST Γ -AND ∆ –TOXINS ARE ABOUT AS STRONG ON BOTH HORSE AND HUMAN CELLS HOWEVER, (29). ALPH-LYSIN PRODUCES A WIDE CLEAR ZONE ON BLOOD AGAR MEDIUM WITH ILL- DEFINED OUTER MARGIN (33,34). BETA HAEMOLYSIN CAUSES PARTIAL HAEMOLYSIS OF RABBIT AND HUMAN ERYTHROCYTES (34). THE TERMS Α.HAEMOLYSIN AND Β- HAEMOLYSIN HAVE A SIGNIFICANCE WHICH DEPENDS ON WHETHER THEY ARE USED WITH REFERENCE TO STREPTOCOCCI OR STAPHYLOCOCCI. IN THE CASE OF STAPHYLOCOCCI, Α. HAEMOLYSIN PRODUCES CLEAR ZONES, WHILE ΒHAEMOLYSIN PRODUCES DARK HAZY ZONES (35). 25 2.5 MEAT CONTAMINATION THE HEALTHY INNER FLESH OF MEATS HAS BEEN FOUND TO CONTAIN FEW OR NO MICROORGANISMS, ALTHOUGH MICROBES HAVE BEEN FOUND IN LYMPH NODES, BONE MARROW, AND EVEN FLESH. STAPHYLOCOCCI, STREPTOCOCCI, CLOSTRIDIA AND SALMONELLAE HAVE BEEN ISOLATED FROM THE LYMPH OF RED MEAT ANIMALS. IMPORTANT CONTAMINATION CAME FROM EXTERNAL SOURCES DURING BLEEDING, HANDLING, AND PROCESSING. IT HAS BEAN MENTIONED THAT DURING BLEEDING, SKINNING, AND CUTTING, THE MAIN SOURCES OF MICROORGANISM ARE THE EXTERIOR OF THE ANIMAL (HIDE, HOOFS, AND HAIR) AND THE INTESTINAL TRACT. CONTAMINATION ALSO COMES FROM KNIVES, AIR, CLOTHS, HANDS AND CLOTHING OF THE WORKERS. DURING THE HANDLING, THE CONTAMINATION CAME FROM CARTS, BOXES, OR OTHER CONTAINERS FROM OTHER CONTAMINATED MEAT, FROM AIR AND FROM PERSONNEL, AND ADDITIONAL CONTAMINATION TAKES PLACE IN THE RETAIL MARKETS, AND FROM KNIVE, SAWS, CLEAVERS, SLICERS, GRINDERS, CHOPPERS, SCALES, SAWDUST, AND CONTAINERS, AS WELL AS FROM THE MARKET (36). THE EVALUATION OF FRESH FOOD CONDITION, HANDLING, PROCESSING AND SANITARY QUALITY OF FOOD PRODUCTS FOCUSES ON 26 THE TOTAL NUMBER OF MICROORGANISMS PER GRAM OR ML AND THE TYPE OF THE ORGANISM REPRESENTED IN THIS NUMBER (37). THE CANADIAN GOVERNMENT THAT THE AEROBIC PLATE COUNT IN 1977 (APC) GROUND BEEF SHOULD BE LESS THAN AT ADOPTED GUIDELINES 35ºC 1.0 × 107 FOR NON-FROZEN COLONIES FORIMNG UNITS (CFU)/G (37). IN FRESH MEAT THE INITIAL LOAD OF AEROBIC BACTERIA WAS 106 CFU/G AT MARKETING LEVEL (38). IT THE HAS ALSO BEEN REPORTED THAT APC OF THE FRESH MEAT BEFORE PROCESSING WAS 1 ×102 -1 ×103 CFU/G AND AFTER PROCESSING WAS 1.0 ×10 7-1 ×10 8 CUF/G (39). BACTERIA CAN BE TRANSFERRED TO THE SURFACE OF MEAT BY DIRECT CONTACT OF THE OUTER HIDES WITH MEAT, BY SKINNING KNIFE USED TO CUT THROUGH HIDE AND THROUGH CONTACT OF WORKERS CLOTHING AND HANDS (40). 2.6 STAPHYLOCOCCAL FOOD POISONING ALL FOODBORNE DISEASES ARE CLASSIFIED AS FOOD INFECTIONS OR FOOD INTOXICATIONS. FOOD INFECTIONS ARE THOSE IN WHICH THE BACTERIA PRESENT IN THE FOOD AT THE TIME OF EATING GROW IN THE HOST AND CAUSE DISEASE. FOOD INTOXICATIONS ARE THOSE DISEASES IN WHICH BACTERIA GROW IN FOOD, PRODUCING SUBSTANCE THERE WHICH IS TOXIC TO HUMAN (40). 27 STAPHYLOCOCCAL FOOD POISONING IS ONE OF THE MOST COMMON FOOD BORNE ILLNESSES (7). TODAY, STAPHYLOCOCCAL FOOD POISONING RANKS AS THE SECOND MOST COMMON IMPORTED DISEASE OF ALL TYPE OF FOODBORNE DISEASES, WITH SALMONELLA – RELATED ILLNESS RANKING FIRST (41). STAPHYLOCOCCAL FOOD POISONING IS AN INTOXICATION THAT DEPENDS ON THE ABILITY OF FOOD CONCERNED TO SUPPORT THE GROWTH OF STAPHYLOCOCCI WHICH PRODUCE THE TOXIN (42). MEATS ARE FREQUENTLY INCRIMINATED IN STAPHYLOCOCCAL FOOD POISONING. THIS POISONING OCCURS DUE TO THE ABSORPTION OF STAPHYLOCOCCAL ENTEROTOXIN PREFORMED IN FOOD (14; 43). THE ENTEROTOXIN PRODUCED BY STRAINS OF STAPH. AUREUS IS NOT KNOWN WHETHER IT ACTS DIRECTLY ON THE STOMACH WALL OR ACTS ON CENTRAL NERVOUS SYSTEM FOLLOWING ABSORPTION IN THE UPPER GASTROINTESTINAL TRACT(43). USUALLY WITHIN 1-7 HOURS, ABDOMINAL PAIN, NAUSEA, AND VOMITING CAN BE VIOLENT, DIARRHEA IS SOMETIMES PRESENT, BUT FEVER IS RARE(9). 2.7 STAPHYLOCOCCAL TOXIN, ENZYMES AND DISEASES 2.7.1 EXOTOXIN 28 THIS IS TOXIN PRODUCED BY MICROORGANISMS AND EXCRETED INTO THE SURROUND MEDIUM (44). IT INCLUDES SEVERAL TOXINS THAT ARE LETHAL FOR ANIMALS. ALPHA- TOXIN, IS TOXIC TO MANY TYPES OF CELLS, AND ACTS ON CELL MEMBRANES, CAUSING INCREASING PERMEABILITY, INTERACTING WITH LIPIDS, AND PENETRATES THE HYDROPHOBIC REGION OF RED BLOOD CELL MEMBRANE (45). BETA- TOXIN, IS A SPHINGOMYELINASE WHICH DAMAGES MEMBRANES RICH IN THIS LIPID (14). 29 2.7.1.1 LEUKOCIDIN TOXIN A SOLUBLE MATERIAL THAT KILLS EXPOSED WHITE BLOOD CELLS OF A VARIETY OF ANIMAL SPECIES. THE TOXIN REACTS IN A COMPLEX WAY WITHIN THE SURFACE OF SENSITIVE LEUKOCYTES, CAUSING INCREASED PERMEABILITY TO CATIONS (45). 2.7.1.2 TOXIC SHOCK SYNDROME TOXIN PRODUCED BY STAPHYLOCOCCUS AUREUS STRAINS; IT CAUSATIVE AGENT IN TOXIN SHOCK SYNDROME IN HUMANS IS (46). SYMPTOMS ARE CHARACTERIZED BY LOW BLOOD PRESSURE, FEVER AND AN EXTENSIVE SKIN RASH; DIARRHEA AND VOMITING ARE ALSO COMMON. MORE YEARS OLD. THAN 30% OF CASES OCCUR IN WOMEN UNDER 30 THE ONSET USUALLY OCCURS DURING MENSTRUATION AND IT IS ASSOCIATED WITH USE OF TAMPONS THAT ARE NOT CHANGED FREQUENTLY. THE DISEASE OCCURS WHEN THE STAPH.AUREUS GROWS IN THE VAGINA AND SECRETES TOXIN (9). MAXIMUM TOXIN PRODUCTION OCCURS AT PH BETWEEN 7 AND 8, AND DECREASES UNDER ANAEROBIC CONCENTRATIONS OF GLUCOSE (6). 2.7.1.3 EXFOLIATIVE TOXIN 30 CONDITIONS AND IN HIGH THIS NEONATES. TOXIN CAUSES THE SCALDED SKIN SYNDROME IT (S.S.S.) IN IS SEEN MOSTLY IN YOUNG CHILDREN AND RARELY IN OLDER CHILDREN AND ADULTS (7). IT HAS BEE REPORTED THAT THIS TOXIN CAN BE ALSO PRODUCED BY STAPH.HYCIUS STRAINS (47). 2.7.2 ENTEROTOXIN THIS IS TOXIN PRODUCED RETAINED WITH THE CELL BY STAPH.AUREUS HOWEVER NOT (44). MOST CULTURES ALL BY THE MICROORGANISM AND ENTEROTOXINS ARE PROVIDED THAT ARE COAGLASE-POSITIVE COAGULASE-POSITIVE, STAPHYLOCOCCI ARE NECESSARILY ENTEROTOXIGENIC (48). THERE ARE AT LEAST SIX (A-F) SOLUBLE TOXINS PRODUCED BY NEARLY 50% OF STAPH. AUREUS STRAINS(11). THE ENTEROTOXINS ARE RESISTANT TO HYDROLYSIS BY GASTRIC AND JEJUNAL ENZYMES AND ARE STABLE TO HEATING AT 100ºC FOR 30 MINUTES; REHEATING THE FOOD WILL NOT BE PROTECTIVE (7). THE PRODUCTION OF ENTEROTOXIN IS INFLUENCED BY THE PRESENCE OF THE ORGANISM IN THE FOOD, TEMPERATURE AND TIME, 31 COMPOSITION OF FOOD, PH, MOISTURE CONTENT AND THE ATMOSPHERIC CONDITIONS (49). 2.7.3 COAGULASE ENZYME Most staphylococci pathogenic for humans produce coagulase enzyme. This is an enzyme-like protein that clots oxalated or citrated plasma in the presence of a factor contained in many sera. The serum factor reacts with coagulase and gives clotting activities in a manner similar to the activation of prothrombin to thrombin. Coagulase may deposit fibrin on the surface of staphylococci, perhaps altering their ingestion by phagocyte cells or their destruction by these cells (11). Coagulase-negative staphylococci do not possess this enzyme and, therefor, do not form a clot (32). 2.8 SELECTIVE MEDIA MOST OF STAPHYLOCOCCI GROW ON ANY NUTRIENT MEDIUM CONTAINING PEPTONE; HOWEVER, A SELECTIVE MEDIUM IS A SUITABLE MEDIUM USED TO ISOLATE STAPHYLOCOCCI FROM SPECIMENS THAT ARE LIKELY TO BE CONTAMINATED HEAVILY WITH OTHER BACTERIAL FLORA (50). 2.8.1 BAIRD-PARKER MEDIUM BAIRD-PARKER MEDIUM. MAINLY MEDIUM IS A SELECTIVE AND DIAGNOSTIC USED FOR COAGULASE-POSITIVE PATHOGENIC SPECIES, IT WAS ORIGINALLY USED FOR ISOLATING THE ORGANISM FROM FOODS (51). THIS SELECTIVE MEDIUM IS HIGHLY SPECIFIC FOR 32 STAPH.AUREUS WHICH GIVES BLACK COLONIES SURROUNDED BY CLEAR ZONES; WITH THE CLEAR ZONES, SMALLER OPAQUE ZONE MAY DEVELOP. GROW OTHER SLOWLY STAPHYLOCOCCI AND MICROCOCCI SOMETIMES BUT DO NOT GIVE CLEAR ZONES, OR GIVE IRREGULARLY-SHAPED COLONIES. PROTEUS MAY BE A NUISANCE (52). 2.8.2 MANNITOL SALT AGAR MEDIUM (M.S.A) THE M.S.A IS A SELECTIVE MEDIUM, MAINLY USED TO DISTINGUISH ACID PRODUCING STAPHYLOCOCCAL SPECIES FROM NONACID-PRODUCING STAPHYLOCOCCAL SPECIES. STRAINS CAPABLE OF PRODUCING ACID FROM MANNITOL USUALLY DO THIS WITHIN 24 TO 48 HOURS. THEIR COLONIES AND SURROUNDING MEDIUM ARE YELLOW AS A RESULT OF ACIDIFICATION IN THE INDICATOR (8). 33 PRESENCE OF PHENOL RED THIS SELECTIVE MEDIUM IS BASED ON ITS HIGH CONCENTRATION OF SALT. STAPHYLOCOCCI ARE ABLE TO TOLERATE THESE HIGH CONCENTRATIONS OF SALT (UP TO 10%) WHEREAS MOST OTHER ORGANISMS GROW POORLY OR NOT AT ALL (50). 34 CHAPTER THREE MATERIALS AND METHODS 3.1. STERILIZATION: 3.1.1. HOT-AIR OVEN (160 – 170OC FOR ONE HOUR) GLASSWARE LIKE PETRI DISHES, PIPETTES, TUBES, FLASKS AND GLASS RODS AS WELL AS MORTAR AND PESTLE (WRAPPED WITH ALUMINUM FOIL) WERE STERILIZED IN THE HOT AIR OVEN AT 160ºC FOR ONE HOUR (27). 3.1.2. AUTOCLAVING USED FOR STERILIZATION OF MEDIA, SOLUTIONS AND MATERIAL WHICH COULD NOT WITHSTAND THE DRY HEAT. WERE 15 – 20 MINUTES AT 115º TO 121ºC THE UNDER EXPOSURE TIMES 10 – 15 POUNDS PRESSURE (27). 3.1.3. IRRADIATION AND DISINFECTION FOR ASEPTIC WORK AND TRANSFERS, ADDITION AND POURING PLATES, PHENOLIC OR ABSOLUTE ALCOHOL WAS USED FIRST FOR DISINFECTING FLOORS AND UV ROOM, FOLLOWED BY UV IRRADIATION FOR 20 MINUTES. 3.2. COLLECTION OF BLOOD, PLASMA LABORATORY ANIMALS 35 AND FIBRIN CLOTS FROM BLOOD FOR ENRICHMENT OF MEDIA WAS COLLECTED BY VENIPUNCTURE OF THE JUGULAR VEIN OF A HEALTHY DONOR SHEEP KEPT AT THE DEPARTMENT FOR THE SAME PURPOSE. THE BLOOD WAS DEFIBRINATED BY SHAKING THE STERILE FLASK CONTAINING GLASS BEADS. PLASMA FOR COAGULASE TEST WAS ASPIRATED DIRECTLY FROM A RABBIT HEART OR FROM EAR VEIN. HUMAN BLOOD WAS OBTAINED FROM VOLUNTEERS, AND PLASMA WAS ASEPTICALLY SEPARATED BY SUBJECTING BLOOD TO CENTRIFUGATION. 3.3 PREPARATION OF MEDIA 3.3.1. SOLID MEDIA 3.3.1.1 NUTRIENT AGAR TWENTY-EIGHT GRAMS OF DEHYDRATED NUTRIENT AGAR WERE SUSPENDED IN A LITER OF DISTILLED WATER, STEAMED TO DISSOLVE COMPLETELY, THE PH ADJUSTED TO 7.4 AND THEN THE MEDIUM STERILIZED BY AUTOCLAVING AT 121ºC FOR 15 MINUTES. 3.3.1.2 BLOOD AGAR MEDIUM (OXOID) FORTY GRAMS OF BLOOD AGAR BASE WERE SUSPENDED IN A LITER OF DISTILLED WATER, STEAMED TO DISSOLVE, COOLED AND THEN PH ADJUSTED TO AUTOCLAVING AT 7.4 121ºC THEN THE MEDIUM WAS STERILIZED BY FOR 15 MINUTES. 36 AFTER COOLING TO ABOUT 50OC, DEFIBRINATED SHEEP BLOOD WAS ADDED ASEPTICALLY IN (7- 10%) CONCENTRATED BEFORE POURING ONTO PLATES. 3.3.1.3 BAIRD -PARKER MEDIUM (OXOID) IN A LITER OF DISTILLED WATER, BAIRD –PARKER 63 GRAMS OF DEHYDRATED MEDIUM WERE SUSPENDED, MIXED AND STEAMED TO DISSOLVE, THEN PH WAS ADJUSTED TO AFTER 6.8 121OC BEFORE AUTOCLAVING AT COOLING TO 50ºC, FOR 15 MINUTES. EGGYOLK FROM FOUR CHICKEN EGGS WAS ADDED TO A HALF A LITER OF THIS MEDIUM AND TWO ML OF POTASSIUM TELLURITE SOLUTION (1%) WERE ADDED ASEPTICALLY AND MIXED WELL BEFORE POURING THESE PLATES. 3.3.1.4 MANNITOL SALT AGAR MEDIUM (OXOID) IN A LITER OF DISTILLED WATER, 111 GRAMS OF DEHYDRATED MANNITOL SALT AGAR WERE SUSPENDED, MIXED WELL, STEAMED TO DISSOLVE AND THE PH ADJUSTED TO 121ºC FOR 15 MINUTES. THEN 7.2 BEFORE AUTOCLAVING AT COOLING TO 50ºC AND POURING ONTO THE PLATES. 3.3.2 SEMISOLID MEDIA 3.3.2.1 HUGH AND LEIFSON’S (O/F MEDIUM ) PEPTONE, 2 GRAM; NACL, 5 GRAMS; AGAR, 3 GRAMS AND K2HPO4 , 0.3 GRAMS WERE DISSOLVED IN ONE LITER DISTILLED WATER 37 BY HEATING, THEN THE PH WAS ADJUSTED TO BROMTHYMOL BLUE,AQUEOUS SOLUTION (0.2%) 7.1, 15ML WERE ADDED THEN THEN THE MEDIUM WAS STERILIZED BY AUTOCLAVING AT 115 MINUTES, TEN ASEPTICALLY OF O C FOR 20 ML OF STERILE GLUCOSE SOLUTION WERE ADDED TO CONCENTRATION OF 90 ML OF THE MEDIUM TO GIVE THE FINAL 1% AND THE MEDIUM DISTRIBUTED INTO TEST TUBES, EACH TUBES CONTAINING 10 ML (27). 3.3.2.2 CHRISTENSEN'S UREA MEDIUM (OXOID) TWO TO FOUR GRAMS OF DEHYDRATED UREA AGAR BASE WERE SUSPENDED IN 95 ML OF DISTILLED WATER AND STEAMED TO DISSOLVE. THEN THE MEDIUM WAS STERILIZED BY AUTOCLAVING AT 115ºC FOR 20 MINUTES AND COOLED TO 50ºC. ASEPTICALLY 5 ML OF STERILE 40% UREA SOLUTION WERE ADDED, MIXED WELL AND DISTRIBUTED IN SCREW-CAPPED BOTTLES AND ALLOWED TO SET IN SLANT POSITION. 3.3.3 LIQUID MEDIA 3.3.3.1 NUTRIENT BROTH (OXOID) THIRTEEN GRAMS OF DEHYDRATED NUTRIENT BROTH WERE SUSPENDED IN LITER OF DISTILLED WATER, THEN MIXED WELL AND THE PH ADJUSTED TO 7.4 AND THEN STERILIZED BY AUTOCLAVING AT 121ºC FOR 15 MINUTES. 3.3.3.2 PEPTONE WATER (OXOID) 38 Fifteen grams of dehydrated peptone water were suspended in a liter of distilled water, mixed well, then pH adjusted to 7.2 and autoclaved at 121ºC for 15 minutes. 3.3.3.3 GLUCOSE PHOSPHATE MEDIUM PEPTONE, 10 GRAMS AND K2HPO4, 5 GRAMS WERE DISSOLVED IN 1 LITER OF DISTILLED WATER, ADJUSTED TO 7.5 AFTER 5 STEAMED TO DISSOLVE AND PH WAS GRAMS OF GLUCOSE WERE ADDED, MIXED WELL AND DISTRIBUTED INTO TEST TUBES AND THEN STERILIZED AT 110ºC FOR 10 MINUTES. 3.3.3.4 COOKED MEAT MEDIUM FAT-FREE MINCED MEAT (450 GRAMS) WAS ADDED TO 1 LITER OF DISTILLED WATER, THEN FILTERED AND PARTICLES WERE ADDED TO A DEPTH OF 2.5 PRESSED DRY. DRIED – CAPPED CM IN SCREW BOTTLES AND THEN NUTRIENT BROTH WAS ADDED TO THE DEPTH OF CM. THEN THIS WAS STERILIZED BY AUTOCLAVING AT 115ºC FOR 5 20 MINUTES. 3.4 COLLECTION OF SAMPLES A TOTAL OF 40 FRESH BEEF SAMPLES WERE COLLECTED FROM DIFFERENT MARKETS IN KHARTOUM STATE: THE SAMPLES WERE WRAPPED WITH STERILE ALUMINUM FOIL, LABELED AND STORED IN 39 STERILE CONTAINERS IN ICE WATER AND TRANSFERRED IMMEDIATELY TO THE LABORATORY. 3.5 MICROBIOLOGICAL METHODS 3. 5.1 PRIMARY ISOLATION SELECTIVE MEDIA WERE USED FOR PRIMARY ISOLATION, (BAIRD– PARKER AND MANNITOL SALT AGAR). UNDER ASEPTIC CONDITIONS THE SAMPLES WERE OPENED, L GRAM OF SAMPLE WAS TAKEN, POUNDED WITH STERILE MORTAR AND PESTLE AND SUSPENDED IN NORMAL SALINE. A ONTO SOLID MEDIA 10 ML OF LOOPFUL OF THE MIXURE WAS USED TO STREAK (SELECTIVE MEDIA), THEN THE PLATES WERE INCUBATED AT 37ºC FOR 24 HARS. 3.5.2 PREPARING THE DILUTION ONE ML FROM THE SAMPLE WAS TAKEN BY STERILE PIPETTE AND TRANSFERRED TO THE FIRST TUBE OF DILUTION PIPETTE (10-1); WITH A STERILE 1 ML FROM THE FIRST DILUTION TUBE WAS TRANSFERRED TO A SECOND TUBE OF STERILE DILUENT (10-2), THEN FURTHER DILUTIONS WERE MADE. 3.5.3 PURIFICATION, IDENFIFICATION AND PRESERVATION STAPHYLOCOCCAL COLONIES OBTAINED ON PRIMARY ISOLATION MEDIA WERE USED FOR GRAM 40 STAINING AND CATALASE TEST .PURIFICATION WAS CORRESPONDING BIOCHEMICAL (APPENDIX) DONE MEDIA. TEST BY SEVERAL PURE ACCORDING SUB-CULTURINGS COLONIES TO FOR IDENTIFICATION OF 37ºC FOR STAPHYLOCOCCUS 24-48 USED PROF ELSANOUSI PURE CULTURES WERE INOCULATED ON COOKED THEN INCUBATED AT WERE - MEAT ON FOR SCHEME SPECIES. THE MEDIUM AND HRS, THEN STORED AT 4ºC IN REFRIGERATOR. 3.6 BIOCHEMICAL METHODS 3.6.1 COAGULASE TEST 3.6.1.1 SLIDE COAGULASE TEST THIS WAS PERFORMED ON A CLEAN SLIDE, BY PLACING A LOOPFUL OF NORMAL SALINE AND A SMALL AMOUNT OF AN 18-24HRS AGE CULTURE MIXED IN UNTIL A HOMOGENEOUS SUSPENSION WAS OBTAINED; THEN A DROP OF HUMAN PLASMA OR RABBIT PLASMA WAS ADDED TO THE SUSPENSION; CLUMPING OCCURRED WITHIN IN A POSITIVE TEST. THE 5 SECONDS SLIDE TEST WAS CONFIRMED BY THE TUBE TEST (42). 3.6.1.2 TUBE COAGULASE TEST HALF ML OF DILUTED FRESH HUMAN PLASMA WAS ADDED TO SMALL TEST TUBES, THEN 0.5ML OF AN 18-24 HRS BROTH CULTURE WAS 41 ADDED AND INCUBATED AT 37ºC. COAGULASE WAS EXAMINED AFTER AN HOUR THEN AT FOR INTERVALS UP TO 24 HRS (42). 3.6.2 CATALASE TEST A DROP OF 30% AQUEOUS SOLUTION OF HYDROGEN PEROXIDE WAS PLACED ON A CLEAN A SLIDE, A LOOPFUL OF GROWTH CULTURE WAS PLACED IN THE HYDROGEN PEROXIDE AND OBSERVED FOR PRODUCTION OF GAS BUBBLES (42). 3.6.3 OXIDASE TEST ONE PERCENT AQUEOUS SOLUTION OF TETRA METHYL-P- PHENYLENE DIAMINE HYDROCHLORIDE WAS USED TO SOAK A FILTER PAPER. WITH A GLASS ROD A COLONY WAS PICKED AND RUBBED ON THE SURFACE OF THE PAPER, PRODUCTION OF PURPLE COLOUR WITHIN 5-10 SECONDS WAS RECORDED AS OXIDASE POSITIVE (42). 3.6.4 UREA TEST A UREA AGAR SLANT WAS STOPPED WITH THE TEST CULTURE AND THEN INCUBATED AT 37OC FOR 24-48HRS. DEVELOPMENT OF PINK COLOUR WAS INDICATIVE OF NH3 PRODUCTION. NEGATIVE TESTS WERE LEFT FOR A WEEK BEFORE TAKING THE FINAL RESULT. 3.6.5 VP TEST (VOGES–PROSKAUER TEST) 42 CULTURES WERE INOCULATED IN TEST TUBES CONTAINING 1-5ML GLUCOSE PHOSPHATE BROTH AND INCUBATED AT 37OC FOR TWO DAYS. HALF OF ML OF CULTURE WAS ADDED TO SOLUTION AND 0.5ML 5% Α-NAPHTHOL 0.5ML 16% KOH. DEVELOPMENT OF A RED COLOUR AT THE SURFACE WAS RECODED AS POSITIVE REACTION. 3.6.6 SUGAR FERMENTATION THIS CELLOBIOSE, MANNITOL, 9 SUGARS, XYLOSE, MALTOSE, D-MANNOSE, D, TEST WAS CARRIED OUT USING RAFFINOSE, D-TREHALOSE SUCROSE, AND LACTOSE. THE CONCENTRATION OF SUGAR AND ANDRADE’S INDICATOR WERE 1% IN PEPTONE WATER. EACH TUBES, FOR 14 WHEN TEST CULTURE WAS INOCULATED INTO A SET OF SUGAR INCUBATED AT DAYS. PINK 37OC AND EXAMINED FOR ACID PRODUCTION COLOUR OCCURRED WHEN ACID WAS PRODUCED. THERE WAS NO ACID THE MEDIUM COLOUR REMAINED UNCHANGED (42). 3.6.7 NOVOBIOCIN SENSITIVITY TEST THIS WAS DETERMINED BY THE STANDARD DISC DIFFUSION METHOD (34). AFTER NUTRIENT AGAR PLATES WERE DRIED, TWO ML OF DILUTED CULTURE WERE DISTRIBUTED EVENLY OVER THE SURFACE OF MEDIUM 43 .EXCESS FLUID WAS REMOVED AND PLATES WERE ALLOWED TO DRY .OXOID DISC OF NOVOBIOCIN (5MG) WERE APPLIED TO THE SURFACE OF THE MEDIA AND PRESSED GENTLY BY USING STERILE FORCEPS, THEN INCUBATED AT 37OC FOR 24-48 HOURS AND ZONES OF INHIBITION WERE MEASURED IN (MM) TO DETERMINE WHETHER THE ORGANISM WAS SENSITIVE TO NOVOBIOCIN. 44 CHAPTER FOUR RESULTS AND DISCUSSION THIS STUDY WAS DESIGNED TO KNOW THE TOTAL VIABLE COUNT, STAPHYLOCOCCUS COUNT AND THE PREVALENCE OF STAPHYLOCOCCI SPECIES IN FRESH MEAT IN KHARTOUM STATE. IN THIS CHAPTER ALL MICROBIAL COUNTS ARE GIVEN AS COLONY FORMING UNITS (CFU) PER GRAM. THE STAPHYLOCOCCUS FOUND TO RANGE FROM 3.23 COUNT OF FRESH MEAT SAMPLES WAS X 103 3 THE RANGE WAS 4.46 × 10 TO.8.71 × 10 AND 8.7 × 103. IN KHARTOUM CITY TO 3 , BAHRI 3.81 × 103 TO 4.46 × 10 3 OMDURMAN 3.23 × 103 TO 5.01 × 103. TOTAL VIABLE COUNT WAS RANGED 4.78 × 104 TO 3.39 × 105, WHEREAS IN KHARTOUM IT WAS 4.78 ×104 9.55 × 104, BAHRI 6.31 × 104 TO 3.39 × 105 TO 7.07× 104 THAT TO 1.41 × 105 STAPHYLOCOCCUS LOWEST IN AS SHOWN IN TABLE 1. THE COUNT WAS HIGHEST IN KHARTOUM. HOWEVER, AND OMDURMAN RESULTS SHOW OMDURMAN AND THE TOTAL VIABLE COUNT WAS HIGHEST IN BAHRI. THE RESULT OBTAINED IN THIS STUDY WAS IN CANADIAN GOVERNMENT AGREEMENT WITH GUIDELINES, WHICH SPECIFIED THAT THE 45 AEROBIC PLATE COUNT (APC) AT 35 SHOULD BE LESS THAN THIS C FOR NON-FROZEN GROUND BEEF 1.0 ×107 CFU/G. OUR FINDING DIFFERED THE FINDING THAT, IN MEAT, CFU/G(39). O APC RANGED BETWEEN 102 FROM AND 103 DIFFERENCE WILL BE DUE TO DIFFERENT FACTORS SUCH AS DIFFERENT LOCATIONS. IN THIS LAST WORK (39) THE SAMPLES WERE TAKEN FROM ABATTOIRS, WHILE THE FRESH MEAT IN THIS STUDY WAS TAKEN FROM BUTCHERIES FROM DIFFERENT MARKETS WHERE ADDITIONAL CONTAMINATION MAY HAVE TAKEN PLACE DURING TRANSPORTATION. TABLE 1 TOTAL VIABLE COUNT AND STAPHYLOCOCCUS COUNT OF FRESH BEEF COLLECTED FROM KHARTOUM STATE TOTAL VIABLE COUNT STD. STAPH. COUNT STD. LOCATION MINIMUM MEAN MAXIMUM DEVIATION MINIMUM MEAN MAXIMUM DEVIATION KHARTOUM 4.78×104 6.31×104 9.55×104 0.15 4.46×103 6.02×103 8.71×103 0.1473 BAHRI 6.31×104 1.39×105 3.39×105 0.36 3.81×103 4.16×103 4.46×103 3.61 OMDURMAN 7.07×104 5.0×105 1.41×105 0.15 3.23×103 3.98×103 5.01×103 9.50 TOTAL 4.78×104 9.55×104 3.39×105 0.25 3.23×103 4.57×103 8.7×103 0.12 IN THIS STUDY, 40 BEEF SAMPLES WERE USED, 14 SAMPLES WERE COLLECTED FROM KHARTOUM AND 13 SAMPLES COLLECTED FROM EACH OF BAHRI AND OMDURMAN MARKETS AS SHOWN IN TABLE 2. THE 46 RESULTS OBTAINED IN THIS STUDY WERE AS FOLLOWS: BELONG TO 19 TABLE 3. IT ISOLATES SPECIES OF THE GENUS STAPHYLOCOCCI AS SHOWN IN WAS OBSERVED THAT, THE HIGHEST PREVALENCE OF STAPHYLOCOCCI SPECIES WAS THAT OF THIS 58 STAPH. EPIDERMIDIS (13.8%). FINDING IS IN AGREEMENT WITH OTHER WORKERS WHO FOUND THAT TABLE 2 SOURCE AND PREVALENCE OF ISOLATES OF STAPHYLOCOCCI FROM FRESH BEEF SAMPLES COLLECTED FROM KHARTOUM STATE. NO. OF LOCATION NO. OF SAMPLES KHARTOUM 14 17 29.3% BAHRI 13 18 31% OMDURMAN 13 23 39.7% ISOLATES ISOLATION%* * PERCENT OF SAMPLES FROM WHICH STAPHYLOCOCCUS WAS ISOLATED TABLE 3 THE PERCENTAGE OF INDIVIDUAL STAPHYLOCOCCUS SPP. TO THE TOTAL NO. OF ISOLATES* STAPHYLOCOCCUS NO. OF PERCENTAGE SPECIES ISOLATES 8 7 7 6 5 STAPH. EPIDERMIDIS STAPH. AUROUS STAPH. CASEOLYTIUS STAPH.SAPROPHYTIUS STAPH. SCUIRI 47 13.8 12.0 12.0 10.3 8.6 STAPH. CPITIS STAPH. LUGDUNENSIS STAPH. COHNI STAPH. XYLOSUS STAPH. KLOOSII STAPH. CAPITIS SSP. UREALYTICUS STAPH. COHNI SSP. UREALYTICUS STAPH.FELIS STAPH. WARNERI STAPH. GALLINARUM STAPH. HYCIUS STAPH. CHROMOGENS STAPH.LENTUS STAPH. HAEMOLYTICUS 4 4 3 2 2 6.9 6.9 5.2 3.4 3.4 2 3.4 1 1.7 1 1 1 1 1 1 1 1.7 1.7 1.7 1.7 1.7 1.7 1.7 *: TOTAL NO. OF ISOLATES=58 STAPH. EPIDERMIDIS WAS THE MOST FREQUENTLY RECOVERED ORGANISM ISOLATED FROM CLINICAL INFECTION, AND ALSO IN AGREEMENT WITH OTHERS WHO REPORTED that Staph. epidermidis was found in large numbers all over human skin and mucous membrane (23, 24, 15). The study showed that this organism cannot acidify mannitol on mannitol salt agar medium and appears as black colonies on Baird-Parker medium, as shown in Figs. 1 and 2, respectively. 48 Staphylococcus aureus ranks as a second. The presence of this organism could be indicative of contamination of meat from skin, mouth and nose of butchers and this is in agreement with others who reported that Staph. aureus was found on the anterior of nasal mucosa of 40-50% of healthy adults and in the throats of many of them (15). This may contaminate food during handling and cutting, but contamination may also come from other sources. Staph. aureus appeared as thin black colonies on Baird-Parker medium and fermented mannitol in mannitol salt agar medium as shown in Figs.3 and 4. In the present study, the isolates of staphylococci were divided into two groups according to the coagulase test, as shown in Table 4: 1\ Coagulase-positive, Staph. aureus. TABLE 4 COAGULASE-POSITIVE STAPHYLOCOCCUS AND COAGULASE-NEGATIVE SPECIES ISOLATED FROM FRESH BEEF SAMPLES COLLECTED FROM KHARTOUM STATE. LOCATION COAGULASEPOSITIVE STAPH.SPP. COAGULASE- NEGATIVE STAPHYLOCCUS SPECIES NOVOBIOCISENSITIVE KHARTOUM STAPHYLOCOCCUS STAPH. AUREUS NOVOBIOCINRESISTANT STAPH. XYLOSUS EPIDERMIDIS STAPH. STAPH. SAPROPHYTICUS CASEOLYTICUS STAPH. LENTUS STAPH. STAPH. SCIURI LUGDUNENSIS 49 STAPH. CHROMOGENES STAPH. CAPITIS SSP. UREALYTICUS BAHRI STAPHYLOCOCCUS STAPH. STAPH. SCIURI AUREUS EPIDERMIDIS STAPH. COHNI STAPH. STAPH. CASEOLYTICUS SAPROPHYTICUS STAPH. LUGDUNENSIS STAPH.HYCIUS STAPH. CPITIS OMDURMAN STAPHYLOCOCCUS STAPH. AUREUS STAPH.SAPROPHYTICUS EPIDERMIDIS STAPH. KLOOSII STAPH. STAPH. COHNI CASEOLYTICUS STAPH. STAPH. UREALYTICUS CPITIS STAPH.FELIS STAPH. LUGDUNENSIS STAPH. WARNERI STAPH. HAEMOLYTICUS STAPH. CAPITIS SSP. UREALYTICUS 50 COHNI SSP. STAPH. GALLINARUM 51 FIG.1: COLONIES OF STAPH. EPIDERMIDS ON FIG.2: COLONIES OF STAPH. EPIDERMIDIS BAIRD-PARKER MEDIUM. ON M.S. A. MEDIUM. 52 FIG.4: COLONIES OF FIG.3: COLONIES OF STAPH. AUREUS ON STAPH. AUREUS ON M.S. A. MEDIUM. BAIRD-PARKER MEDIUM. 53 2\ Coagulase-negative (novobiocin-sensitive), Staph. epidermidis, Staph. caseolyticus, Staph. lugdunensis, Staph. capitis, Staph. capitis ssp. urealyticus, Staph. felis, Staph. warneri, Staph. hycius, Staph. chromogenes and Staph. haemolyticus. Coagulase-negative (novobiocin-resistance), Staph. saprophyticus Staph. sciuri, Staph. cohni, Staph. cohni ssp. urealyticus, Staph. xylosus, Staph. kloosii, and Staph. gallinarum. The sensitivity of staphylococci to novobiocin is shown in Figs. 5 and 6. These results show that most of staphylococci isolates were coagulasenegative, and this was in agreement with other researchers who reported that most of staphylococci found in the skin and respiratory tract are coagulase-negative (15). This could be due to the presence of isolates which come from human skin by contact. Table 5 illustrates that Staphylococcus spp. isolated from Khartoum beef samples (17 isolates, 29.3% of staphylococci) were identified during this study to belong to 10 species, Staph. caseolyticus, Staph .epidermidis, Staph. aureus, Staph. saprophyticus, Staph. sciuri, Staph. xylosus, Staph. lugdunensis, Staph. chromogenes, Staph. lentus and Staph. capitis ssp. urealyticus. The number of staphylococci species isolated in Khartoum City was lower than that in Bahri and Omdurman. Among the 10 species isolated from Khartoum City, Staph. caseolyticus was representing the most common species 17.6% compared to 11.8% for each of Staph. epidermidis, Staph. aureus, Staph. saprophyticus, Staph. Sciuri and Staph. xylosus and 5.9% for each of Staph. lugdunensis, Staph. chromogenes, Staph. lentus and 54 Staph. capitis ssp. urealyticus. These results are in agreement with those who found that the Staph. caseolyticus is the most frequently isolated species from meat (20). TABLE 5 STAPHYLOCOCCUS SPP. ISOLATED FROM FRESH BEEF IN KHARTOUM CITY. NO. OF STAPHYLOCOCCUS SPECIES PERCENTAGE ISOLATES STAPH. CASEOLYTICUS 3 17.6 STAPH. EPIDERMIDIS 2 11.8 STAPH. AUREUS 2 11.8 STAPH.SAPROPHYTICUS 2 11.8 STAPH. SCIURI 2 11.8 STAPH. XYLOSUS 2 11.8 STAPH. LUGDUNENSIS 1 5.9 STAPH. CHROMOGENES 1 5.9 STAPH. LENTUS 1 5.9 1 5.9 STAPH. CAPITIS SSP. UREALYTICUS 55 IN BAHRI CITY 18 ISOLATES (31% OF STAPHYLOCOCCI) BELONGED TO 9 SPECIES OF THE GENUS STAPHYLOCOCCUS, STAPH. EPIDERMIDIS, STAPH. AUREUS, STAPH. SAPROPHYTICUS, STAPH. SCIURI, STAPH. COHNI , STAPH. CASEOLYTICUS, STAPH. LUGDUNENSIS, STAPH. HYCIUS AND STAPH. CAPITIS AS SHOWN IN TABLE 6. Staph. epidermidis and Staph. Sciuri rank first with 16.7% for each, followed by Staph. aureus, Staph. cohni, Staph caseolyticus and Staph. capitis(11.1% each ) and Staph. saprophyticus and Staph. hycius (5.6% each). Most of the isolates were coagulase-negative. This is due to the normal flora found in human and animals and this was in agreement with others who stated that the coagulasenegative staphlococci are endogenous to human and certain animals (8). The isolated species are in agreement with studies done in Sudan where these species were isolated from various organs of man and animals (26; 29). 56 In Omdurman 23 isolates (39.7% of staphylococci) belonged to 14 species of the genus Staphylococcus as shown in Table 7. Staph. epidermidis, Staph. saprophyticus and Staph. aureus, were the top isolates (13% each). Staph. caseolyticus, Staph. capitis and Staph. kloosii came second (8.7% each). Staph. cohni, Staph. felis, Staph. lugdunensis, Staph. cohni ssp. urealyticus, Staph. gallinarum, Staph. warneri , Staph. haemolyticus and Staph. capitis ssp. urealyticus came as the last isolates (4.3% each). The first isolates were considered to be well- known TABLE 6 STAPHYLOCOCCUS SPP. ISOLATED FROM FRESH BEEF IN BAHRI CITY. STAPHYLOCOCCUS NO. OF 57 PERCENTAGE SPECIES ISOLATES STAPH. EPIDERMIDIS 3 16.7 STAPH. SCIURI 3 16.7 STAPH. AUREUS 2 11.1 STAPH.COHNI 2 11.1 STAPH. CASEOLYTIUS 2 11.1 STAPH. CPITIS 2 11.1 STAPH. LUGDUNENSIS 2 11.1 STAPH.SAPROPHYTICUS 1 5.6 STAPH.HYCIUS 1 5.6 58 TABLE 7 STAPHYLOCOCCUS SPP. ISOLATED FROM FRESH BEEF IN OMDURMAN CITY. STAPHYLOCOCCUS NO. OF SPECIES ISOLATE PERCENTAGE S STAPH. EPIDERMIDIS 3 13.0 STAPH.SAPORPHYTICUS 3 13.0 STAPH. AUREUS 3 13.0 STAPH. CASEOLYTICUS 2 8.7 STAPH. CPITIS 2 8.7 STAPH. KLOOSII 2 8.7 STAPH. COHNI 1 4.3 STAPH.FELIS 1 4.3 STAPH. LUGDUNENSIS 1 4.3 1 4.3 STAPH. GALLINARUM 1 4.3 STAPH. WARNERI 1 4.3 STAPH. COHNI SSP UREALYTICUS 59 STAPH. HAEMOLYTICUS STAPH. CAPITIS SSP. UREALYTICUS 60 1 4.3 1 4.3 pathogens to humans and animals, specially Staph. aureus. Their presence could be due to the insanitary condition of the butcher and absene of the health services in butcheries. This was in agreement with others who reported that Staph. aureus should be considered a potential pathogen (14; 8). However, Staph. epidermidis, and Staph. saprophyticus have low pathogenicity. Staph. aureus, and Staph. lugdunensis, produced partial and complete hemolysin, respectively, as shown in Figs. 7 and 8 and this was in agreement with other researchers (34). Our finding in this study was in agreement with isolation done from various organs and materials (18; 29; 26). Generally, in this study, the prevalence rate did vary with different places under studies, for example in 61 Omdurman, where the number of isolates were higher and also in their species , that is to say 23 isolates from 13 fresh beef samples contained 14 species. This means that more contamination takes place during the handling and preparation of the meat and also from air dust and personal contact during selling and this is in agreement with others who reported that the contamination of meat came from external sources during bleeding, handling, skinning and cutting, and additional contamination took place in the retails markets, chopping blocks, sawdust and containers (35). 62 RESISTANCE OF STAPH. SAPROPHTICUS :FIG.5 SENSITIVITY OF STAPH. EPIDERMIDIS :FIG.6 TO NOVOBIOCIN. TO NOVOBIOCIN 63 FIG.7:Β-HAEMOLYSIS OF STAPH. AUREUS FIG.8: Α -HAEMOLYSIS OF STAPH. LUGDUNENSIS ON BLOOD AGAR MEDIUM. ON BLOOD AGAR MEDIUM According to the results some Staphylococcus species appeared in some places and were absent in others. As shown in Table 8, Staph. kloosii, Staph. cohni ssp urealyticus, Staph. felis, Staph. warneri , Staph. gallinarum, and Staph. haemolyticus were isolated from Omdurman samples and were absent in both Khartoum and Bahri. Staph. lentus, Staph. chromogenes, and Staph. xylosus were found in Khartoum samples but were absent in both Bahri and Omdurman. Staph. sciuri was found in Bahri 64 samples and Staph. capitis and Staph. cohni were found in Bahri and Omdurman and were not found in Khartoum. These differences may be attributed to the differences in cities, location, handling, selling way and methods of meat exposure in markets and whether the meat was sold on the same table as the viscera. In this present work, the Staphylococcus species isolated from different cities appeared at different frequencies, some of them appeared more than once and others appeared once, as shown in Table 9 Data in Table 10 show that the first four predominant species whith their percent appearance in khartoum, Bahri,and Omdurman respectively, in brackets): Staph. epidermidis (25, 37.5& 37.5), Staph. 65 aureus, (28.6, 28.6 & 42.), Staph. caseolyticus (42.9, 28.6 &28.6), and Staph. saprophyticus (33.3, 16.7 & 50). All these species are associated with human, especially in the skin and mucosa membrane and are considered as normal human flora. In the Sudan, these species were isolated by others (18,26,25,29) at various rates. TABLE 8 PREVALENCE OF STAPHYLOCCI IN KHARTOUM, BAHRI AND OMDURMAN STAPHYLOCOCCUS KHARTOUM BAHRI OMDURMAN SPECIES STAPH. EPIDERMIDIS + + + STAPH. AUREUS + + + STAPH. CASEOLYTICUS + + + STAPH.SAPORPHYTICUS + + + STAPH. SCIURI + + - 66 STAPH. CPITIS - + + STAPH. LUGDUNENSIS + + + STAPH. COHNI - + + STAPH. XYLOSUS + - - STAPH. KLOOSII - - + + - + - - + STAPH.FELIS - - + STAPH. WARNERI - - + STAPH. GALLINARUM - - + STAPH. HYCIUS - + - STAPH. CHROMOGENES + - - STAPH.LENTUS + - - STAPH. HAEMOLYTICUS - - + STAPH. CAPITIS SSP. UREALYTICUS STAPH. COHNI SSP. UREALYTICUS 67 TABLE (9) PERCENTAGE OF STAPHYLOCOCCUS SPP. ISOLATED FROM FRESH BEEF COLLECTED FROM KHARTOUM STATE. TOTAL STAPHYLOCOCCUS NO . SPECIES OF PERCENTAGE KHARTOUM OMDURMAN BAHRI ISOLATES STAPH. EPIDERMIDIS 8 25 37.5 37.5 STAPH. AUREUS 7 28.6 42.9 28.6 STAPH. CASEOLYTICUS 7 42.9 28.6 28.6 STAPH.SAPORPHYTICUS 6 33.3 50 16.7 STAPH. SCIURI 5 40 0 60 STAPH. CPITIS 4 0 50 50 STAPH. LUGDUNENSIS 4 25 25 50 STAPH. COHNI 3 0 33.3 66.7 STAPH. XYLOSUS 2 100 0 0 STAPH. KLOOSII 2 0 100 0 2 50 50 0 1 0 100 0 STAPH. FELIS 1 0 100 0 STAPH. WARNERI 1 0 100 0 STAPH. CAPITIS SSP. UREALYTICUS STAPH. COHNI SSP. UREALYTICUS 68 STAPH. GALLINARUM 1 0 100 0 STAPH. HYCIUS 1 0 0 100 STAPH. CHROMOGNES 1 100 0 0 STAPH. LENTUS 1 100 0 0 STAPH. HAEMOLYTICUS 1 0 100 0 69 FIGS. 9 AND 10 SHOW THAT STAPH. SAPROPHYTICUS ACIDIFIED MANNITOL ON MANNITOL SALT AGAR MEDIUM AND CHANGED THE COLOUR MEDIUM TO YELLOW. HOWEVER, STAPH. CASEOLYTICUS DID NOT ACIDIFY MANNITOL AND KEPT THE COLOUR UNCHANGED ALSO THE UTILIZATION OF SUGARS WHICH WERE USED IN THE IDENTIFICATION OF STAPHYLOCOCCI, SHOWED ACID PRODUCTION BY CHANGING THE COLOUR TO PINK AND WHEN NO ACID WAS PRODUCED THE MEDIUM COLOUR DID NOT CHANGE AS SHOWN IN SHOWS PRODUCTION OF FIG.13 (APPENDIX II) SPP. IN NH3 BY STAPH. STAPHYLOCOCCUS OMDURMAN CAPITIS SSP. SHOWS THE PREVALENCE OF KHARTOUM STATE. FIGS. 14, 15 AND SPP. ISOLATED FROM SAMPLES, RESPECTIVELY. FIG. 11. FIG. 12 UREALYTICUS. STAPHYLOCOCCUS 16 (APPENDIX II) SHOW KHARTOUM, BAHRI FIG. 17 (APPENDIX II) AND SHOWS THE MOST ABUNDANT STAPHYLOCOCCUS SPP. IN KHARTOUM STATE. TABLE 10. % ISOLATES OF STAPH. EPIDERMIDIS, STAPH. AUREUS, STAPH. CASEOLYTICUS AND STAPH. SAPROPHYTICUS FROM FRESH BEEF COLLECTED FROM KHARTOUM, BAHRI AND OMDURMAN ISOLATION KHARTOU M STAPH. STAPHYLOCOCCUS SPECIES STAPH. STAPH. STAPH. EPIDERMIDIS AUREUS CASEOLYTICUS SAPROPHYTICUS % % % % 25 28.6 42.9 33.3 70 BAHRI OMDURMA N 37.5 28.6 28.6 16.7 37.5 42.9 28.6 50 FIG.10: STAPH. SAPROPHYTICUS MEDIUM. FIG.9: STAPH. CASEOLYTICUS ON M.S. A. MEDIUM. ON M.S. A. 71 FIG.12: UREASE TEST. RIGHT, A FIG.11: SUGAR TEST. RIGHT, A POSITIVE. NEGATIVE TEST. LEFT, A POSITIVE MIDDLE, A NEGATIVE. LEFT, IS A CONTROL TEST. 72 CHAPTER FIVE CONCLUSIONS AND RECOMMENDATIONS CONCLUSION: The study was done to know the microbial load of fresh meat and their source of contamination and how to prevent our fresh meat, and also to assess Staphylococcus count and identify the species and investigate the pathogen species that may cause public hazard to human: THE STUDY SHOWED THAT TOTAL VIABLE COUNT RANGED FROM 4.78X104 TO 3.39 X 105 AND STAPH. COUNT RANGED FROM 3.23 X 103 TO 8.7X103 CUF/G. THIS RANGE WAS COMPARABLE TO OTHER RESEARCHERS, WHICH REPORTED THAT THE AEROBIC PLATE COUNT OF NON-FROZEN BEEF SHOULD BE LESS THAN 1.0X10 THE ISOLATION PERCENT OMDURMAN (39.7%) OF 7 (37). STAPHYLOCOCCI FOLLOWED BY WAS BAHRI (31 %) AND HIGHER IN KHARTOUM (29.3 %). AMONG THESE ISOLATION OF STAPHYLOCOCCI COAGULASE NEGATIVE STAPHYLOCOCCI WERE THE MAJOR ISOLATES. THIS MEAN THAT ALL THESE SPECIES WERE ASSOCIATED WITH HUMAN SPECIALLY ON THE SKIN AND MUCOUS MEMBRANE AND CONSIDERED AS NORMAL HUMAN FLORA, SOME OF THESE ISOLATES (STAPH. EPIDERMIDIS, STAPH. 73 SAPROPHYTICUS, STAPH. WARNERI, STAPH. HEAMOLYTICUS) HAVE BECOME A INFECTION. THEY LUGDUNENSIS AND MAJOR PROBLEM IN STAPH. HUMAN CAUSE NOSOCOMIAL INFECTION IN NEONATAL AND URINARY TRACT INFECTIONS, PARTICULARLY IN YOUNG WOMEN. MOREOVER, SYNDROME AND STAPHYLOCOCCAL FOOD POISONING, TOXIC SHOCK SCALED SKIN STAPH.AUREUS. 74 SYNDROME ARE CAUSED BY RECOMMENDA TION THE STUDY RECOMMEND THAT: • THEY SHOULD BE ROUTINE INVESTIGATE OF THE ABATTOIRS FOR HYGIENE. • WORKERS IN CONNECTION WITH MEAT PRODUCTION AND • DISTRIBUTION MUST BE ROUTINELY MEDICAL EXAMINED. • INFECTED PARTS OF THE CARCASSES MUST BE SAFELY DISPOSED OFF. • MEAT MUST BE TRANSPORTED BY SPECIAL REFRIGERATOR CARS AND STORED AT LOW TEMPERATURE TO PREVENT STAPHYLOCOCCAL GROWTH, BECAUSE FOOD POISONING IS CAUSED BY INGESTION OF IMPROPERLY STORED FOOD IN WHICH STAPHYLOCOCCUS AUREUS HAS GROW. • MEAT MUST BE STORED IN REFRIGERATED CASES AT SELLING POINT, SO AS TO AVOID CONTAMINATION RESULTING FROM AN, DUST…ETC. • MEAT SHOULD BE SALED IN BIG CUTS AS FURTHER CUTTING INCREASES CONTAMINATION. • CUTTING BOARDS AND UTENSILS MUST BE KEPT CLEAN AND BUTCHERS SHOULD USE GLOVES DURING WORK. 75 • MEAT MUST BE KEPT AWAY FROM VISCERA DURING THE TRANSPORTATION AND SELLING, ESPECIALLY IN REMOTE AREA. 76 REFERENCES 1\Brock, T.D. and Brock, K.M. 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Microbiological Methods.3ed ed. Univ.of Parkpress, Baltinone. 53\ Cheesbrough, M. (1994). Medical Laboratory Manual for Tropical Countries. Vol .11-Microbiology. University Press, Cambridge. 83 APPENDIX (I) IDENTIFICATION FORM OF STAPHYLOCOCCUS SPP ACCORDING TO PROF.ELSANOUSI SCHEME NO. OF SAMPLE ………………… TYPE: ……………………..….. PRELIMINARY TEST NO. I II III IV V SOURCE: ……………………. CODE: ………………………. TEST RESULT TEST RESULT GRAM STAIN SHAPE CATALASE OXIDASE O/F NO. COAGULASE TEST NAVOBIOCINE V.P TEST UREASE TEST NITRATE TEST HAEMOLYSIS COL.SIZEZ >6MM PIGMENT.COL. SUGAR FERMENTATION MANNOSE RAFFINOSE SUCROSE MANNITOL TREHALOSE XYLOSE LACTOSE MALTOSE FRUCTOSE CELLOBIOSE TURANOSE THE IDENTIFIED RESULT……………..………………………………………… OTHER TEST: …………………………………………………………………………………………………………… …………………………………………………………………………………………………………… …………………………………………………………………………………………………………… 84 85 APPENDIX (II) 45% 40% 35% Isolation % 30% 25% 20% 15% 10% 5% 0% Khartoum Bahri Omdurman Fig. (13) Prevelance of staphylococci spp in Khartoum State 20 18 16 Isolation % 14 12 10 8 6 4 2 0 S. S. S. S. S. S. pi t is s ss p s ea s ur ne s is ge en s s cu di cu yt i mo tu ro un s su gd ca l en ch lu lo ri ph mi yti us ro iu xy sc ap re ol er se id au ep ca S .s S. S. S. l yt icu s Fig. (14) Staphylococcus spp isolated from fresh beef in Khartoum City 86 S. S. sa op s hy us is s is ti c ns id ic u ne yt us i ol du s iti c iu pr hy cp g lu se hn ca co re rm ri e id iu au sc ep i ep s icu lyt ea ur p ss tis pi s ca cu S. yti ol em ha S. i er rn s wa m S. ru icu lyt na lli ea ga ur S. sp is hn co sis S. en un gd lu S. lis fe S. i hn co S. sii oo kl S. s iti s cp cu S. yti ol se ca S. us re s au cu yti S. h rp po is sa id S. rm de S. 87 S. S. S. S. S. S. S. 8 6 Isolation % 10 8 6 Isolation % 18 16 14 12 4 2 0 Fig. (15) Staphylococcus spp isolated from fresh beef in Bahri City 14 12 10 4 2 0 Fig. (16) Staphylococcus spp isolated from fresh beef in Omdurman City 16 14 Isolation % 12 10 8 6 4 2 0 S. S. S. S. s is s tiu hy op pr sa iu lyt s ou o se ca r au id m er id ep Fig. (17) Prevelance of the most abundant of staphylococci spp in Khartoum State 88 89 90 91 92
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