883 REVIEW / SYNTHÈSE A review of conventional detection and enumeration methods for pathogenic bacteria in food Kiev S. Gracias and John L. McKillip Abstract: With continued development of novel molecular-based technologies for rapid, high-throughput detection of foodborne pathogenic bacteria, the future of conventional microbiological methods such as viable cell enumeration, selective isolation of bacteria on commercial media, and immunoassays seems tenuous. In fact, a number of unique approaches and variations on existing techniques are currently on the market or are being implemented that offer ease of use, reliability, and low cost compared with molecular tools. Approaches that enhance recovery of sublethally injured bacteria, differentiation among species using fluorogenics or chromogenics, dry plate culturing, differentiation among bacteria of interest using biochemical profiling, enumeration using impedence technology, techniques to confirm the presence of target pathogens using immunological methods, and bioluminescence applications for hygiene monitoring are summarized here and discussed in relation to their specific advantages or disadvantages when implemented in a food microbiology setting. Key words: food pathogen, detection, enumeration methods, food safety. Résumé : Avec le développement continuel des nouvelles technologies moléculaires permettant la détection rapide et à haut débit de bactéries alimentaires pathogènes, l’avenir des méthodes microbiologiques conventionnelles comme l’énumération des cellules viables, l’isolation sélective de bactéries sur milieu commercial, et les essais immunologiques, semble trouble. En fait, un certain nombre d’approches uniques et de variations de techniques existantes sont actuellement sur le marché ou sont mises en application afin d’offrir une facilité d’usage, une fiabilité et un coût réduit par rapport aux outils moléculaires. Cet article résume des approches augmentant la récupération de bactéries endommagées sous le seuil de la létalité, qui distinguent les espèces d’intérêt à l’aide de profilage biochimique, qui permettent l’énumération en utilisant la technologie d’impédance, des techniques qui confirment la présence de pathogènes à l’aide de méthodes immunologiques et des applications de la bioluminescence pour le suivi hygiénique. Nous discutons des avantages et des désavantages spécifiques à chacune des approches lorsque appliquées dans un contexte de microbiologie alimentaire. Mots clés : pathogènes alimentaires, détection, méthodes d’énumération, sécurité des produits alimentaires. [Traduit par la Rédaction] Gracias and McKillip Introduction Of the more than 200 known diseases transmitted through food (in the United States) annually, approximately 8000 deaths are recorded from over 75 million reported cases. Surveillance and detection of food-associated pathogenic bacteria are complicated by emerging strains not routinely encountered and the unclear route of transmission of many bacteria (Mead et al. 1999). With regard to hygiene monitoring, Hazard Analysis Critical Control Point (HACCP) programs are designed to monitor critical control points for potential contamination during food processing. Rigorous adherence to sanitary practices in a food-processing environReceived 8 March 2004. Revision received 11 June 2004. Accepted 30 June 2004. Published on the NRC Research Press Web site at http://cjm.nrc.ca on 6 January 2005. K.S. Gracias and J.L. McKillip.1 Department of Biology, Ball State University, Muncie, IN 47306, USA. 1 Corresponding author (e-mail: [email protected]). Can. J. Microbiol. 50: 883–890 (2004) 890 ment necessitates rapid assay results (Marriott 1999). High throughput screening of an increasingly diverse array of both fresh and processed foods requires that pre- and postharvest food safety practices be dynamic, sensitive, specific, as well as versatile and cost-effective for large sample numbers. No single assay or method will address all of these criteria optimally, particularly culture-based techniques. However, these methods do offer certain advantages for monitoring microbiological quality of foods, including costeffectiveness, ease of use, and familiarity among users, as described herein. The last several years have revealed a new generation of innovative methods and technologies for pathogen enumeration and detection in contaminated foods. Molecular approaches that entail near-time or real-time bacterial detection are rapid, sensitive, and specific for the target pathogen (Smith et al. 2000; Feng 2001; Rijpens and Herman 2002) or one of the varied virulence determinants of that pathogen (Fig. 1). The reliability, cost, and novelty of some of these methods may still limit their adoption and scale-up practicality in a food doi: 10.1139/W04-080 © 2004 NRC Canada 884 Fig. 1. Targets or features of interest on a general foodassociated pathogenic or spoilage bacterium that are exploited for selective isolation, differential media design, or immunoassays. A few representative virulence determinants are indicated. processing scenario, obligating many laboratories to rely more on traditional microbiological methods for quality control/quality assurance of foods (Jaykus 2003). These methods are essentially designed around the recovery and (or) enumeration of viable bacteria in the food matrix. Familiarity and acceptance among food processors with methods such as the standard plate count or selective and differential media for bacterial isolation and detection as well as commercially available biochemical profiling systems for identification of specific food isolates continue to serve as the basis in many food microbiology laboratories that lack the necessary resources to utilize some of the emerging molecular-based technologies. Novel means of detecting and enumerating bacteria of interest are continually being reported, and although the majority entail molecular biological approaches, many fall into the category of conventional techniques. This review will present a comparative overview of many conventional approaches in food microbiology for enumeration and (or) detection of bacteria in foods. Background on traditional microbiological methods in food Standard/aerobic plate counts and relevant variations Detection of viable bacteria is traditionally performed by implementing a means of culturing/measuring growth of individual microorganisms. Hundreds of commonly used bacteriological media in the food industry are met with unique ways of applying them to best monitor for spoilage and (or) pathogenic bacteria in food (Harrigan 1998). The use of routine nonselective media such as trypticase soy agar or stan- Can. J. Microbiol. Vol. 50, 2004 Fig. 2. Agar overlay schematic that allows for recovery of sublethally injured bacteria from food samples using a nonselective basal layer (pour plated). Incubation/recovery in this medium for a few hours followed by overlay with the selective medium of choice increases the sensitivity of a viable cell count compared with plating directly onto the selective medium. dard methods agar, known as the aerobic plate count (APC) or standard plate count (SPC), is worthy of discussion in terms of the many offshoot methods that have been designed to improve upon it. Increased sensitivity of SPC/APC has been achieved using a selective agar overlay approach designed to recover a larger proportion of bacteria from food matrices (compared with straight plating onto selective media) following sublethal stressors experienced during processing steps, such as heat, cold, acid, or osmotic shock (Harrigan 1998; Speck et al. 1975). Detecting these sublethally damaged bacteria is of vital significance in the food industry, since the selective agar overlay technique aids in the resuscitation of bacterial cells from food, which may still be viable and pose a threat to human health as a result. In this approach, the inoculum is pour-plated with a basal layer of trypticase soy agar, or comparable nonselective medium, and incubated for 1–4 h. During this time, sublethally injured bacteria are given a chance to recover and begin growing prior to an overlay with the appropriate selective medium (Hurst 1977; Ray 1986) (Fig. 2). This approach has been demonstrated predominately with enteric bacteria such as Escherichia coli and Salmonella typhimurium, although it has shown promise when modified to enumerate Gram-positive pathogens such as Listeria monocytogenes, Bacillus cereus, and enterotoxigenic Staphylococcus aureus (Golden et al. 1988; Kang and Siragusa 1999, 2001; Kang and Fung 1999, 2000; Hara-Kudo et al. 2000; Hajmeer et al. 2001; McKillip 2001; Wu et al. 2001; Sandel et al. 2003). Slight variations on the resuscitation technique have been employed, including a membrane or solid-support-based transfer of E. coli O157:H7 from the trypticase soy agar recovery medium onto sorbitol MacConkey agar, which has been shown to improve recovery of sublethally injured cells by a factor of 3 log10 (Blackburn and McCarthy 2000). Pre-enrichment of the suspect food sample in a nonselective or selective broth culture is another strategy to increase numbers of injured but viable target bacteria to dectectable levels (Zhao and Doyle 2001), although depending on the food product being analyzed, the enrichment step(s) may require an additional 8–24 h before enumeration or detection can be completed. In the above study applied to heat-injured pathogens, enrichment in the appropriate selective media was essential to obtain densities of at least 4 log10 to confirm the presence of the pathogen using immunoassay. © 2004 NRC Canada Gracias and McKillip Therefore, despite the advantages of these familiar culture methods in detecting viable bacteria, such as ease of use and low cost, assay sensitivity is still relatively low compared with alternative methods (e.g., molecular-based approaches such as PCR). In PCR, the enrichment step is crucial in increasing bacterial cell numbers, prior to nucleic acid extraction (thereby obtaining higher yield and good quality DNA) and primer-specific amplification, in the highly sensitive and quick detection of bacterial contaminants in food matrices. It is important to note that an SPC is done both before and after enrichment to enumerate the bacteria in the food sample prior to PCR (McKillip et al. 2002; Nakano et al. 2004). Therefore, the time it takes to obtain data prevents the SPC/APC technique from being considered among the “rapid methods”. In many cases, the food microbiologist may find it necessary to implement a bacterial concentration or immobilization step immediately prior to plating to sequester cells within an otherwise polluted and heterogenous food matrix. Several general approaches have been described for selective removal of cells from a fluid food system, and each offers the potential to greatly increase detection and differentiation of target bacteria prior to enumeration (Sharpe 1997). Immunomagnetic separation (IMS) is one such technique that employs antibodies linked to magnetic beads that are placed in the food slurry and allowed to interact with specific epitopes on the bacterial cell surface (Fig. 1). The material is then exposed to a magnetic field that essentially pulls the bacteria out of suspension for plating or molecular-based (e.g., PCR) detection/enumeration (Jinneman et al. 1995; Tomoyasu 1998). One such commercial application using IMS, DynabeadsTM (Dynal Botech, Oslo, Norway), has proven effective for isolation of a variety of food pathogens, including L. monocytogenes, E. coli O157:H7, and Salmonella spp. (Hsih and Tsen 2001; Hudson et al. 2001; Ogden et al. 2001; Chandler et al. 2001). An effective alternative to IMS is the use of metal hydroxide based bacterial concentration, which may be used either bound to a solid support through which the food slurry passes or applied directly to a liquid food matrix or dilution in floc form. Titanous, hafnium, or zirconium hydroxide suspensions interact with the opposing charge of the bacterial cell (whether viable or dead) and may be separated using low-speed centrifugation, resuspended, and directly plated (or used for molecular-based downstream detection assays). Like IMS, metal hydroxide based concentration has been demonstrated successfully for many common food-associated bacterial pathogens and is useful for removal and detection of spores as well (Lucore et al. 2000; McKillip et al. 2000; Cullison and Jaykus 2002; Jaykus 2003). For selective isolation and differentiation of food-associated spoilage and pathogenic bacteria of interest, a variety of chromogenic and fluorogenic culture media are available. Incorporation of enzyme substrates into selective media may expedite (or eliminate) followup biochemical confirmation of bacterial identity. Fluorogenic enzyme substrates consist of a sugar or amino acid conjugated to a fluorogen (Manafi 1996, 2000). A commonly used example, methylumbelliferyl, has been employed in a wide variety of media and other detection formats for coliforms (e.g., E. coli O157:H7). When cleaved by enzymes produced from specific target species, a blue fluorescence is observed when suspect colonies are ex- 885 posed to long-wave ultraviolet light (Alonso et al. 1998, 1999; Berg and Fiksdal 1988). Enterohemorrhagic E. coli O157:H7 is unique in that it is methylumbelliferyl-β-Dglucoronidase negative, whereas virtually all other coliforms are positive for this enzyme (Hartman 1989). This important distinction is useful for confirming enterohemorrhagic E. coli O157:H7 presence in water or food samples (although additional steps are also necessary) (Bettelheim 1998) as growth on solid agar or liquid broth media (Manafi 2000). Chromogenic substrates such as 5-bromo-4-chloro-3-indolylβ-D-galactopyranoside (XGAL) are useful for coliforms such as E. coli as well and produce a distinctive blue colony when this compound is cleaved by β-galactosidase produced during cell growth, particularly if 1-isopropyl-β-D-thiogalactopyranoside is added to the medium to enhance activity of this enzyme. Other fluorogenic or chromogenic media for coliforms are available under various trade names, including Rainbow agar, BCM O157:H7 (and other coliforms), CHROMagar, and Colilert, all of which have been applied in the clinical or food industry to distinguish key species based on coloration of suspect colonies. For Gram-positive pathogens, fluorogenic and chromogenic media are also readily available with similar substrates and indicator systems. Staphylococcus aureus CHROMagar may be supplemented with antibiotics to cross-check for methicillinresistant S. aureus, for example, in clinical applications. Bacillus cereus, as a food-associated pathogen of growing concern, may produce a phosphatidylinositol-specific phospholipase C, the key enzyme reacting with 5-bromo-4chloro-3-indoxyl-myoinositol-1-phosphate, giving distinctive turquoise colonies. Analogous indicator systems are commercially available for Clostridium perfringens, L. monocytogenes, and Bifidobacterium spp. (Baumgart et al. 1990; Restaino et al. 1999; Chevalier et al. 1991). Dry plate culturing (e.g., 3M Petrifilm or similar) is yet another widely used means of assessing microbiological quality of a wide range of foods for coliforms, aerobic mesophilic bacteria, psychrotrophs, and staphylococci (Blackburn 1996; Linton 1997; Silbernagel and Lindberg 2001; Ellis and Meldrum 2002). This system consists of multiple layers of plastic film encasing a dehydrated disk of the appropriate medium. Typically, a single sheet of plastic is aseptically peeled back and 1 mL of inoculum is used to rehydrate the medium while the film is reapplied and pressed flat. In some types of rehydratable films, gas production (e.g., from Enterobacteriaceae) may be detected as bubbles in the film following incubation. Dry media culture plates have been applied in settings ranging from predicting shelf life and monitoring the microbiological quality of milk (Hughes and Sutherland 1987; Phillips and Griffiths 1990) to assessing surface contamination of meat and poultry (Guthrie et al. 1994; Park et al. 2001; Erdmann et al. 2002) and constitute an AOAC-approved method in food microbiology for quality control. Owing to their small size, Petrifilm plates are convenient for larger sample numbers common in quality control laboratories and require less space in a typical incubator but possess the same limitations as standard plate counting in terms of poor sensitivity and the likelihood of encountering false-negative results from bacteria that may be sublethally injured, precluding accurate © 2004 NRC Canada 886 enumeration from suspect foods. This and other methods for food-associated pathogen detection are summarized in Feng (1998). Other means of measuring cell growth Impedance microbiology The use of the impedance allows for detection of microbes directly through metabolite accumulation in surrounding substrate or indirectly by carbon dioxide liberation (Silley and Forsythe 1996; Marshall 1999). Direct impedance detection is measured by the increase in the conductivity of the medium as a function of continually accumulating organic acids, ammonium ions, and other compounds that are produced from growth of a pure isolate. Whether direct or indirect measurements are used, the time required for detectable changes to occur depends on inoculum size, although detection limits here are theoretically a single cell, if conditions are permissible for growth. Conductance assays are widely used in food microbiology for prediction of shelf life and a variety of bacterial growth modeling studies for specific pathogens, including E. coli (Madden and Gilmour 1995; Edmiston 1998, 2000) and Campylobacter spp. (Moore and Madden 2002). This technique requires specialized instrumentation with significant up-front costs, however, and necessitates the establishment of stringently reproducible growth curve profiles of isolated strains under each temperature or culture condition of interest (Duran and Marshall 2002). Variability may ensue from different food matrices containing inconsistent levels of interfering organic material and, as with the SPC, stressed bacteria may introduce an additional element of variability into experimental runs, making reproducibility difficult to achieve. Once impedance curves are established for specific isolates under standard sample preparation regimes, high throughput is possible with relative ease. Miniaturized assays Frequently, bacteria isolated from contaminated food are identified to the species level after growth on (or in) the appropriate selective medium. Selective enrichment steps in broth are sometimes employed to increase the density of a target microbe or population suspected to be present. As mentioned above, this regime is both time- and laborintensive and may not directly correlate with the presence of pathogenic strains of interest if one simply relies on matching the biochemical profile of the food isolate with a data set from a type strain. Since bacterial virulence factors may be shared among a wide variety of species, or conversely may be absent in an otherwise correctly identified strain, the notion of using species identification as a hallmark of obligatory pathogenicity is an obsolescent design strategy. For example, the flagship food-associated pathogen within Bacillaceae, B. cereus, frequently produces enterotoxins that elicit toxicoinfection-related illness (Granum and Lund 1997; McKillip 2000). Of course, not all B. cereus strains are enterotoxigenic, and many species outside the B. cereus phylogenetic group may harbor enterotoxin genes and express them in varied growth environments (Hoult and Tuxford 1991; Damgaard 1995; Beattie and Williams 1999; Pruß et al. 1999; Phelps and McKillip 2002). Food microbiologists Can. J. Microbiol. Vol. 50, 2004 must operate under the assumption that such observations are likely the rule rather than the exception and design and implement detection methodologies with this in mind. Regardless, the myriad of commercially available kit/strip-based biochemical systems allow for confirmation of isolated bacteria from food, particularly during the development of faster and more sensitive molecular assays. The utility and evolution of many of these miniaturized biochemical systems have been reported (Cox et al. 1987; Dziezak 1987; Fung et al. 1988; Feng 1996, 1997, 1998; Shi and Fung 2000). As is common with identification strategies, many of the rapid kit-based systems commercially available were first introduced in the clinical arena and were then eventually adapted for use in food microbiology (Stager and Davis 1992). The majority of the biochemical test kits currently sold assess fermentation of a battery of carbohydrates via pH indicators and (or) specific amino acid or alternative substrate utilization. Most are designed for the differentiation and putative identification of Gram-negative bacteria, although a few are sold for use on Gram-positives such as staphylococci and Bacillaceae, although with greater variability (Feng 2001; Murtiningsih 1997). Each of these systems requires a pure culture for inoculation and 16–24 h for incubation to obtain results. If used with a standardized inoculum, accuracy of identification may exceed 95%, particularly if one uses some of the latest kits on the market that are compatible with instruments designed to facilitate data acquisition and quantitation (Feng 1996, 1998). However, the higher sample throughput afforded by this automatability increases cost significantly. Commercially available miniaturized assays are overviewed in Russell et al. (1997) and in tabular format in Feng (1998). Molecular-based semi-automated detection formats Immunoassays Among the widely accepted molecular methods in use for a battery of food pathogens is the enzyme-linked immunosorbent assay (ELISA), which potentially offers much greater specificity compared with SPC owing to the antibody–target interaction (although contaminants and food matrix debris may interfere). This process essentially consists of the addition of the suspect antigen (food slurry or diluted extract) to the sample wells in a microtiter plate containing a (primary) antibody with specificity to the target molecule. This molecule may be a component of the pathogen, such as a cell or flagellar antigen, or a product of the bacteria (e.g., enterotoxin) (Notermans and Wernars 1991). Following an incubation step, unbound material is rinsed away and the secondary anitibody is added to form a “sandwich” of the antigen between the 2 antibody molecules. After a second rinse, the assay is developed per the conjugate or tag bound to the secondary antibody (Fig. 3). If serial dilutions of the suspect antigen (e.g., food sample) are made, one may glean relative quantitative, high-throughput data if a spectrophotometer with microtiter plate capabilities is employed for data collection. ELISA has been successfully used to detect either whole-cell antigen targets or products (e.g., virulence determinants) of pathogens such as Salmonella spp., E. coli O157:H7, Campylobacter spp., B. cereus, and L. monocytogenes, among others (Peplow © 2004 NRC Canada Gracias and McKillip Fig. 3. Schematic of ELISA for high-throughput screening of food pathogens using any one of a number of target antigens. A bound capture antibody may be used to immobilize or remove the target microbe or molecule from a heterogeneous matrix such as a food slurry; following a rinse step, a labeled secondary antibody is added, and detection ensues via an enzyme–substrate (e.g., colorimetric) reaction. Alternatively, the secondary antibody may be conjugated to a fluorophore and read as fluorescence following excitation. et al. 1999; Chen et al. 2001; Valdivieso-Garcia et al. 2001; Daly et al. 2002; de Paula et al. 2002; Yeh et al. 2002; Bolton et al. 2002), in a more user-friendly format than reverse passive latex agglutination assays (explained below). ELISA is automatable, however, and is convenient for large sample numbers with relative ease. Despite these advantages, ELISA methods may still suffer in terms of desired sensitivity, with a typical detection limit of 104 CFU/mL, depending on the food being analyzed (Cox et al. 1987; Hartman et al. 1992). A less quantitative means of confirming the presence of a pure culture of a specific pathogen following isolation could entail the use of reverse passive latex agglutination. This rapid test is performed by mixing a suspension of test cells (usually following enrichment) with sensitized latex beads containing antibodies specific for the target pathogen under study. After several minutes, visible clumping is observed in a positive reaction compared with control samples. This procedure is typically performed from components sold commercially in kit form from a large number of clinical/food microbiology supply companies. ATP bioluminescence If a food microbiology laboratory is predominately interested in general monitoring of processing plant sanitation without the necessary isolation, recovery, and subsequent identification of specific bacteria, bioluminescence assays may suffice. In particular, bioluminescence assays that detect bacterial adenosine triphosphate (ATP) are a good indicator of the presence of microbial contamination in foods ranging from meat and poultry to dairy products and the processing surfaces in the vicinity (Griffiths 1993, 1996). It is important to note that in addition to detecting microbial contamination, ATP bioluminescence detects the presence of food residues and therefore gives an indication of total surface contamination, a capability exploited within the realms of surface hygiene monitoring/assessment. Since ATP is present within all actively metabolizing cells, in order for ATP bioluminescence to solely detect microorganisms, the assay procedure must 887 include steps to either segregate microbial from somatic ATP (filtration step in the protocol) or destroy the somatic ATP so that all that remains in the sample is that that is associated with microbial contaminants, although these steps extend assay time and decrease sensitivity. In the ATP bioluminescence approach, luciferase is added to a sample, along with luciferin, in a magnesium-containing buffer. As the luciferin is oxidized to oxyluciferin, the photons of light emitted may be measured using a luminometer. Once a standard curve is established with dilutions of bacteria at known densities, the level of contamination may be assessed in the food sample or on the contact surface (Poulis et al. 1993; de Boer and Beumer 1999). Although ATP assays do not require an enrichment step, the sensitivity is typically on the order of 104 CFU/mL. Bioluminescence lends itself well to rapid spot monitoring, as the results are obtained in less than 15 min (Feng 2001). This technique has been used on a diverse array of foods, including raw and pasteurized dairy products (Webster et al. 1988; Kyriakides 1992; Brovko et al. 1999; Niza-Ribeiro et al. 2000; Samkutty et al. 2001), meat and poultry products (Bautista et al. 1994, 1995; Siragusa and Cutter 1995; Chen 2000), beer (Dowhanick and Sobczak 1994), and fruit (Ukuku et al. 2001). Perspectives In order for any conventional or molecular-based detection format to be a feasible tool in the food industry for hygiene monitoring or quality control, it must demonstrate reproducible sensitivity (ability to detect target cells or molecules at very low levels), marked specificity (ability to exhibit positive results in a high background of nontarget molecules or cells), speed in obtaining results, low cost per assay, acceptability and ease of use by the scientific community and food microbiology laboratory staff, and standardized protocols and data interpretation (Fung 2002; Malorny et al. 2003). Since no single approach satisfies all or even most of these criteria, the user must prioritize the features of each available format against the needs of the facility and implement the most practical method(s) accordingly. References Alonso, J.L., Soriano, K., Amoros, I., and Ferrus, M.A. 1998. 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