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References

  1. Babouee, B., R. Frei, E. Schultheiss, A. F. Widmer, and D. Goldenberger. 2011. Comparison of the DiversiLab repetitive element PCR system with spa typing and pulsed-field gel electrophoresis for clonal characterization of methicillin-resistant Staphylococcus aureus. J. Clin. Microbiol. 49: 1549-1555.
    Pubmed PMC CrossRef
  2. Balaban, N. and A. Rasooly. 2000. Staphylococcal enterotoxins. Int. J. Food Microbiol. 61: 1-10.
    CrossRef
  3. Cha, J. O., J. K. Lee, Y. H. Jung, J. I. Yoo, Y. K. Park, B. S. Kim, and Y. S. Lee. 2006. Molecular analysis of Staphylococcus aureus isolates associated with staphylococcal food poisoning in South Korea. J. Appl. Microbiol. 101: 864-871.
    Pubmed CrossRef
  4. Hennekinne, J. A., M. L. De Buyser, and S. Dragacci. 2012. Staphylococcus aureus and its food poisoning toxins: Characterization and outbreak investigation. FEMS Microbiol. Rev. 36: 815-836.
    Pubmed CrossRef
  5. McDougal, L. K., C. D. Steward, G. E. Killgore, J. M. Chaitram, S. K. McAllister, and F. C. Tenover. 2003. Pulsedfield gel electrophoresis typing of oxacillin-resistant Staphylococcus aureus isolates from the United States: Establishing a national database. J. Clin. Microbiol. 41: 5113-5120.
    Pubmed PMC CrossRef
  6. Melles, D. C., W. B. van Leeuwen, S. V. Snijders, D. HorstKreft, J. K. Peeters, H. A. Verbrugh, and A. van Belkum. 2007. Comparison of multilocus sequence typing (MLST), pulsedfield gel electrophoresis (PFGE), and amplified fragment length polymorphism (AFLP) for genetic typing of Staphylococcus aureus. J. Microbiol. Methods 69: 371-375.
    Pubmed CrossRef
  7. Oh, S. K., N. Lee, Y. S. Cho, D. B. Shin, S. Y. Choi, and M. Koo. 2007. Occurrence of toxigenic Staphylococcus aureus in ready-to-eat food in Korea. J. Food Prot. 70: 1153-1158.
    Pubmed
  8. Rhee, C. H. and G. J. Woo. 2010. Emergence and characterization of foodborne methicillin-resistant Staphylococcus aureus in Korea. J. Food Prot. 73: 2285-2290.
    Pubmed
  9. Sung, J. Y., J. Lee, E. H. Choi, and H. J. Lee. 2012. Changes in molecular epidemiology of community-associated and health care-associated methicillin-resistant Staphylococcus aureus in Korean children. Diagn. Microbiol. Infect. Dis. 74: 28-33.
    Pubmed CrossRef
  10. Yan, X., B. Wang, X. Tao, Q. Hu, Z. Cui, J. Zhang, et al. 2012. Characterization of the Staphylococcus aureus strains associated with food poisoning in Shenzhen, China. Appl. Environ. Microbiol. 78: 6637-6642.
    Pubmed CrossRef

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J. Microbiol. Biotechnol. 2013; 23(1): 85-87

Published online January 28, 2013 https://doi.org/10.4014/jmb.1210.10022

Copyright © The Korean Society for Microbiology and Biotechnology.

A Foodborne Outbreak of Staphylococcus aureus Associated with Fried Chicken in Republic of Korea

Ji-Yeon Hyeon 1, Gyung-Tae Chung 1, Sun-Hye Bing 2, Kyung-Sook Kwon 2, Hyeon-Hee Lee 3, Soo-Jin Kim 1, Se-Eun Jeon 1, Yeon-Ho Kang 1 and Junyoung Kim 1*

1Division of Enteric Diseases, Center for Infectious Diseases, Korea National Institute of Health, Korea Centers for Disease Control and Prevention, 187, Osong-eup, Cheongwon-gun, Chungbuk-do, 363-951, Republic of Korea , 2Division of Infectious Disease, Research Institute of Public Health and Environment, 100, Dunsan-ro, Seo-gu, Daejon, 302-789, Republic of Korea, 3Seo-gu Daejon Health Center, 74, Mannyeon-ro, Seo-gu, Daejon, 302-150, Republic of Korea

Received: October 10, 2012; Accepted: October 18, 2012

Abstract

An outbreak of Staphylococcus aureus infections occurred
in a university with an enrollment of 80 students in the
city of Daejon, Republic of Korea. All nine S. aureus
isolates from patients (n = 7), staff members (n = 1), and
the fried chicken served as the lunch (n = 1) harbored the
enterotoxin A gene and showed an identical antibioticresistant
profile, PFGE banding pattern (STAS16.001), and
sequence type, ST 6. These results suggested that the
outbreak was associated with eating the fried chicken that
had been handled by an infected staff member. This case
report demonstrated a practical approach to identifying
the source and transmission of an infection.

Keywords: Staphylococcus aureus, outbreak, pulsed-field gel electrophoresis (PFGE), multilocus sequence typing (MLST)

References

  1. Babouee, B., R. Frei, E. Schultheiss, A. F. Widmer, and D. Goldenberger. 2011. Comparison of the DiversiLab repetitive element PCR system with spa typing and pulsed-field gel electrophoresis for clonal characterization of methicillin-resistant Staphylococcus aureus. J. Clin. Microbiol. 49: 1549-1555.
    Pubmed KoreaMed CrossRef
  2. Balaban, N. and A. Rasooly. 2000. Staphylococcal enterotoxins. Int. J. Food Microbiol. 61: 1-10.
    CrossRef
  3. Cha, J. O., J. K. Lee, Y. H. Jung, J. I. Yoo, Y. K. Park, B. S. Kim, and Y. S. Lee. 2006. Molecular analysis of Staphylococcus aureus isolates associated with staphylococcal food poisoning in South Korea. J. Appl. Microbiol. 101: 864-871.
    Pubmed CrossRef
  4. Hennekinne, J. A., M. L. De Buyser, and S. Dragacci. 2012. Staphylococcus aureus and its food poisoning toxins: Characterization and outbreak investigation. FEMS Microbiol. Rev. 36: 815-836.
    Pubmed CrossRef
  5. McDougal, L. K., C. D. Steward, G. E. Killgore, J. M. Chaitram, S. K. McAllister, and F. C. Tenover. 2003. Pulsedfield gel electrophoresis typing of oxacillin-resistant Staphylococcus aureus isolates from the United States: Establishing a national database. J. Clin. Microbiol. 41: 5113-5120.
    Pubmed KoreaMed CrossRef
  6. Melles, D. C., W. B. van Leeuwen, S. V. Snijders, D. HorstKreft, J. K. Peeters, H. A. Verbrugh, and A. van Belkum. 2007. Comparison of multilocus sequence typing (MLST), pulsedfield gel electrophoresis (PFGE), and amplified fragment length polymorphism (AFLP) for genetic typing of Staphylococcus aureus. J. Microbiol. Methods 69: 371-375.
    Pubmed CrossRef
  7. Oh, S. K., N. Lee, Y. S. Cho, D. B. Shin, S. Y. Choi, and M. Koo. 2007. Occurrence of toxigenic Staphylococcus aureus in ready-to-eat food in Korea. J. Food Prot. 70: 1153-1158.
    Pubmed
  8. Rhee, C. H. and G. J. Woo. 2010. Emergence and characterization of foodborne methicillin-resistant Staphylococcus aureus in Korea. J. Food Prot. 73: 2285-2290.
    Pubmed
  9. Sung, J. Y., J. Lee, E. H. Choi, and H. J. Lee. 2012. Changes in molecular epidemiology of community-associated and health care-associated methicillin-resistant Staphylococcus aureus in Korean children. Diagn. Microbiol. Infect. Dis. 74: 28-33.
    Pubmed CrossRef
  10. Yan, X., B. Wang, X. Tao, Q. Hu, Z. Cui, J. Zhang, et al. 2012. Characterization of the Staphylococcus aureus strains associated with food poisoning in Shenzhen, China. Appl. Environ. Microbiol. 78: 6637-6642.
    Pubmed CrossRef