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Chapter 13: Clostridium perfringens
Updated:
07/18/07
Food poisoning caused by Clostridium perfringens may occur when foods such as meat or poultry are cooked and held without maintaining adequate heating or refrigeration before serving. The presence of small numbers of C. perfringens is not uncommon in raw meats, poultry, dehydrated soups and sauces, raw vegetables, and spices. Because the spores of some strains are resistant to temperatures as high as 100ēC for more than l h, their presence in foods may be unavoidable. Furthermore, the oxygen level may be sufficiently reduced during cooking to permit growth of the clostridia. Spores that survive cooking may germinate and grow rapidly in foods that are inadequately refrigerated after cooking. Thus, when clinical and epidemiological evidence suggests that C. perfringens is the cause of a food poisoning outbreak, the presence of hundreds of thousands or more of these organisms per gram of food substantiates the diagnosis.
Illness typically occurs 8-15 h after ingestion of the contaminated food. The symptoms, which include intense abdominal cramps, gas, and diarrhea (nausea and vomiting are rare), have been attributed to a protein enterotoxin produced during sporulation of the organism in the intestine. The enterotoxin can be detected in sporulating cultures, and a method for this purpose is included. A high correlation has been established between the ability of C. perfringens strains to produce enterotoxin and their ability to cause food poisoning. However, it is difficult to obtain consistent sporulation with some strains (Rhodehamel and Harmon, 1998).
Control measures emphasize proper food preparation
and storage techniques, especially temperature control. Control measures
include:
-
Rapid, uniform cooling of cooked foods to <10ºC
(50ºF) within 2-3 h;
-
Hot holding of cooked foods at or above 60ºC
(140ºF);
-
Reheating cooled or chilled foods to a minimum internal
temperature of 75ºC (167ºF) immediately before serving;
-
Not leaving foods at room temperature or thawing
frozen foods at room temperature;
-
Preventing cross-contamination of cooked foods with
bacteria from raw foods by using separate food-contact surfaces for preparing
raw and cooked food items, or by thoroughly cleaning and sanitizing food-contact
surfaces after being used for raw products;
-
Maintaining food preparation areas so that they are
free of soil and dust;
-
Cleaning and sanitizing meat slicers, meat-cutting
equipment, food-contact surfaces, and other equipment after use; and
-
Using good personal hygiene methods, and thoroughly
washing hands frequently when handling food products, especially after
handling raw products and before handling cooked products (Labbe, 1989;
Reed, 1994).
FDA to assess situations on a case by case basis.
Table
A-4. Limiting conditions for
pathogen growth.
Heat resistance of C. perfringens spores.
|
Temp.
|
D-Value
|
Strain
|
Medium
|
Reference
|
|
(ºC)
|
(ºF)
|
(min.)
|
|
55
|
131
|
179
|
NCTC 8798
|
Ground beef
|
Roy et al., 1981 |
|
57
|
134.6
|
34.9
|
NCTC 8798
|
Ground beef
|
Roy et al., 1981
|
|
59
|
138.2
|
16.9
|
NCTC 8238
|
Ground beef
|
Roy et al., 1981 |
|
61
|
141.8
|
3.9
|
NCTC 8238
|
Ground beef
|
Roy et al., 1981 |
|
98.9
|
210.0
|
31.4
|
NCTC 8798
|
Beef gravy
|
Bradshaw et al., 1977
|
|
100
|
212
|
17.6
|
NCTC 8238
|
SEC broth
|
Weiss and Strong, 1967
|
|
104.4
|
219.9
|
8.0
|
NCTC 10240
|
Beef gravy
|
Bradshaw et al., 1977
|
|
110.0
|
230
|
0.95
|
NCTC 10240
|
Beef gravy
|
Bradshaw et al., 1977 |
|
115.6
|
240.1
|
0.21
|
NCTC 10240
|
Beef gravy
|
Bradshaw et al., 1977 |
- Clostridium perfringens
from shellfish (AOAC, 1995c)
- Clostridium perfringens
in foods: alpha-toxin estimation method (AOAC, 1995b)
- Clostridium perfringens
in foods: Microbiological method (AOAC, 1995a)
- MPN method for C. perfringens in shellfish (Abeyta and Wetherington, 1994)
Commercial test products for C. perfringens.
|
Test Kit |
Analytical Technique |
Approx. Total Test Time1 |
Supplier |
Clostridium Perfringens Test
[A presumptive test for Clostridium perfringens] |
Uses prepared traditional media |
48 h |
Biomedix
Contact: Claver Bundac
1105 #F North Golden Springs Dr.
Diamond Bar, CA 91765
Phone: 800/674-8648 #4282; 909/396-0244
E-mail: cb4biomedx@aol.com |
|
ISO-GRID Method for Clostridium perfringens Count using Modified TSC agar |
Membrane filtration with selective culture medium |
24-72 h (24 h for presumptive enumeration and 48 h additional to confirm presumptive positive results) |
Neogen Corporation
620 Lesher Pl.
Lansing, MI 48912
Phone: 517/372-9200
E-mail: NeogenCorp@aol.com
Web: www.neogen.com/isogridgen.htm |
|
PET-RPLA TD930
[Used to identify C. perfringens type A enterotoxin] |
Reversed passive latex agglutination |
24 h (feces)
48 h (bacterial culture) |
Oxoid, Inc.
Contact: Jim Bell
217 Colonnade Rd.
Nepean, Ontario K2E 7K3
Canada
Phone: 613/226-1318
E-mail: jbell@oxoid.ca |
1Includes enrichment
Abeyta, C. and Wetherington, J. 1994. Iron milk medium for recovering Clostridium perfringens from shellfish: Collaborative study. JAOAC 77:351-356.
Andrews, W.H., and June, G.A. 1998. Food sampling and preparation of sample homogenate,
Ch. 1. In Food and Drug Administration Bacteriological Analytical Manual, 8th ed.
(revision A), (CD-ROM version). R.L. Merker (Ed.). AOAC International, Gaithersburg, MD.
AOAC. 1995a . Clostridium perfringens in foods: microbiological method. Sec. 17.7.02, Method 976.30. In Official Methods of Analysis of AOAC International, 16th ed., P.A. Cunniff (Ed.), p. 48-50. AOAC International, Gaithersburg, MD.
AOAC. 1995b . Clostridium perfringens in foods: Alpha toxin estimation method. Sec. 17.7.03, Method 974.38. In Official Methods of Analysis of AOAC International, 16th ed., P.A. Cunniff (Ed.), p. 50-51. AOAC International, Gaithersburg, MD.
AOAC. 1995c . Clostridium Perfringens from shellfish: Iron milk method. Sec. 17.7.04, Method 993.10. In Official Methods of Analysis of AOAC International, 16th ed., P.A. Cunniff (Ed.), p. 51-52. AOAC International, Gaithersburg, MD.
Bradshaw, J.G., Peeler, J.T., and Twedt, R.M. 1977. Thermal inactivation of ileal loop-reactive Clostridium perfringens type A strains in phosphate buffer and beef gravy. Appl. Environ. Microbiol. 34(3):280-284.
Labbe, R. 1989. Clostridium perfringens. Ch. 5, In Foodborne Bacterial Pathogens, M.P. Doyle (Ed.), p. 191-234. Marcel Dekker, Inc., New York.
Merker, R.L. (Ed.). 1998. Media and Reagents, Appendix 3. In Food and Drug Administration Bacteriological Analytical Manual, 8th ed. (revision A), (CD-ROM version). AOAC International, Gaithersburg, MD.
Reed, G.H. 1994. Foodborne illness (Part 3): Clostridium perfringens gastroenteritis. Dairy, Food and Environmental San. 14(1):16-17.
Rhodehamel, E.J. and Harmon, S.M. 1998. Clostridium perfringens. Ch. 16. In Food and Drug Administration Bacteriological Analytical Manual, 8th ed. (revision A), (CD-ROM version). R.L. Merker (Ed.). AOAC International, Gaithersburg, MD.
Roy, R.J., Busta, F.F., and Thompson, D.R. 1981. Thermal inactivation of Clostridium botulinum after growth at several constant and linearly rising temperatures. J. Food Sci. 46(5):1586-1591.
Weiss, K.F. and Strong, D.H. 1967. Some properties of heat-resistant strains of Clostridium perfringens. I. Heat resistance and toxigenicity. J. Bacteriol. 93(1):21-26.
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