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Updated: Apr 11, 2026

Multiplex PCR Assay for Typing of Staphylococcal Cassette Chromosome Mec Types I to V in Methicillin-resistant Staphylococcus aureus
Published on: September 5, 2013
Methicillin-Resistant Staphylococcus aureus in Raw Milk: Prevalence, SCCmec Typing, Enterotoxin Characterization, and
Alessandra Riva1, Elisa Borghi2, Daniela Cirasola1
1Department of Health Sciences, Università degli Studi di Milano, Via di Rudinì 8, 20142 Milan, Italy.
Abstract:
Staphylococcus aureus is a known major cause of foodborne illnesses, and raw milk and dairy products are often contaminated by enterotoxigenic and antimicrobial-resistant S. aureus strains. In the present study, 35 S. aureus strains were isolated from 383 raw milk samples collected from various dairy herds in the province of Milan (northern Italy). The isolates were characterized based on their antimicrobial susceptibility patterns and the presence of genes encoding staphylococcal enterotoxins (sea, seb, sec, sed, and see). About half (45.7%) of the strains were enterotoxigenic, and 37.1% were resistant to at least one of the antimicrobial drugs tested. Seven (20%) of 35 isolates were identified as methicillin-resistant S. aureus (MRSA), and SCCmec typing performed with a multiplex PCR assay revealed the presence of gene cassettes IV and V, typical of community-acquired MRSA, and I and II, characteristic of health care-associated MRSA. The MRSA strains were evaluated for the presence of the Panton-Valentine leukocidin gene, but this gene was not found. The results of the present study revealed the presence of toxin-producing S. aureus and MRSA strains in raw milk. MRSA and enterotoxigenic S. aureus in dairy farms are an important risk factor for the spread of staphylococcal infections; therefore, further studies are needed to find strategies for monitoring and controlling the presence of S. aureus, especially MRSA, in dairy products.
Insights
This study found toxin-producing and methicillin-resistant Staphylococcus aureus (MRSA) in raw milk from Milan, Italy. These findings highlight the risk of staphylococcal infections spreading from dairy farms.
Area of Science:
- Food Microbiology
- Antimicrobial Resistance
- Public Health
Background:
- Staphylococcus aureus is a significant cause of foodborne illness.
- Raw milk and dairy products are common sources of enterotoxigenic and antimicrobial-resistant S. aureus.
Purpose of the Study:
- To investigate the prevalence of enterotoxigenic and antimicrobial-resistant S. aureus, including MRSA, in raw milk from Milan, Italy.
- To characterize the antimicrobial susceptibility and toxin gene profiles of isolated S. aureus strains.
Main Methods:
- Isolation and characterization of S. aureus from 383 raw milk samples.
- Antimicrobial susceptibility testing and detection of staphylococcal enterotoxin genes (sea-see).
- Identification of methicillin-resistant S. aureus (MRSA) and SCCmec typing.
Main Results:
- 45.7% of S. aureus isolates were enterotoxigenic, and 37.1% were resistant to at least one antimicrobial.
- Seven isolates (20%) were identified as MRSA, with SCCmec types associated with both community and healthcare settings.
- The Panton-Valentine leukocidin gene was not detected in MRSA strains.
Conclusions:
- Toxin-producing S. aureus and MRSA strains are present in raw milk in the Milan region.
- The presence of these strains in dairy farms poses a risk for the dissemination of staphylococcal infections.
- Further research is needed to develop strategies for monitoring and controlling S. aureus, particularly MRSA, in dairy products.
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Clinical Significance of Antibiotic Resistance
Mechanism of Antibiotic Resistance in MRSA
Staphylococcal Skin Infections
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