INCIDENCE AND ANTIBIOTIC RESISTANCE OF PSYCHROTOLERANT BACILLUS CEREUS GROUP IN ICE CREAM SAMPLES, WITH SPECIAL REFERENCE TO BACILLUS THURINGIENSIS

Document Type : Research article

Authors

1 Dept. of Food Hygiene, Fac. of Vet. Med., Assiut Univ., Egypt

2 Dept. of Food Hygiene, Fac. of Vet. Med., Sohag Univ., Egypt.

Abstract

Bacillus cereus causes food-poisoning by means of enterotoxins with either emetic or diarrheal effects. Hence, psychrotolerant Bacillus cereus group occurrence in 150 ice cream samples was investigated. Mannitol-egg yolk-polymyxin B (MYP) agar medium was used as selective medium for isolation of this group. All isolates were identified by several biochemical tests. Accordingly, psychrotolerant B. cereus group was found in 32% of the total ice cream samples. Also, psychrotolerant B. cereus group count in each sample was estimated. B. thuringiensis was isolated from the examined three kinds of ice cream samples. Antibiotic sensitivity test was done by disc diffusion method using 8 different antibiotics. High resistance rate was found to ampicillin, amoxicillin, streptomycin and neomycin. Whereas, sensitive to erythromycin, chloramphenical, cephalexin and kanamycin. Therefore, the presence of B. cereus especially antibiotic resistant strains indicate poor sanitary conditions during processing which create a health risk for the consumers.   

Keywords


Dept. of Food Hygiene,

Fac. of Vet. Med., Assiut Univ., Egypt.

 

Incidence and antibiotic resistance of psychrotolerant Bacillus cereus group

in ice cream samples, with special reference to Bacillus thuringiensis

(With 5 Tables)

 

By

Wallaa F. Amin and Eman M. Shaker*

* Dept. of Food Hygiene, Fac. of Vet. Med., Sohag Univ., Egypt.

(Received at 15/9/2011)

 

مدى تواجد مجموعة الباسيلاس سيريس المقاومة للبرودة ومقاومتهم لمضادات البکتيريا فى عينات الآيس کريم مع اشارة خاصة

للباسيلاس ثورينجينسيس

 

ولاء فاروق أمين ، ايمان مختار شاکر

 

تسبب بکتيريا باسيلاس سيريس تسمم غذائى بواسطة السموم المعوية. ولذلک تم البحث عن مجموعة ميکروب هذه الباسيلات المقاومة للبرودة فى ١٥٠ عينة آيس کريم. استخدم مستنبت الاجار المحتوى على مانيتول – صفار البيض والبوليميکسين ب کمستنبت انتقائى لهذه المجموعة. ثم تم التعرف على کل ميکروب بالتجارب البيوکيميائية وعلى هذا وجدت هذه المجموعة بنسبة ٣٢٪ من العينات الکلية للآيس کريم المفحوصة. کما تم عد تواجد الميکروب فى کل جم من کل عينة. وقد وجد باسيلاس ثورينجينسيس فى الثلاث انواع من الآيس کريم. کما تم تحديد مقاومة مجموعة باسيلاس سيريس لثمانية أنواع من المضادات الحيوية بطريقة انتشار الأقراص. ووجدت معظم العزلات مقاومة للمضادات الحيوية الآتية: الأمبسيلين ، الأموکسيسيلين ، الستريبتومايسين والنيومايسين، بينما وجدت معظم العزلات حساسة لکل من: الأريثرومايسين ، الکلورامفينيکول ، سيفالاکسين والکانامايسين. ولهذا فوجود الميکروبات المقاومة للمضادات الحيوية توضح قلة وضعف الظروف الصحية خلال التصنيع وهو يسبب خطورة لصحة المستهلک.  

 

SUMMARY

 

Bacillus cereus causes food-poisoning by means of enterotoxins with either emetic or diarrheal effects. Hence, psychrotolerant Bacillus cereus group occurrence in 150 ice cream samples was investigated. Mannitol-egg yolk-polymyxin B (MYP) agar medium was used as selective medium for isolation of this group. All isolates were identified by several biochemical tests. Accordingly, psychrotolerant B. cereus group was found in 32% of the total ice cream samples. Also, psychrotolerant B. cereus group count in each sample was estimated. B. thuringiensis was isolated from the examined three kinds of ice cream samples. Antibiotic sensitivity test was done by disc diffusion method using 8 different antibiotics. High resistance rate was found to ampicillin, amoxicillin, streptomycin and neomycin. Whereas, sensitive to erythromycin, chloramphenical, cephalexin and kanamycin. Therefore, the presence of B. cereus especially antibiotic resistant strains indicate poor sanitary conditions during processing which create a health risk for the consumers.   

 

Key words: Psychrotolerant Bacillus cereus group, food poisoning, ice cream, Bacillus thuringiensis, Antibiotic resistance.

 

INTRODUCTION

 

Bacillus cereus is a facultative anaerobic, gram-positive, catalase-positive, endospore forming, motile organism that consists of six closely related species namely Bacillus anthracis, Bacillus cereus, Bacillus mycoides, Bacillus pseudomycoides, Bacillus thuringiensis, and Bacillus weihenstephanensis (Ash and Collins, 1992).

 

B. cereus is widely distributed in nature and is commonly found in a variety of foods of plant and animal origin particularly dairy products. When B. cereus grows to high numbers in a food, sufficient enterotoxin may be produced resulting in foodborneillness (Granum, 2002).

 

B. cereus was not considered as a psychotolerant species until some cold-tolerant isolates had been identified in the 1990s (Van Netten et al., 1990; Dufrenne et al., 1995). Considering the heat resistance of their spores, the vegetative production of emetic and enterotoxic toxins at refrigeration temperatures, the occurrence of psychrotolerant             B. cereus and their consequent impact on the safety of chilled foods are needed to be investigated.

 

Likewise, food contamination by B. cereus can readily occur because of the ubiquity of the spores, causing them to be almost impossible to be undetected in raw food (Heyndrickx and Scheldeman, 2002). For this reason, contamination may occur after ineffective heat treatment or from packaging problems. Heat treatments such as pasteurization (at least 71.7º C for 15 sec.) efficiently kill vegetative bacteria but not spores.

 

Usually, two types of B. cereus foodborne diseases occur, the diarrhoeal and the emetic types (Stenfors Arnesen et al., 2008). In addition to causing foodborne illness, B. cereusis also capable of causing respiratory tract infections (Gray et al., 1999), mastitis, systemic infection, gangrene, meningitis in immunocompromised children (Gaur et al., 2001) and other clinical problems (Weber, 1988) as a severe form of endophthalmitis can result in loss of functional vision or even blindness (Callegan et al., 2002), urinary tract infections, and fatal liver failure (Kotiranta et al., 2000). 

 

Also, B. thuringiensis has been implicated in food-poisoning (Jackson et al., 1995). However, there have been few reports on its prevalence in foods. The potential risks of enterotoxins produced by     B. thuringiensis have been noted (Jensen et al., 2002; Swiecicka et al., 2006; Ngamwongsatit et al., 2008).It has the same toxicity level as B. cereus isolated from cases of human diarrhoea. Thus, with the present knowledge from B. cereus strains causing diarrhoea, it must be concluded that B. thuringiensis has the potential to cause diarrhoea (Hansen and Hendriksen, 2004).

 

Therefore, this study was conducted for enumeration and identification of psychrotolerant Bacillus cereus group in ice cream, to estimate mainly the relative occurrence of B. thuringiensis,as well as, the antibiotic resistance of psychrotolerant B. cereus group and              B. thuringiensis particularly.

 

MATERIALS and METHODS

 

Collection of samples:

A total of 150 ice cream samples representing large scale manufacture, small scale manufacture and street vendors (50 samples each), were collected from different supermarkets, shops and street vendors, respectively, in Assiut City.

Samples were collected in ice box and transferred immediately to the laboratory where they were prepared and examined for psychrotolerant Bacillus cereus group.

 

Preparation of samples:

Samples were left to melt in a water bath at 44°C for 10 minutes. Each sample was then thoroughly mixed. Eleven ml of the well mixed prepared sample was transferred into a sterile flask containing 99 ml sterile 0.1% peptone water, to obtain a dilution 1/10, then decimal dilutions were prepared as recommended by A.P.H.A. (1992).

 

Isolation and enumeration of Bacillus cereus group:

According to the U.S. Food and Drug Administration Bacteriological Analytical Manual, (Rhodehamel and Harmon, 2001), isolation and enumeration of Bacillus cereus group were made.

 

  • Plate count of Bacillus cereus:

Serial dilutions were prepared from samples. MYP agar plates were inoculated with each dilution of sample. Plates were incubated 24 h at 30°C.

 

The pure isolated colonies were identified according to the U.S. Food and Drug Administration Bacteriological Analytical Manual (Rhodehamel and Harmon, 2001).

 

The identification of Bacillus cereus group was by nitrate reduction test, catalase test, anaerobic utilization of glucose, motility test, rhizoid growth, hemolytic activity and test for protein toxin crystals. B. mycoides characteristically produces rhizoid colonies on agar media. Whereas, B. thuringiensis was identified with the test for protein toxin crystals; where nutrient agar slants were inoculated with 24 h culture suspensions. Slants were incubated 24 h at 30°C and then at room temperature 2-3 days. Smears were prepared with sterile distilled water on microscope slides. Slides were air-dried and lightly heat-fixed by passing slide through flame. Slides were stained with methanol then with 0.5% basic fuchsin (Difco). Slides were examined under oil immersion for presence of darkly stained tetragonal (diamond-shaped) toxin crystals. Toxin crystals are usually abundant in a 3- to 4-day-old culture of B. thuringiensis, but cannot be detected by the staining technique until lysis of the sporangium has occurred. Therefore, unless free spores can be seen, cultures should be held at room temperature for a few more days and re-examined for toxin crystals. B. thuringiensisusually produces protein toxin crystals that can be detected by the staining technique. B. cereus and other members of the B. cereus group do not produce protein toxin crystals.

B. cereus was identified as those isolates which are actively motile and strongly haemolytic and do not produce rhizoid colonies or protein toxin crystals.

 

Antibiotic sensitivity test:

The antibiotic sensitivity was performed using the disc diffusion method according to Bauer et al. (1966). A 16 h broth cultures of the collected strains were grown at 37 °C and spread on nutrient agar plate using sterilized glass spreader. Then ampicillin (10 μg), amoxycillin    (10 μg), chloramphenical (30 μg), kanamycin (30 μg), cephalexin (30 μg), erythromycin (15 μg), neomycin (30 μg) and streptomycin ( 10 μg) antibiotic discs were distributed on plate and kept the plates at 4 °C for 4-6 h, so that the antibiotic can diffuse on the agar media.

 

The plates were then incubated at 37 °C for 16 h and the growth of the bacteria was observed. The presence of a clear zone around the disc was the index of sensitivity to the antibiotic. The test results of antibiotic sensitivity were determined according to the inhibition zone diameter (Barry, 1986). The absence of such a clear zone or the presence of some colonies within the clear zone indicated that the strain was resistant to that antibiotic.

 

RESULTS

 

The obtained results were tabulated in Tables 1-5

 

Table 1: Incidence of psychrotolerant Bacillus cereus group in examined ice cream samples.

 

Sources of examined samples

No. of examined

samples

Positive samples

No.

%

Large scale produced ice cream

50

10

20

Small scale produced ice cream

50

20

40

Street vendors ice cream

50

18

36

Total

150

48

32

 

Table 2: Psychrotolerant Bacillus cereus group (CFU/gm) in examined ice cream samples.

 

Sources of examined samples

Min.

Max.

Average

Large scale produced ice cream

1x102

1x103

5 x102

Small scale produced ice cream

1x103

48x104

24x103

Street vendors ice cream

1x103

2x104

12x103

 

Table 3: Percentage of ice cream samples contains the infective dose of psychrotolerant Bacillus cereus group.

 

Sources of examined samples

103 CFU/gm

> 103 CFU/gm*

No.

%

No.

%

Large scale produced ice cream

 10

100

0

0

Small scale produced ice cream

10

50

10

50

Street vendors ice cream

10

55.6

8

44.4

 

* The infective dose must surpass 103 CFU/gm of B. cereusaccording toGranum (2002).

 

Table 4: Frequency distribution of psychrotolerant Bacillus cereusgroup in examined ice cream samples.

 

Species

Large scale produced ice cream

Small scale produced ice cream

Street vendors ice cream

No.

%

No.

%

No.

%

B. cereus

5/10

50

6/20

30

10/18

55.55                                         

B. mycoides

3/10

30

8/20

40

  5/18

27.78

B. thuringiensis

2/10

20

6/20

30

3/18

16.67

 

 

Table 5: Antibiotic sensitivity of B. thuringiensis isolates

 

 

 

No. (%)

Antimicrobial

Conc (μg/disc)

Resistant

Sensitive

Ampicillin

10

8(72.7%)

3(27.3%)

Amoxycillin

10

7(63.6%)

4(36.4%)

Chloramphenical

30

0

11(100%)

Kanamycin

30

0

11(100%)

Cephalexin

30

1(9.1%)

10(90.9%)

Erythromycin

15

2(18.2%)

9(81.8%)

Neomycin

30

11(100%)

0

Streptomycin

10

11(100%)

0

 

DISCUSSION

 

This study has shown that B. cereus group can be isolated from the three kinds of ice cream. The possibility of an entry of B. cereus group into ice cream is through the use of contaminated mixtures. Another possibility for the origin of B. cereus group is the use of pasteurized milk in ice cream. Likewise, B. cereus spores can survive the pasteurization process. Therefore, pasteurized milk is a possible vehicle for the entry of B. cereus into ice cream (Novak et al., 2005).

 

Cold adaptation of contaminated B. cereus group endues the bacteria to grow quickly at low temperature with the consequence of greater potential hazard in chilled food.

 

The results recorded in Tables 1 and 2 revealed that the psychrotolerant Bacillus cereus group were present in 20%, 40% and 36% of examined ice cream samples collected from large scale producers, small scale producers and street vendors, with average values of 5 x102, 24x103 and 12x103 CFU/gm, respectively.

 

These results reflect the effect of manufacturing process in ice cream samples on the quality of final products. As the large scale produced ice cream is produced under strict hygienic measures accomplished by efficient packaging, handling, storage and delivery to consumers. Rather than the small scale produced and street vendors ice cream, where uncontrolled hygienic measures are usual practices reflected by salesmen behaviour during handling and temperature where it is kept, as well as, the process of filling in final containers which are delivered to the consumers considered as a source of contamination (Masud, 1989).

 

There is currently a consensus with the respect to the dose necessary for a food item to be considered safe for human consumption. This dose should not surpass 103 CFU of B. cereus in 1 gram or 1 ml of food (Granum, 2002).

 

According to Granum, 2002, it was found in this investigation as illustrated in Table 3 that 10 samples out of 20 small scale produced ice cream and 8 out of 18 street vendors’ ice cream samples were highly contaminated exceeding the infective dose of B. cereus thus may be infective to consumers causing food poisoning if enterotoxins were produced. While, all large scale produced ice cream did not surpass 103 CFU/gm and considered safe, this reflects the effect of manufacturing process in ice cream samples on the quality of final products.            

 

Ahmed et al. (1983) isolated B. cereus from 48% of ice cream samples. Also, Saleh et al. (1993) found B. cereus in 44% of ice cream samples. While, Wong et al. (1988) found B. cereus in 52% of ice creams and 35% of soft ice creams. The relatively low incidence of the present study (32%) in total examined ice cream samples (Table 1) compared to other investigations could be attributed to that during the ice cream freezing process; the number of vegetative cells of B. cereus might be reduced to a very low or undetectable level (Messelhäusser     et al., 2010).

 

The use of high heat treatment can result in commercially sterile food products, spoilage can occur quite frequently, because the sporeforming organisms characterized by their high heat resistance and their thermostable protease enzyme lead to spoilage of such contaminated foods (Chopra and Mathur, 1983). Therefore, hygienic measures must be adopted to reduce microbial population and prevention of subsequent contamination of food products during processing and handling. 

 

B. thuringiensis was detected due to the presence of intracellular crystals (Harmon, 1982). It resembled 20% of B. cereus group strains isolated from large scale produced ice cream, while it was 30% and 16.67% in case of B. cereus group strains isolated from small scale produced and street vendors ice cream samples, respectively (Table 4). Despite the pathogenic characteristics of B. thuringiensis, the presence of this bacterial species in food and food borne disease is not well described. Earlier studies did not distinguish between B. thuringiensis and B. cereus probably because of similar methods for detection and enumeration of B. cereus-like organisms in food. This observation results in the speculation that B. thuringiensis could actually be responsible for many of the foodborne outbreaks previously attributed to B. cereus.

 

Cogan (1980) declared that most psychrotrophic bacteria are readily killed by pasteurization but thermoduric psychrotrophic bacteria still survive. So, it could be stated that the initial raw milk used in manufacturing of ice cream samples was originally highly contaminated with psychrotolerant Bacillus cereus group.

 

Collins (1981) illustrated that clean equipment and cooling will have a great value in control of thermoduric psychrotrophic bacteria in dairy products.

 

Since B. cereus is ubiquitous in the environment, preventing contamination of food with its spores is almost impossible. Thus, measures to inhibit spore germination and prevent the growth of vegetative cells in ready-to-eat foods might be the approach to effectively prevent and control the spread of this pathogen. Thorough cooking is most likely to destroy the vegetative cells and spores. However, temperatures under 100°C might allow spore survival. Cooling should be done rapidly.

 

Studying the antibiotic sensitivity of B. thuringiensis in Table 5, revealed that it was resistant to amoxicillin, ampicillin, streptomycin and neomycin. Whereas, sensitive to erythromycin, chloramphenical, cephalexin and kanamycin.  It is nearly similar to that reported by Luna et al. (2007). Whereas, Sarker et al. (2010) found that B. thuringiensis was sensitive to ampicillin and streptomycin.

 

It is noticeable to mention that the antibiotic sensitivity pattern of psychrotolerant B. cereus group isolates was similar to B. thuringiensis.  

 

 

REFERENCES

 

A.P.H.A. "American Public Health Association" (1992): Compendium of methods for the Microbiological Examination of Foods. 2nd Ed. American Public Health Association, WashingtonD.C., USA.

Ahmed, A.A-H.; Moustafa, M.K. and Marth, E.H. (1983): Incidence of Bacillus cereus in milk and some milk products. J. Food Prot., 46: 126-128.

Ash, C. and Collins, M.D. (1992): Comparative analysis of 23S ribosomal RNA gene sequence of Bacillus anthracis and emetic Bacillus cereus determined by PCR-direct sequencing. FEMS microbiol. Lett., 73: 75-80.

Barry, A.L. (1986): Procedure for testing antimicrobial agent in agar media: Theoretical considerations. Lorian V: Antibiotics in laboratory medicine, 2nd Ed. Williams-Wilkins, Baltimore-London.

Bauer, A.W.; Kirby, W.M. and Sherris, J.C. (1966): Antibiotic susceptibility testing by a standard single disk method. American Journal of Clinical Pathology. 45: 493-496.

Callegan, M.C.; Kane, S.T.; Chochran, D.C. and Gilmore, M.S. (2002): Molecular mechanisms of Bacillus endophthalmitis pathogenesis. DNA Cell Biol., 21: 367-373.

Chopra, A.K. and Mathur, D.K. (1983): Factors affecting protease production by Bacillus stearothermophilus. J. Food Prot., 46: 1020-1025.

Cogan, T.M. (1980): Heat resistant lipases and proteinases and the quality of dairy products. Annu. Bull. Int. Dairy Fed. Document, 118: 26-32.

Collins, E.B. (1981): Heat resistant psychrotrophic microorganisms. J. Dairy Sci., 64: 157-160.

Dufrenne, J.; Bijwaard, M.; te Giffel, M.; Beumer, R. and Notermans, S. (1995): Characteristics of some psychrotrophic Bacillus cereus isolates. International J. Food Microbiol., 27: 175-183.

Gaur, A.H.; Patrick, C.C.; McCullers, J.A.; Flynn, P.M.; Pearson, T.A.; Razzouk, B.I.; Thompson, S.J. and Shenep, J.L. (2001): Bacillus cereus bacteremia and meningitis in immunocompromised children. Clin. Infect. Dis., 32: 1456-1462.

Granum, P.E. (2002):Bacillus cereus and Food poisoning. In Applications and Systematics and Relatives. 1st Ed. Edited by R. Berkeley, M.N. Heyndrickx, and P. de Vos Blackwell Science Ltd, Oxford., pp: 37-46.

Gray, J.; George, R.H.; Durbin, G.M.; Ewer, A.K.; Hocking, M.D. and Morgan, M.E. (1999): An outbreak of Bacillus cereus respiratory tract infections on a neonatal unit due to contaminated ventilator circuits. J. Hosp. Infect., 41: 19-22.

Hansen, B.M. and Hendriksen, N.B. (2004): Enterotoxins – a potential risk of using B. thuringiensis products. Workshop on Health and Environmental Risks by the use of Organisms for Biological Control of Pests and Diseases in Agriculture. National Environmental Research Institute, Elsinore, Denmark.

Harmon, S.M. (1982): New method for differentiating members of the Bacillus cereus group: Collaborative study. J. Assoc. Off. Anal. Chem., 65: 1134-1139.

Heyndrickx, M. and Scheldeman, P. (2002): Bacilli associated with spoilage in dairy products and other food. In Applications and Systematics of Bacillus and Relatives. 1st Ed. Edited by R. Berkeley, M.N. Heyndrickx, and P. de Vos Blackwell Science Ltd, Oxford, pp: 64-82.

Jackson, S.G.; Goodbrand, R.B. and Ahmed, R. (1995): Bacillus cereus and Bacillus thuringiensis isolated in a gastroenteritis outbreak investigation. Letters in Applied Microbiology, 21: 103-105.

Jensen, G.; Larsen, P.; Jacobsen, B.; Madsen, B.; Wilcks, A.; Smidt, L. and Androp, L. (2002): Isolation and characterization of Bacillus cereus-like bacteria from fecal samples from greenhouse workers who are using Bacillus thuringiensis-based insecticides. Int. Arch. Occupat. Environ. Health., 7: 191-196.

Kotiranta, A.; Lounatmaa, K. and Haapasalo, M. (2000): Epidemiology and pathogenesis of Bacillus cereus infections. Microbes Infect., 2: 189–198.

Luna, A.V.; King, S.D.; Gulledge, J.; Cannons, C.A.; Amuso, T.P. and Cattani, J. (2007): Susceptibility of Bacillus anthracis, Bacillus cereus, Bacillus mycoides, Bacillus pseudomycoides and Bacillus thuringiensis to 24 antimicrobials using Sensititre® automated microbroth dilution and Etest® agar gradient diffusion methods. Journal of Antimicrobial Chemotherapy, 60(3): 555-567.

Masud, T. (1989): Microbiological quality and public health significance of ice cream. J. Pak. Med. Assoc., 39(4): 102-104.

Messelhäusser, U.; Kampf, P.; Fricker, M.; Ehling-Schulz, M.; Zucker, R.; Wagner, B.; Busch, U. and Höller, C. (2010): Prevalence of emetic Bacillus cereus in different ice creams in Bavaria. J. Food Prot., 73 (2): 395-399.

Ngamwongsatit, P.; Buasri, W.; Pianariyanon, P.; Pulsrikarn, C.; Ohba, M.; Assavanig, A. and Panbangred, W. (2008): Broad distribution of enterotoxin genes (hblCDA, nheABC, cytK, and entFM) among Bacillus thuringiensis and Bacillus cereus as shown by novel primers. Int. J. Food Microbiol., 121: 353-356.

Novak, J.S.; Call, J.; Tomasula, P. and Luchansky, J.B. (2005): An assessment of pasteurization treatment of water, media, and milk with respect to Bacillus spores. J. Food Prot., 68: 751-757.

Rhodehamel, E.J. and Harmon, S.M. (2001):Bacillus cereus. Bacteriological Analytical Manual Online. U.S. Food and Drug Administration, Rockville, MD. http://www.cfsan.fda.gov/~ ebam/bam-14.html.

Saleh, Y.E.; El-Fouly, M.Z.; Khalil, M.S. and Abo-State, M.A. (1993): Incidence and characterization of Bacillus cereus isolated from Egyptian food. QatarUniv. Sci. J., 13(1): 75-80.

Sarker, D.; Roy, N. and Yeasmin, T. (2010): Isolation and antibiotic sensitivity of Bacillus thuringinesis strain from dump soil. Malaysian J. of Microbiol., 6(2): 127-132.

Stenfors Arnesen, L.P.; Fagerlund, A. and Granum, P.E. (2008): From soil to gut: Bacillus cereus and its food poisoning toxins. FEMS Microbiol. Rev., 32: 579-606.

Swiecicka, L.; Van der Aurera, G. and Mahillon, G. (2006): Hemolytic and non-hemolytic enterotoxin genes are broadly distributed among Bacillus thuringiensis isolated from wild mammals. Microbial Ecology, 52: 203-212.

Van Netten, P.; Van De Moosdijk, A.; Van Hoensel, P.; Mossel, D.A. and Perales, I. (1990): Psychrotrophic strains of Bacillus cereus producing enterotoxin. J. Appl. Bacteriol., 69: 73–79.

Weber, D.J. (1988): In vitro susceptibility of Bacillus spp. to selected antimicrobial agents. Antimicrob. Agents Chemotherapy,       642-645.

Wong, H.C.; Chang, M.H. and Fan, J.Y. (1988): Incidence and characterization of Bacillus cereus isolates contaminating dairy products. Appl. Environ. Microbiol., 54: 699-702.

 

 

 

REFERENCES
 
A.P.H.A. "American Public Health Association" (1992): Compendium of methods for the Microbiological Examination of Foods. 2nd Ed. American Public Health Association, WashingtonD.C., USA.
Ahmed, A.A-H.; Moustafa, M.K. and Marth, E.H. (1983): Incidence of Bacillus cereus in milk and some milk products. J. Food Prot., 46: 126-128.
Ash, C. and Collins, M.D. (1992): Comparative analysis of 23S ribosomal RNA gene sequence of Bacillus anthracis and emetic Bacillus cereus determined by PCR-direct sequencing. FEMS microbiol. Lett., 73: 75-80.
Barry, A.L. (1986): Procedure for testing antimicrobial agent in agar media: Theoretical considerations. Lorian V: Antibiotics in laboratory medicine, 2nd Ed. Williams-Wilkins, Baltimore-London.
Bauer, A.W.; Kirby, W.M. and Sherris, J.C. (1966): Antibiotic susceptibility testing by a standard single disk method. American Journal of Clinical Pathology. 45: 493-496.
Callegan, M.C.; Kane, S.T.; Chochran, D.C. and Gilmore, M.S. (2002): Molecular mechanisms of Bacillus endophthalmitis pathogenesis. DNA Cell Biol., 21: 367-373.
Chopra, A.K. and Mathur, D.K. (1983): Factors affecting protease production by Bacillus stearothermophilus. J. Food Prot., 46: 1020-1025.
Cogan, T.M. (1980): Heat resistant lipases and proteinases and the quality of dairy products. Annu. Bull. Int. Dairy Fed. Document, 118: 26-32.
Collins, E.B. (1981): Heat resistant psychrotrophic microorganisms. J. Dairy Sci., 64: 157-160.
Dufrenne, J.; Bijwaard, M.; te Giffel, M.; Beumer, R. and Notermans, S. (1995): Characteristics of some psychrotrophic Bacillus cereus isolates. International J. Food Microbiol., 27: 175-183.
Gaur, A.H.; Patrick, C.C.; McCullers, J.A.; Flynn, P.M.; Pearson, T.A.; Razzouk, B.I.; Thompson, S.J. and Shenep, J.L. (2001): Bacillus cereus bacteremia and meningitis in immunocompromised children. Clin. Infect. Dis., 32: 1456-1462.
Granum, P.E. (2002):Bacillus cereus and Food poisoning. In Applications and Systematics and Relatives. 1st Ed. Edited by R. Berkeley, M.N. Heyndrickx, and P. de Vos Blackwell Science Ltd, Oxford., pp: 37-46.
Gray, J.; George, R.H.; Durbin, G.M.; Ewer, A.K.; Hocking, M.D. and Morgan, M.E. (1999): An outbreak of Bacillus cereus respiratory tract infections on a neonatal unit due to contaminated ventilator circuits. J. Hosp. Infect., 41: 19-22.
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