Staphylococcus aureus in the Processing Environment of Cured Meat Products

1. Introduction

Staphylococcus aureus is one of the most common foodborne pathogens causing intoxication. Staphylococci can be introduced in the environment of food processing installations through various routes, as raw materials, food handlers or poor hygiene in food processing equipment. They are resistant to desiccation and can survive on different surfaces and resist sanitation forming biofilms [1]. S. aureus can also contaminate foods during preparation and processing, and temperature abuse conditions during transport and/or storage can allow bacterial growth and enterotoxin production. S. aureus is able to tolerate pH ranges from 4.5 to 9.0 and NaCl concentrations up to 9% and can grow and express virulence in a wide range of environmental conditions [2]. The pathogen causes food poisoning through the ingestion of heat stable staphylococcal enterotoxins (SE) preformed in food. Meat and meat products, milk and dairy products, bakery products, salads, etc., are commonly involved in staphylococcal food poisoning (SFP). Bacterial toxins represented the second most common causative agent of outbreaks in the European Union (EU) with 19.3% foodborne outbreaks in 2019 [3].

Staphylococcal enterotoxins are the main virulence factors associated with S. aureus and the primary cause of staphylococcal food poisoning. Most of the staphylococcal food poisoning outbreaks are classified as weak-evidence outbreaks, as only the classical enterotoxins SEA, SEB, SEC, SED and SEE can be detected commercially [4]. Together with these five SEs, new described enterotoxins and staphylococcal enterotoxin-like proteins have been characterized [5,6]. A high number of strains harbor the enterotoxin gene cluster (egc) [7], containing newer enterotoxin genes (seg, sei, sem, sen, seo and seu), and widely distributed in S. aureus isolated from foods and food handlers [8]. Genes encoding SE are located on mobile elements as plasmids, bacteriophages and pathogenicity islands, representing an additional risk factor in food intoxications due to the posible horizontal gene transfer. Additionally, S. aureus strains usually carry more than one SE gene [9]. Besides enterotoxins, S. aureus produce other virulence factors such as exfoliative toxins, toxic shock syndrome toxin, or the Panton-Valentine leukocidin (PVL) [10]. Staphylococcal enterotoxin A accounts for 80% of reported SFP cases, followed by enterotoxin B. Its worldwide predominance has been extensively documented [11].

Multidrug resistant strains have been found in SFP cases and isolated from foods. Multiple antibiotic-resistant strains of S. aureus are spreading rapidly around the world, which raises serious health concerns [12]. Methicillin resistant S. aureus (MRSA) is a major nosocomial emerging pathogen with increasing concern on the livestock industry. Livestock associated MRSA (LA-MRSA) are common colonizers of swine, and could be transmitted from production animals to humans [13]. MRSA ST398, the most prevalent lineage in Europe [14], has been increasingly isolated from meat and dairy products [15,16,17].

The incidence of S. aureus in the food processing environment and the characterization of the isolated strains will provide useful information in the control of SFP and contribute to improve strategies to eliminate the pathogen. The aim of this work was to investigate the prevalence of S. aureus from the environment and different products in six dry-cured meat processing facilities. Further, toxigenicity and antimicrobial resistance of isolated S. aureus was examined in order to evaluate the potential risk associated with the presence of this pathogen.

2. Materials and Methods

2.1. Sampling Procedure and Bacterial Isolation

A total of 720 samples from the environment and equipment surfaces and 82 from different product categories (ingredients, casings, meat batters and final products) were collected in six production facilities of dry-cured pork meat products (ham and traditional Spanish sausages) during a six month period. Environmental and equipment surfaces were sampled during processing (DP) and after cleaning and disinfection (ACD) which takes part before the beginning of the working day. Non-contact and food-contact surfaces were taken by means of pre-moistened sterile wipes (bioMérieux España SAU, Madrid, Spain) and 25 g samples were taken from products for analysis. Samples were kept at 4 ºC immediately after collection and analyzed within 24 h. Facilities were sampled twice at an interval of approximately 6 months.

Samples were homogenized in 0.1% peptone water, maintained for 1 h at 25 ºC and inoculated on Baird-Parker agar supplemented with tellurite egg yolk emulsion (Laboratorios Conda S.A., Madrid, Spain) and CHROMagar Staph aureus (Scharlab, Barcelona, Spain). The plates were incubated at 37 ºC for 24-48 h. Characteristic colonies were isolated and transferred to Brain Heart Infusion (Laboratorios Conda S.A.) for further identification. Coagulase test was carried out using rabbit plasma with EDTA (Biomerieux, France). S. aureus CECT976 (ATCC13565) and Staphylococcus epidermidis CECT231 were used as positive and negative control, respectively. Positive isolates were stored at -80 ºC in TSB supplemented with glycerol (30% v/v) until further analysis.

2.2. Genomic DNA Extraction and PCRs

A total of 124 coagulase positive isolates were selected for further identification. Genomic DNA from overnight cultures in BHI broth was extracted with the genomic DNA GeneJET PCR Purification Kit (Thermo Fisher Scientific, Waltham, MA, USA). The extracted DNA was quantified using Nanodrop, adjusted at 250 ng/μL and stored at -20 ºC.

Each PCR reaction mixture (20 μL) consisted of 2 μL of extracted bacterial DNA template, 10 μL of DNA AmpliTools Master Mix (2X) (Biotools, B & M Labs, S.A., Madrid, Spain), 0.8 μL of 5 mM of each primer (forward and reverse) and 6.4 μL of RNase/DNase-free water (Thermo Fisher Scientific). PCR amplifications were performed using a Mastercycler nexus gradient (Eppendorf, Hamburg, Germany). The amplification conditions were as follows: (1) initial denaturation at 95 ºC for 10 min, (2) 30-35 cycles of denaturation at 95 ºC for 30 s, with annealing temperature and time shown in Table S1, extension at 72 ºC for a variable time depending on the length of the amplicons, and (3) a final extension step at 72 ºC for 10 min. Amplified DNA fragments were separated by agarose gel electrophoresis in 1X TAE buffer stained with GelRed 1X solution. All primers in this study are listed in Table S1.

2.3. Pulsed-Field Gel Electrophoresis (PFGE) Typing

PFGE typification of the S. aureus isolates was determined following the Pulsenet protocol (https://www.cdc.gov/mrsa/pdf/ar_mras_PFGE_s_aureus.pdf). Digestion of the genomic DNA was performed with SmaI FastDigest (Thermo Fisher Scientific). XmaI (New England Biolabs Inc., Ipswich, MA, USA), an isoschizomer of SmaI not blocked by CpG methylation, was used for the digestion of genomic DNA of MRSA isolates. Salmonella ser. Braenderup H9812 digested with XbaI FastDigest (Thermo Fisher Scientific) was used as molecular size marker and included in every gel for standardization and comparison purposes. The restriction DNA fragments were separated using the polygonal contour clamped homogeneous electric field system CHEF DRII (Bio-Rad Laboratories, Hercules, CA, USA). Analysis of the PFGE patterns was performed using the BioNumerics software (Applied Maths NV, Sint-Martens-Latem, Belgium). Comparisons were performed using Dice similarity coefficient (Similarity of 1% and optimization of 1%). Dendrograms were constructed with the UPGMA algorithm.

2.4. Multilocus Sequence Typing (MLST)

MLST analysis was carried out as previously described [18]. In summary, fragments of seven housekeeping genes: arc, aroE, glpF, gmk, pta, tpi and yqil (Table S1) were amplified following the protocol accessible at https://pubmlst.org/organisms/staphylococcus-aureus/primers. PCR products were purified with GeneJet PCR Purification Kit (Thermo Scientific) following manufacturer’s specifications and sequenced by the Sanger Sequencing Service (Complutense University of Madrid, Spain). Clean sequences were queried in the database and corresponding allele numbers were assigned. The combination of seven alleles gave the Sequence Type (ST) for each isolate. New alleles or STs were assigned when necessary by the international database of MLST for S. aureus. Phylogenetic analysis of the different STs was performed using eBURST algorithm included in the software Phyloviz (http://www.phyloviz.net) and visualized in a minimum spanning tree.

2.5. Molecular Detection of Virulence Genes

S. aureus isolates were tested for the presence of enterotoxin genes (sea, seb, sec, sed, see, seg, seh, sei, sej, sek, sem, sen, seo, sep, seq, ser, seu, sev and sew). Other virulence factors investigated were leukocidin genes (lukS/F-PV), the toxic shock syndrome toxin gene (tst) and the biofilm associated gen icaA. Additionally, the presence of non-virulence penicillin resistance, β-lactamase gene (blaZ) was also investigated by PCR. All cleaned amplicons were sequenced by the Sanger Sequencing Service (Complutense University of Madrid, Spain). The enterotoxic gene cluster (egc) was completely amplified and sequenced using a new set of designed primers listed in Table S1.

2.6. Enterotoxins A-D Production

The production of classical enterotoxins SEA, SEB, SEC, and SED during the growth of S. aureus strains was assessed by reversed passive latex agglutination using the SET-RPLA Kit (Thermo Scientific™ Oxoid™ SET-RPLA Toxin Detection Kit, Thermo Fisher Scientific) according to the manufacturer’s instructions.

2.7. Antibiotic Susceptibility

Confirmed S. aureus isolates were tested for antibiotic resistance by the disc diffusion method (CLSI) using Mueller-Hinton agar (Laboratorios Conda S.A.) and commercially available Thermo Scientific™ Oxoid™ antimicrobial susceptibility discs (Thermo Fisher Scientific). The antimicrobials studied were penicillin G (PEN), ampicillin (AMP), amoxicillin with clavulanic acid (AMC), oxacillin (OXA), cefoxitin (FOX), clindamycin (CLD), erythromycin (ERY), chloramphenicol (CLF), tetracycline (TET), ciprofloxacin (CIP), gentamicin (GEN), vancomycin (VAN), and trimethoprim plus sulphamethoxazole (STX). S. aureus ATCC 25923 was used as reference strain for antimicrobial testing. The plates with antibiotic discs were incubated at 37 ºC for 18 h. Diameters of the inhibition zones were measured and the S. aureus strains were scored as susceptible, intermediate, or resistant according to the criteria of Clinical Laboratory Standards Institute [19].

3. Results

3.1. Prevalence of S. aureus in Dry-Cured Meat Products Producing Facilities

The presence of S. aureus was investigated in a total of 720 samples from the environment and equipment and 82 from different product categories in six dry-cured meat products processing facilities. S. aureus was found in five of the six sampled facilities. A total of 124 coagulase positive staphylococcal isolates confirmed as S. aureus were obtained from 38 positive samples. S. aureus was recovered (Table 1) from surfaces in five out of the six processing facilities with an overall incidence of 3.8%. Prevalence during processing was 4.8%, whereas diminished to 1.4% after cleaning and disinfection procedures. Food contact surfaces contamination was of 4.4%, slightly higher than 3.1% of positive non-food contact surfaces. Prevalence was higher in different product categories (13.4%) in 3 out the 4 facilities investigated, in batter and casings samples, although the pathogen was not detected in final products (Table 1). Isolation frequency varied among plants, between 8.0% (plant C) and 2.0% (plant E). Ten isolates (8%), harboring the mecA gene were adscribed to MRSA and recovered in four positive samples from plant A.Bulleted lists look like this:

3.2. Characterization of S. aureus Isolates

Results on PFGE characterization and the origin of 34 non-MRSA isolates from positive samples are shown in Figure 1. PFGE with SmaI revealed a total of 14 pulsotypes (PTs) showing high diversity. Two different pulsotypes were found in plant A (4% positive samples), PT2A during processing and PT11A in a drain in clean and disinfected installation. Plant B (6.8% positive samples) presented 4 different pulsotypes, with PT12B in 11 out of 15 positive samples. This PT was found in batter, casings and contact and non-contact surfaces during processing. Higher variability was detected in plant C (8% positive samples), with a majority of PT8C and PT9C in nine out of 12 positive samples, in batter, casings and contact and non-contact surfaces during processing. Positive samples from plant D (2.6%) presented three different pulsotypes, and two pulsotypes were found in plant E (2%). Only one common PT (3C and 3E) was detected at dry-cured ham deboning zones of two different processing facilities. The rest, as seen in Figure 1, were specific of each plant. MRSA isolates (all from plant A) were obtained from meat batter and contact surfaces during processing. PFGE typification of these isolates with XmaI digestion revealed a high degree of similarity (results not shown). Allelic profiles obtained by MLST allowed the definition of 11 different sequence types (STs) which were assigned to six clonal complexes (CCs) (Table 2). All MRSA isolates were adscribed to ST398. The most abundant ST was ST30 (32% of isolates), detected in plants B and D, followed by ST12 (24%), isolated from plant C and ST1 (8%) characterized in plants B, C and E. ST188 (5%) was detected in two plants whereas ST7, ST9, ST15, ST45, and ST433 were less abundant and only found in one plant. One isolate from a drain in plan A showed a new sequence type ST5554. ST398 (11%) was only detected in plant A. Isolates were distributed into seven CCs, CC1 (ST1, ST188, and ST9), CC7, CC12, CC15, CC30 (ST30 and ST433), CC45 and CC398. The phylogenetic relationships among the different populations, defined by MLST, are shown in Figure 2.

3.3. Detection of Virulence Genes

The frequence of virulence genes identified on the 38 isolates selected from the positive samples is shown in Table 2. SE genes were detected in 20 out the 38 strains investigated. Enterotoxin A gene sea was identified in all ST30 isolates from plant B and plant D, and one ST188 from plant D, seb in one ST1 isolate, sec in two ST45 isolates from plant C while sed and see were not amplified by PCR in any of the S. aureus investigated. Three ST1 isolates from plants B, C and E were positive for seh genes.

Sixteen out of the 38 isolates possessed the enterotoxin gene cluster (egc), belonging to ST9, ST30, ST45 and ST433. The complete egc was sequenced with the designed primers. Four different egc variants were found (Figure 3): ST433 and ST30 belonged to egc3 [11] or OMIUNG according to other classification [20]. The isolate D41 (ST30) possessed the egc3 but also two amino acid substitutions in SEO (D49E) and SEG (V230F) regarding deposited sequences in Genbank. ST9 isolate presented an egc1 type backbone, with the selw gene instead seu, which corresponds to an OMIWNG type. Amino acid substitutions were also found in SEO (E87K), SEN (K143R) and SEG (G131D), based on the amino acid sequences deposited in Genbank. The two ST45 isolates were similar to ST9, with an egc1 backbone, containing a selw gene (OMIWNG type) and amino acid substitutions in SEM (T63S, V64I and R115C) and SEI (Y103F). Genetic determinants of enterotoxin production were not detected in all ST398, ST12, ST15, ST5554, ST7 and one ST188 isolates. The presence of the tst gene was high, with 82% of isolates positive. All ST398, ST7, ST433 and one ST1 did not carry this gene. Sequencing of PCR product obtained with Panton-Valentine leukocidin primers for genes lukF and lukS revealed a sequence compatible with leukocidin ED in five out nine ST12 isolates from plant C. The icaA gene related with biofilm forming ability was present in all S. aureus isolates. On the other hand, staphylococcal enterotoxin A was produced by 13 isolates, 12 belonging to ST30 from plants C and D and one ST188 isolate from plant D. Only one isolate ST1 from plant B produced SEB and the two ST45 isolates from plant C produced SEC. None of the isolates tested produced SED.

3.4. Antimicrobial Resistance Profiles

The antibiotic susceptibility results are shown in Table 2. Twelve out of the 38 isolates (31.6 %) were susceptible to all the 13 antimicrobials tested. They were further typified as ST7, ST12, ST433 and ST5554. Three ST398-meticillin resistant (MRSA) isolates were also resistant to three or more antimicrobials and considered therefore multidrug resistant (MDR). Twenty-six isolates were resistant to penicillin (ST1, ST9, ST15, ST30, ST45, ST188 and ST398), seven to tetracycline (ST398, ST9 and ST15), four to erythromycin (ST398 and ST1), three to cefoxitin (ST398) and one to ciprofloxacin (ST398). Resistance to ampicilin, amoxicillin plus clavulanic acid, chloramphenicol, gentamycin, oxacillin and vancomycin was not observed by phenotypic analysis. The presence of blaZ gene encoding for β-lactamase was detected in all the isolates resistant to penicillin.

4. Discussion

S. aureus is frequently isolated from meat processing facilities, from contact and non-contact surfaces and from raw materials and different product categories. Contamination of meat products results from poor hygienic practices during processing and storage. In this study, overall prevalence of S. aureus in the environment and different categories of products from five out of six dry-cured meats processing facilities was low (4.7%). Prevalence was higher during processing than after cleaning and disinfection, although the pathogen was detected in clean surfaces (1.4%). S. aureus contamination was higher in batter and casings (13.4%) than in equipment surfaces, whereas the pathogen was not detected in final products.

Our prevalence results are in concordance with previous studies conducted in Spain, with a 3.2% in disinfected surfaces from different meat industries [21]. Higher incidence was observed in a cutting room with coagulase-positive S. aureus in 15.5% of equipment samples during cutting operation, and 31.8% of meat samples for dry-cured sausages [22]. Incidence reported by Gounadaki et al. [23] in food contact and non-contact surfaces of three of seven processing plants producing traditional fermented and/or dry sausages was 11.7%, whereas the pathogen was not detected in batter or final products. According to several authors [24,25], raw materials or ingredients are one of the main sources of S. aureus contamination in meat processing plants, data in agreement with our results on higher contamination in batters and casings. In our work, MRSA presence was relatively high (13.2%), although the pathogen was detected only in one of the industries investigated.

In general, MRSA contamination in meat is lower in Europe (3.2%) compared to other continents [26]. MRSA was detected in a 5% of RTE food samples positive for S. aureus [16], a value higher that the 1.3% in retail foods reported by Yang et al. [27]. Average incidence of S. aureus in retail meat including pork in China was 35% [17], similar to pork products in Spain (33.6%), with a high rate of MRSA found in 21.8% of samples, mainly in meat products with skin (ears and snout) [13].

The S. aureus isolates from the processing facilities investigated presented, in general, a high diversity of genotypes by PFGE. A large diversity has been already reported for S. aureus from the environment and food [28], and from clinical isolates [29]. In general, an association of pulsotypes (or clusters of pulsotypes) with the production plant was observed. For example, PT8C and PT9C with more than 90% similarity were isolated only in plant C.

MLST allowed the definition of 11 different sequence types (STs). As shown in Figure 2, the most abundant was ST30 (CC30) (32% of isolates), followed by ST12 (CC12) (24%). Most of the STs detected in our study have been previously characterized in in pork products from other countries: ST398 (35%), ST1, ST30, ST45, ST15 and ST9 in Denmark [30], and ST1 was predominant in samples from pork meat in US [31]. CC45 and CC1 predominated among MSSA isolates from pork meat samples [13]. On the other hand, MRSA ST398 is the major sequence type colonizing pigs in Europe [32], and predominated in pork meat samples in Spain [13]. In the present work, MRSA ST398 was not the dominant ST, but it was the majority in facility A. Different studies have found that S. aureus CC30 is predominant among human nasal carriers of the bacterium [33], and in cases of bacteremia in Denmark [30]. Although it has also been isolated from RTE food [4], it is not one of the major clonal complexes of porcine origin. We cannot rule out a human origin of those isolates.

The combination of PFGE and MLST revealed association between PTs and CCs with processing plants. Thus, PT1 belonged to CC45, only in plant C, PT10 with CC15 in plant B, PT12 with CC30 and plant B, among others. Taking together PFGE and MLST, we might ascertain that, in general, 1-3 clones are isolated at each plant.

Regarding the presence of enterotoxin genes, in the present work, 55% of S. aureus isolates carried one or more SE genes. Higher percentages (66%) were reported from industry surfaces [21], different food products (69%) [34], and from fermented pork sausages (60%) [35]. According to our results, SE genes were not detected in all ST398 and ST12 strains. SEA is the enterotoxin most frequently involved in SFP cases [11], while a lower number of cases are attributed to SEB, SEC, and SED. In our study, all the strains harboring classical SE genes (sea, seb and sec) effectively produced the corresponding toxin (SEA, SEB and SEC) as detected by agglutination test. This data confirms the virulence of these strains. Among the classic enterotoxins, SEB and SEE have been associated with infectious strains of bovine origin, mainly of ST188 [36,37]. Therefore it can be expected a low prevalence of those toxins amongst our isolates. In fact, only one ST1 SEB-producing isolate was characterized. Moreover, SED and SEE toxins or their genes were not detected.

The enterotoxin gene cluster egc (seg, sei, sem, sen, seo, seu/sew) was found in 37% of the isolates from CC30, CC45 and one ST9 isolate. This percentage is higher than previously reported from different sources, as 14.1% (food strains) [38] or 18.7% (RTE foods) [39]. However, higher percentages (50-70%) of egc in samples from healthy human carriers has been previously reported [40]. According to our results, the egc cluster was, in most cases, associated with classical SE genes, sea or sec, as previously observed [41,42]. Genes from egc as sei or seg have been linked to outbreaks [41]. Moreover, Schwendimann et al. [4] demonstrated that 75% egc positive strains expressed SEG and 100% SEI, indicating that these egc enterotoxins are involved in SFP. Therefore, these isolates are potentially pathogenic. Dicks et al. [20] found association between the egc type and clonal complexes of S. aureus. Thus, OMIWNG variant was present in CC1, CC5 and CC22. In our study, this variant was found in ST9, which belongs to CC1. We also found OMIWNG variant in ST45 (CC45), not described in the mentioned paper. The investigation of a higher number of strains worldwide could ascertain the relationship between egc variants and clonal complexes of S. aureus. Recombination between genes inside egc have been described (i.e. sel33 is a recombination between sew and sen [20]. Also, incomplete egc variants lacking any of the genes have been found. Thus, Song et al. [37] reported a 39.5% of egc strains lacking seu. In another study, most of the isolates of swine origin possessed an incomplete egc, lacking two of the genes [43]. Although our isolates possessed a complete egc, the absence of genes in egc regarding the pathogenicity of the strains needs to be further investigated.

Variations in the amino acid sequence of seo, sei, sem, sen and seg might constitute new genes. For example, a variant of seu firstly named seu2 is now considered sew.

The seh encoding SEH toxin was found in three (7.8%) CC1 isolates from three different industries. The seh gene seems to be restricted to CC1 isolates [29], and has been found in S. aureus from RTE foods [39,44]. SEH has been reported as cause of SFP cases, highlighting the importance of the detection of seh gene in foodborne outbreaks.

The toxin shock staphylococcal toxin gene tst, was found at high prevalence in the present study (63.2%). Xie et al. [29] observed the presence of tst gene in 48% clinical isolates from China, and by Argudín et al. [8] in 25.8% of isolates from food and food handlers in Spain. On the contrary, lower prevalence rates have been reported, with values of 2.1% [39], 7.2% [44] or 17% [16]. In another study, the detection rate of tst was high in MRSA ST9 strains from swine and human clinical isolates [45]. In our study, the presence of tst gene was detected in almost all CCs, not restricted to any specific ST. This high proportion of isolates expressing tst will need to be further investigated.

Concerning Panton-Valentine leukocidin, with the published primers [46], a length compatible amplicon (180 bp) was not obtained. However, the inespecific amplicons were sequenced, and a sequence compatible with lukED was observed in five ST12 isolates. This is probably a consequence of the similarity of the different leucocidin genes. In contrast, previous studies conducted in Spain have found high proportions of PVL, both in clinical and food isolates [8,47].

The intercellular gene cluster adhesion (ica) operon is one of the main factors involved in biofilm production by S. aureus [48]. Biofilm formation is a well-known mechanism for survival to disinfectants in the food industry [49]. The ica operon plays an important role in biofilm formation, specially through the exposition to NaCl [50], used as ingredient and preservative in dry-cured meat products. High salt concentrations might select the isolates with presence and activity of ica operon.

Notably, all MRSA ST398 isolates were negative for all tested enterotoxin, tst and pvl genes, in agreement with other MRSA results from slaughter pigs [51]. In the scientific literature, the detection of toxin encoding genes in MRSA CC398 is low, although they have been found colonizing or causing infections in humans [52,53,54].

The ability of S. aureus to acquire and develop resistance to multiple antibiotics that can be transmitted to humans by ingestion of contaminated food products is recognized worldwide. In the present study, the percentage of S. aureus resistant to antibiotics was high (71%), although higher percentages in meat have been recorded [17]. Values of resistance to three or more antibiotics (15.8%) were similar to 16.7% reported for S. aureus from RTE foods [40]. All ST12, ST5554, ST7 and ST433 isolates were susceptible to all tested antibiotics. Higher values were reported by Gutierrez et al. [21], with 70% of strains from food industry surfaces susceptible to 10 antibiotics tested. In our study, resistance to penicillin was observed in 68% of the isolates. Similar percentages have been reported in S. aureus from food or associated to food poisoning [34,42]. The presence of MDR strains is common among S. aureus isolates from meat and poultry samples [13]. Multiresistance to several classes of antimicrobial agents is also common in MRSA ST398 isolates and has been reported worldwide [55,56,57]. In our study, MRSA ST398 strains were resistant to two or more antibiotics, and only MRSA isolates were resistant to cefoxitin and ciprofloxacin. MRSA isolates from the present work showed also resistance to tetracycline, a common trait in S. aureus of animal origin [58]. This resistance seems to be acquired by livestock associated (LA)-MRSA CC398 after the introduction in livestock from human MSSA [59]. Presence of MDR is a matter of concern for the food industry, although in our study they were not detected in clean surfaces or final products.

In the present work, the pathogen was detected in a low number of samples after cleaning and disinfection. Our results showed a high variability in the environment, but in general, the cleaning and disinfection procedures were efficient. The highest contamination was recorded on meat batters that could contaminate surfaces during processing. Some points are critical for S. aureus presence and this knowledge is important for the improvement of hygiene control procedures. The presence of S. aureus with virulence determinants and resistance to antimicrobials represent a potential health hazard for consumers. In addition, multidrug resistant MRSA ST398 strains increases the risk for the spread of this pathogen.

5. Conclusions

S. aureus was found at low prevalence in the six pork meat industries sampled in this work. The isolates showed a wide genetic diversity, although some populations were detected in more than one processing plant. There was a clear reduction of S. aureus after the cleaning and disinfection procedures, observing a very low prevalence in clean surfaces, and no detection of the pathogen in final products. It is remarkable the appearance of MRSA isolates in one of the industries. The presence S. aureus with genetic determinants of enterotoxin production must be taken into account as a potential risk factor for food safety.