Special Problem Fronda Environmental Quality Monitoring

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ENVIRONMENTAL QUALITY MONITORING OF SELECTED WORK SITES OF

DOST-II REGIONAL STANDARDS AND TESTING LABORATORY

A special problem

Submitted to the Faculty of


College of Development Communication and Arts & Sciences
Department of Natural and Applied Sciences

Isabela State University – Cabagan Campus

In partial fulfillment of the requirement on


Bio 205 Advanced Microbiology

By

Jericho Duque Fronda

June 2022
ABSTRACT

It is very important for laboratories to understand the levels of microorganisms within the
surrounding environment and identify them to reduce the risk of contamination. This work aimed
to assess air quality and critical surface area of the microbiology testing laboratory using Swab
Contact Method of (Moberg and Kornacki, 2015) in four different agars depending on the
organisms of interest. Standard count is 10 colonies per plate provided that no pathogenic
microorganism is detected. Confirmation and identification of isolated microorganism was based
on gram stain, and series of biochemical tests. Surface swab from the media preparation room
isolated Staphylococcus aureus which was confirmed with a positive catalase test. The possibility
of having a data on environmental quality could be a useful educational and training tool both for
those responsible for the sanitation procedures, since the results reflect the effectiveness and
suitability of the procedures adopted in order to increase awareness of the effects of a possible
non-adherence to behavioral standards.

I. INTRODUCTION II. SIGNIFICANCE OF THE STUDY

Environmental microbial monitoring plays a Environmental Monitoring (EVM) Testing is a


fundamental role in reducing the risk of process which is conducted to monitor the
microbial contamination. Appropriate quality of the environment in areas where
microbial control requires an understanding microbial contamination is of concern. It is
of abundance and community structures of very important for laboratories to understand
microbes in the target environment (Kawai, the levels of microorganisms within the
2021). surrounding environment and identify them
to reduce the risk of contamination.
Microbiological environmental monitoring is
a means of demonstrating an acceptable III. OBJECTIVES OF THE STUDY
microbiological quality in the controlled
environment and detecting changes in a The general objective of this study is to
timely manner. It involves the collection of assess air quality and critical surface area in
data relating to microbial numbers recovered the Media Preparation Room, and Isolation
from samples of air, surfaces, and people in and Incubation Room of microbiology testing
a clean area. Such data enable the laboratory.
monitoring of trends over time, that is, the
detection of upward and downward changes Specifically, the study aims:
in that area. Besides running programs for 1. To isolate microorganisms using
monitoring numbers and types of Swab Contact Method in four
microorganisms, particle counts (which may different agars:
represent viable organisms on carriers or - Plate Count Agar- Heterotrophic
inert material) are also assessed as part of Plate Count (HPC)
the program. - DG18 Agar- Molds
- Baird Parker Agar-
This needs to come together into a program. Staphylococcus aureus
Hence the assessment of environments by - Rambach Agar- Salmonella
environmental monitoring is undertaken 2. To quantify the colonies appearing
through a defined environmental monitoring per plate and report as the number of
program. The program should be colonies.
documented and detailed in a policy or 3. To confirm and identify isolated
rationale together with accompanying microorganism based on:
standard operating procedures (Sandle, - Gram stain
2019). - Catalase test
- Voges-Proskauer Housekeeping and Environmental
- Methyl red-reactive Monitoring

IV. SCOPE AND LIMITATION A master cleaning schedule and appropriate


documentation should be established for the
Media Preparation Room, and Isolation and laboratory to ensure that cleaning is
Incubation Room will be subjected for documented and can be monitored for
microbial monitoring using Swab Contact effectiveness. Laboratory surfaces should be
Method of (Moberg and Kornacki, 2015). cleaned prior to sanitization with a cleaning
Gram staining, and biochemical testing will solution that contains surfactants to remove
be conducted to confirm and identify isolated dirt and organic materials. For sterilization
microorganisms. there are several disinfectant options, such
as iodophors, chlorine, quaternary
V. REVIEW OF RELATED LITERATURE ammonium, or phenolic disinfectants. To
verify the effectiveness of the cleaning
General Environment of the Laboratory schedule, a standard operating procedure for
Conducive to Safety and Proper Practices environmental monitoring should be
established.
The laboratory should be air-conditioned and
well ventilated to minimize temperature The operating procedure should describe the
variations. The air-conditioning unit with sampling procedure, the locations to be
clean vent filters will reduce the number of sampled, and the procedure for responding
particulates in the air. to a positive result for qualitative analysis or
out-of-specification data for quantitative
The laboratory should be designed with analysis. Laboratory personnel should
worker safety in mind. It needs to be perform the environmental sampling
spacious enough to include all necessary technique consistently, and, although the
equipment and have adequate workbench locations and frequency are detailed in the
space for the staff. operating procedure, the actual sites should
be chosen randomly (Brauniger et.al, 2015).
Adequate storage is needed to minimize
clutter, which allows for proper cleaning and Principle of Monitoring the
sanitization of surfaces. The laboratory Microbiological Flora
should be well lit, with a maintained light
intensity of approximately 50–1000 lumens. Natural selection is the underlying scientific
A dependence on natural light is discouraged principle that applies to the need to monitor
during the day owing to high variability in the microbiological flora of a laboratory
intensity. Direct sunlight should also be environment. Based on the type of product
avoided as it can negatively affect media, that is produced in the manufacturing
reagents, and organisms. environment, microorganisms will be
selected that can best adapt and survive in
Laboratory conditions should be comfortable the environmental conditions encountered in
for workers. It is recommended that the the laboratories, manufacturing equipment,
laboratory atmosphere be at an ambient and residual food matrices. Failure to exert
temperature between 21°C and 23°C, with a control over the selection of these ‘‘normal
relative humidity of 45%–50% (Brauniger flora’’ will result in their proliferation with the
et.al, 2015). subsequent deterioration of product quality
and a potential increase in the safety hazard
(Moberg and Kornacki, 2015).
Enrichment Methods microorganism, and if enrichment is
selective, to suppress or inhibit the growth of
Enrichment methods determine the competing microorganisms. There are
presence or absence of a target organism: various types of enrichment protocols that,
they are not conducted to determine the level either individually or combined, permit the
or quantity of that organism. Many direct growth of the target organism to levels
plating or quantitative methods exist for the necessary for detection or recovery by
recovery and enumeration of target diagnostic or selective plating procedures,
microorganisms. However, quantitative respectively.
methods are not appropriate in several
situations: 1. The permissible level of the Pre-Enrichment
organism is less than the maximum
sensitivity of the quantitative procedure. 2. The purpose of pre-enrichment is to allow the
The organism is surrounded by large stressed target microorganism to resuscitate
numbers of competing microorganisms. 3. in either a non-selective or a moderately
The suspending food is inhibitory to the selective environment. Although the
target organism. microorganism may resuscitate, very little
growth may occur during the pre-enrichment
The goal of the enrichment method is to step.
permit the growth of the target

These pre-enrichment media are either resuscitation and growth of the target
nonselective or are designed to be microorganism. The liquid version of Baird
moderately selective against competing Parker Agar (Liquid Baird Parker), without
microorganisms. If the media contain any agar, has been successfully used to recover
selective components, these must be Staphylococcus aureus in foods.
balanced to permit the growth of the target
organism and repress the growth of The formulation of the pre-enrichment
competing microorganisms in the food medium will depend upon the level of
sample. A pre-enrichment procedure may competing microorganisms and the ability of
not be necessary when the enrichment the food to inhibit microorganisms. The US
medium has been validated to support the Food and Drug Administration (FDA)
Bacteriological Analytical Manual describes Conversely, food material in a pre-
different pre-enrichment media for the enrichment transferred to a selective
recovery of Salmonella in foods. These enrichment will positively affect media
range from sterile deionized water for efficacy. (Abbiss, 1986) demonstrated that
recovering Salmonella from non-fat dry milk, the presence of food material in buffered
to Brilliant Green-supplemented milk for the peptone water pre-enrichment enhanced the
recovery of Salmonella from chocolate. recovery of Salmonella typhimurium from
These media use either the nutrients from selective enrichments. This improved
the food or contain ingredients (e.g., casein) recovery was due to amelioration of the initial
to neutralize the inhibitory nature of the food inhibitory environment Salmonella
(e.g., chocolate). Lactose is commonly used encounters when transferred to the selective
as the pre-enrichment medium for medium. In the case of Salmonella, neither
Salmonella, even though few species of this tetrathionate nor selenite cystine enrichment
genus are capable of metabolizing this broths alone will support the growth of all
carbohydrate. The presence of lactose is not strains of Salmonella. Therefore, to reduce
directly essential for the recovery of the risk of a false negative, many selective
Salmonella. It has been suggested that some enrichment protocols will employ more than
selectivity of pre-enrichment media one medium following the pre-enrichment.
containing lactose is generated by the
reduction in media pH when the lactose is To ensure the availability of nutrients to the
fermented by the mixed competitor flora. target microorganism, enrichments may be
shaken during incubation. Facultatively
Selective Enrichment anaerobic microorganisms may experience
shortened lag phase and generation times
The pre-enrichment will result in when oxygen is added during the
resuscitation of the target microorganism and enrichment. The oxygen will support an
moderate levels of proliferation. Selective aerobic metabolism that yields higher energy
enrichment furthers the growth of the target than anaerobic metabolism. (Duffy et. al,
microorganism while suppressing or 1994) however, studied the growth kinetics of
inhibiting that of competing microorganisms. L. monocytogenes and found that aeration of
The selectivity of the medium is provided by the selective enrichment did not alter the
agents or conditions which are antagonistic length of the lag phase or the growth rate of
or inhibitory to competing microorganisms. L. monocytogenes.
These selective agents include temperature,
antimicrobials, salts, acids, and metals. The Temperature Control or Management
pre-enrichment step can also serve to dilute
or minimize interfering agents in the food Temperature control is a critical selective or
sample that can impair the selective elective component of many microbiological
capability of the selective medium. Taylor enrichment protocols. The Temperature
and Siliker determined that lactose pre- control is a critical selective or elective
enrichment prior to selective enrichment in component of many microbiological
tetrathionate and selenite cystine increased enrichment protocols. The first step in the
the recovery of Salmonella from albumin. quality assurance process of temperature
Furthermore, direct inoculation of food control is the purchase of the appropriate
samples with large numbers of competing equipment. Most inexpensive gravity flow
microorganisms into selective enrichments connection air incubators can maintain
may result in false negative results owing to incubation temperatures within about ± 3°C
the reduction in the medium’s selectivity. of the desired temperature. For protocols
requiring more stringent control, forced air or
water-jacketed incubators, or shaking or
circulating water baths, should be used.
Incubators and water baths are usually transfer areas, and media preparation and
equipped with temperature controls and sterilization areas. Hands-free wash stations
indicators. These ‘‘built-in’’ devices should should be conveniently located and stocked
never be relied upon as the sole means of with soap. Disposable paper towels should
temperature verification. Incubators can be available.
have hot and cold spots, so a calibration
should be performed annually to establish a Analysts who work with enriched cultures or
relationship between the temperature highly contaminated samples should do this
reading of the internal device and the true only in designated areas that are separated
temperature at key locations within the from other areas, and should wash their
chamber. This can be done using a recorder hands and change their laboratory coats
equipped with thermocouples that have been before entering other areas of the laboratory.
calibrated against a reference thermometer. In short, many procedures for limiting cross-
contamination that are considered good
Thermometers of the proper type (partial, manufacturing practices in the food
total or complete immersion) and of sufficient manufacturing plant should also be applied
accuracy and precision should be to the food microbiology laboratory.
permanently placed within incubators and
water baths. These thermometers should be The air supply for laboratories conducting
calibrated at least once per year against a enrichments and isolations should reduce
reference thermometer whose accuracy is the levels of contamination, lower humidity,
certified to be traceable to a National Institute and control temperature. Airborne
of Standards and Technology (NIST) microbiological contamination should be
thermometer. Large incubators should have controlled by using filters, and the air quality
at least two thermometers, one located should be verified by microbiological
towards the top and one towards the bottom. monitoring (air sampling devices, air settling
If calibration indicates a correction factor is plates, surface swabs). Typically, total
necessary, this correction factor must be bacteria or yeasts and molds are monitored,
used each time the temperature is noted. but monitoring for specific target organisms
NIST-traceable temperature monitoring may be appropriate. Critical work surfaces
devices are now available that monitor the should be routinely monitored for the
temperature continuously. presence of the target organisms being
enriched or isolated. Great care needs to be
Laboratory Environment Management taken when transferring pre-enrichment or
enrichment cultures. Analysts should be
Enrichment techniques are designed to be as trained in the elimination of aerosols and
efficient as possible at detecting extremely microdroplets, and in all aspects of aseptic
low levels of target microorganisms. This technique. A useful technique for training
means that they are extremely sensitive to new analysts is to place brown paper towels
accidental contamination from the laboratory on the laboratory bench during transfer
environment. In addition to meticulous practice exercises. After transfers are
aseptic technique, it is often desirable to complete, the towels can be checked for
have a controlled ventilation system to droplets. Micropipettors should be used only
reduce the potential for contamination. with extreme caution, and the use of
Laboratories should meet the general micropipette tips containing a filter should be
requirements of at least a Biosafety Level 2. considered. Mixing test tube contents by
using a vortex mixer before transfer is not
Laboratories should be designed with necessary in most cases and can be a
physical separation between critical areas source of cross-contamination. Receptacles
such as sample check-in, storage, pre- for contaminated pipettes and micropipettor
enrichment set-up area, enriched culture tips should be located as close as possible to
the operation being performed to reduce the evaluating and reporting equivocal results.
potential for dripping. Strict documentation at every step provides
valuable information for the investigation of
If testing indicates that results may have equivocal results. This documentation
been compromised by the laboratory information may include analyst, enrichment
environment, policies and procedures must time, transfer time, sample order, and rack
be in place that allow for interpreting, order.

VI. METHODOLOGY 4. Hold the swab handle to make a 30˚


angle contact with the surface. Rub
Procedural Details the swab head slowly and thoroughly
over a surface area of approximately
1. Prepare appropriate agar plates for 50cm2 three times, while reversing
the target organism. direction between strokes. Move the
2. Remove petri plate covers and swab on a path 2cm wide by 25 cm
expose the plates in selected work long or other dimensions to cover an
sites for 15 minutes. For the equivalent area.
biosafety cabinet expose the plates 5. Return the swab head to the solution
for 1 hour duration. Replace covers. test tube, rinse briefly in the solution,
Be sure to label plates with sample then press out the excess.
site identification. 6. Swab four more 50cm areas of the
3. Incubate PCA plates at 35°C for 48 surface being sampled, as described
hours and DG18 plates at 25°C for in item 3, and rinse the swab in the
120 hours. Incubation time of other solution after each swabbing.
media may vary. Remove the excess.
4. Count the colonies appearing per 7. After the areas have been swabbed,
plate and report as the number of position the swab head in the test
colonies per 15 minutes. tube, and break or cut it with sterile
Standard: Air control= 15 colonies scissors or other device, leaving the
per plate per 15 minute exposure swab head in the test tube then
provided that no pathogenic replace the screw cap.
microorganism is detected. 8. Shake tube vigorously, making 50
complete cycles of 15 cm in 10
Swab Contact Method (Moberg and seconds.
Kornacki, 2015) 9. Plate 1 ml and 0.1 ml portions of rinse
solution, plus additional solutions, if
1. Prepare 0.1% Buffered Peptone deemed necessary.
Water and salmocyst broth base (for 10. Pour/Spread plates with appropriate
Salmonella), dispense 5 ml in a test media, depending on the organisms
tube. Autoclave for 15 mins at 121ºC, of interest:
15 psi. Let it cool.
2. Label tubes with sampling sites for Plate Count Agar- HPC
identification. DG18 Agar- Molds
3. Open the test tube containing the Baird Parker Agar- S. aureus
0.1% Buffered Peptone Water and Rambach Agar- Salmonella
salmocyst broth base (for
Salmonella), moisten the sterile swab NOTE: Collected swab for
head, and press out the excess Salmonella detection should be
solution against the interior wall of the incubated for 6-8 hours at 35°C.
test tube with a rotating motion. Then, add one tablet of salmocyst
(selective tablet) and stand for 30
minutes. Shake vigorously until a drop of distilled water on a glass
dissolved. Incubate for 18-22 hours at slide.
35°C. Then follow item 8-10. 2. Air-dry or fix by passing the slide
through a flame and stain for 1 minute
11. Incubate PCA plates at 35°C for 48 with the crystal violet solution. Rinse
hours, and DG18 Agar plates at 25°C the stained slide in tap water.
for 120 hours. 3. Apply Lugol’s iodine solution for 1
12. Count colonies and then calculate the minute. Rinse the stained slide in tap
number of colonies recovered from water.
50cm2(equivalent to 1 ml of rinse). 4. Decolorize for approximately 15 to 30
seconds with acetone alcohol by
Standard count = 10 colonies per holding slide between the fingers and
plate provided that no pathogenic letting acetone alcohol flow across
microorganism is detected. the stained smear until no more stain
is removed. Do not over-decolorize.
Gram Staining Rinse with tap water.
5. Counterstain with Safranin for 15
1. Prepare a light emulsion of the seconds, then rinse with tap water,
bacterial growth from an agar slant in blot dry with absorbent paper or air
dry. Examine microscopically.

Morphology of Microorganism after Gram Staining


Gram Positive Gram Negative
Blue to Violet colored Pinkish red colored

Catalase Reaction (Bennett et.al, 2015) 2. Transfer 1 mL to 13 x 100 mm tube.


Add 0.6 mL α-naphthol solution and
Emulsify growth from a TSA slant in 1 0.2 mL 40% KOH, and shake.
drop 3% hydrogen peroxide on a glass slide. 3. Add a few crystals of creatine. Shake
Immediate bubbling is a positive catalase and let it stand for 2 hours.
test. Cultures of S. aureus are catalase 4. Test is positive if eosin pink color
positive. develops

Procedure for Biochemical Testing for


Escherichia coli Methyl red-reactive compounds
1. After VP test, incubate MR-VP tube
Voges-Proskauer (VP) additional 48 ± 2h and 35°C.
1. Inoculate tube of MR-VP broth and 2. Add 5 drops of methyl red solution to
inoculate 48 ± 2h at 35°C. each tube.
3. Distinct red color is positive test.
Yellow is negative reaction.
VII. RESULTS AND DISCUSSION Total Plate Count and 24-120 hours for Total
Fungal Count. Microbial isolates from the 48
The data presented was based on the hour Total Plate Count were considered for
microbiological work area monitoring record confirmation and identification. Standard
of the RSTL-Microbiology Testing count is 10 colonies per plate provided that
Laboratory. Reporting of counted colonies no pathogenic microorganism is detected.
was every 24 hours intervals: 24-48 hours for

Table 1.a. Air sampling: 15 CFU/plate/15 mins. Exposure at Media Preparation Room

Date of Total Plate Total Fungal Count S. aureus Salmonella


Sampling Count
24H 48H 24H 48H 72H 96H 120H 24H 48H 24H 48H
06-06-2022 0 7 0 0 0 2 6 0 0 0 0
06-13-2022 0 2 0 0 0 1 3 0 0 0 0
06-20-2022 0 4 0 0 0 2 5 0 0 0 0

Table 2.a. Surface Swabbing at Media Preparation Room


Date of Total Plate Total Fungal Count S. aureus Salmonella
Sampling Count
24H 48H 24H 48H 72H 96H 120H 24H 48H 24H 48H
06-06-2022 0 3 0 0 1 3 8 0 1 0 0
06-13-2022 0 1 0 0 0 1 2 0 2 0 0
06-20-2022 0 3 0 0 1 3 4 0 1 0 0

Table 3.a. Confirmatory tests of isolated bacteria from Media Preparation Room at 48H Total
Plate Count

Sample Date of Confirmatory Test


sampling Catalase Voges- Methyl red-
Gram stain
test Proskauer reactive
Air sampling Gram-negative,
06-06-2022 Negative Copper Yellow
rod-shaped bacteria
Gram-negative,
06-13-2022 Negative Copper Yellow
rod-shaped bacteria
Gram-negative,
06-20-2022 Negative Copper Yellow
rod-shaped bacteria
Surface Gram-positive,
swabbing cocci, large round blue-
06-06-2022 Positive Copper Yellow
black colonies in
grape-like cluster
Gram-positive,
cocci, large round blue-
06-13-2022 Positive Copper Yellow
black colonies in
grape-like cluster
Gram-positive,
cocci, large round blue-
06-20-2022 Positive Copper Yellow
black colonies in
grape-like cluster
Table 3.a showed a negative result to Voges- large round blue-black colonies in grape-like
Proskauer and Methyl red-reactive with cluster appearance. These samples were
copper and yellow color reaction subjected to catalase testing which confirms
respectively. Isolated bacteria from air all isolated bacteria from surface swabbing to
sampling are rod-shaped gram-negative be Staphylococcus aureus with a positive
bacteria while isolated bacteria from surface catalase test.
swabbing were gram-positive with a cocci,

Table 1.b. Air sampling: 15 CFU/plate/15 mins. Exposure at Isolation and Incubation Room

Date of Total Plate Total Fungal Count S. aureus Salmonella


Sampling Count
24H 48H 24H 48H 72H 96H 120H 24H 48H 24H 48H
06-06-2022 0 0 0 0 0 0 0 0 0 0 0
06-13-2022 0 0 0 0 0 0 0 0 0 0 0
06-20-2022 0 0 0 0 0 0 0 0 0 0 0

Table 2.b. Surface Swabbing at Isolation and Incubation Room


Date of Total Plate Total Fungal Count S. aureus Salmonella
Sampling Count
24H 48H 24H 48H 72H 96H 120H 24H 48H 24H 48H
06-06-2022 0 1 0 0 0 0 1 0 0 0 0
06-13-2022 0 1 0 0 0 0 1 0 0 0 0
06-20-2022 0 1 0 0 0 0 1 0 0 0 0

Table 3.b. Confirmatory tests of isolated bacteria from Isolation and Incubation Room at 48H
Total Plate Count

Sample Date of Confirmatory Test


sampling Catalase Voges- Methyl red-
Gram stain
test Proskauer reactive
Air sampling Gram-negative,
06-06-2022 Negative Copper Yellow
rod-shaped bacteria
Gram-negative,
06-13-2022 Negative Copper Yellow
rod-shaped bacteria
Gram-negative,
06-20-2022 Negative Copper Yellow
rod-shaped bacteria
Surface Gram-negative,
06-06-2022 Negative Copper Yellow
swabbing rod-shaped bacteria
Gram-negative,
06-13-2022 Negative Copper Yellow
rod-shaped bacteria
Gram-negative,
06-20-2022 Negative Copper Yellow
rod-shaped bacteria

Table 3.b showed no pathogenic organism detected from all isolated bacteria with negative result
from catalase, voges-proskauer, and methyl red-reactive tests.
VIII. CONCLUSION AND from 2022 Under the NME ICT
RECOMMENDATIONS initiative of MHRD:
https://vlab.amrita.edu/?sub=3&brch
It is fundamental that the environment =73&sim=703&cnt=2
complies with structural, organizational, and
managerial norms and adequate behavioral Brauniger et.al. (2015). Laboratory Quality
models. The detection of microbial Management Systems. In
contamination through environmental Compendium of Methods for the
monitoring may be the indirect expression of Microbiological Examination of
shortcomings or failures in the above- Foods 5th Edition (pp. 5-6).
mentioned aspects. In terms of prevention, Washington, DC: APHA Press
environmental monitoring certainly APHL.
constitutes a secondary level intervention, Duffy et. al. (1994). The effect of aeration,
mainly aimed at an “early diagnosis” of initial inoculum and meat microflora
environmental unhealthiness, as a on the growth kinetics of Listeria
forewarning of sentinel events. Through monocytogenes in selective
monitoring, indications are given of the enrichment broths. Food Microbiol.
hygienic-sanitary quality not only of that 11, 429-438.
moment (the status quo) but also of the
quality that that environment will always have Kawai, M. (2021). Environmental Monitoring
under the same management and sanitation in a Pharmaceutical Manufacturing
conditions. Moreover, data on environmental Facility.
quality could be a useful educational and
Moberg and Kornacki. (2015).
training tool both for those responsible for the
Microbiological Monitoring of the
sanitation procedures, since the results
Food Procesing Environment. In
reflect the effectiveness and suitability of the
Compendium of Methods for the
procedures adopted in order to increase
Microbiological Examination of
awareness of the effects of a possible non-
Foods (p. 30). Washington, DC:
adherence to behavioral standards.
APHA Press APHL.
Moberg and Kornacki. (2015).
IX. REFERENCES Microbiological Monitoring of the
Food Processing Environment. In
Compendium of Methods for the
Abbiss. (1986). A study of the dynamics of
Microbiological Examination of
selective enrichment of Salmonella.
Foods 5th Edition (pp. 32-33).
The British Food Manufacturing, 1-
Washington, DC: APHA Press
27.
APHL.
Bennett et.al. (2015, June 8).
Sandle, T. (2019). Designing and
Staphylococcus aureus and
Implementing an Environmental
Staphylococcal Enterotoxins. In Y.
Monitoring Program. In T. Sandle,
S. Tortorello, Compendium of
Biocontamination Control for
Methods for the Microbiological
Pharmaceuticals and Healthcare
Examination of Foods 5th Edition (p.
(pp. 159-178).
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