Staphylococcal food poisoning is one of the most economically importan
t food-borne diseases in the United States, costing approximately $1.5
billion each year in medical expenses and loss of productivity. The a
mount of staphylococcal enterotoxin required to cause illness in human
s depends on the susceptibility of the individuals. As little as 0.5 t
o 0.75 ng/ml of enterotoxin A in chocolate milk was shown to be able t
o cause illness in school children. Many methods have been developed f
or the detection of enterotoxins: immunological and biological assays.
Immunological assays are more sensitive and specific and are the basi
s for detection of the identified enterotoxins. However, biological as
says are useful for the detection of uncharacterized enterotoxins. Thi
s article reviews methods currently available for enterotoxin detectio
n, including biological assays, immunodiffusion, radioimmunoassay, enz
yme-linked immunosorbent assay, polymerase chain reaction-based method
s, and various commercially available diagnostic kits.