Six staphylococcal food poisoning outbreaks in Sao Paulo were investig
ated, the implicated foods being cream-filed cake (4 outbreaks), gnocc
hi (1 outbreak) and ice-cream (1 outbreak). The foods were examined fo
r the presence of Staphylococcus aureus and staphylococcal enterotoxin
. Staphylococcal counts of 107 to 109 cfu/g were recorded for all food
s except the ice-cream from which no staphylococci were isolated. The
staphylococci isolated from the foods produced enterotoxin A, and all
foods samples contained enterotoxin A, the most common cause of staphy
lococcal food poisoning.