[Skip to Content](https://www.sigmaaldrich.com#main-content) [![MilliporeSigma](https://www.sigmaaldrich.com/static/logos/purple/millipore_sigma.svg)](https://www.sigmaaldrich.com/US/en) Products Cart0 USEN Products [Login / Register](https://www.sigmaaldrich.com/oidc-sign-in) [Order Lookup](https://www.sigmaaldrich.com/US/en/order-lookup) [Quick Order](https://www.sigmaaldrich.com/US/en/quick-order) Cart0 [Home](https://www.sigmaaldrich.com/US/en)[Microbiological Analysis](https://www.sigmaaldrich.com/US/en/applications/food-and-beverage-testing-and-manufacturing/microbiological-analysis-for-food-and-beverage)How to Choose the Right Method for Microbial Testing in Infant Formula # How to Choose the Right Method for Microbial Testing in Infant Formula __Dr. Andreas Bubert__ Culture Media F&B Infant formula and its ingredients are very sensitive foods which must be carefully microbiologically analyzed before release to market. Recent recalls of infant formula products due to microbial contamination raise the question of which methods QC labs should apply to correctly detect microorganisms, especially pathogens. __Section Overview__ - [Which Microorganisms to Test in Infant Formula?](https://www.sigmaaldrich.com#which-microorganisms) - [Which Quality Control Methods Can be Used?](https://www.sigmaaldrich.com#quality-control) - [What to Consider When Choosing the Right Method?](https://www.sigmaaldrich.com#considerations) - [Our Solutions for Infant Formula Testing](https://www.sigmaaldrich.com#solutions) - [Select Your Culture Media](https://www.sigmaaldrich.com#select) - [Ready-to-Use Certified Reference Microorganisms (CRMs)](https://www.sigmaaldrich.com#ready-to-use) [Contact Us](https://www.sigmaaldrich.com/US/en/products/industrial-microbiology/pathogen-screening-kits-instuments-and-disposables/speak-to-a-specialist) ## [](https://www.sigmaaldrich.com)Which Microorganisms to Test in Infant Formula? ![Salmonella bacteria](https://www.sigmaaldrich.com/content/dam/cms-commons/sigmaaldrich/marketing/global/images/technical-documents/articles/food-and-beverage-testing-and-manufacturing/microbiological-analysis/salmonella-bacteria.jpg "874165142") __Figure 1.Salmonella__ bacteria Most critical is the absence of *Cronobacter* spp. and *Salmonella* in PIF*.* While *Salmonella* is able to infect all humans, *Cronobacter* spp. (formerly *Enterobacter sakazakii)* is a pathogenic bacterium that can cause severe diseases, primarily in infants under 6 months and immunocompromised adults. This organism is able to survive in low moisture foods, such as PIF, for up to two years. In the EU, Commission Regulation (EC) No 2073/2005 requires the absence of *Cronobacter and Enterobacteriaceae* in 10 g and of *Salmonella in 25 g* respectively in dried infant formulae and dried dietary foods for special medical purposes intended for infants below six months of age. This food must also be tested for presumptive *Bacillus cereus.* In the US, the Federal Food, Drug, and Cosmetic Act (FFDCA) defines infant formula as "a food which purports to be or is represented for special dietary use solely as a food for infants by reason of its simulation of human milk or its suitability as a complete or partial substitute for human milk" (FFDCA 201(z)). FDA regulations define infants as persons not more than 12 months old. All finished dried product infant formula samples (domestic or import) designated for microbiological analysis need to be tested for *Salmonella* and *Cronobacter.* For *Salmonella* analysis, each sample should consist of 25 grams or larger, for *Cronobacter* analysis it is 10 grams or larger. ## [](https://www.sigmaaldrich.com)Which quality control methods can be used? Most countries have standards for quality control (QC) of PIF and their ingredients. In ISO following countries, QC labs can choose to follow either culture media-based ISO standards or ISO 16140 validated rapid methods. In 2017, ISO published revised culture media-based standards for *Salmonella* (ISO 6579-1: 2017), *Cronobacter* spp. (ISO 22964:2017), and *Enterobacteriaceae* (ISO 21528:2017), which are all relevant for testing of PIF and its ingredients. These standards should be carefully read. ISO 6579-1 gives guidance to reduce the risk of false-negative detection results for atypical *Salmonella* strains. A recently recalled infant formula contained the atypical, H2S-negative strain *Salmonella agona*. Such a strain is difficult to detect, particularly by less experienced users.   For *Cronobacter* spp., two new culture media types are included in the revised ISO 22964:2017. This version was validated, not only with infant formula, but also with its ingredients, e.g. milk powder, soy milk powder, starch, and environmental samples. It does not describe the usage of molecular methods for detection or confirmation. However, it is stated that alternative methods can be used to confirm the isolate as *Cronobacter* spp. provided that the suitability of the alternative method has been verified. Updated guidance for method verification is intended to be published in 2019 in ISO 16140-part 3 named “Protocol for the verification of reference and validated alternative methods implemented in a single laboratory.” ![A baby bottle filled with milk, accompanied by a yellow measuring scoop and powdered formula on a white surface](https://www.sigmaaldrich.com/content/dam/cms-commons/sigmaaldrich/marketing/global/images/technical-documents/articles/food-and-beverage-testing-and-manufacturing/microbiological-analysis/infant-feeding-baby-bottle-formula.jpg "Infant feeding baby bottle with formula") __Figure 2.__Infant formula In the US, FDA-BAM standards need to be followed. The Bacteriological Analytical Manual Chapter 29 *Cronobacter* contains both a real-time PCR method for rapid screening and a cultural method for the detection/isolation of *Cronobacter* spp*..* Chromogenic agars are used to isolate the culture for confirmation. A pre-enrichment step is used to grow the bacteria to a level (≥ 103 CFU/ mL) detectable by PCR and chromogenic agars. The culture media portion of this method is a complete detection/isolation method, so it can be used as a stand-alone method if PCR technology is unavailable. It is completely different from the ISO method. The PCR portion of the method is a screening method, whose positive results should always be confirmed with the culture method. The PCR method may be used to confirm pure cultures as *Cronobacter* spp. The FDA-BAM Chapter 5 (Salmonella 8th ed.) method for detection, isolation and confirmation of *Salmonella* was revised in 2018. It is mostly culture media-based but differs completely from ISO 6579-1:2017 in the usage and/or composition of the media, e.g. use of XLD agar. It now also contains a real-time quantitative PCR method for confirmation of pure cultural isolates as *Salmonella spp.*  Countries which do not describe ISO or FDA-BAM based standards have their own methods which may be very different. For example, in China, GB standards need to be followed: GB 4789.40-2016 is the national food safety standard for food examination of *Cronobacter* while GB 4789.4-2016 is for examination of *Salmonella*. Both standards were also issued in 2016 by the China Food and Drug Administration. For *Salmonella*, the method is different from both ISO and FDA-BAM in the usage culture media. For *Cronobacter* spp., the current GB method is very similar to the previous ISO TS 22964: 2006. Both GB standards do not describe a rapid method for the testing of these pathogens. It is important for the export of powdered infant formula products that the QC procedures of the receiving country are always followed, e.g. a PIF exported from Europe for sale in China must be tested according to the Chinese GB standards.    ## [](https://www.sigmaaldrich.com)What to consider when choosing the right method? For such sensitive food, QC labs of food companies exporting PIF need to be aware of the food testing regulations in the countries of destination. Culture media-based methods are described in all countries, but a careful check of the compliance of culture media products used in quality control is important. The culture media should be of high quality and should be accompanied by a clear documentation about the compliance to the given standards. This compliance information should be visible in both the product and batch documentation provided by the media supplier. Such documentation also supports QC managers in audit situations and lab inspections. ![Cronobacter sakazakii WDCM 00124 on ChromoCult® CCI agar acc.](https://www.sigmaaldrich.com/content/dam/cms-commons/sigmaaldrich/marketing/global/images/technical-documents/articles/food-and-beverage-testing-and-manufacturing/microbiological-analysis/cronobacter-sakazakii.jpg "Cronobacter sakazakii WDCM 00124 on ChromoCult® CCI agar acc.") __Figure 3.Cronobacter sakazakii__ WDCM 00124 on ChromoCult® CCI agar acc. As described above, a rapid method can only be applied if permissive in the country of destination. These methods are only acceptable if validated according to ISO 16140 or AOAC International standards. Molecular methods for detection of *Cronobacter* and *Salmonella* are preferred as they are able to detect these organisms in low numbers. There are several systems on the market available. To choose the right supplier, users should have a close look at the performance data of the individual system with PIF as food matrix. A sample preparation procedure that efficiently extracts the target nucleic acid is important, e.g. by magnetic separation, which leads to higher test reliability. Users should carefully read the approval validation protocols before to decide for a system.    ## [](https://www.sigmaaldrich.com)Our Solutions for Infant Formula Testing We offer a broad range of culture media solutions, from traditional powdered and [granulated media](https://www.sigmaaldrich.com/US/en/products/industrial-microbiology/microbial-culture-media) to ready-to-use media. Our culture media solutions meet the highest industry performance standards and our compliance documentation to international regulations is trend-setting in the food industry. In addition, we also offer a comprehensive portfolio of [Microbiological Certified Reference Materials (CRMs)](https://www.sigmaaldrich.com/US/en/products/analytical-chemistry/reference-materials/microbiology-standards) which can be used for media performance testing and quality control.  ![Chromucult® granulated media](https://www.sigmaaldrich.com/content/dam/cms-commons/sigmaaldrich/marketing/global/images/technical-documents/articles/food-and-beverage-testing-and-manufacturing/microbiological-analysis/cromocult-granulate-media.png "Chromucult® granulated media") __Figure 4.__ChromoCult® granulated media Our [Assurance® GDS molecular detection systems](https://www.sigmaaldrich.com/US/en/technical-documents/technical-article/microbiological-testing/pathogen-and-spoilage-testing/assurance-gds-genetic-detection) include very efficient DNA extraction using immunomagnetic separation and provide faster results with increased accuracy and high sensitivity required to meet today’s food safety testing needs. The Assurance® GDS PickPen® technique improves pathogen detection by using immunomagnetic separation (IMS) to separate and concentrate the targeted pathogen in food and beverage samples, including infant formulas. By combining IMS with subsequent PCR detection using the GDS Rotor-Gene® thermocycler, Assurance® GDS significantly improves the assay’s sensitivity and allows the detection of very low contaminant concentrations in a sample.   ## [](https://www.sigmaaldrich.com)Select Your Culture Media Select from a broad range of dehydrated culture media in powder or granules. Our superior granulation technology provides maximum convenience, safety and meets the highest industry performance standards. ### Culture Media for Sample Preparation and Enrichment Sorry, an unexpected error has occurred Response not successful: Received status code 500 ### Culture Media for Detection Sorry, an unexpected error has occurred Response not successful: Received status code 500 ### Culture media for conformation Sorry, an unexpected error has occurred Response not successful: Received status code 500 ## [](https://www.sigmaaldrich.com)Ready-to-Use Certified Reference Microorganisms for Performance Testing of Media We provide an extensive range of pure cultures of bacteria, yeasts or molds CRMs LENTICULE® and Vitroids™ discs that are stable for at least one year. 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