ABSTRACTStaphylococcal food poisoning, one of the most common food-borne diseases, results from ingestion of one or more staphylococcal enterotoxins (SEs) produced byStaphylococcus aureusin foods. In the present study, 64S. aureusisolates recovered from foods and food handlers, associated or not associated with food-poisoning outbreaks in Spain, were investigated. They were assigned to 31 strains byspatyping, multilocus sequence typing (MLST), exotoxin gene content, and antimicrobial resistance. The strains belonged to 10 clonal complexes (CCs): CC5 (29.0%), CC30 (25.8%), CC45 (16.1%), CC8, CC15 (two strains each), CC1, CC22, CC25, CC59, and CC121 (one strain each). They contained hemolysin genes (90.3%);lukED(77.4%); exfoliatin geneseta,etd(6.5% each), andetb(3.2%);tst(25.8%); and the following enterotoxin or enterotoxin-like genes or clusters:sea(38.7%),seb(12.9%),sec(16.1%),sed-seljwith or withoutser(22.9%),selk-selq(6.5%),seh,sell,selp(9.7% each),egc1(32.3%), andegc2(48.4%). The number ofseandselgenes ranged from zero to 12. All isolates carryingtst, and most isolates with genes encoding classical enterotoxins (SEA, SEB, SEC, and SED), expressed the corresponding toxin(s). Two CC5 isolates from hamburgers (spatype t002, sequence type 5 [ST5];spatype t2173, ST5) were methicillin resistant and harbored staphylococcal cassette chromosomemec(SCCmec) IVd. Six (19.4%) were mupirocin resistant, and one (spatype t120, ST15) from a food handler carriedmupA(MIC, 1,250 μg/ml). Resistance to ampicillin (blaZ) (61.3%), erythromycin (ermA-ermCorermC) (25.8%), clindamycin (msrA-msrB or msrB) (16.1%), tetracycline (tetK) (3.2%), and amikacin-gentamicin-kanamycin-tobramycin (aphAwithaacAplusaphDoraadD) (6.5%) was also observed. The presence ofS. aureusstrains with an important repertoire of virulence and resistance determinants in the food chain represents a potential health hazard for consumers and merits further observation.